Assessment of tomato-based thick fluid diet for patients with dysphagia using a simple and cheap test

J Texture Stud. 2021 Dec;52(5-6):647-655. doi: 10.1111/jtxs.12617. Epub 2021 Jun 15.

Abstract

Swallowing difficulty, also known as dysphagia, is a health condition that can be managed by different approaches, such as changing the viscosity of fluid foods with thickener agents. Tomato-based beverages such as "gazpacho" and "salmorejo" are common foods much appreciated by the populations that adopt a Mediterranean diet, mainly in Spain. These beverages usually present a low viscosity, challenging to include in diets for dysphagia patients. Thus, this work aimed at evaluating the flow properties of tomato-based beverages with or without the addition of thickener agents (based on maltodextrin or gum) using a simple and cheap method proposed by the International Dysphagia Diet Standardization Initiative (IDDSI) to verify the suitability of using those products in a diet of patients with dysphagia. The study also evaluated the differences in using BD-type syringes on the test. Results indicated that the type of thickener significantly (p < .05) affects the samples' flow properties, enhancing their rheological behavior. The type of syringe can also affect the results, as they present different Luer slip tips. The results revealed that tomato-based beverages may have their properties improved simply by using low amounts of thickener agents (1.2-3.0 g 200 ml-1 ) and that the IDDSI test can be an alternative, cheap and straightforward method for evaluating these types of foods in hospital environments. Including tomato-based beverages in the diet of patients with dysphagia may present many benefits as these products have a rich nutritional composition (fiber) in addition to biocompounds such as lycopene and phenolic compounds.

Keywords: International Dysphagia Diet Standardization Initiative; deglutition disorders; gazpacho; salmorejo; thickened liquids.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Beverages
  • Deglutition Disorders*
  • Diet
  • Humans
  • Solanum lycopersicum*
  • Viscosity