Assessment of small-intestine permeability in healthy Nigerian children is altered by urinary volume and voiding

Ibukun Afolami1,2, Folake Olukemi Samuel1, Martin Mwangi2

  • 1Department of Human Nutrition, University of Ibadan, Ibadan, Nigeria.

Plos One
|September 20, 2021
PubMed

Insights

Urinary volume significantly impacts small intestine permeability tests in children. Higher urinary volume correlates with altered sugar recovery, suggesting volume is a key factor in test interpretation.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Biomedical Research

Background:

  • Small intestine permeability is a crucial indicator of gut health.
  • Multi-sugar tests are commonly used to assess intestinal permeability.
  • Factors influencing test accuracy, such as urinary volume, require investigation.

Purpose of the Study:

  • To investigate the effect of voided urinary volume on small intestine permeability ratios in healthy children.
  • To determine if urinary volume influences the interpretation of multi-sugar permeability tests.

Main Methods:

  • Assessed small intestine permeability in 155 healthy Nigerian children (3-5 years) using a multi-sugar test (lactulose, sucrose, mannitol, rhamnose).
  • Categorized children into low (LV) and high (HV) urinary volume groups based on percentile rankings.
  • Compared sugar recovery ratios and permeability indices between LV and HV groups, and between voiding (VC) and non-voiding (NVC) children.

Main Results:

  • Higher urinary volume (HV) was associated with significantly increased mannitol and rhamnose recovery compared to low urinary volume (LV).
  • Lactulose recovery was lower in HV children, though not statistically significant (p=0.071).
  • Lactulose-mannitol, lactulose-rhamnose, and sucrose-rhamnose ratios were significantly higher in the LV group, indicating altered permeability.

Conclusions:

  • Total urinary volume is a significant variable affecting small intestine permeability measurements in multi-sugar tests.
  • Voiding status before testing may independently influence specific sugar recovery and permeability ratios.
  • Recommendations for conducting multi-sugar small intestine permeability tests should consider and account for variations in urinary volume.
Abstract

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