BACKGROUND: Measurement of gastrointestinal transit is commonly performed in the clinic, but data on transit in the community are lacking. AIM: To estimate the prevalence of slow and fast colonic transit using stool form, and potential risk factors. METHODS: A validated self-reported gastrointestinal symptom questionnaire was mailed to 4196 randomly selected members of the community (response rate 54%). One question asked the subject to self-report their stool form using the Bristol Stool Scale. RESULTS: Overall, 18%, 9% and 73% met stool form criteria for slow, fast or normal colonic transit, respectively. Increased odds for slow transit were observed with a higher Somatic Symptom Checklist score (OR = 1.6; 1.3-2.0), while a decreased odds for slow transit was observed in males relative to females (OR = 0.6; 0.5-0.8). An increased odds for fast transit was observed with higher Somatic Symptom Checklist score (OR = 2.3; 1.7-2.9) and a history of cholecystectomy (OR = 1.8; 1.2-2.8). Increasing body mass index (per 5 units) was associated with decreased odds for slow (OR = 0.85; 0.78-0.93), and an increased odds for fast (OR = 1.1; 1.04-1.24) colonic transit. CONCLUSION: Based on stool form assessment, nearly one in five community members may have slow colonic transit and one in 12 have accelerated colonic transit.
BACKGROUND: Measurement of gastrointestinal transit is commonly performed in the clinic, but data on transit in the community are lacking. AIM: To estimate the prevalence of slow and fast colonic transit using stool form, and potential risk factors. METHODS: A validated self-reported gastrointestinal symptom questionnaire was mailed to 4196 randomly selected members of the community (response rate 54%). One question asked the subject to self-report their stool form using the Bristol Stool Scale. RESULTS: Overall, 18%, 9% and 73% met stool form criteria for slow, fast or normal colonic transit, respectively. Increased odds for slow transit were observed with a higher Somatic Symptom Checklist score (OR = 1.6; 1.3-2.0), while a decreased odds for slow transit was observed in males relative to females (OR = 0.6; 0.5-0.8). An increased odds for fast transit was observed with higher Somatic Symptom Checklist score (OR = 2.3; 1.7-2.9) and a history of cholecystectomy (OR = 1.8; 1.2-2.8). Increasing body mass index (per 5 units) was associated with decreased odds for slow (OR = 0.85; 0.78-0.93), and an increased odds for fast (OR = 1.1; 1.04-1.24) colonic transit. CONCLUSION: Based on stool form assessment, nearly one in five community members may have slow colonic transit and one in 12 have accelerated colonic transit.
Authors: Uday C Ghoshal; Philip Abraham; Shobna J Bhatia; Sri Prakash Misra; Gourdas Choudhuri; K D Biswas; Karmabir Chakravartty; Sunil Dadhich; B D Goswami; V Jayanthi; Sunil Kumar; Abraham Koshy; K R Vinay Kumar; Govind Makharia; Sandeep Nijhawan; Nitesh Pratap; Gautam Ray; Sanjeev Sachdeva; Shivaram Prasad Singh; Varghese Thomas; Harsh Udawat Journal: Indian J Gastroenterol Date: 2013-09-03
Authors: Rok Seon Choung; G Richard Locke; Enrique Rey; Cathy D Schleck; Charles Baum; Alan R Zinsmeister; Nicholas J Talley Journal: Clin Gastroenterol Hepatol Date: 2012-01-28 Impact factor: 11.382
Authors: Luisa W Hugerth; Anna Andreasson; Nicholas J Talley; Anna M Forsberg; Lars Kjellström; Peter Thelin Schmidt; Lars Agreus; Lars Engstrand Journal: Gut Date: 2019-10-10 Impact factor: 23.059