2.50
Hdl Handle:
http://hdl.handle.net/10755/159758
Type:
Presentation
Title:
Gastric Myoelectrical Activity In Patients with Diabetes
Abstract:
Gastric Myoelectrical Activity In Patients with Diabetes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Holmes, Sandra, PhD., RN
P.I. Institution Name:University of Louisville
Title:School of Nursing
Contact Address:555 South Floyd St., K-3051, Louisville, KY, 40202, USA
Contact Telephone:5028528514
Co-Authors:S.L. Holmes, School of Nursing, University of Louisville, Louisville, KY; M. Wicks, College of Nursing, University of Tennessee Health Science Center, Memphis, TN;
Altered digestion in patients with diabetes manifest as increased reports of gastrointestinal signs/symptoms and an inability to gain and/or maintain glucose control. An understanding of the relationship between factors contributing to, and manifestations of gastric dysfunction is not clear. This study attempted to determine the relationship between patterns of gastric myoelectrical activity (GMA), symptom presence /severity, levels of metabolic control, age, and length of diagnosis in patients with diabetes using electrogastrography (EGG). Chi-square and Kruskal-Wallis testing procedures were used to analyze the data. The sample included 7 controls, 5 patients with type 1, and 13 patients with type 2 diabetes (N=25). Baseline data were obtained, EGG performed, and data collected at 30-minute intervals for a total of 2 hours. A significant p value was noted at 30-minutes post-prandially (p = .04) suggesting that no difference existed between patterns of GMA in healthy subjects and patients with diabetes except immediately after eating. After fasting, 7 patients were normogastric, 10 bradygastric, and 1 tachygastric. The bradygastric group reported greater mean scores for symptom presence and severity on all GI signs/symptoms. Mean scores for satiety were the only variable yielding any significant result (p = .04). No relationship was found between patterns of GMA and metabolic control, age, or length of diagnosis in patients who were fasting. There was an initial shift toward tachygastria, but no significant differences found between the distributions of mean scores for the variables under study and patterns of GMA in subsequent periods. Findings support the use of EGG by nurses as a quick, non-invasive screening tool for detecting patterns of GMA in healthy and diabetic individuals with disturbances in GMA. Further studies are needed to generate data to explain the pathology behind, and relationship between GMA abnormalities, GI symptoms, and lack of glucose control in patient with diabetes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleGastric Myoelectrical Activity In Patients with Diabetesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159758-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Gastric Myoelectrical Activity In Patients with Diabetes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Holmes, Sandra, PhD., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Louisville</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">555 South Floyd St., K-3051, Louisville, KY, 40202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">5028528514</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sandra.holmes@louisville.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">S.L. Holmes, School of Nursing, University of Louisville, Louisville, KY; M. Wicks, College of Nursing, University of Tennessee Health Science Center, Memphis, TN;</td></tr><tr><td colspan="2" class="item-abstract">Altered digestion in patients with diabetes manifest as increased reports of gastrointestinal signs/symptoms and an inability to gain and/or maintain glucose control. An understanding of the relationship between factors contributing to, and manifestations of gastric dysfunction is not clear. This study attempted to determine the relationship between patterns of gastric myoelectrical activity (GMA), symptom presence /severity, levels of metabolic control, age, and length of diagnosis in patients with diabetes using electrogastrography (EGG). Chi-square and Kruskal-Wallis testing procedures were used to analyze the data. The sample included 7 controls, 5 patients with type 1, and 13 patients with type 2 diabetes (N=25). Baseline data were obtained, EGG performed, and data collected at 30-minute intervals for a total of 2 hours. A significant p value was noted at 30-minutes post-prandially (p = .04) suggesting that no difference existed between patterns of GMA in healthy subjects and patients with diabetes except immediately after eating. After fasting, 7 patients were normogastric, 10 bradygastric, and 1 tachygastric. The bradygastric group reported greater mean scores for symptom presence and severity on all GI signs/symptoms. Mean scores for satiety were the only variable yielding any significant result (p = .04). No relationship was found between patterns of GMA and metabolic control, age, or length of diagnosis in patients who were fasting. There was an initial shift toward tachygastria, but no significant differences found between the distributions of mean scores for the variables under study and patterns of GMA in subsequent periods. Findings support the use of EGG by nurses as a quick, non-invasive screening tool for detecting patterns of GMA in healthy and diabetic individuals with disturbances in GMA. Further studies are needed to generate data to explain the pathology behind, and relationship between GMA abnormalities, GI symptoms, and lack of glucose control in patient with diabetes.</td></tr></table>en_GB
dc.date.available2011-10-26T22:18:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:18:26Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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