Gastric emptying in healthy children using the Spirulina breath test: The impact of gender, body size, and pubertal development

Autor: Katja Kovacic, Louis Pawela, Manu R. Sood, Melodee Nugent Liegl, Pippa Simpson, Liyun Zhang
Rok vydání: 2020
Předmět:
Zdroj: Neurogastroenterology & Motility. 33
ISSN: 1365-2982
1350-1925
DOI: 10.1111/nmo.14063
Popis: BACKGROUND There are no pediatric norms for gastric emptying (GE) measured by nuclear scintigraphy. The 13 C-labeled, stable isotope GE breath test (GEBT) is a non-radioactive alternative. We aimed to determine normative GEBT ranges in a cohort of healthy children and examine the influence of age, gender, puberty, and body surface area (BSA). METHODS Healthy children ages 8-18 years completed the [13 C]-Spirulina platensis GEBT after an overnight fast. Breath samples were collected at baseline, every 15 min × 1 h, then every 30 min for 4 h total. The 13 CO2 excretion rate was determined by the change in 13 CO2 /12 CO2 over time in each breath sample, expressed as kPCD (Percent 13 C Dose excreted/min). A mixed model with random time was used for multivariable analysis and outcome fit into a quadratic model. KEY RESULTS The 100 subjects completed the test meal within allotted time. Median (IQR) age was 13.5 (11.3-15.5) years; 51% were female. Females had lower 13 CO2 excretion rates (slower GE) than males across time (p
Databáze: OpenAIRE