Development of a test to measure gastric accommodation in humans. (49/1828)

Postprandial symptoms of bloating, distension, early satiety, and nausea are associated with impaired postprandial gastric accommodation, which is detectable by means of an intragastric, barostatically controlled balloon in the proximal stomach and by ultrasound in the distal stomach. Our aim was to develop a noninvasive method to measure the entire gastric accommodation reflex. In 10 healthy volunteers, we used single photon emission computed tomography (SPECT) to measure fasting and postprandial gastric volumes. This method involved intravenous injection of (99m)Tc pertechnetate and gastric reconstruction of tomographic images with Analyze software. SPECT-Analyze imaging detects the postprandial gastric accommodation reflex in vivo. Mean fasting gastric volume was 182 +/- 11 (SE) ml and mean postprandial volume was 690 +/- 32 ml (P < 0.001). Both proximal and distal segments of stomach showed a two- to almost fourfold difference in volumes postprandially. Intraobserver coefficients of variation in estimated fasting and postprandial volumes were 9 and 8%; interobserver variations were 13 and 12%, respectively. SPECT-Analyze noninvasively measures postprandial gastric (total, proximal, and distal) accommodation in humans. This method appears promising to compare the accommodation response in health and disease and to perform mechanistic studies of the accommodation response.  (+info)

Postprandial heat increment does not substitute for active thermogenesis in cold-challenged star-nosed moles (Condylura cristata). (50/1828)

The postprandial increase in metabolic rate associated with consuming, assimilating and excreting a meal is often termed the heat increment of feeding (HIF). The metabolic heat production of star-nosed moles, Condylura cristata, held at thermoneutrality was monitored for 4 h following a single 10 min session of feeding on a ration consisting of 0 g (controls), 3.5 g or 10 g of earthworms. Coefficients for metabolizable energy digestibility and digesta passage rate of earthworms fed to C. cristata were also determined. We then tested whether feeding-induced thermogenesis substitutes partially or completely for thermoregulatory heat production in these animals exposed to sub-thermoneutral air temperatures (9-24 degrees C). A single feeding on earthworms had both short- and long-term effects on the metabolic rate and respiratory exchange ratio of C. cristata. The observed short-term (0-65 min) rise in metabolic rate, assumed to be associated primarily with the physical costs of nutrient digestion, absorption and excretion, was similar to the calculated mean retention time (66.7+/-7.8 min; mean +/- s.e. m., N=5) of this species. This component of the HIF represented 2.9 % of the food energy ingested by moles fed a single 3.5 g (13.21 kJ) meal of earthworms and 1.4 % of the food energy ingested by moles fed a single 7.5 g (28.09 kJ) meal of earthworms. At all test temperatures, resting metabolic rate typically remained above fasting levels for 1-4 h following ingestion of the high-protein earthworm diet. This protracted rise in metabolic rate, presumably associated with the biochemical costs of amino acid oxidation/gluconeogenesis and ureagenesis, averaged 12.8 % of the metabolizable energy and 8.7 % of the gross energy intake. Despite the potential thermoregulatory benefit, we found no evidence that biochemical HIF substitutes for facultative thermogenesis in star-nosed moles exposed to low air temperatures.  (+info)

Integrated physiological responses to feeding in the blue crab Callinectes sapidus. (51/1828)

The passage of a barium meal (15 % by mass) was followed through the digestive system of the blue crab Callinectes sapidus by flash-freezing crabs at set intervals, followed by radiography of specimens. Food moved from the oesophagus into the stomach region within 15 min. After 1-2 h, food was visible in the midgut, at 6 h it had reached the hindgut, and material was still present in the stomach at this time. The stomach was emptied between 8 and 10 h after feeding, and the entire digestive system was cleared of material after 18 h. A pulsed-Doppler flowmeter was used to monitor cardiac variables and arterial haemolymph flows during a 4 h control and 24 h postprandial period. Heart rate increased immediately upon food detection and remained elevated for 16-18 h after food ingestion. There was no significant change in stroke volume of the heart, and total cardiac output increased significantly and remained elevated above pre-feeding levels for 24 h after feeding. There was no change in haemolymph flow through the anterior or posterior aorta, but flow increased in the sternal, anterolateral and hepatic arteries. These changes in haemolymph flow reflected the use of the chelae and mouthparts in feeding, contraction of the visceral muscle surrounding the gut system and mobilisation of enzymes from the hepatopancreas. There was also a postprandial increase in the rate of oxygen uptake (apparent specific dynamic action). The rate of oxygen consumption (M(dot)(O2)) reached maximal levels 4 h after feeding and decreased slowly thereafter, reflecting the increased use of oxygen in digestion and absorption.  (+info)

