Table 1.
Carbohydrate–electrolyte beverage composition and ingestion characteristics known to influence gastric emptying (GE)
Factor | Effect |
---|---|
Volume |
Direct proportional relationship between beverage volume and GE rate to volumes up to 600 mL, but nil association above [84], and an apparent upper threshold for GE at > 1000 mL [30, 84] High inter-individual variation [92, 93] Repeated solution ingestion to maintain high stomach volumes may aid in maintaining consistent GE rates [30] |
Energy content |
Glucose and total energy content have a greater inhibitory effect compared with beverage osmolality on GE [94] Inhibitory effect of 4–6% glucose solution (230–352 mOsm kg−1) vs. < 2% glucose and concentrations > 6% (> 350 mOsm kg−1) decrease GE rates [94] 8% glucose solution is emptied at a significantly slower rate when compared to 8% sucrose solution [94] |
Carbohydrate type |
Galactose empties faster than glucose and fructose empties faster than galactose [95] Starch empties at a similar rate to isocaloric glucose and maltodextrin and fructose empty faster than glucose [96, 97] Glucose and fructose at < 6% concentration are emptied faster than glucose, but glucose and fructose > 6% concentration are not different [98] |
Osmolality |
Type of carbohydrate affects osmolality and GE rates [31] Sucrose is less inhibitory than glucose at beverage osmolality 68–251 mOsm kg−1 [31] A glucose polymer will reduce the osmolality of the beverage and increase GE rate [99] Hyperosmolality reduces GE rates [99] |
pH | Type and concentration of acids commonly used in beverages are not thought to influence GE. Stomach is acidic; beverage pH has minimal effect [29] |
Temperature | Beverage temperature may affect GE, but effects are minor in size [29] |
Sex | Females may have an initial faster GE rate than males due to smaller stomach generating higher intragastric pressure after the ingestion of large meals or beverage volumes [100] |