It is this passive process of moving water across the lumen that I am talking about. Haven’t made it all the way through the article, but some points so far.
While consumption of many beverages occurs for pleasure or from habit,6,15 the resultant intake of fluids will cause their water content to enter the body water pool following ingestion. How quickly this occurs is dependent on many factors, of which the 3 main elements are the rate of gastric emptying, the rate of intestinal absorption of the ingested beverage, and the speed at which the absorbed water enters the water pools.
Agreed on all 3 of those elements. It’s the intestinal absorption element that I am talking about.
The presence of nutrients such as carbohydrates, fats, and proteins in beverages not only supplies energy, it also affects the solutions’ organoleptic properties and their rate of absorption in the small intestine.
I think we can agree we are not talking about fats and proteins in this discussion because we are ingesting only carbs with the goal of quick absorption. In the 2nd sentence, it is this “effecting” of absorption of water, specifically, that I am talking about.
It is thought that the rate of gastric emptying is the main limiting factor in the assimilation of ingested fluids.8 Because of the complexity of the mechanisms that control the gastric emptying process, it is not surprising that there is considerable interindividual variation in emptying rates.24,28,29,31 However, most individuals do appear to be relatively consistent in the rate at which they empty the same solution on different occasions.27–29, Many factors have been shown to influence the rate of gastric emptying of solutions.
Apart from the receptors that respond to the volume of the stomach,32 the majority of receptors that regulate gastric emptying are found in the duodenum33,34 and ileum.35 These receptors appear to function primarily by initiating neural and hormonal responses that modify gastric and duodenal muscular tone and the frequency of contraction. The position of the receptors in the small intestine suggests their main function is to inhibit gastric emptying and, thus, prevent the absorptive capacity of the intestine from being overwhelmed.
So if the absorption in the small intestine can limit gastric emptying, then it could be said it is more important than gastric emptying. Part of the gastric emptying limitation seems to be in place to keep the small intestines from getting overloaded.
Then there is “Table 1” which you have posted.
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Increased volume in stomach increases the rate of emptying. This goes with what I am saying about also increasing the water volume when increasing your caloric intake.
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High energy density of beverages reduces emptying rates. Also coincides with what I am saying. If you are increasing the energy in your drink, you need to match it with more water.
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High osmolality of beverages slows emptying rates. Same as I said above for energy density.
Surprisingly, the rate of gastric emptying is regulated such that approximately isoenergetic amounts of carbohydrates, proteins, fats, and alcohol 34,42,43 are delivered into the duodenum. It is now well recognized that solutions with a carbohydrate content of ≤2.5% empty from the stomach at essentially the same rate as that of equal volumes of water,47 and most studies have shown that carbohydrate levels ≥6% unequivocally slow emptying.48 Even glucose concentrations of 4%–5% produce small but significant slowing of gastric emptying.
So again if we are trying to get this through the stomach and intestines as quick as possible, we need to keep the concentration low. Therefore adding carbs to your rate of ingestions needs to be matched with water.
While it is clear that osmolality is a major controlling factor for solutions with no nutrient content, this is not the case for fluids that contain energy.51 Substitution of glucose polymers for glucose monomer can be used to reduce the osmolality of the solution while maintaining the total carbohydrate content. Several studies have examined the effect of replacing glucose monomer with polymers on gastric emptying, but the findings are not consistent. Most investigations have found little or no difference in gastric emptying of isoenergetic solutions of glucose monomers compared with glucose polymers, despite the often large differences in osmolality. This lack of difference implies that hydrolysis of the polymers occurs before reaching the small intestinal osmoreceptors. Therefore, the osmolality of the isoenergetic solutions are, in fact, equal at the point at which they come in contact with the regulating osmoreceptors.
That paragraph doesn’t sound that great for maltodextrins claim to fame.
And somehow you pulled me back into the gastric emptying discussion again
. But I did learn water is very important for gastric emptying as well. My main concern has actually been about not decreasing hydration by effecting absorption of water in the small intestine.
The current concept of net water movement across the intestinal wall is that water flux is passive and dependent on osmotic, hydrostatic, and filtration pressures. Water absorption from the intestine is considered to be a passive consequence of solute absorption, resulting from local osmotic gradients that promote net uptake of water from the lumen across the intestinal mucosa.
It is because of this passive nature of water absorption that I bring this up. Although glucose uptake has an active process in place, we have to set ourselves up for success in terms of water for us to hydrate properly. A caloric dense intestines isn’t going to passively absorb water the same as one with a lower density. The active pathways for glucose are 1 way. The passive pathways for water are 2 ways. It’s my understanding that you can pull water from the blood across the lumen into the intestines, essentially dehydrating you.
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Gastric emptying rate: Also supports that more water will speed up this process
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Osmolality: Water absorption rates are faster with a solution that is less dense, hence more water
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Carb content: So some water gets transported along with glucose through active mechanisms, which I already knew. Maltodextrins are helpful here as they create low osmolality. But at this point wouldn’t it already be broken down to glucose? And the trend here is saying lower osmolality is better, hence more water.
Well, that’s as far as I have made it so far. Hopefully my formatting pans out as I’m a novice at this. Great link btw!
But in summary, what I am saying is this. If I have a water bottle containing say 150 calories of simple sugars and I normally drink 1 bottle an hour. If I want to double my hourly caloric intake, I should drink 2 bottles of the same concentration instead of cramming more calories into 1 bottle. It’s the hydration side of things I’m more concerned with.