Abid Shahab, Anis Muhammad Kashif, Azam Zahid, Jafri Wasim, Lindberg Greger
Department of Medicine, Aga Khan University, Karachi, Pakistan.
Scand J Gastroenterol. 2009;44(5):551-6. doi: 10.1080/00365520902767546.
To compare the maximum tolerated volumes (MTVs) of drinking water and a nutrient liquid at different rates of drinking and to assess the best drinking test correlating with the symptom scores.
Healthy volunteers were requested to drink water at a rate of 10 ml/min or a nutrient liquid drink at 100 and 20 ml/min on three separate occasions. Symptoms of bloating, nausea, and abdominal pain were assessed 30 min after the cessation of drinking using visual analogue scales.
The MTV of water was 1595 +/- 405 in males and 1327 +/- 308 in females (p<0.05). In rapid nutrient drinking, the MTV was 945 +/- 376 ml in males, whereas females tolerated 760 +/- 174 ml (p<0.05). In slow nutrient drinking, the MTV was 692 +/- 184 ml in males and 594 +/- 131 ml in females (p=0.051). Multiple regression analysis showed no influence of body mass index (BMI), age, or gender in slow nutrient drinking. However, drinking capacity was significantly influenced by gender, age, and BMI in rapid water drinking and by gender in rapid nutrient drinking. When the tolerated volumes for satiety drinking tests were compared, only males showed some significant positive correlations. Symptom scores were higher after slow nutrient drinking compared to the other two drinking tests.
The rate of drinking and the caloric content affect the MTVs in satiety drinking tests. Slow nutrient drinking appears to be the best choice among the different satiety drink tests, as MTV in this test was not influenced by BMI or age and was associated with higher symptom scores.
比较不同饮水速度下饮用水和营养液的最大耐受量(MTV),并评估与症状评分相关的最佳饮水测试。
要求健康志愿者在三个不同场合分别以10毫升/分钟的速度饮水,或以100毫升/分钟和20毫升/分钟的速度饮用营养液。在停止饮水30分钟后,使用视觉模拟量表评估腹胀、恶心和腹痛症状。
男性饮用水的MTV为1595±405,女性为1327±308(p<0.05)。在快速饮用营养液时,男性的MTV为945±376毫升,而女性耐受760±174毫升(p<0.05)。在缓慢饮用营养液时,男性的MTV为692±184毫升,女性为594±131毫升(p=0.051)。多元回归分析显示,在缓慢饮用营养液时,体重指数(BMI)、年龄或性别无影响。然而,在快速饮水时,饮水能力受性别、年龄和BMI显著影响,在快速饮用营养液时受性别显著影响。当比较饱腹感饮水测试的耐受量时,只有男性显示出一些显著的正相关。与其他两种饮水测试相比,缓慢饮用营养液后的症状评分更高。
在饱腹感饮水测试中,饮水速度和热量含量会影响MTV。缓慢饮用营养液似乎是不同饱腹感饮水测试中的最佳选择,因为该测试中的MTV不受BMI或年龄影响,且与较高的症状评分相关。