Effect of sodium concentration in a carbohydrate-electrolyte solution on intestinal absorption

Med Sci Sports Exerc. 1995 Oct;27(10):1414-20.

Abstract

Intestinal absorption during infusion (15 ml.min-1) of a 6% carbohydrate (2% glucose and 4% sucrose) solution containing either 0, 25 or 50 mEq.l-1 Na+ was measured by segmental perfusion with a triple lumen tube in males (age 24.3 +/- 1.6) at rest in a neutral environment (22 degrees C). Infusion of the 25 and 50 mEq.l-1 Na+ solutions was performed using a balanced design on the same day, separated by a 1-hr period of no infusion. Infusion of 0 mEq.l-1 Na+ solution was performed on a separate day. A 45-min equilibration period preceded a 90-min test session. Water and solute fluxes were determined from differences in concentration of polyethylene glycol and solute across a 40-cm intestinal segment of the duodenojejunum. A two-factor repeated measures ANOVA indicated no differences (P > 0.1) over time for water, Na+, or glucose flux for all solutions. Plasma volume increased (P < 0.01) approximately 5% over time for all solutions. We conclude that Na+ concentrations of 0, 25, or 50 mEq.l-1 in a 6% carbohydrate solution have similar effects on the absorption of water, Na+, and glucose from the duodenojejunum. Glucose in the infusion solution is the more important factor determining intestinal water absorption than Na+. This study suggests that adding Na+ to fluid replacement beverages may not be a factor in fluid absorption.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Blood Glucose / analysis
  • Duodenum / metabolism
  • Electrolytes
  • Fluid Therapy
  • Glucose / administration & dosage*
  • Glucose / pharmacokinetics
  • Humans
  • Intestinal Absorption / drug effects*
  • Intubation, Gastrointestinal
  • Jejunum / metabolism
  • Male
  • Osmolar Concentration
  • Pharmaceutical Vehicles
  • Plasma Volume
  • Polyethylene Glycols
  • Potassium / administration & dosage*
  • Potassium / blood
  • Potassium / pharmacokinetics
  • Rehydration Solutions / administration & dosage
  • Sodium / administration & dosage*
  • Sodium / blood
  • Sodium / pharmacokinetics
  • Sodium / pharmacology*
  • Solutions
  • Sucrose / administration & dosage*
  • Sucrose / blood
  • Sucrose / pharmacokinetics
  • Water / metabolism

Substances

  • Blood Glucose
  • Electrolytes
  • Pharmaceutical Vehicles
  • Rehydration Solutions
  • Solutions
  • Water
  • Polyethylene Glycols
  • Sucrose
  • Sodium
  • Glucose
  • Potassium