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The global aging of the population is accelerating, and dysphagia poses a threat to the health of the elderly. Thickened fluid foods prepared from polysaccharides and proteins could address dehydration and protein deficiency in the elderly dysphagia population. In this work, the structural characteristics, rheological properties, and swallowing characteristics of complexes formed by whey protein isolate (WPI) and polysaccharides (xanthan gum (XG), λ-carrageenan (λC), and konjac glucomannan (KGM)) at different pH values were investigated. As the pH decreased, there was a decrease in the charge of WPI, which weakened the electrostatic interactions resulting in the higher turbidity and particle size of complexes. At near pH 4, the XW complex had a moderate level of yield stress, zero-shear viscosity, and adsorption height, which resulted in moderate oral transit time, stretch length, and residual rate during swallowing, making it more potential as dysphagia foods. However, at pH near 4, λW and KW complexes had lower viscosity, adsorption height, and IDDSI levels, making them less suitable for dysphagia foods. The above results suggest that in WPI-enriched thickened fluids, the pH value could be appropriately adjusted to change the rheological properties and swallowing characteristics of the thickened fluids, thereby producing products adapted to elderly people with dysphagia.
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http://dx.doi.org/10.1016/j.foodres.2025.116435 | DOI Listing |
Int J Speech Lang Pathol
September 2025
Grampians Health, Ballarat, Australia.
Purpose: Many mealtime interventions have been developed over the past ten years. The effective implementation of such interventions into clinical practice is crucial to improve the swallowing safety and/or mealtime-related quality of life for people living with dysphagia or at risk of malnutrition. This systematic review summarises and critically appraises the literature on implementation of mealtime interventions in inpatient and aged care settings.
View Article and Find Full Text PDFJ Am Med Dir Assoc
September 2025
Irish National Audit of Stroke Care, National Office of Clinical Audit, Dublin, Ireland; St Vincent's University Hospital, Dublin, Ireland.
Objectives: Internationally about 3% of people ≥65 years live in long-term care (LTC) settings. Older people living in nursing homes are more likely to be admitted to hospital. We examined the characteristics and outcomes of stroke patients admitted from LTC nationally and how this changed over the COVID-19 pandemic.
View Article and Find Full Text PDFArch Phys Med Rehabil
September 2025
James Madison University, College of Health and Behavioral Studies, Communication Sciences and Disorders, 235 Martin Luther King Jr. Way, Harrisonburg, VA 22807; Sentara Rockingham Memorial Hospital, 2010 Health Campus Drive, Harrisonburg, VA 22801.
Objective: To identify which, if any, acoustic measures are associated with swallowing safety.
Design: prospective, original research SETTING: : primarily outpatient PARTICIPANTS: : 34 adults referred for a videofluoroscopic swallowing study (VFSS) were audio-recorded completing a sustained vowel and reading a sentence before the VFSS and again after swallowing each bolus.
Interventions: none MAIN OUTCOME MEASURE(S): : Swallowing safety was initially quantified using the Penetration-Aspiration Scale (PAS) with ratings then defined dichotomously (e.
Neurol Ther
September 2025
Dayton Psychiatric Associations, Dayton, OH, USA.
Introduction: Tardive dyskinesia (TD), a persistent and often debilitating movement disorder, is associated with prolonged exposure to dopamine receptor-blocking agents. Individuals aged ≥ 60 years are at increased risk for TD and TD-related burden (e.g.
View Article and Find Full Text PDFCureus
July 2025
Department of Pediatrics, Kariya Toyota General Hospital, Kariya, JPN.
Foreign body ingestion is a common pediatric emergency, and plastic objects are particularly difficult to detect on imaging due to their radiolucency. This can lead to delayed diagnosis and serious complications, especially when the ingestion is unwitnessed or the child is asymptomatic. We report a case of a four years and five months old girl who claimed to have accidentally swallowed a 4.
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