Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?

Dysphagia is a swallowing disorder characterized by the difficulty in transferring solid foods and/or liquids from the oral cavity to the stomach, imparing autonomous, and safe oral feeding. The main problems deriving from dysphagia are tracheo-bronchial aspiration, aspiration pneumonia, malnutritio...

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Main Authors: Samir G. Sukkar, Norbert Maggi, Beatrice Travalca Cupillo, Carmelina Ruggiero
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnut.2018.00068/full
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author Samir G. Sukkar
Norbert Maggi
Beatrice Travalca Cupillo
Carmelina Ruggiero
author_facet Samir G. Sukkar
Norbert Maggi
Beatrice Travalca Cupillo
Carmelina Ruggiero
author_sort Samir G. Sukkar
collection DOAJ
description Dysphagia is a swallowing disorder characterized by the difficulty in transferring solid foods and/or liquids from the oral cavity to the stomach, imparing autonomous, and safe oral feeding. The main problems deriving from dysphagia are tracheo-bronchial aspiration, aspiration pneumonia, malnutrition and dehydration. In order to overcome dysphagia-induced problems, over the years water and food thickening has been used, focusing specifically on viscosity increase, but limited results have been obtained. Elastic components and their effects on the cohesiveness on the bolus should be taken into account in the first place. We provide an analysis of dysphagia and suggest possible corrections to the protocols which are being used at present, taking into account rheological properties of food and the effect of saliva on the bolus. We reckon that considering such aspects in the dysphagia management market and healthcare catering would result in significant clinical risk reduction.
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spelling doaj.art-0ff835997c5d4e73854411e47c6fae992022-12-22T00:12:48ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2018-08-01510.3389/fnut.2018.00068393166Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?Samir G. Sukkar0Norbert Maggi1Beatrice Travalca Cupillo2Carmelina Ruggiero3Clinical Nutrition Unit, IRCCS Ospedale Policlinico San Martino di Genova, Genova, ItalyDepartment of Informatics, Bioengineering, Robotics and Systems Engineering, University of Genova, Genova, ItalyPhoniatric Unit, IRCCS Ospedale Policlinico San Martino di Genova, Genova, ItalyDepartment of Informatics, Bioengineering, Robotics and Systems Engineering, University of Genova, Genova, ItalyDysphagia is a swallowing disorder characterized by the difficulty in transferring solid foods and/or liquids from the oral cavity to the stomach, imparing autonomous, and safe oral feeding. The main problems deriving from dysphagia are tracheo-bronchial aspiration, aspiration pneumonia, malnutrition and dehydration. In order to overcome dysphagia-induced problems, over the years water and food thickening has been used, focusing specifically on viscosity increase, but limited results have been obtained. Elastic components and their effects on the cohesiveness on the bolus should be taken into account in the first place. We provide an analysis of dysphagia and suggest possible corrections to the protocols which are being used at present, taking into account rheological properties of food and the effect of saliva on the bolus. We reckon that considering such aspects in the dysphagia management market and healthcare catering would result in significant clinical risk reduction.https://www.frontiersin.org/article/10.3389/fnut.2018.00068/fullcohesivenessviscosityviscoelasticitydysphagiaaspiration pneumoniatexture-modifies food
spellingShingle Samir G. Sukkar
Norbert Maggi
Beatrice Travalca Cupillo
Carmelina Ruggiero
Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
Frontiers in Nutrition
cohesiveness
viscosity
viscoelasticity
dysphagia
aspiration pneumonia
texture-modifies food
title Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
title_full Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
title_fullStr Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
title_full_unstemmed Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
title_short Optimizing Texture Modified Foods for Oro-pharyngeal Dysphagia: A Difficult but Possible Target?
title_sort optimizing texture modified foods for oro pharyngeal dysphagia a difficult but possible target
topic cohesiveness
viscosity
viscoelasticity
dysphagia
aspiration pneumonia
texture-modifies food
url https://www.frontiersin.org/article/10.3389/fnut.2018.00068/full
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AT norbertmaggi optimizingtexturemodifiedfoodsfororopharyngealdysphagiaadifficultbutpossibletarget
AT beatricetravalcacupillo optimizingtexturemodifiedfoodsfororopharyngealdysphagiaadifficultbutpossibletarget
AT carmelinaruggiero optimizingtexturemodifiedfoodsfororopharyngealdysphagiaadifficultbutpossibletarget