DOI QR코드

DOI QR Code

Development of cooking method for senior-friendly food using fruits suitable for older adults with masticatory dysfunction

  • Dasol Kim (National Institute of Agricultural Sciences, Rural Development Administration) ;
  • Jihye Ryu (National Institute of Agricultural Sciences, Rural Development Administration) ;
  • Hee-Sook Lim (Department of Gerontology, AgeTech-Service Convergence Major, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Yong-Seok Kwon (National Institute of Agricultural Sciences, Rural Development Administration)
  • 투고 : 2024.02.16
  • 심사 : 2024.03.19
  • 발행 : 2024.04.01

초록

BACKGROUND/OBJECTIVES: The purpose of this study was to establish a fruit-cooking method suitable for older adults with masticatory dysfunction. MATERIALS/METHODS: Five types of fruits were selected to make fruit jelly and puree: apple, sweet persimmon, mandarin, Korean melon, and watermelon. Recipes were selected based on the Korean Industrial Standard (KS) for senior-friendly foods (KS H 4897), which classifies foods into 3 levels (L1-L3) based on their hardness and viscosity. RESULTS: In South Korea, senior-friendly foods are classified into 3 stages based on their hardness. Stage 1 is for foods that are able to eat with teeth (hardness greater than 50,000 N and less than 500,000 N), Stage 2 is for foods that are able to eat with gums (hardness greater than 20,000 N and less than 50,000 N), and Stage 3 is for foods that are able to eat with the tongue (hardness less than 20,000 N). As a result of measuring the hardness by varying the shape of the fruit, it was found that nearly all fruits could be eaten fresh by chewing with the teeth (L1) but did not meet the KS for mastication using the gums (L2) or tongue (L3), so the cooking method was selected as fruit jelly and fruit puree. Only sweet persimmon, which had a hardness of 61,624-496,393 N, was not suitable for consumption in fresh fruit, unprocessed form. Based on their hardness measurements, fruit jellies (27,869 to 36,343 N) and fruit purees (315 to 1,156 N) met the L2 and L3 requirements, respectively. The viscosity results of all fruit purees met the L3 requirement. CONCLUSION: These results offer a simple cooking method to prepare texture-modified fruits suitable for safe consumption by older adults living with masticatory difficulties in general households and nursing facilities.

키워드

과제정보

This study was supported by the agro-food based basic research of the Korea Rural Development Administration grant of Republic of Korea (PJ01481801).