Differences in glucose-dependent insulinotrophic polypeptide hormone and hepatic lipase in subjects of southern and northern Europe: implications for postprandial lipemia. (52/1828)

BACKGROUND: This study was an extension of a previous study that showed different lipemic responses to standard test meals in subjects from southern and northern Europe. OBJECTIVE: The aim was to determine in 32 healthy young men from northern and southern Europe whether differences in the secretion of insulin and glucose-dependent insulinotrophic polypeptide (GIP) might explain these findings through the actions of these hormones on lipoprotein lipase. DESIGN: We investigated in a randomized, single-blind, crossover study the effects of 2 test meals of identical macronutrient composition but different saturated fatty acid (SFA) and monounsaturated fatty acid (MUFA) contents on postprandial GIP, insulin, the ratio of incremental triacylglycerol to apolipoprotein B-48 (a marker of chylomicron size), and the activity of postheparin lipases. RESULTS: Fasting and postprandial GIP concentrations and postheparin hepatic lipase activities were significantly higher in the southern Europeans (P < 0.001 and P < 0.02, respectively). Lipoprotein lipase activity after the SFA-rich meal was significantly higher in the northern Europeans (P < 0.01). HL activity 9 h after the SFA-rich meal and the area under the curve (AUC) for the postprandial insulin response correlated with the AUC for the postprandial GIP response [r = 0.44 (P < 0.04) and r = 0.46 (P < 0.05), respectively]. There were no significant differences in chylomicron size between the 2 groups for either meal, but when the groups were combined there was a significant difference in chylomicron size between the SFA- and MUFA-rich meals (P < 0.05), which could be due to the formation of larger chylomicrons after the MUFA-rich meal. CONCLUSION: The significantly higher GIP and insulin responses and HL activities in southern Europeans may provide an explanation for our previous report of attenuated postprandial triacylglycerol and apolipoprotein B-48 responses in them.  (+info)

Effect of long-chain n-3 polyunsaturated fatty acids on fasting and postprandial triacylglycerol metabolism. (53/1828)

Elevated plasma triacylglycerol concentrations have been associated with increased risk of coronary heart disease (CHD). In the past, the epidemiologic evidence about the causal role of triacylglycerols in CHD has not been well regarded, but recent prospective evidence shows that nonfasting plasma triacylglycerol concentration is a strong and independent predictor of future myocardial infarction. Elevated plasma triacylglycerol concentrations are associated with other CHD risk factors, namely reduced HDL-cholesterol concentrations and a preponderance of highly atherogenic, small, dense LDL particles. Plasma triacylglycerol concentrations increase after the ingestion of a fat-containing meal, and elevated postprandial triacylglycerolemia leads to a series of metabolic reactions that reduce HDL-cholesterol concentrations and promote the formation of small, dense LDL particles. The magnitude of the postprandial response is largely determined by fasting plasma triacylglycerol concentrations. Metabolism of plasma triacylglycerols also influences postprandial factor VII activation and the postprandial lipemic responsiveness to dietary cholesterol. Therefore, dietary factors that improve fasting plasma triacylglycerol concentrations must have a role in a healthy diet. Eicosapentaenoic and docosahexaenoic acids are n-3 polyunsaturated fatty acids (PUFAs) in fish oil that effectively reduce plasma triacylglycerol concentrations. Because n-3 PUFAs are effective at low doses (1 g n-3 PUFA/d), they provide a realistic option for the optimization of plasma triacylglycerol metabolism.  (+info)

Effects of fat and carbohydrate meals on colonic motor response. (54/1828)

