The [ C]octanoic acid breath test for gastric emptying quantification: A focus on nutrition and modeling.

Johanna von Gerichten, Marwan H Elnesr, Joe E Prollins, Ishanki A De Mel, Alan Flanagan, Jonathan D Johnston, Barbara A Fielding, Michael Short

Journal: Lipids 2022;57(4-5):205-219

PMID: 35799422

Abstract

Gastric emptying (GE) is the process of food being processed by the stomach and delivered to the small intestine where nutrients such as lipids are absorbed into the blood circulation. The combination of an easy and inexpensive method to measure GE such as the CO breath test using the stable isotope [ C]octanoic acid with semi-mechanistic modeling could foster a wider application in nutritional studies to further understand the metabolic response to food. Here, we discuss the use of the [ C]octanoic acid breath test to label the solid phase of a meal, and the factors that influence GE to support mechanistic studies. Furthermore, we give an overview of existing mathematical models for the interpretation of the breath test data and how much nutritional studies could benefit from a physiological based pharmacokinetic model approach.

© 2022 The Authors. Lipids published by Wiley Periodicals LLC on behalf of AOCS.

Address: Department of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.; Department of Chemical and Process Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford, UK.; Section of Chronobiology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.

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