This study is designed to validate a new direct method for the measurement of stool consistency, using Texture Analyser. Forty healthy subjects are enrolled in this trial for collection of stool samples. Every stool produced during 2 collection periods of approximately 60 hours each is collected and subjected to the measurement of consistency using Texture Analyser. The stool consistency results are compared with the Bristol Stool Form Scale scores for each stool. The relationships of stool consistency with other stool parameters, bowel habit and sleeping habit are also evaluated.
It is now obvious that the proper functioning of the gastrointestinal tract has a positive effect on the quality of life. Normal bowel habits vary considerably from person to person with regard to frequency of bowel movements, and bulk and consistency of stools. Constipation is the common digestive complaint in European populations, and softening stool consistency can be regarded as beneficial for such population in terms of reducing incidence of hard or lumpy stools . The Bristol Stool Form Scale (BS) is validated as a surrogate measure for gastrointestinal transit time, and has been also applied to an evaluation of stool consistency. Subjects compare their stool with the BS chart consisting of seven categories and choose one score which has a nearest analog form. The BS has been widely used in the studies to evaluate changes in stool consistency after dietary intervention using probiotics and/or prebiotics. However, there is a lack of evidence in the validity of BS to yield consistent and reproducible estimates of changes in stool consistency over time. In order to obtain a closer estimate of its change, it would be preferred to use a more directly observable and objective parameter or combination of parameters. From the above mentioned backgrounds, this study is conducted to validate a new direct method for the measurement of stool consistency, using Texture Analyser: TA.XTExpress Texture Analyser (Stable Micro Systems Ltd.).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
The subjects collect stool samples to be used for validation of a new direct measurement of stool consistency. Every stool sample produced during 2 collection periods of approximately 60 hours each have to be collected using the Commode Specimen Collection System (Medline Industries, Inc.). Each collection period starts preferably in the evening (20h00) and ends 3 days later in the morning (08h00). The collected samples must be stored at subject's home in a refrigerator provided by the sponsor until handover to the site staff.
Onze-Lieve-Vrouw Hospital Aalst
Aalst, Belgium
Stool consistency
Stool consistency is measured as force (g) during compression by Texture Analyser. A cylinder probe is put vertically into the object with a constant speed and the force is measured when reaching down to the target (5 mm down from the surface) as an outcome.
Time frame: Two stool collection periods of approximately 60 hours each
Bristol Stool Form Scale score
Bristol Stool Form Scale (BS) is for classifying the form of stool into 7 categories scored from 1 to 7; (1) Separate hard lumps like nuts (difficult to pass); (2) Sausage-shaped but lumpy; (3) Like a sausage but with cracks on its surface; (4) Like a sausage or snake, smooth and soft; (5) Soft blobs with clear-cut edges (passed easily); (6) Fluffy pieces with ragged edges, a mushy stool; (7) Watery, no solid pieces, entirely liquid. Subjects choose one of the BS scores which has a nearest analog form with their stools at every defecation.
Time frame: Two stool collection periods of approximately 60 hours each
Stool water content
Percentage of water in stool (weight/weight %)
Time frame: Two stool collection periods of approximately 60 hours each
Stool mucin
Concentration of mucin in stool
Time frame: Two stool collection periods of approximately 60 hours each
Stool pH
Degree of stool pH
Time frame: Two stool collection periods of approximately 60 hours each
Stool metabolites
Concentrations of stool metabolites including organic acids
Time frame: Two stool collection periods of approximately 60 hours each
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Enrollment
40
Stool microbiota composition
Relative abundance of microbiota species (% of total) in stool
Time frame: Two stool collection periods of approximately 60 hours each
Stool amount
Weight (g) of stool produced in each defecation
Time frame: Two stool collection periods of approximately 60 hours each
Bowel habit
Presence or absence of straining during evacuation, presence or absence of sensation of remaining stool in the rectum after evacuation
Time frame: Two stool collection periods of approximately 60 hours each
Sleep habit
Getting-up time, going-to-bed time and sleeping hours
Time frame: Two stool collection periods of approximately 60 hours each