Reproducibility of energy intake, gastric emptying, blood glucose, plasma insulin and cholecystokinin responses in healthy young males.
Gastric emptying, as well as intragastric meal distribution, and gastrointestinal hormones, including cholecystokinin (CCK), play an important role in appetite regulation. The evaluation of gastrointestinal factors regulating food intake is commonly performed in healthy, lean, young male participants. It has, however, been suggested that there is a marked interindividual variability in the effects of nutrient 'preloads' on energy intake in this group. Whether there is significant intraindividual variation in acute energy intake after a nutrient preload, and, if so, how this relates to day-to-day differences in gastric emptying and gastrointestinal hormone release, is unclear. The purpose of the present paper is to evaluate the hypothesis that energy intake after a nutrient preload would be reproducible and associated with reproducible patterns of gastric emptying, intragastric distribution and gastrointestinal hormone release. Fifteen healthy men (age 25 (sem 5) years) consumed a glucose preload (50 g glucose in 300 ml water; 815 kJ) on three occasions. Gastric emptying and intragastric meal distribution (using three-dimensional ultrasound), blood glucose, plasma insulin and CCK concentrations and appetite perceptions were evaluated over 90 min, and energy intake from a cold buffet-style meal was then quantified. Energy intake was highly reproducible within individuals between visits (intraclass correlation coefficient, ri = 0.9). Gastric emptying, intragastric meal distribution, blood glucose, plasma insulin and CCK concentrations and appetite perceptions did not differ between visits (ri>0.7 for all). In healthy males, energy intake is highly reproducible, at least in the short term, and is associated with reproducible patterns of gastric emptying, glycaemia, insulinaemia and CCK release.
Nair
Nivasinee S
NS
Discipline of Medicine, Royal Adelaide Hospital, University of Adelaide, North Terrace, Adelaide, SA 5000, Australia.
Brennan
Ixchel M
IM
Little
Tanya J
TJ
Gentilcore
Diana
D
Hausken
Trygve
T
Jones
Karen L
KL
Wishart
Judith M
JM
Horowitz
Michael
M
Feinle-Bisset
Christine
C
D000293:Adolescent; D000328:Adult; D001069:Appetite Regulation; D019540:Area Under Curve; D001786:Blood Glucose / Q000032:analysis*; D002766:Cholecystokinin / Q000097:blood*; D002149:Energy Intake; D005746:Gastric Emptying; D006801:Humans; D021621:Imaging, Three-Dimensional; D007328:Insulin / Q000097:blood*; D008297:Male; D015203:Reproducibility of Results; D013270:Stomach / Q000000981:diagnostic imaging; D014463:Ultrasonography; D055815:Young Adult
D001786:Blood Glucose; D007328:Insulin; D002766:Cholecystokinin