Evidence map›Paper›PMID 34045136›Full record

ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2022

Plant-Based Milk Alternatives and Risk Factors for Kidney Stones and Chronic Kidney Disease.

James F Borin, John Knight, Ross P Holmes, Shivam Joshi, David S Goldfarb, Stacy Loeb

Open access · greenAbstract read
In one paragraph

Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Plant-based diets and urological health.Nature reviews. Urology · 2025
    Review
  4. Article
  5. Current Dietary and Medical Prevention of Renal Calcium Oxalate Stones.International journal of general medicine · 2024
    Review
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

James F BorinDepartment of Urology, New York University and New York Harbor VA Healthcare System, New York, New York. Electronic address: james.borin@nyulangone.org.
John KnightDepartment of Urology, University of Alabama at Birmingham, Birmingham, Alabama.
Ross P HolmesDepartment of Urology, University of Alabama at Birmingham, Birmingham, Alabama.
Shivam JoshiDivision of Nephrology, Department of Medicine, New York University and New York Harbor VA Healthcare System, New York, New York.
David S GoldfarbDivision of Nephrology, Department of Medicine, New York University and New York Harbor VA Healthcare System, New York, New York.
Stacy LoebDepartment of Urology, New York University and New York Harbor VA Healthcare System, New York, New York.
VA NY Harbor Healthcare System · USUniversity of Alabama at Birmingham · US

Funding

Oxalobacter formigenes colonization and oxalate excretion in calcium oxalate kidney stone diseaseR01DK087967 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KNIGHT, JOHN · 2011 to 2020
$3.5M
The Influence of Obesity on Oxalate Metabolism and Handling in Calcium Oxalate Stone FormersP20DK119788 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HOLMES, ROSS P · 2018 to 2021
$1.2M
NIDDK NIH HHS P20 DK119788NIDDK NIH HHS R01 DK087967
6 · The paper itself

Abstract

objectivePatients with kidney stones are counseled to eat a diet low in animal protein, sodium, and oxalate and rich in fruits and vegetables, with a modest amount of calcium, usually from dairy products. Restriction of sodium, potassium, and oxalate may also be recommended in patients with chronic kidney disease. Recently, plant-based diets have gained popularity owing to health, environmental, and animal welfare considerations. Our objective was to compare concentrations of ingredients important for kidney stones and chronic kidney disease in popular brands of milk alternatives. DESIGN AND

methodsSodium, calcium, and potassium contents were obtained from nutrition labels. The oxalate content was measured by ion chromatography coupled with mass spectrometry.

resultsThe calcium content is highest in macadamia followed by soy, almond, rice, and dairy milk; it is lowest in cashew, hazelnut, and coconut milk. Almond milk has the highest oxalate concentration, followed by cashew, hazelnut, and soy. Coconut and flax milk have undetectable oxalate levels; coconut milk also has comparatively low sodium, calcium, and potassium, while flax milk has the most sodium. Overall, oat milk has the most similar parameters to dairy milk (moderate calcium, potassium and sodium with low oxalate). Rice, macadamia, and soy milk also have similar parameters to dairy milk.

conclusionAs consumption of plant-based dairy substitutes increases, it is important for healthcare providers and patients with renal conditions to be aware of their nutritional composition. Oat, macadamia, rice, and soy milk compare favorably in terms of kidney stone risk factors with dairy milk, whereas almond and cashew milk have more potential stone risk factors. Coconut milk may be a favorable dairy substitute for patients with chronic kidney disease based on low potassium, sodium, and oxalate. Further study is warranted to determine the effect of plant-based milk alternatives on urine chemistry.

Indexed as

Kidney CalculiRenal Insufficiency, ChronicAnimalsCalciumCalcium, DietaryDiet, Sodium-RestrictedFemaleHumansMaleOxalatesPotassiumRisk FactorsSodiumCalciumCalcium, DietaryOxalatesPotassiumSodium

Identifiers

PMID34045136
PMCPMC8611107
OpenAlexW3164159184

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.