Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population

Abstract Stool consistency is evaluated mainly in reference to indirect indicators such as water content or the appearance of stool forms using Bristol Stool Form Scale (BSFS). Methods of measurement are limited. We thus aimed to develop a simple protocol for direct measurement of stool consistency...

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Autores principales: Kazunori Matsuda, Takuya Akiyama, Satoshi Tsujibe, Kaihei Oki, Agata Gawad, Junji Fujimoto
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/1f083e6e0b0b4ad3bf43a826bbfc2798
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spelling oai:doaj.org-article:1f083e6e0b0b4ad3bf43a826bbfc27982021-12-02T10:48:31ZDirect measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population10.1038/s41598-021-81783-72045-2322https://doaj.org/article/1f083e6e0b0b4ad3bf43a826bbfc27982021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81783-7https://doaj.org/toc/2045-2322Abstract Stool consistency is evaluated mainly in reference to indirect indicators such as water content or the appearance of stool forms using Bristol Stool Form Scale (BSFS). Methods of measurement are limited. We thus aimed to develop a simple protocol for direct measurement of stool consistency using the TA.XTExpress Texture Analyser (Stable Micro Systems Ltd.). We developed a protocol which enables mechanical quantification of the gram-force against a cylindrical probe (ø 6 mm) pushed into the stool surface at 2.0 mm/s to 5 mm depth. The consistency of 252 stools collected from 40 healthy Belgians was evaluated by the direct method and by the indirect indicators (water content and BSFS) for comparison. The log-transformed stool consistency values measured by the texture analyzer had a negative linear correlation with the stool water contents (r rm  = − 0.781) with homoscedastic variance, suggesting the appropriateness of the new protocol. They showed a similar correlation with the BSFS, but with a large variance in the consistency values of normal stool forms. This correlation was much smaller for BSFS scored by subjects (r rm  = − 0.587) than by experts (r rm  = − 0.789), collectively indicating BSFS as a rough indicator of stool consistency susceptible to subjective bias despite its effectiveness in clinical use. The optimized direct method using the texture analyzer enables the accurate quantification of stool consistency, which facilitates understanding of the intestinal environment and function and thus may enhance the value of the stool as a predictor of human health.Kazunori MatsudaTakuya AkiyamaSatoshi TsujibeKaihei OkiAgata GawadJunji FujimotoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kazunori Matsuda
Takuya Akiyama
Satoshi Tsujibe
Kaihei Oki
Agata Gawad
Junji Fujimoto
Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
description Abstract Stool consistency is evaluated mainly in reference to indirect indicators such as water content or the appearance of stool forms using Bristol Stool Form Scale (BSFS). Methods of measurement are limited. We thus aimed to develop a simple protocol for direct measurement of stool consistency using the TA.XTExpress Texture Analyser (Stable Micro Systems Ltd.). We developed a protocol which enables mechanical quantification of the gram-force against a cylindrical probe (ø 6 mm) pushed into the stool surface at 2.0 mm/s to 5 mm depth. The consistency of 252 stools collected from 40 healthy Belgians was evaluated by the direct method and by the indirect indicators (water content and BSFS) for comparison. The log-transformed stool consistency values measured by the texture analyzer had a negative linear correlation with the stool water contents (r rm  = − 0.781) with homoscedastic variance, suggesting the appropriateness of the new protocol. They showed a similar correlation with the BSFS, but with a large variance in the consistency values of normal stool forms. This correlation was much smaller for BSFS scored by subjects (r rm  = − 0.587) than by experts (r rm  = − 0.789), collectively indicating BSFS as a rough indicator of stool consistency susceptible to subjective bias despite its effectiveness in clinical use. The optimized direct method using the texture analyzer enables the accurate quantification of stool consistency, which facilitates understanding of the intestinal environment and function and thus may enhance the value of the stool as a predictor of human health.
format article
author Kazunori Matsuda
Takuya Akiyama
Satoshi Tsujibe
Kaihei Oki
Agata Gawad
Junji Fujimoto
author_facet Kazunori Matsuda
Takuya Akiyama
Satoshi Tsujibe
Kaihei Oki
Agata Gawad
Junji Fujimoto
author_sort Kazunori Matsuda
title Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
title_short Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
title_full Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
title_fullStr Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
title_full_unstemmed Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population
title_sort direct measurement of stool consistency by texture analyzer and calculation of reference value in belgian general population
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/1f083e6e0b0b4ad3bf43a826bbfc2798
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