BACKGROUND: Ingestion of a meal stimulates colonic motility. It is unclear whether the nutrient composition of a meal affects colonic motor response. AIMS: To investigate and compare the effects of a predominantly fat or carbohydrate meal on colonic motility. METHODS: In 18 healthy subjects, ambulatory colonic manometry was performed by placing a six sensor, solid state probe from the mid-transverse colon to the rectum. In a randomised, crossover design, 10 and 27 hours after probe placement, subjects received 4.18 MJ meals containing 60% calories from fat or carbohydrate sources. Preprandial and postprandial pressure activity and motor patterns were evaluated. RESULTS: Both meals induced phasic activity with a greater area under the curve (p<0.03) in the first postprandial hour, compared with the control period. Fat induced motor activity persisted longer (p<0.05) than that of the carbohydrate meal, but the onset of motor response was slower (p<0.001). Although both meals induced more (p<0.001) propagating pressure waves, only the fat meal induced more (p<0.05) simultaneous and retrograde waves. After both meals, 50% of subjects exhibited high amplitude (more than 103 mm Hg), prolonged duration (more than 13 seconds) propagating waves. Both meals induced greater activity (p<0.05) in the transverse/descending colon than in the rectosigmoid colon. CONCLUSIONS: Carbohydrate meals induce colonic motor response, but the effects are short lived when compared with fat meals. The prolonged, segmental, and retrograde phasic activity induced by the fat meal may delay colon transit. Thus meal composition influences colonic motor response.  (+info)

Accumulation of apolipoprotein C-I-rich and cholesterol-rich VLDL remnants during exaggerated postprandial triglyceridemia in normolipidemic patients with coronary artery disease. (55/1828)

BACKGROUND: Exaggerated postprandial triglyceridemia is common in normolipidemic patients with coronary artery disease (CAD). Alterations in the composition of triglyceride-rich lipoproteins (TRLs) are likely to underlie this metabolic disturbance. However, the composition of very-low-density lipoproteins (VLDLs), which are the most abundant postprandial TRLs, has never been defined in CAD patients. METHODS AND RESULTS: We examined postprandial changes in the number and composition of VLDLs in middle-aged, normolipidemic CAD patients and control subjects. TRLs from 14 patients and 14 control subjects aged 45 to 55 years were subfractionated by density gradient ultracentrifugation into Svedberg flotation rate (Sf) fractions >400, 60 to 400, and 20 to 60. The VLDLs were separated from chylomicron remnants by immunoaffinity chromatography. In CAD patients, the postprandial concentrations of triglycerides and large (Sf 60 to 400) VLDL particles were elevated. In addition, their postprandial large VLDLs were enriched in apolipoprotein (apo) C-I and their postprandial small (Sf 20 to 60) VLDL remnants were enriched with apo C-I and cholesterol. CONCLUSIONS: Perturbed handling of postprandial triglycerides in normolipidemic CAD patients involves the accumulation of apo C-I-rich large VLDL particles and the generation of small, apo C-I- and cholesterol-rich VLDL remnants.  (+info)

Postprandial lipemia: effects of exercise and restriction of energy intake compared. (56/1828)

BACKGROUND: The mitigating effect of exercise on postprandial lipemia may be attributable to the energy deficit incurred. OBJECTIVE: We aimed to compare the effects of prior exercise and an equivalent energy intake deficit on postprandial lipemia. DESIGN: Eleven postmenopausal women participated in 3 oral-fat-tolerance tests after undergoing different treatments on the preceding day: control (subjects refrained from exercise and consumed a prescribed diet), exercise (subjects consumed the same diet but walked briskly for 90 min), and intake restriction (subjects' food intake was restricted to induce the same energy deficit, relative to control, as brought about by the 90-min walk). Venous blood samples were obtained after subjects fasted overnight, 30 min after they ate a mixed, high-fat meal (1.70 g fat, 1.65 g carbohydrate, and 99 kJ/kg fat-free body mass), and hourly for the next 6 h. RESULTS: In the exercise trial, the mean fasting triacylglycerol concentration was 19% and 17% lower than the control and intake restriction values, respectively (P < 0.05 for both). Compared with the control trial, exercise reduced postprandial lipemia by a mean of 20% (P < 0.05), whereas intake restriction reduced it by 7% (NS). In the exercise trial, fasting and postprandial fatty acid concentrations were higher than control values (P < 0.05). Exercise, but not intake restriction, reduced postprandial insulin concentrations. CONCLUSIONS: The results suggest that the effect of exercise on postprandial lipid metabolism was greater than and different from that attributable to the energy deficit incurred.  (+info)