참고문헌

  1. Statistics Korea. Estimate of future population: 2022-2072 [Internet]. Sejong: Statistics Korea; 2023 [cited 2024 February 22]. Available from: https://kostat.go.kr/board.es?mid=a10301010000&bid=207&act=view&list_no=428476.
  2. Korea Disease Control and Prevention Agency (KDCA). 2020 Korea's National Health Statistics, 8th Korean National Health and Nutrition Survey [Internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [cited 2023 March 25]. Available from: https://knhanes.kdca.go.kr/.
  3. Ikebe K, Hazeyama T, Morii K, Matsuda K, Maeda Y, Nokubi T. Impact of masticatory performance on oral health-related quality of life for elderly Japanese. Int J Prosthodont 2007;20:478-85. PUBMED
  4. Martin BJ, Corlew MM, Wood H, Olson D, Golopol LA, Wingo M, Kirmani N. The association of swallowing dysfunction and aspiration pneumonia. Dysphagia 1994;9:1-6.
  5. Japan Care Food Conference. UDF as a voluntary standards [Internet]. Tokyo: Japan Care Food Conference; 2002 [cited 2023 May 23]. Available from: https://www.udf.jp/about_udf/index.html.
  6. Ministry of Agriculture, Forestry and Fisheries (JP). Smile care food [Internet]. Tokyo: Ministry of Agriculture, Forestry and Fisheries; 2016 [cited 2023 May 23]. Available from: https://www.maff.go.jp/j/shokusan/seizo/kaigo.html.
  7. Choi KJ, Park YS, Seong MY, Oh BM, Shin WS. Designed meal development and sensory evaluation for dysphagia patients. J Korean Dysphagia Soc 2021;11:15-24.
  8. Jang MS, Oh JY, Kim PH, Park SY, Kim YY, Kang SI, Kim JS. Preparation and quality characteristics of different mackerel Scomber japonicas-based processed products as senior-friendly seafoods. Korean J Fish Aquat Sci 2021;54:703-13.
  9. Boo KW, Kim BG, Lee SJ. Physicochemical and sensory characteristics of enzymatically treated and texture modified elderly foods. Korean J Food Sci Technol 2020;52:495-502.
  10. Park SY, Park SH, Oh J, Jang M, Kim J. Development and quality characteristics of hamburg steak, cooked rice with vegetables, and white stew for senior-friendly seafoods using the pacific anchovy Engraulis japonicus. Korean J Fish Aquat Sci 2022;55:257-66.
  11. Senior Food (KR). Senior-friendly foods [Internet]. Iksan: Senior Food; 2023 [cited 2023 June 5]. Available from: https://www.foodpolis.kr/seniorfood/bestPrd/.
  12. Alissa EM, Ferns GA. Dietary fruits and vegetables and cardiovascular diseases risk. Crit Rev Food Sci Nutr 2017;57:1950-62.
  13. Ibiebele TI, van der Pols JC, Hughes MC, Marks GC, Williams GM, Green AC. Dietary pattern in association with squamous cell carcinoma of the skin: a prospective study. Am J Clin Nutr 2007;85:1401-8.
  14. Rodriguez-Casado A. The health potential of fruits and vegetables phytochemicals: notable examples. Crit Rev Food Sci Nutr 2016;56:1097-107.
  15. Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, McTiernan A, Gansler T, Andrews KS, Thun MJ; American Cancer Society 2006 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 2006;56:254-81.
  16. Liu S, Manson JE, Lee IM, Cole SR, Hennekens CH, Willett WC, Buring JE. Fruit and vegetable intake and risk of cardiovascular disease: the Women's Health Study. Am J Clin Nutr 2000;72:922-8.
  17. Sesso HD, Buring JE, Christen WG, Kurth T, Belanger C, MacFadyen J, Bubes V, Manson JE, Glynn RJ, Gaziano JM. Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. JAMA 2008;300:2123-33.
  18. Kantorowicz M, Olszewska-Czyz I, Lipska W, Kolarzyk E, Chomyszyn-Gajewska M, Darczuk D, Kaczmarzyk T. Impact of dietary habits on the incidence of oral diseases. Dent Med Probl 2022;59:547-54.
  19. Koo SM, Park YJ, Hwang JY. Association between consumption of fruits and vitamin c and generalized periodontitis in Korean adults: the 2007-2010 Korean National Health and Nutrition Examination Surveys. Korean J Dent Mater 2013;40:77-85.
  20. Baumann A, Brandt A, Bergheim I. Fructose, a trigger of metabolic diseases? a narrative review. Explor Dig Dis. 2022;1:51-71.
  21. Lore H. Fructose: metabolism and health effects. In: Benjamin C, editor. Encyclopedia of Human Nutrition. 4th ed. Philadelphia, PA: Elsevier Ltd.; 2023. p.389-96.
  22. Ministry of Health and Welfare (KR); The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020. Sejong: Ministry of Health and Welfare; 2022. p.71-9.
  23. National Institute of Agricultural Sciences (KR). Report of Technology Development to Improve Fruit Intake of the Elderly According to Their Chewing Ability. Wanju: National Institute of Agricultural Sciences; 2022. p.5-19.
  24. Cha E, Yi H, Lim S, Chun J. Preparation and quality characteristics of jelly according to various gelling agents. Food Eng Prog 2022;26:51-9.
  25. Hwang ES, Moon SJ. Quality characteristics and antioxidant activity of stick jelly made with different amount of tomato juice. J Korean Soc Food Sci Nutr 2021;50:476-82.
  26. Jeong JS, Park SJ, Son BG. Quality characteristics of jelly using fresh puree of Sansuyu (Corni fructus). J Korean Soc Food Sci Nutr 2017;46:83-91.
  27. Lee GD, Kim SK, Kwon DY, Park SR. Monitoring the manufacturing characteristics of aloe gel-state food. J Korean Soc Food Sci Nutr 2003;32:89-95.
  28. Lee HJ, Choi KJ, Park YS, Shin WS. Survey of dysphagia meal management for the elderly and the disabled. Korean J Food Sci Technol 2022;54:35-42.
  29. Korean Agency for Technology and Standards. Korean Industrial Standards Seniors Friendly Foods (KS H 4897) [Internet]. Eumseong: Korean Agency for Technology and Standards; 2022 [cited 2023 February]. Available from: https://standard.go.kr/KSCI/portalindex.do.
  30. International Dysphagia Diet Standardization Initiative (IDDSI). Complete IDDSI framework detailed definitions 2.0 [Internet]. New Westminster: International Dysphagia Diet Standardization Initiative; 2019 [cited 2023 March 21]. Available from: https://iddsi.org/Framework.
  31. National Institute of Agricultural Sciences (KR). Cooking Guide for the Elderly. Seoul: Yemun Publishing Co.; 2018. p.37-93.
  32. National Institution of Agricultural Sciences. Korean Food Composition Table. 10th ed. Wanju: Rural Development Administration; 2021. p.82-269.
  33. Korean Diabetes Association. Korean food exchange lists for diabetes, 3rd ed: Gold' Planning and Development [Internet]. Seoul: Korean Diabetes Association; 2010 [cited 2023 May 22]. Available from: https://old.diabetes.or.kr/english/resource/index.php?category=3.
  34. Cichero JA. Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutr J 2013;12:54.
  35. Matta Z, Chambers E 4th, Mertz Garcia J, McGowan Helverson JM. Sensory characteristics of beverages prepared with commercial thickeners used for dysphagia diets. J Am Diet Assoc 2006;106:1049-54.