Search Results (58)

Texture-modified foods (TMFs) are essential for individuals with dysphagia, yet conventional formulations often lack structural consistency, nutritional density, and sensory appeal. Three-dimensional (3D) food printing offers new opportunities to tailor texture and composition. This study developed 3D-printed TMFs based on a lentil-carrot matrix and formulated with pea protein isolate (PPI), a curcumin-enriched oleogel (O), or their combination (PPI–O), and compared them with a commercial dysphagia thickener reference. Printability was assessed through extrusion force measurements and dimensional deviation analysis. Texture profile analysis (TPA), International Dysphagia Diet Standardisation Initiative (IDDSI) tests, moisture and protein content determination, color measurements, and preliminary sensory evaluation were conducted. PPI-containing formulations required higher extrusion forces but showed improved dimensional stability, hardness, cohesiveness, and gumminess compared with the oleogel-only sample, likely due to the formation of a stronger protein network. In contrast, the oleogel-only formulation exhibited lower mechanical resistance and a more pronounced melting perception, reflecting the lubricating effect of the lipid-based matrix. Protein content significantly increased with PPI incorporation, and curcumin-enriched oleogel also markedly influenced color parameters. All samples were classified as compatible with IDDSI Level 5. The hybrid PPI–O formulation provided a balanced combination of printability, structural fidelity, enhanced protein content, and suitable textural properties. These findings suggest that extrusion-based 3D printing may represent a promising approach for designing plant-based TMFs for dysphagia-oriented foods. Full article

Dysphagia, or difficulty swallowing, is a significant issue that impacts 10% to 33% of the elderly population and can lead to serious complications such as aspiration, malnutrition, and weight loss. To overcome these obstacles, there is a critical need for comprehensive rheological data and detailed information on food texture, specifically designed to align with local eating habits and cooking methods. This study aims to develop tables of rheological properties for foods commonly consumed by older adults in Portugal. Additionally, it will assess the impact of water quality on these properties during the cooking process. Based on this data, we will develop texture-modified diets that meet the nutritional needs of elderly dysphagic patients, ensuring they are safe, palatable, and practical for everyday care settings. Full article

Background/Objectives: Several studies described how diets should be adapted to meet textural, nutritional and organoleptic needs of older people with oropharyngeal dysphagia. However, few studies have evaluated the implementation of texture-modified diets (TMD) in a real clinical context. In 2024, a TMD program was introduced in a 400-bed hospital. The aim of this study was to describe the impact in production, texture standardization and acceptance of this program. Methods: This is an observational study that compares the TMD data of 2023 versus 2024. In this period, AI techniques and clinical staff training were implemented to increase TMD prescriptions. A quantitative weekly quality control was carried out to standardize the rheological and textural properties of the TMD. Qualitative questionnaires were used to evaluate acceptance and palatability in both years. Results: The number of TMD meal services served increased in 51.60% (9766 in 2023, 14,806 in 2024). Viscosity range variability in thick purees (IDDSI Level 4, target shear viscosity of 1500 ± 20% mPa·s) was reduced from 600–4800 mPa·s in 2023 (58.74% variability) to 1000–2400 mPa·s in 2024 (27.91% variability). Fork-mashable TMD (IDDSI Level 6) presented limitations in standardization, due to the lack of quantitative reference values for textural parameters. The meal intake consumption remained around 70% in both years. Conclusions: The large-scale hospital TMD production program was associated with an increased number of patients with dysphagia receiving TMD, reduced texture variability, and high levels of palatability and patient acceptability. These process-level improvements are expected to support swallowing safety, although clinical outcomes were not directly assessed. Full article

Background: Dysphagia negatively impacts quality of life and requires diets with specifically modified textures. The IDDSI (International Dysphagia Diet Standardization Initiative) scale provides standardized criteria to ensure food safety. This research aims to explore and validate the IDDSI scale adapted to the consumption of foods developed with 3D printing in patients with dysphagia. Methodology: Different dishes were designed and validated using 3D printing and were evaluated by both healthcare professionals and people with dysphagia. In the second phase, participants analyzed their texture using the IDDSI scale. A mixed methodological approach was applied, combining quantitative data (from validated scales) and qualitative data (obtained through interviews and focus groups), ensuring methodological triangulation. Methods: In the first phase of the study, different dishes were cooked and designed using 3D printing technology and were previously evaluated by both healthcare professionals and people with dysphagia. In the second phase, all the dishes validated in the first phase were analyzed and classified according to their texture using the IDDSI. Results: A total of 24 dishes, backed by 204 validations, were determined to be suitable for people with dysphagia and compatible with 3D printing. According to the IDDSI analysis, 36% of these dishes were classified as level 3 (soft texture) and 64% as level 4 (thick purée), levels internationally recognized as safe and suitable for people with dysphagia and suitable for 3D printing. The application of the IDDSI scale eliminated ambiguities in the description of textures, facilitating clear communication between healthcare professionals, caregivers, people with dysphagia, and companies that produce 3D-printed foods, as well as the standardization of 3D food printing processes related to textures. The application of the IDDSI scale eliminated ambiguities in the description of textures, facilitating clear communication between healthcare professionals, caregivers, people with dysphagia, and companies producing 3D-printed food products. This enabled the standardization of 3D food printing processes and the definition of their textures. At the same time, 3D printing proved to be a viable and effective tool for customizing meals that are safe, appropriate, and sensorially appealing. Conclusions: The feasibility of combining the IDDSI scale with 3D printing to develop diets tailored to the needs of people with dysphagia is confirmed. This integrative approach represents an innovation in the field of nutrition for people with swallowing problems, especially in contexts with limited scientific evidence, combining the validation of modified textures with 3D printing technology. There are effective tools for producing safe, suitable and sensorially appealing meals. Full article

