Peningkatan Konsumsi Air Minum dan Pencegahan Batu Ginjal

Oleh :

dr. Agnes Tjakrapawira

Peningkatan konsumsi air minum dianggap dapat mencegah batu ginjal, baik secara primer maupun sekunder, namun tidak banyak dokter yang mengetahui apakah bukti ilmiah yang ada mendukung dogma ini atau tidak. Prevalensi batu ginjal atau nefrolitiasis telah meningkat secara global dalam beberapa dekade terakhir. Di Indonesia sendiri, menurut Riset Kesehatan Dasar (Riskesdas) tahun 2013, hingga 6 dari 1000 penduduk mengalami batu ginjal.[1-5]

Peran Air Minum dalam Pencegahan Batu Ginjal

Studi epidemiologi telah mengindikasikan bahwa konsumsi air minum yang menghasilkan setidaknya 2,5 L urine output per harinya bersifat protektif terhadap batu ginjal. Hal ini diduga karena peningkatan asupan air minum akan mendilusi konsentrasi urine, mengurangi keasaman urine, dan mengurangi kandungan garam berlebih dalam urine, sehingga akan menurunkan risiko terbentuknya batu ginjal.[6]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Sulaiman SK, EnaksheeJ, et al. Which Type of Water Is Recommended for Patients with Stone Disease (Hard or Soft Water, Tap or Bottled Water): Evidence from a Systematic Review over the Last 3 Decades. Current Urology Reports, 21(1). 2020. doi:10.1007/s11934-020-0968-3
2. Haddock R, Olson D, et al. Urolithiasis, Urinary Cancer, and Home Drinking Water Source in the United States Territory of Guam, 2006–2010. International Journal of Environmental Research and Public Health, 13(6), 523. 2016. doi:10.3390/ijerph13060523
3. Xu C, Zhang C, et al. Self-Fluid Management in Prevention of Kidney Stones. Medicine, 94(27), e1042. 2015. doi:10.1097/md.0000000000001042
4. Prasetyo T, Birowo P, et al. The influence of increased fluid intake in the prevention of urinary stone formation: a systematic review. Acta Med Indones. 2013;45(4):253‐258.
5. Laporan Riset Kesehatan dasar 2013. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. http://kesga.kemkes.go.id/images/pedoman/Data%20Riskesdas%202013.pdf
6. Xu C, Zhang C, Wang XL, et al. Self-Fluid Management in Prevention of Kidney Stones: A PRISMA-Compliant Systematic Review and Dose-Response Meta-Analysis of Observational Studies. Medicine (Baltimore). 2015;94(27):e1042. doi:10.1097/MD.0000000000001042
7. Clark WF, Sontrop JM. Can water intake prevent CKD? A brief review of the evidence. The Lancet Kidney Campaign. https://www.thelancet.com/campaigns/kidney/updates/can-water-intake-prevent-ckd
8. Mitra P, Pal DK, et al. Does quality of drinking water matter in kidney stone disease: A study in West Bengal, India. Investigative and Clinical Urology, 59(3), 158. 2018. doi:10.4111/icu.2018.59.3.158
9. Bao Y, Tu X, et al. Water for preventing urinary stones. Cochrane Database of Systematic Reviews. 2020. doi:10.1002/14651858.cd004292.pub4
10. WHO. 2017. Guideline For Drinking Water- Quality. Fourth Edition Incorporating The First Addendum .ISBN 978-92-4-154995-0. https://apps.who.int/iris/bitstream/handle/10665/254637/9789241549950-eng.pdf?sequence=1
11. Hardness in Drinking-water Background document for development of WHO Guidelines for Drinking-water Quality. 2011. https://www.who.int/water_sanitation_health/dwq/chemicals/hardness.pdf.
12. Willis S, Goldfarb DS, et al. Water to prevent kidney stones: Tap vs. bottled; Soft vs. hard - Does it matter? BJU International. 2019. doi:10.1111/bju.14871
13. NICE Guideline - Renal and ureteric stones: assessment and management. 2019. BJU International, 123(2), 220–232. doi:10.1111/bju.14654
14. Courbebaisse M, Travers S, et al. Hydration for Adult Patients with Nephrolithiasis: Specificities and Current Recommendations. Nutrients. 2023 Nov 22;15(23):4885. doi: 10.3390/nu15234885.