Intra- and interindividual variability in fasted gastric content volume

Roelofs, Julia J.M.; Camps, Guido; Leenders, Louise M.; Marciani, Luca; Spiller, Robin C.; van Eijnatten, Elise J.M.; Alyami, Jaber; Denga, Ruoxuan; Freitas, Daniela; Grimm, Michael; Karhunen, Leila J.; Krishnasamy, Shanthi; Le Feunteung, Steven; Lobo, Dileep N.; Mackiei, Alan R.; Mayar, Morwarid; Weitschies, Werner; Smeets, Paul A.M.

Abstract

Background: Gastric fluid plays a key role in food digestion and drug dissolution, therefore, the amount of gastric fluid present in a fasted state may influence subsequent digestion and drug delivery. We aimed to describe intra- and interindividual variation in fasted gastric content volume (FGCV) and to determine the association with age, sex, and body size characteristics. Methods: Data from 24 MRI studies measuring FGCV in healthy, mostly young individuals after an overnight fast were pooled. The analysis included 366 participants who had up to 6 repeated measurements, with a total of 870 measurements. Linear mixed model analysis was performed to calculate intra- and interindividual variability and to assess the effects of age, sex, weight, height, weight*height as a proxy for body size, and body mass index (BMI). Results: FGCV ranged from 0 to 156 mL, with a mean (± SD) value of 33 ± 25 mL. The overall coefficient of variation within the study population was 75.6%, interindividual SD was 15 mL, and the intraindividual SD was 19 mL. Age, weight, height, weight*height, and BMI had no effect on FGCV. Women had lower volumes compared to men (MD: -6 mL), when corrected for the aforementioned factors. Conclusion: FGCV is highly variable, with higher intraindividual compared to interindividual variability, indicating that FGCV is subject to day-to-day and within-day variation and is not a stable personal characteristic. This highlights the importance of considering FGCV when studying digestion and drug dissolution. Exact implications remain to be studied.

Citation

Roelofs, J. J., Camps, G., Leenders, L. M., Marciani, L., Spiller, R. C., van Eijnatten, E. J., Alyami, J., Denga, R., Freitas, D., Grimm, M., Karhunen, L. J., Krishnasamy, S., Le Feunteung, S., Lobo, D. N., Mackiei, A. R., Mayar, M., Weitschies, W., & Smeets, P. A. (2024). Intra- and interindividual variability in fasted gastric content volume. Neurogastroenterology and Motility, 36(11), Article e14904. https://doi.org/10.1111/nmo.14904

• Journal Article Type: Article
• Acceptance Date: Aug 18, 2024
• Online Publication Date: Aug 27, 2024
• Publication Date: 2024-11
• Deposit Date: Aug 19, 2024
• Publicly Available Date: Aug 28, 2024
• Journal: Neurogastroenterology and Motility
• Print ISSN: 1350-1925
• Electronic ISSN: 1365-2982
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 36
• Issue: 11
• Article Number: e14904
• DOI: https://doi.org/10.1111/nmo.14904
• Keywords: biological variation; digestion; gastric juice; gastric volume; MRI
• Public URL: https://nottingham-repository.worktribe.com/output/38633758
• Publisher URL: https://onlinelibrary.wiley.com/doi/10.1111/nmo.14904