McCabe R D, Smith M J, Dwyer T M
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216-4505.
Br J Nutr. 1994 Aug;72(2):325-37. doi: 10.1079/bjn19940033.
Recent studies have shown that faecal residue (dry weight) and Na and K increase with increasing levels of dietary fibre, an effect which may be related to unstirred layers that slow absorption and the flow rate of chyme through the gastrointestinal tract. Salts of Na are the primary osmotic components of chyme and influence both retention of fluid in the bowel and transit of fluid from the small to the large intestine. The present study examines the chronic effects of dietary Na and K intake on faecal Na, K and residue excretion. Male Sprague-Dawley rats were given 12-13 g feed/d (control (g/kg): Na 4, K 8.5) for 1 week, followed by a 4-week period where Na or K intake was altered (0.01-3 times control levels). These diets altered chronic (> 1 week) faecal residue excretion and affected Na and K excretion by 8-, 310- and 2100-fold respectively. Low dietary Na reduced faecal Na and residue; K excretion was doubled during week 1, but fell over weeks 2-4 despite a 4-5-fold increase in plasma aldosterone. Chronic high dietary Na increased faecal Na, residue and K despite a 60% decrease in plasma aldosterone. Chronic low dietary K decreased faecal Na, K and residue and plasma aldosterone. Chronic high dietary K did not alter faecal Na and K despite increased faecal residue and a 4-5-fold increase in plasma aldosterone. Faecal water was unchanged by diet, paralleling changes in faecal residue. Analyses of the results provide systematic models of chronic regulation of faecal Na, K and residue excretions. When plasma aldosterone is low (< 160 ng/l), weekly faecal residue excretion is equal to 3.6 g (fibre intake was 2.6-2.7 g/week)+2.6 g/mmol Na, and K excretion is equal to 0.55 mmol/mmol Na. When plasma aldosterone is high (> 1500 ng/l) weekly faecal residue excretion is equal to 2.3 g + 2.6 g/mmol Na, and K excretion is equal to 0.7 mmol/week + 0.55 mmol/mmol Na.
近期研究表明,粪便残渣(干重)以及钠和钾的含量会随着膳食纤维水平的升高而增加,这种效应可能与减缓吸收的静止层以及食糜通过胃肠道的流速有关。钠的盐类是食糜的主要渗透成分,会影响肠道内液体的潴留以及液体从小肠到大肠的转运。本研究考察了饮食中钠和钾摄入量对粪便中钠、钾及残渣排泄的长期影响。给雄性斯普拉格 - 道利大鼠每天喂食12 - 13克饲料(对照组(克/千克):钠4,钾8.5),持续1周,随后进入为期4周的阶段,在此期间改变钠或钾的摄入量(为对照组水平的0.01 - 3倍)。这些饮食改变了长期(>1周)的粪便残渣排泄,并分别使钠和钾的排泄量变化了8倍、310倍和2100倍。低钠饮食降低了粪便中的钠和残渣;钾排泄在第1周翻倍,但在第2 - 4周下降,尽管血浆醛固酮增加了4 - 5倍。长期高钠饮食增加了粪便中的钠、残渣和钾,尽管血浆醛固酮减少了60%。长期低钾饮食降低了粪便中的钠、钾和残渣以及血浆醛固酮。长期高钾饮食尽管粪便残渣增加且血浆醛固酮增加了4 - 5倍,但并未改变粪便中的钠和钾。粪便中的水分不受饮食影响,与粪便残渣的变化平行。对结果的分析提供了粪便中钠、钾和残渣排泄长期调节的系统模型。当血浆醛固酮水平较低(<160纳克/升)时,每周粪便残渣排泄量等于3.6克(纤维摄入量为2.6 - 2.7克/周)+2.6克/毫摩尔钠,钾排泄量等于0.55毫摩尔/毫摩尔钠。当血浆醛固酮水平较高(>1500纳克/升)时,每周粪便残渣排泄量等于2.3克 + 2.6克/毫摩尔钠,钾排泄量等于0.7毫摩尔/周 + 0.55毫摩尔/毫摩尔钠。