Clinical Nutrition Research

The Korean Society of Clinical Nutrition (한국임상영양학회)
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Rheological Information of Pudding-Thick Liquids Prepared Using Commercial Food Thickeners Marketed in Korea for Dysphagic Patients According to the Manufacturers' Guidelines

  • Woobin Lim (Department of Food Science and Biotechnology, Dongguk University-Seoul) ;
  • Yulim Jeong (Department of Food Science and Biotechnology, Dongguk University-Seoul) ;
  • Byoungseung Yoo (Department of Food Science and Biotechnology, Dongguk University-Seoul)
  • Received : 2021.11.05
  • Accepted : 2022.01.09
  • Published : 2022.01.31
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Abstract

Food thickeners are commonly used to prepare thickened liquids for the management of dysphagia. The National Dysphagia Diet (NDD) thickness levels of thickened liquids prepared with commercial food thickeners are known to vary depending on the thickener type, recommended amount of thickener, thickener brand, and preparation instructions. Particularly, detailed preparation instructions must be provided by the manufacturers to achieve the correct thickness levels. However, the rheological information on product labels provided by manufacturers is typically not accurate. Here, various pudding-thick liquids were prepared by mixing commercial xanthan gum (XG)-based thickeners based on the manufacturers' guidelines, and their rheological properties were characterized. Several thickened liquids prepared with four different XG-based thickeners (A-D) marketed in Korea did not meet the pudding-like criterion (> 1,750 mPa·s) based on the NDD guidelines. Significant differences in rheological parameter values (ηa,50, n, and G') were also identified among the various thickened liquids. Only one thickener (thickener A) manufactured in Korea showed optimal results, which satisfied the pudding-thick viscosity range for various food liquids and also showed lower stickiness and enhanced bolus formation ability for easy and safe swallowing when compared to other thickeners (B, C, and D).

Keywords

Acknowledgement

We thank Rheosfood Inc. for providing a free food thickener A (Visco-up®) sample.

References

  1. Triggs J, Pandolfino J. Recent advances in dysphagia management. F1000 Res 2019;8:8.
  2. Panebianco M, Marchese-Ragona R, Masiero S, Restivo DA. Dysphagia in neurological diseases: a literature review. Neurol Sci 2020;41:3067-73.
  3. Seo CW, Yoo B. Steady and dynamic shear rheological properties of gum-based food thickeners used for diet modification of patients with dysphagia: effect of concentration. Dysphagia 2013;28:205-11.
  4. Cho HM, Yoo B. Rheological characteristics of cold thickened beverages containing xanthan gum-based food thickeners used for dysphagia diets. J Acad Nutr Diet 2015;115:106-11.
  5. Giura L, Urtasun L, Belarra A, Ansorena D, Astiasaran I. Exploring tools for designing dysphagia-friendly foods: a review. Foods 2021;10:1334.
  6. Lee HY, Yoon SR, Yoo W, Yoo B. Effect of salivary reduction time on flow properties of commercial food thickeners used for dysphagic patients. Clin Nutr Res 2016;5:55-9.
  7. Payne C, Methven L, Fairfield C, Bell A. Consistently inconsistent: commercially available starch-based dysphagia products. Dysphagia 2011;26:27-33.
  8. Glassburn DL, Deem JF. Thickener viscosity in dysphagia management: variability among speech-language pathologists. Dysphagia 1998;13:218-22.
  9. Kim SG, Yoo B. Viscosity of dysphagia-oriented cold-thickened beverages: effect of setting time at refrigeration temperature. Int J Lang Commun Disord 2015;50:397-402.
  10. Yoon SN, Yoo B. Rheological behaviors of thickened infant formula prepared with xanthan gum-based food thickeners for dysphagic infants. Dysphagia 2017;32:454-62.
  11. Kim YH, Jeong GY, Yoo B. Comparative study of IDDSI flow test and line-spread test of thickened water prepared with different dysphagia thickeners. J Texture Stud 2018;49:653-8.
  12. Kim SG, Yoo W, Yoo B. Effect of thickener type on the rheological properties of hot thickened soups suitable for elderly people with swallowing difficulty. Prev Nutr Food Sci 2014;19:358-62.
  13. Szczesniak AS, Farkas E. Objective characterization of the mouthfeel of gum solutions. J Food Sci 1963;27:381-5.
  14. Fernandes JM, Araujo JF, Vieira JM, Pinheiro AC, Vicente AA. Tackling older adults' malnutrition through the development of tailored food products. Trends Food Sci Technol 2021;115:55-73.
  15. Park J, Yoo B. Particle agglomeration of gum mixture thickeners used for dysphagia diets. J Food Eng 2020;279:109958.