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Thickened Liquids Using Pureed Foods for Children with Dysphagia: IDDSI and Rheology Measurements

Laura Brooks1, Jianshan Liao2, Jaclyn Ford3

  • 1Children's Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA, 30322, USA. laura.brooks@choa.org.

Dysphagia
|May 6, 2021
PubMed

Insights

Thickened liquids help children with swallowing disorders (dysphagia) but commercial thickeners have drawbacks. This study found that smooth pureed foods can effectively thicken liquids, offering a viable alternative for managing pediatric dysphagia.

Area of Science:

  • Pediatric Medicine
  • Speech-Language Pathology
  • Food Science

Background:

  • Children with dysphagia face risks like respiratory issues and poor growth.
  • Thickened liquids aid swallowing but commercial thickeners present challenges in taste, texture, and cost.
  • Alternative methods for thickening liquids are needed for pediatric dysphagia management.

Purpose of the Study:

  • To investigate the efficacy of commercial pureed foods in thickening liquids for children with dysphagia.
  • To compare the properties of puree-thickened liquids with traditional starch and gum-based thickeners.
  • To assess puree-thickened liquids as a potential alternative for managing pediatric swallowing disorders.

Main Methods:

  • Utilized the International Dysphagia Diet Standardisation Initiative (IDDSI) flow test for all thickened liquid samples.
  • Conducted rheology testing to measure viscosity and yield stress of thickened liquids at varying conditions.
  • Compared liquids thickened with smooth purees, gum-based agents, and cornstarch-based agents.

Main Results:

  • Liquids thickened with smooth pureed foods demonstrated comparable results to commercial starch and gum-based thickeners.
  • The IDDSI flow test and rheology testing supported the effectiveness of puree-thickened liquids.
  • Puree-thickened liquids showed potential as a viable alternative to conventional thickening agents.

Conclusions:

  • Smooth-textured pureed foods can be effectively used to thicken liquids for pediatric dysphagia.
  • This method offers a promising and potentially more compliant alternative to commercial thickeners.
  • Further research may validate puree-thickening as a standard intervention for swallowing difficulties in children.

Keywords:
DysphagiaIDDSIPuree thickened liquidsRheologyThickened liquids

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