In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients

Bolus viscosity before swallowing is critical in dysphagia patients. Only a few works have assessed this viscosity using real boli expectorated by humans. However, this may be a risk for dysphagia patients, and it could be avoided by using an in vitro method to mimic oral changes. This study evaluat...

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Main Authors: Kovan Ismael-Mohammed, Laura Laguna, Mireia Bolivar-Prados, Pere Clavé, Amparo Tarrega
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:Applied Food Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772502225004664
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author Kovan Ismael-Mohammed
Laura Laguna
Mireia Bolivar-Prados
Pere Clavé
Amparo Tarrega
author_facet Kovan Ismael-Mohammed
Laura Laguna
Mireia Bolivar-Prados
Pere Clavé
Amparo Tarrega
author_sort Kovan Ismael-Mohammed
collection DOAJ
description Bolus viscosity before swallowing is critical in dysphagia patients. Only a few works have assessed this viscosity using real boli expectorated by humans. However, this may be a risk for dysphagia patients, and it could be avoided by using an in vitro method to mimic oral changes. This study evaluates the feasibility of two in vitro protocols: (i) constant shearing (50 s⁻¹) over 120 s using a rheometer, and (ii) uniaxial force (10 strokes at 10 mm/s) using a texture analyzer, and then comparing it with previous human data. For both systems, the effect of dilution and enzymes (artificial saliva) was also studied by calculating the percentage of reduction. Results showed that only constant shear decreased the purees viscosity at 20 s from 10 % to 28 % and even more at 120 s (between 30 %-85 %). This viscosity was further reduced in the condition shear and water, and even more in the condition shear and saliva. The uniaxial compression results showed a similar trend: the addition of water caused smaller changes than the addition of saliva in both maximum force (7–38 %) and adhesiveness (62–75 %). Among the two in vitro systems, the constant shear led to a greater structural breakdown, simulating the most extreme scenario of viscosity reduction that could occur during oral processing. Texture analyzer protocol allows a continuous saliva addition, movement to mimic oral stroke and it provides adhesiveness values. Constant shear produced a structural breakdown pattern more similar to human boli than axial force.
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spelling doaj-art-c0935db9d08e45f5bcb0e9a7aa6e18452025-07-14T04:15:28ZengElsevierApplied Food Research2772-50222025-12-0152101161In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patientsKovan Ismael-Mohammed0Laura Laguna1Mireia Bolivar-Prados2Pere Clavé3Amparo Tarrega4Institute of Agrochemistry and Food Technology (IATA, CSIC), Calle Agustín Escardino Benlloch 7, 46980 Paterna Valencia, SpainInstitute of Agrochemistry and Food Technology (IATA, CSIC), Calle Agustín Escardino Benlloch 7, 46980 Paterna Valencia, Spain; Corresponding author.Gastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Mataró, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), 08304 Barcelona, SpainGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Mataró, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), 08304 Barcelona, SpainInstitute of Agrochemistry and Food Technology (IATA, CSIC), Calle Agustín Escardino Benlloch 7, 46980 Paterna Valencia, SpainBolus viscosity before swallowing is critical in dysphagia patients. Only a few works have assessed this viscosity using real boli expectorated by humans. However, this may be a risk for dysphagia patients, and it could be avoided by using an in vitro method to mimic oral changes. This study evaluates the feasibility of two in vitro protocols: (i) constant shearing (50 s⁻¹) over 120 s using a rheometer, and (ii) uniaxial force (10 strokes at 10 mm/s) using a texture analyzer, and then comparing it with previous human data. For both systems, the effect of dilution and enzymes (artificial saliva) was also studied by calculating the percentage of reduction. Results showed that only constant shear decreased the purees viscosity at 20 s from 10 % to 28 % and even more at 120 s (between 30 %-85 %). This viscosity was further reduced in the condition shear and water, and even more in the condition shear and saliva. The uniaxial compression results showed a similar trend: the addition of water caused smaller changes than the addition of saliva in both maximum force (7–38 %) and adhesiveness (62–75 %). Among the two in vitro systems, the constant shear led to a greater structural breakdown, simulating the most extreme scenario of viscosity reduction that could occur during oral processing. Texture analyzer protocol allows a continuous saliva addition, movement to mimic oral stroke and it provides adhesiveness values. Constant shear produced a structural breakdown pattern more similar to human boli than axial force.http://www.sciencedirect.com/science/article/pii/S2772502225004664In vitroDysphagiaPureeShearingUniaxial compression
spellingShingle Kovan Ismael-Mohammed
Laura Laguna
Mireia Bolivar-Prados
Pere Clavé
Amparo Tarrega
In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
Applied Food Research
In vitro
Dysphagia
Puree
Shearing
Uniaxial compression
title In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
title_full In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
title_fullStr In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
title_full_unstemmed In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
title_short In vitro shear and compression protocols to evaluate the effects of oral processing on purées intended for dysphagia patients
title_sort in vitro shear and compression protocols to evaluate the effects of oral processing on purees intended for dysphagia patients
topic In vitro
Dysphagia
Puree
Shearing
Uniaxial compression
url http://www.sciencedirect.com/science/article/pii/S2772502225004664
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