The Effect of Specific Oral Nutritional Supplements Compared to Tea with Sugar on Gastric Emptying Time, Blood Glucose Level, and Hunger Response in Healthy Adults

  • Stella Evangeline Bela Indonesian Nutrition Association
  • Luciana Budiati Sutanto
  • Jacob Pandelaki
Keywords: ONS, gastric emptying time, blood-glucose level, hunger response

Abstract

Introduction: The objective of this study was to compare gastric emptying time, hunger response, and blood glucose level after drinking specific oral nutritional supplements (S-ONS) to tea with sugar in healthy adults.Methods: This study was a clinical, parallel, random allocation, and single-blind trial. This study was conducted at Cipto Mangunkusumo General Hospital, Jakarta. The subjects were 12 healthy adults divided into 2 groups: intervention group (n = 6) and control group (n = 6). Patients in the intervention group received 200 mL S-ONS (200 kcal, 18% protein, 20% fat and 62% carbohydrate) and control group received 200 mL of tea with 10 grams of sugar (40 kcal). Gastric volume was measured using 2D-sonography every 30 minutes. Blood glucose level was measured using blood peripheral sample. Hunger response was measured using visual analog scale (VAS).Results: Gastric emptying time in the intervention group was <90 minutes, and in the control group <60 minutes. Blood glucose level was increased in the intervention group and decreased in control group. Hunger response was decreased in intervention group and increased in control group.Conclusion: Gastric emptying time after either drinking S-ONS and drinking tea with sugar in healthy adults subjects were less than 2 hours. Patients receiving S-ONS had significantly higher blood glucose level and were less hungry than the control group.

Downloads

Download data is not yet available.

References

--

Teasel RW, Heitzner J, McRae M. The relationship between aspiration and pneumonia following stroke. Top Stroke Rehab 1999;6:17-30. [Google Scholar]

Practice guidelines for preoperative fasting and the use of pharmacological agents for prevention of pulmonary aspiration: application to healthy patients undergoing elective procedures a report by American Society Anesthesiologist task force on preoperative fasting. In: American Society Anesthesiologist (ASA) 1999; 90:896-905.

The Canadian Anesthesiologists' Society. In: Guidelines to practice of anesthesia 1999.

Perkumpulan Ahli Anestesi dan Terapi Intensif (PERDATIN). In: Standar, Pedoman, Petunjuk Praktek Anestesiologi 2007.

Sutanto LB, Surani S, Susworo S, Bardosono S, Aziz MF, Madjid AS. . Gastric emptying time in full-term pregnancy after drinking a 200 ml oral nutritional supplement: a pilot study among the Indonesian population; 2012. Available from: http://www.philspenonlinejournal.com/POJ_0008.html [Google Scholar]

Yurtcu M, Gunel E, Sahin TK, Sivrikaya A. Effects of fasting and preoperative feeding in children. World J Gastroenterol 2009;15(39):4919-4922. [Google Scholar]

Sutanto LB, Surani S, Prasetyno TOH, Syamsudin E, Sugeng A, Muhidin I. Role of enteral nutrition in preoperative patient. Crit care shock 2009;12:95-9. [Google Scholar]

Gilja OH, Lundig J, Hausken T, Gregersen H. Gastric accommodation assessed by ultrasonography. World J Gastroen 2006;12(18):2825-2829. [Google Scholar]

Hausel J, Nygren J, Lagerkranser M, Hellstrom PM, Hammarqvist F, Almstrom C, et al. A Carbohydrate-Rich Drink Reduces Preoperative Discomfort in Elective Surgery Patients. Anesth Analg 2001;93:1344-50. [Google Scholar]

World Health Organization WPR. The Asia Pacific perspective: Redefining obesity and its treatment. Health Communications Australia Pty, 2000

Johnson G. Holt Biology: Visualizing Life, 1994

Datz FL, Christian PE, Moore J. Gender-Related Differences in Gastric Emptying. J Nucl Med 1987;28:1204-1207. [Google Scholar]

Fraga TC, Chiapas, JM, Solis S, Sosa M, Alvarado JB, Hernandez E, Gonzales MH . Gender difference in the gastric emptying measured by magnetogastrography using a semi solid test meal. Acta Gastroen Latinoam 2008;38:240-245. [Google Scholar]

Gentilcore D, Hausken T, Horowitz M, Jones KL. Measurement of gastric emptying of low-and high-nutrient liquids using 3D ultrasonography and scintigraphy in healthy subjects. Neurogastroenterol Motil 2006;18:1062-1068. [Google Scholar]

Sherwood L. Human physiology: from cells to systems. 6 ed. Belmont: Thompson Brooks Cole 2007;16:537-587. [Google Scholar]

--

Submitted

2017-07-14
Accepted
2017-07-14
Published
2017-09-06
Section
Articles

Most read articles by the same author(s)

1 2 > >>