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通过其他肠道功能指标预测胃肠道转运时间的局限性。

Limits of predicting gastrointestinal transit time from other measures of bowel function.

作者信息

Slavin J L, Sempos C T, Brauer P M, Marlett J A

出版信息

Am J Clin Nutr. 1981 Oct;34(10):2111-6. doi: 10.1093/ajcn/34.10.2111.

Abstract

The two aims of these experiments were first, to examine the relationships between mean daily stool weight, mean weight per stool, frequency of defecation, dye transit time, dietary fiber intake, and transit time of small radiopaque pellets, and second, to determine the ability of these measures of bowel function, singly or in combination, to predict gastrointestinal transit time of the pellets. Variables were observed simultaneously in 13 healthy women consuming controlled low and high cellulose diets. All except one of the correlation coefficients between the measures of bowel function were significant. Stepwise regression analysis retained log stool weight, fiber and dye transit to predict log of the mean transit time of all pellets (R2 = 71.3); the same three variables were selected to predict log of the transit time of 80% of the pellets (R2 = 59.4). Mean daily stool weight explained about 50% of the variation for both measures of transit, while dye transit and dietary fiber explained the rest. Log transformation of either stool weight or pellet transit time or both variables improved the prediction of about 10%. These results suggest that prediction of pellet gastrointestinal transit time from other measures of bowel function may be limited and is influenced significantly by the fiber level of the diet.

摘要

这些实验的两个目的,一是研究每日平均粪便重量、每次粪便平均重量、排便频率、染料通过时间、膳食纤维摄入量以及小的不透X线的颗粒通过时间之间的关系,二是确定这些肠道功能指标单独或联合起来预测颗粒在胃肠道通过时间的能力。在13名食用控制的低纤维素和高纤维素饮食的健康女性中同时观察了各项变量。除一项外,所有肠道功能指标之间的相关系数均具有显著性。逐步回归分析保留了粪便重量对数、纤维和染料通过时间,以预测所有颗粒平均通过时间的对数(R2 = 71.3);选择相同的三个变量来预测80%颗粒的通过时间对数(R2 = 59.4)。每日平均粪便重量解释了两种通过时间测量指标约50%的变异,而染料通过时间和膳食纤维解释了其余部分。粪便重量或颗粒通过时间或两者变量的对数转换使预测提高了约10%。这些结果表明,从其他肠道功能指标预测颗粒在胃肠道的通过时间可能有限,并且受饮食纤维水平的显著影响。

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