Food oxalate: Factors affecting measurement, biological variation, and bioavailability
ABSTRACT Food and nutrition professionals provide medical nutrition therapy for patients with kidney stones. If the stones contain oxalate or the patient has been diagnosed with hyperoxaluria, reduction of dietary oxalate may be appropriate. Differences in oxalate values for a single food may be due to analytical methods, and/or biological variation from several sources, including cultivar, time of harvest, and growing conditions. Bioavailability of food oxalate and, thus, urine oxalate, will also be affected by salt forms of oxalate, food processing and cooking methods, meal composition, and the presence of Oxalabacter formigenes in the patient's gut. Dietary advice for reducing urinary oxalate should include both reduction of dietary oxalate and simultaneous consumption of calcium-rich food or supplement to reduce oxalate absorption.
SourceAvailable from: Joachim Müller[Show abstract] [Hide abstract]
ABSTRACT: Cassava is mainly grown for its roots whereas leaves are mostly considered as a byproduct. Cassava leaves are a rich source of protein, minerals, and vitamins. However, the presence of antinutrients and cyanogenic glucosides are the major drawbacks in cassava leaves which limit its human consumption. These antinutrients and toxic compounds of cassava leaves cause various diseases depending on the consumption level. Hence these antinutriens and toxic potential of cassava leaves should be addressed during cassava leaf processing (CLP) before human consumption. Several CLP methods have been developed but every method has its own limitations. Some CLP methods successfully detoxify cassava leaves but simultaneously destroy the nutrients. Efforts have also been made for cassava leaf protein extraction in the form of cassava leaf protein concentrate (CLPC) but protein recovery was very low. This review summarizes the nutrient, antinutrient and toxic composition of cassava leaves, CLPC, different CLP methods, human consumption and diseases caused by cassava leaves. Furthermore, recommendations have been made in order to encourage cassava leaves consumption as an important source of protein and micronutrients.Trends in Food Science & Technology 04/2015; DOI:10.1016/j.tifs.2015.04.006 · 4.65 Impact Factor
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ABSTRACT: Objective To account for variations in dietary oxalate content in resources available to hyperoxaluric patients. Our objective is to examine the heterogeneity of the oxalate content reported across various Web-based sources and smartphone applications. Methods A search of “oxalate content of food” was performed using the Google search engine. Smartphone applications were identified by their ability to assess oxalate content. Oxalate contents were obtained, and common foods were selected for comparison. Food groups were compared to better understand how patients are guided when using these references to manipulate their diet. Results Thirteen sources were identified, and 8 sources (6 Web sites and 2 applications) were used to construct figures for comparison of commonly listed foods. Oxalate content was extremely variable between various sources. Fruits with the widest observed range of oxalate included oranges (2.07-10.64 mg/100 g) and bananas (0-9.9 mg/100 g). Among vegetables, the oxalate contents of spinach (364.44-1145 mg/100 g), rhubarb (511-983.61 mg/100 g), and beets (36.9-794.12 mg/100 g) were most variable. Among nuts, the oxalate content of peanuts ranged from 64.57 to 348.58 mg/100 g, and pecans ranged from 4.08 to 404.08 mg/100 g. Conclusion Wide variations exist in the reported oxalate content of foods across several Web-based sources and smartphone applications, several of which are substantial and can have a sizable impact on the construction of a low oxalate diet. As dietary counseling has proven benefits, patients and caregivers should be aware of the heterogeneity that exists in the reported oxalate content of foods.Urology 09/2014; 84(3):555–560. DOI:10.1016/j.urology.2014.03.053 · 2.13 Impact Factor
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ABSTRACT: Hyperoxaluria can cause not only nephrolithiasis and nephrocalcinosis, but also renal parenchymal disease histologically characterized by deposition of calcium oxalate crystals throughout the renal parenchyma, profound tubular damage and interstitial inflammation and fibrosis. Hyperoxaluric nephropathy presents clinically as acute or chronic renal failure that may progress to end-stage renal disease (ESRD). This sequence of events, well recognized in the past in primary and enteric hyperoxalurias, has also been documented in a few cases of dietary hyperoxaluria. Estimates of oxalate intake in patients with chronic dietary hyperoxaluria who developed chronic kidney disease or ESRD were comparable to the reported average oxalate content of the diets of certain populations worldwide, thus raising the question whether dietary hyperoxaluria is a primary cause of ESRD in these regions. Studies addressing this question have the potential of improving population health and should be undertaken, alongside ongoing studies which are yielding fresh insights into the mechanisms of intestinal absorption and renal excretion of oxalate, and into the mechanisms of development of oxalate-induced renal parenchymal disease. Novel preventive and therapeutic strategies for treating all types of hyperoxaluria are expected to develop from these studies.