MP10-15 ALKALINE WATER: HELP OR HYPE FOR URIC ACID STONE PATIENTS?

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP10-15 ALKALINE WATER: HELP OR HYPE FOR URIC ACID STONE PATIENTS? Paul Piedras, Amanda McCormac, Seyed Amiryaghoub Lavasani, Minh-Chau Vu, Rohit Bhatt, Kalon Morgan, Andrei Cumpanas, Zachary Tano, John Asplin, Sohrab N. Ali, Pengbo Jiang, Jaime Landman, Ralph V. Clayman, and Roshan M. Patel Paul PiedrasPaul Piedras More articles by this author , Amanda McCormacAmanda McCormac More articles by this author , Seyed Amiryaghoub LavasaniSeyed Amiryaghoub Lavasani More articles by this author , Minh-Chau VuMinh-Chau Vu More articles by this author , Rohit BhattRohit Bhatt More articles by this author , Kalon MorganKalon Morgan More articles by this author , Andrei CumpanasAndrei Cumpanas More articles by this author , Zachary TanoZachary Tano More articles by this author , John AsplinJohn Asplin More articles by this author , Sohrab N. AliSohrab N. Ali More articles by this author , Pengbo JiangPengbo Jiang More articles by this author , Jaime LandmanJaime Landman More articles by this author , Ralph V. ClaymanRalph V. Clayman More articles by this author , and Roshan M. PatelRoshan M. Patel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003225.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The consumption of alkaline water, an electrolyzed mineral water with an average pH of 8-10, has been steadily increasing globally as proponents claim it to be a healthier alternative to tap water. Urinary alkalinization therapy is frequently prescribed in patients with uric acid nephrolithiasis but given low compliance there has been interest in alkaline water as a potential therapeutic alternative. For any fluid to have an alkalinizing effect on urine, it must contain organic anions such as citrate and bicarbonate. We analyzed five commercially available alkaline water products to assess their electrolyte and organic anion composition. METHODS: Five commercially available alkaline water brands (Essentia®, Smart Water® Alkaline, Great Value™ Hydrate Alkaline Water, Body Armor® SportWater, and Perfect Hydration®) were subjected to anion chromatography, acid titration, and direct chemical measurements to determine the mineral contents of each product. The alkali content of each brand of alkaline water was then contrasted with the alkali content of potassium citrate, sodium bicarbonate and other over the counter organic and synthetic beverages. RESULTS: The pH levels of the five alkaline waters ranged from 9.69-10.15; however, the electrolyte content was minimal, and the physiologic alkali content was <1 mEq (Table 1). The alkali content of all five brands of alkaline water was considerably lower than potassium citrate, sodium bicarbonate, and other common over the counter organic and synthetic beverages (Table 2). CONCLUSIONS: For uric acid stone patients, commercially available alkaline water has negligible alkali content and thus would likely provide no added benefit over consumption of an equal volume of tap water. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e120 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Paul Piedras More articles by this author Amanda McCormac More articles by this author Seyed Amiryaghoub Lavasani More articles by this author Minh-Chau Vu More articles by this author Rohit Bhatt More articles by this author Kalon Morgan More articles by this author Andrei Cumpanas More articles by this author Zachary Tano More articles by this author John Asplin More articles by this author Sohrab N. Ali More articles by this author Pengbo Jiang More articles by this author Jaime Landman More articles by this author Ralph V. Clayman More articles by this author Roshan M. Patel More articles by this author Expand All Advertisement PDF downloadLoading ...