关键词: gastric emptying time gastric ultrasound isocaloric fluids preoperative carbohydrate loading preoperative fasting

Mesh : Male Adult Female Humans Gastric Emptying Cross-Over Studies Beverages Stomach / diagnostic imaging Nutrients

来  源:   DOI:10.1016/j.bja.2023.10.030

Abstract:
BACKGROUND: Previous studies demonstrated conflicting results regarding the determinants of gastric emptying for fluids. Our aim was to compare gastric emptying times of fluids with different caloric and nutrient content.
METHODS: Healthy adult volunteers underwent gastric ultrasound assessment for 4 h after consuming beverages with different caloric and nutrient content using a crossover design (oat drink with 3% fat [310 kcal], mango juice [310 kcal], oat drink with 0.5% fat [185 kcal], and blackcurrant juice [175 kcal]). Gastric emptying time, gastric content volume, and the area under the curve (AUC) of gastric content volume-time profiles were calculated.
RESULTS: Eight females and eight males completed the study protocol. The mean (sd) gastric emptying times were 89 (32) min for blackcurrant juice, 127 (54) min for oat drink with 0.5% fat, 135 (36) min for mango juice, and 152 (40) min for oat drink with 3% fat. Gastric emptying times were slower for oat drink with 3% fat (P=0.007) and mango juice (P=0.025) than for blackcurrant juice. At 1 h after ingestion, gastric content volume was greater for mango juice (P=0.021) and oat drink with 3% fat (P=0.003) than for blackcurrant juice. The AUC was greater for oat drink with 3% fat than mango juice (P=0.029), oat drink with 0.5% fat (P=0.004), and blackcurrant juice (P=0.002), and for mango juice than blackcurrant juice (P=0.019).
CONCLUSIONS: Caloric and nutrient content significantly affected gastric emptying times. A high-calorie fruit juice (mango) exhibited delayed emptying times compared with a low-calorie fruit juice (blackcurrant).
BACKGROUND: ISRCTN17147574.
摘要:
背景:先前的研究表明,关于胃排空液体的决定因素的结果相互矛盾。我们的目的是比较不同热量和营养素含量的液体的胃排空时间。
方法:健康的成年志愿者在饮用不同热量和营养成分的饮料后4小时进行胃超声评估,采用交叉设计(含3%脂肪的燕麦饮料[310千卡],芒果汁[310千卡],含0.5%脂肪[185千卡]的燕麦饮料,和黑醋栗汁[175千卡])。胃排空时间,胃内容物体积,计算胃内容物体积-时间曲线下面积(AUC)。
结果:8名女性和8名男性完成了研究方案。黑醋栗汁的平均(SD)胃排空时间为89(32)分钟,含0.5%脂肪的燕麦饮料127(54)分钟,芒果汁135(36)分钟,含3%脂肪的燕麦饮料为152(40)分钟。含3%脂肪(P=0.007)和芒果汁(P=0.025)的燕麦饮料的胃排空时间比黑醋栗汁慢。在摄入后1小时,芒果汁(P=0.021)和含3%脂肪的燕麦饮料(P=0.003)的胃内容物体积大于黑醋栗汁。含3%脂肪的燕麦饮料的AUC高于芒果汁(P=0.029),含0.5%脂肪的燕麦饮料(P=0.004),和黑醋栗汁(P=0.002),且芒果汁优于黑醋栗汁(P=0.019)。
结论:热量和营养素含量显著影响胃排空时间。与低热量果汁(黑醋栗)相比,高热量果汁(芒果)的排空时间延迟。
背景:ISRCTN17147574。
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