journal article·2025-08Open access

AI‐Driven Defecation Analysis by Smart Healthcare Toilet: Exploring Biometric Patterns and Eu‐Tenesmus

Zhiquan Song, TaeHyung Kwon, Jeung Lee, Daeyoun D. Won, Brian J. Lee, Hyuk Soon Choi, Joseph C. Liao, Walter G. Park, Irene Sonu, Stephan Rogalla, Michael J. Rosen, David L. Hu, Jonathan Kuang Ziyang, Sunny Hei Wong, Bong Hyun Jun, Soh Kim, Seung‐min Park

Advanced Science· Volume 12· Issue 30

Abstract

Abstract Defecation, a fundamental physiological process, remains underexplored despite its importance in human health. To address this gap, a smart toilet system is developed that enables real‐time monitoring of defecation behaviors. Analyzing 45 defecation events from 11 participants, key defecation parameters are identified, including stool dropping duration, stool thickness, and eu‐tenesmus interval. Stool dropping duration follows a log‐normal distribution, with longer durations (>5 s) linked to lower Bristol Stool Form Scale (BSFS) scores, suggesting constipation ( p = 0.008 for BSFS1/2/3 vs BSFS5/6/7). Stool thickness decreases with increasing BSFS scores ( p = 5 × 10⁻⁶ for BSFS1/2/3 vs BSFS5/6/7), validating its role as an objective marker for bowel function. Eu‐tenesmus is introduced, defined as the interval between the last stool drop and cleansing, averaging 74.8 s. It shows significant gender differences ( p = 0.014) but no correlation with stool consistency, suggesting its potential as an independent biomarker for gut health. Defecation behaviors between humans and animals is also compared in detail. Longitudinal monitoring demonstrates the potential for personalized health tracking and dietary recommendations. Furthermore, the feasibility of biometric identification is established using 11 defecation‐related parameters, including stool properties and cleansing behavior. These features enable high participant differentiation, supporting non‐invasive identity verification.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Gastrointestinal motility and disorders · Music Therapy and Health · Dietary Effects on Health

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

School of Chemistry Chemical Engineering and Biotechnology Nanyang Technological University Singapore Singapore

Department of Civil and Environmental Engineering Stanford University Stanford CA USA

Seokjeong Wellpark Hospital Jeollabuk‐do Republic of Korea

Kanaria Health Seoul Republic of Korea

School of Mechanical Engineering Sungkyunkwan University Suwon Republic of Korea

Division of Gastroenterology and Hepatology Department of Internal Medicine Korea University College of Medicine Seoul Republic of Korea

Department of Urology Stanford University School of Medicine Stanford CA USA

Division of Gastroenterology & Hepatology Department of Medicine Stanford University School of Medicine Stanford CA USA

Division of Pediatric Gastroenterology Hepatology and Nutrition Department of Pediatrics Stanford University School of Medicine Stanford CA USA

George W. Woodruff School of Mechanical Engineering Georgia Institute of Technology Atlanta GA USA

Department of Gastroenterology & Hepatology Tan Tock Seng Hospital Singapore

Lee Kong Chian School of Medicine Nanyang Technological University Singapore Singapore

Department of Bioscience and Biotechnology Konkuk University Seoul Republic of Korea

Funding

Agency for Science, Technology and Research

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