Effect of chewing gum on thirst: an integrative review

Garcia, Aline Korki Arrabal; Fonseca, Lígia Fahl; Furuya, Rejane Kiyomi; Rabelo, Patrícia Dias; Rossetto, Edilaine Giovanini

doi:10.1590/0034-7167-2018-0132

Cited by 10 publications

(8 citation statements)

References 34 publications

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“…Entre essas estratégias, encontra-se a goma de mascar mentolada. Sintomas de falta de saliva ou secura oral podem ser precipitados pela desidratação da mucosa oral, que ocorre quando a produção das glândulas salivares maiores e ou menores diminui e a camada de saliva que cobre a mucosa oral é reduzida (4,5,7,10,29) .…”

Section: Adultos Saudáveis Normalmenteunclassified

“…A sede é relatada pelos pacientes como um dos cinco principais sintomas estressantes (1) , a qual acomete tanto pacientes com doenças crônicas como os que necessitam de procedimentos cirúrgicos (2,3,4) . Entre os pacientes cirúrgicos, a prevalência de sede pode ser de até 85,4% (5) .…”

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“…Entre os pacientes cirúrgicos, a prevalência de sede pode ser de até 85,4% (5) . A sede, percebida como ressecamento da cavidade oral, é relatada de forma majoritária por esses pacientes, devido à redução da produção salivar pelo uso de medicações anticolinérgicas, opioides e pela intubação prolongada (4) .…”

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“…Destaca-se que a goma de mascar mentolada pode influenciar o conteúdo gástrico de várias maneiras, incluindo aumento da saliva e da deglutição, aumento das secreções gástricas, simultaneamente alterando o esvaziamento gástrico. Essas ações podem ser observadas por meio de estimulações mecânicas e químicas, que promovem aumento de 15% e 85% do fluxo salivar, respectivamente (4,11,12) .…”

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Qual é o efeito da goma de mascar sobre o pH e volume salivar?

et al. 2022

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Objetivo: Avaliar o potencial hidrogeniônico e o volume salivar antes e depois do uso da goma de mascar mentolada em voluntários saudáveis. Método: Estudo quantitativo, quase-experimental do tipo pré-teste e pós-teste, realizado com 45 voluntários saudáveis entre 18 e 60 anos. A amostra da saliva foi coletada de forma não estimulada, seguindo o método de spitting. O voluntário deveria acumular saliva na boca e cuspir num frasco milimetrado, a cada minuto, antes e depois de receber a goma de mascar mentolada, por dez minutos em cada etapa. Resultados: Na primeira etapa da coleta, a média do potencial hidrogeniônico foi de 7,06, aumentando para 7,42 (p<0,001) após a segunda etapa. O volume salivar subiu de 5,95ml para 23,13ml (p<0,001). Conclusão: O uso da estratégia após oito horas de jejum provocou elevação do potencial hidrogeniônico e do volume salivar. Este aumento de volume salivar não apresenta relevância clínica para broncoaspiração.

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Qual é o efeito da goma de mascar sobre o pH e volume salivar?

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“…Therefore, the fasting guidelines from the European Society of Anesthesiology state that surgery should not be canceled or delayed because of gum chewing [ 13 ]. Furthermore, some opinions have recently emerged to allow or recommend chewing gum during the preoperative fasting period due to the potential benefits of alleviating anxiety and dry mouth [ 11 , 14 , 15 ].…”

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The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study

et al. 2023

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Background Preoperative anxiety is an unpleasant experience that can adversely affect perioperative outcomes. Although clinical benefits of preoperative oral carbohydrate is well reported, the effect of adding chewing gum to carbohydrate loading has never been studied. We aimed to investigate the effect of adding gum-chewing to oral carbohydrates on preoperative anxiety and gastric volume in patients undergoing gynecologic surgery. Methods One hundred and four patients were enrolled and randomized either into a carbohydrate drink group (CHD group) or CHD with gum group. The CHD group was instructed to drink 400 mL of oral carbohydrate the evening before and 200–400 mL 3 hours before surgery. The CHD with gum group was encouraged to chew gum freely during preanesthetic fasting in addition to consuming oral carbohydrates in the same manner. The primary endpoint was preoperative anxiety assessed using the Amsterdam preoperative anxiety and information scale (APAIS). The degree of patient-reported quality of recovery after surgery and gastric volume prior to general anesthesia were also compared as secondary outcomes. Results Preoperative APAIS was lower in the CHD with gum group compared with the CHD group (16 [11.5, 20] vs. 20 [16.5, 23], p = 0.008). Patient-rated quality of recovery after surgery was also higher in the CHD with gum group and showed a significant negative correlation with preoperative APAIS score (correlation coefficient: -0.950, p = 0.001). Gastric volume were not different between the groups (0 [0–0.45] vs. 0 [0–0.22], p = 0.158). Conclusion The addition of gum chewing to oral carbohydrate loading during preoperative fasting was more effective in relieving preoperative anxiety than oral carbohydrate alone in women patients undergoing elective gynecologic surgery. Trial registration Clinical Research Information Services, CRIS identifier: KCT0005714, https://cris.nih.go.kr/cris/index.jsp.

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Frequently reported adverse events of rebamipide compared to other drugs for peptic ulcer and gastroesophageal reflux disease

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Park

Jeong

et al. 2022

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This study aimed to detect safety signals of rebamipide and search for adverse events (AEs) of rebamipide that are more common than those of other drugs for peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD) in the elderly population. A total of 101,735 AE reports for drugs used to treat PUD and GERD between 2009 and 2018 from the KIDS-KAERS database (KIDS-KD) were used. Disproportionality analysis was performed to calculate the proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). Drug labels in Korea, Japan, and China were reviewed to identify signals that have been listed. AEs frequently reported in the elderly population were also analyzed. Seriousness and median time to AEs were evaluated for statistically significant AEs. A total of 14 signals were detected, and 4 signals (dry mouth, dermatitis, purpura/petechia, and fluid overload) were not listed on drug labels; however, they may be included as part of other listed AEs. In the elderly population, 11 AEs such as dyspepsia/indigestion/gastrointestinal distress, somnolence, dry mouth, and edema were common. These AEs were not serious and occurred within 2–9 days. This study identified possible AEs of rebamipide, a relatively safe drug.

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Effect of chewing gum on thirst: an integrative review

Cited by 10 publications

References 34 publications

Qual é o efeito da goma de mascar sobre o pH e volume salivar?

Qual é o efeito da goma de mascar sobre o pH e volume salivar?

The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study

Frequently reported adverse events of rebamipide compared to other drugs for peptic ulcer and gastroesophageal reflux disease

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