Improved water and sodium absorption from oral rehydration solutions based on rice syrup in a rat model of osmotic diarrhea

Raul A. Wapnir, Richard E. Litov, Martin M. Zdanowicz, Fima Lifshitz

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Rice syrup solids, rice protein, and casein hydrolysate were added to experimental oral rehydration solutions in various combinations and tested in a rat intestinal perfusion system. Chronic osmotic diarrhea was induced in juvenile rats by supplying the cathartic agents, magnesium citrate and phenolphthalein, in their drinking water for 1 week. The experimental oral rehydration solutions were compared with standard oral rehydration solutions containing 20 gm/L or 30 gm/L of glucose and with each other to determine if there were significant differences in net water, sodium, or potassium absorption. An oral rehydration solution containing 30 gm/L of rice syrup solids had a net water absorption rate significantly higher than that of the standard 20 gm/L glucose-based oral rehydration solution (2.1±0.62 versus 1.5±0.48 μl/[min x cm], p<0.05). Casein hydrolysate did not significantly affect net water absorption. However, combinations of 30 gm/L rice syrup solids and 5 gm/L casein hydrolysate significantly increased (p<0.05) net sodium and potassium absorption compared with the 20 gm/L glucose-based oral rehydration solution but not versus rice syrup solids alone. Oral rehydration solutions containing 30 gm/L rice syrup solids plus 5 gm/L rice protein, and 30 gm/L rice syrup solids plus 5 gm/L casein hydrolysate, had net water absorption rates significantly higher than the rate of a 30 gm/L glucose-based oral rehydration solution (2.5±0.36 and 2.4±0.38, respectively, versus 0.87±0.40 μl/[min x cm], p<0.05). Rice protein and casein hydrolysate, however, did not significantly affect net water, sodium, or potassium absorption when added to rice protein glucose-based oral rehydration solutions. An inverse correlation between osmolality and net water absorption was observed (r=-0.653, p<0.02). The data suggest that substitution of rice syrup solids for glucose in oral rehydration solutions will improved water absorption and that rice syrup solids in combination with protein hydrolysates may, in addition, promote better sodium and potassium uptake.

Original languageEnglish (US)
Pages (from-to)S53-S61
JournalThe Journal of Pediatrics
Issue number4 PART 2
StatePublished - Apr 1991


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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