Oropharyngeal dysphagia (OD) management requires texture-modified foods (TMFs). The International Dysphagia Diet Standardization Initiative (IDDSI) framework classifies TMFs from drinks (levels 0–2) to purées and soft-solid foods (levels 3–4). However, current instrumental methods for analyzing commercial OD-oriented TMFs often fail to provide reliable classifications, limiting their clinical and industrial applicability. This study aimed to evaluate the effectiveness and reliability of the Back-Extrusion Test (BET) in classifying commercial OD-oriented TMFs according to the IDDSI framework. Fifty-four commercial TMFs were analyzed using BET1 method (firmness and adhesiveness), and BET2 method (firmness, consistency, cohesiveness, and cohesion work). A progressive increase in firmness and consistency was detected as IDDSI level rose, with significant differences between levels. The classification accuracy for IDDSI levels, as determined by discriminant analysis, was 66.1% (BET1) and 76.8% (BET2), although both methods showed reduced performance, particularly for level 4 foods. Cluster analysis revealed three groups by means of BET1 and BET2, identifying levels of foods with low, intermediate, and high textural complexity. This finding suggests that a simplified classification framework could improve objectivity and reliability in assessing OD-oriented TMFs. Furthermore, integrating additional instrumental techniques may improve the accuracy classification of commercial foods where BET methods fail. Full article

(1) Background: This study compared subjective and objective texture classifications of hospital-provided pureed meat dishes and evaluated the impact of adding a food-shaping agent on the consistency of the food. (2) Methods: In total, 18 common pureed meat dishes (pork, chicken, and fish) from a medical center were tested. Subjective classification was conducted according to the International Dysphagia Diet Standardisation Initiative (IDDSI) level 4 criteria, and an objective texture analysis was performed using a Texture Profile Analysis (TPA), with hardness values interpreted via the Universal Design Foods (UDF) framework. (3) Results: Only six of the 18 dishes (33%) met all IDDSI level 4 tests in their original form, despite visually resembling purees. After the addition of 1% of a food-shaping agent, all samples passed IDDSI criteria, indicating enhanced textural consistency and a reduced risk of swallowing complications. TPA data confirmed that all samples, both with and without the food-shaping agent, met UDF stage 4 hardness standards (<5 × 10³ N/m²), ensuring appropriate structural integrity for safe swallowing. The addition of food-shaping agents significantly increased the hardness and adhesiveness (p < 0.001), while the cohesiveness remained unchanged. (4) Conclusions: These findings highlight discrepancies between visual/subjective assessments and objective measurements and support the use of combined IDDSI- and TPA-based verification to improve dietary safety and reproducibility in dysphagia care. Full article

Background/Objectives: Oropharyngeal dysphagia (OD) is a frequent condition among older adults in long-term care facilities, often leading to malnutrition, dehydration, and increased mortality. Modified-texture diets (MTDs) are used to address these risks, though traditional preparation methods often compromise nutritional density and standardization. The WeanCare protocol with Dysphameal^® technology introduces an innovative solution by offering IDDSI-compliant, high-density, freeze-dried meals. This study assesses its clinical effectiveness and economic impact. Methods: A six-month quasi-experimental pre–post study was conducted in two Italian nursing homes involving 13 older participants with diagnosed OD. Participants received all meals and hydration through Dysphameal^®, and data were collected on anthropometry, biochemical markers, care workload, and economic parameters. Statistical analyses included regression, correlations, and pre–post comparisons. Results: Improvements were noted in fat-free mass (FFM), skeletal muscle mass (ASMM), and basal metabolic rate (BMR) in all participants. Albumin and lymphocyte counts improved, as did participant autonomy at mealtime. Operational time per participant dropped by 44% in kitchen and by 7 min/day in wards. Supplement use decreased, leading to significant cost savings and improved staff allocation. Conclusions: The WeanCare–Dysphameal^® system improves nutritional status, reduces caregiver workload, and enhances economic efficiency in institutional settings. It represents a scalable solution for OD management, ensuring consistency, safety, and sustainability in dysphagic care. Full article

