Intra- and interindividual variability in fasted gastric content volume - Archive ouverte HAL
Pré-Publication, Document De Travail Année : 2024

Intra- and interindividual variability in fasted gastric content volume

Leila J Karhunen
Shanthi Krishnasamy
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Alan R Mackie
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Werner Weitschies

Résumé

Background: Gastric fluid plays a key role in food digestion and drug dissolution, therefore, the amount of gastric fluid present in a fasted state may influence subsequent digestion and drug delivery. We aimed to describe intra- and interindividual variation in fasted gastric content volume (FGCV) and to determine the association with age, sex, and body size characteristics. Methods: Data from 24 MRI studies measuring FGCV in healthy, mostly young individuals after an overnight fast were pooled. Analysis included 366 participants with a total of 870 measurements. Linear mixed model analysis was performed to calculate intra- and interindividual variability and to assess the effects of age, sex, weight, height, weight*height as a proxy for body size, and body mass index (BMI). Results: FGCV ranged from 0 to 156 mL, with a mean (± SD) value of 33 ± 25 mL. The overall coefficient of variation within the study population was 75.6%, interindividual SD was 15 mL, and the intraindividual SD was 19 mL. Age, weight, height, weight*height, and BMI had no effect on FGCV. Women had lower volumes compared to men (MD: -6 mL), when corrected for the aforementioned factors. Conclusion: FGCV is highly variable, with higher intraindividual compared to interindividual variability, indicating that FGCV is subject to day-to-day and within-day variation and is not a stable personal characteristic. This highlights the importance of considering FGCV when studying digestion and drug dissolution. Exact implications remain to be studied
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Dates et versions

hal-04514551 , version 1 (21-03-2024)

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Julia J M Roelofs, Guido Camps, Louise M Leenders, Luca Marciani, Robin C Spiller, et al.. Intra- and interindividual variability in fasted gastric content volume. 2024. ⟨hal-04514551⟩
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