Nutrition Therapy for Urolithiasis

Patrick Lowry, MDUrologistBaylor Scott & White HealthTemple, TXUSAKristina Penniston, PhDClinical NutritionistDepartment of UrologyUniversity of WisconsinMadison, WIUSA

“An interprofessional group of expert authors present clinically important chapters on nutrition as related to urolithiasis in this first book on this subject. … It covers the physiology related to nutrition and stone disease, the role of therapy for specific stone‐associated factors, and the incorporation of stone prevention with the management of other comorbidities. … This book is important for physicians, nurses, and dietary nutritionists who work with patients who have urinary stones.” (Demetrius H. Bagley, Doody's Book Reviews, April, 2018)

• Part I. Elements of nutrition therapy.- 1. Definition and overview of nutrition therapy.- 2. Identifying patient candidates for nutrition therapy.- 3. Delivery and assessment of nutrition therapy to patients.- Part II. Rationale for providing nutrition therapy to patients with urolithiasis.- 4. Evidence-based and cost effective.- 5. Potentially improves overall health and patients' QOL.- 6. Opportunity to dispel common and pervasive nutrition myths!.- Part III. Role of diet in urolithiasis.- 7. Digestive and absorptive physiology and mechanisms for urolithiasis.- 8. Concepts of nutrient balance/ imbalance.- 9. Diet assessment and identification of nutritional lithogenic risk factors.- Part IV. Nutrition therapy for specific lithogenic risk factors.- 10. Low urine volume.- 11. High urine calcium, high urine oxalate.- 12. Low urine citrate/ magnesium/ potassium.- 13. High urine uric acid/ acid urine.- 14. No apparent risk factors: what to do?.- Part V. Integrating nutritional stone prevention with therapy for other comorbidities.- 15. Overweight/ obesity:  metabolic benefits for reduced stone risk.- 16. Diabetes: improved control may further reduce stone risk.- 17. Gastrointestinal malabsorptive disorders: improved control will address stone risk.- Part VI. Strategies for providing nutrition therapy and education to patients.- 18. Cultivating and sustaining urologist/nephrologist-RD collaboration.- 19. Strategies for counseling patients.- 20. Strategies for the private practice urologist/nephrologist.- 21. Current controversies in nutrition therapy for urolithiasis.- Part VII. APPENDICES.