Simultaneous determination of gastric emptying and intestinal absorption during cycle exercise in humans. 1996

G P Lambert, and R T Chang, and D Joensen, and X Shi, and R W Summers, and H P Schedl, and C V Gisolfi
Department of Physiology, University of Iowa, Iowa City, USA.

Because fluid absorption values derived from intestinal perfusion may not represent intestinal absorption of the same solution following its oral ingestion, the present study measured intestinal absorption following oral ingestion of a beverage. To do so required the simultaneous determination of gastric emptying. Seven males positioned a nasogastric tube in the gastric antrum and a multilumen tube in the duodenum under fluoroscopic guidance. Gastric emptying (GE) and intestinal water flux (WF) were measured during 85 min of cycle exercise at 60.6 +/- 3.7% VO2max (x +/- SE) in a 22 degrees C environment. Subjects ingested a total of 23 ml.kg-1 body weight (2005 +/- 187 ml) of a 6% isotonic carbohydrate-electrolyte solution by drinking 396 +/- 34 ml 5 min prior to exercise followed by 198 +/- 17 ml every 10 min during exercise. Mean stomach volume (312 +/- 80 ml) and GE (19.7 +/- 2.0 ml.min-1) did not change significantly after the initial 35 min equilibration period. Mean WF during oral ingestion of the solution (19.5 +/- 2.6 ml.cm-1.h-1) did not differ significantly from mean WF (16.4 +/- 1.9 ml.cm-1.h-1) during perfusion of the same solution directly into the duodenum at a rate equal to each subject's GE rate. Total solute flux (mmol.cm-1.h-1) was not different between drinking (4.1 +/- 1.3) and infusion (3.8 +/- 1.0) trials, nor were the changes in plasma volume. Urine production immediately following the exercise bout was unchanged between drinking (89.1 +/- 27.5 ml) and perfusion (88.5 +/- 24.2) experiments. These data indicate that: 1) relatively constant stomach volumes can be maintained over a prolonged period of time and can produce relatively constant GE rates, and 2) intestinal absorption of an isotonic carbohydrate-electrolyte beverage can be accurately determined by a modified segmental perfusion technique employing ingestion rather than intestinal perfusion.

UI MeSH Term Description Entries
D007408 Intestinal Absorption Uptake of substances through the lining of the INTESTINES. Absorption, Intestinal
D008297 Male Males
D010477 Perfusion Treatment process involving the injection of fluid into an organ or tissue. Perfusions
D005746 Gastric Emptying The evacuation of food from the stomach into the duodenum. Emptying, Gastric,Emptyings, Gastric,Gastric Emptyings
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001642 Bicycling The use of a bicycle for transportation or recreation. It does not include the use of a bicycle in studying the body's response to physical exertion (BICYCLE ERGOMETRY TEST see EXERCISE TEST).
D013270 Stomach An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM. Stomachs
D015444 Exercise Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure. Aerobic Exercise,Exercise, Aerobic,Exercise, Isometric,Exercise, Physical,Isometric Exercise,Physical Activity,Acute Exercise,Exercise Training,Activities, Physical,Activity, Physical,Acute Exercises,Aerobic Exercises,Exercise Trainings,Exercise, Acute,Exercises,Exercises, Acute,Exercises, Aerobic,Exercises, Isometric,Exercises, Physical,Isometric Exercises,Physical Activities,Physical Exercise,Physical Exercises,Training, Exercise,Trainings, Exercise
D015532 Rehydration Solutions Fluids restored to the body in order to maintain normal water-electrolyte balance. Rehydration Solution,Solutions, Rehydration,Solution, Rehydration

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