Adults who drink at least one sugar-sweetened drink a day are slightly more likely to develop kidney stones than people who rarely imbibe them, according to a new study.
While the recommendation for kidney stone prevention has been to drink a lot of fluids, the study suggests that it's not just the amount of fluid but the type of drink that also matters.
Dr. Gary Curhan, the senior author of the study, said patients often ask for dietary advice to help prevent kidney stones.
While the recommendation has been to drink plenty of fluids, Curhan said, patients often ask, "what should I drink? There's a lot of lore out there."
Frequent punch drinkers also had an 18 percent higher chance of developing kidney stones.
For every 100,000 people who drank punch at least every day, 226 developed kidney stones, compared to 158 out of every 100,000 participants who had punch less than once a week.
"Sodas are so commonly used that even though the absolute rate doesn't look that different, if there's a huge number of people consuming it, then the magnitude on the public health can be quite substantial," Curhan told Reuters Health.
Other drinks, such as coffee, tea, wine, beer and orange juice were tied to a lower risk of developing kidney stones.
For instance, 205 out of every 100,000 people who rarely drank coffee developed kidney stones, compared to 137 out of every 100,000 people who drank it daily.
Just 96 out of every 100,000 people who drank red wine daily developed kidney stones, while 174 out of every 100,000 people who drank red wine less than once a week developed kidney stones.
Curhan's study, published in the Clinical Journal of the American Society of Nephrology, follows others showing a link between stones and fructose, non-dairy calcium, vitamin C supplements and other factors.
The new study doesn't prove cause-and-effect between certain drinks and kidney stones, but it's possible that sugar could be involved, Curhan said, because it might play a role in how the body handles calcium.
Another possibility is that sugary drinks might be contributing to obesity, and obesity is also tied to a higher kidney stone risk, said Dr. Elaine Worcester, a professor at the University of Chicago, who was not part of the study.
Despite the lack of proof of a cause-effect relationship, Worcester said "these kinds of studies are the best we have to give advice to our patients."