This study investigated the effects of inulin concentration and ultrasonic homogenization on the particle size distribution and microstructure of oil-in-water emulsion gels stabilized with psyllium husk. These gels were then incorporated into meal purees formulated for individuals with dysphagia. Under ultrasound treatment, an increase in inulin from 0% to 20% reduced the average droplet size from 14.98 μm to 1.58 μm, indicating a synergistic effect between ultrasound treatment and inulin in reducing and stabilizing droplet size. The optimal formulation under ultrasound was 20% (w/w) inulin. Scanning electron and polarized light microscopy confirmed that ultrasonic homogenization improved emulsion integrity by minimizing droplet size and promoting encapsulation. Inulin-rich emulsion gels, when added to purees, reduced structural voids, improved matrix cohesion, and lowered expressible fluid content. Enzymatic assays showed enhanced inhibition of α-amylase and α-glucosidase, indicating increased resistance to oral enzymatic degradation. Importantly, substituting emulsion gels at 10% (w/w) did not compromise puree firmness. All formulations met International Dysphagia Diet Standardization Initiative (IDDSI) Level 4 requirements, confirming their suitability for individuals with oropharyngeal dysphagia (OD). These findings demonstrate the potential of psyllium husk-stabilized emulsion gels as innovative texture-modifying agents for dysphagia-friendly food development. Full article

Background: Hospitalized patients often experience reduced dietary intake, leading to malnutrition and worsening clinical outcomes. This study evaluated their dietary intake and its associated factors, focusing on three diets provided by the hospital’s kitchen. Methods: An observational study was conducted from October 2024 to January 2025 at the Fondazione Policlinico Agostino Gemelli in Rome. Standard, minced, and soft diets were considered. A visual 5-point scale estimation method was used by trained dietitians to measure dietary intake. Face-to-face interviews also assessed food service quality. Results: A total of 631 patients were enrolled. The average calorie and protein intake were, respectively, 473.4 kcal and 30.9 g at lunch, regardless of diet type. Over 40% of the patients did not meet the minimum nutritional requirements in terms of meal calories and proteins consumed, regardless of diet type. Correlation analysis showed significant positive associations between dietary intake, breakfast palatability for all diets, and breakfast quantity for standard and soft diets (ORs > 2, p < 0.05). Other food service quality factors showed no significant associations with dietary intake. Conclusions: These preliminary findings highlight the need for regular dietary assessments to identify barriers to optimal meal consumption. Educating and assisting patients during mealtime could also promote awareness and diet acceptance. Full article

This study investigated the possibility of partial replacement of genetically modified soybean meal (SBM) with raw white lupin (WL) seeds in growing pigs’ diets and determined its impact on performance [body weight (BW), average daily gain (ADG), and average daily feed intake (ADFI)], meat quality, and fatty acid profile (FA). A total of 54 male crossbred pigs [(Topigs Large White × Norsvin Landrace) × Duroc], aged 12 weeks, with an initial average BW of 30.30 ± 0.77 kg, were divided into three dietary groups of 18 piglets each. The control group (CON) was fed a standardized SBM-based complete feed. In the experimental groups (WL1 and WL2) the SBM was replaced with increasing levels of WL seeds [WL1-5.0% and WL2-10.0% (grower period, 30–60 kg BW), and WL1-7.0% and WL2-14.0% (finisher period, 61–110 kg BW)]. All diets were formulated to be isocaloric and isonitrogenous with similar content of total lysine and sulphur amino acids, calcium, and available phosphorus. At the end of 83 days’ fattening trial, the animals were slaughtered. Longissimus dorsi muscle (LD) was sampled for analyses of the physicochemical traits. The results show that increasing the dietary raw WL concentration decreased final BW (p = 0.039), ADG (p < 0.0001), and ADFI (p = 0.004) throughout the experimental period, especially in the second phase of feeding. Dietary treatments did not affect the pigs’ blood biochemical constituents. Concerning LD muscle characteristics, the redness color (a*) and collagen content was higher (p < 0.0001) in the WL1/WL2 vs. CON group. Beneficial decrease in the values of some textural attributes (hardness, gumminess, chewiness, and resilience) of LD in the WL1/WL2 vs. CON group was registered. The use of WL had a significant effect on the content of FAs, especially for eicosapentaenoic (p = 0.014) and n-3 PUFA (p = 0.045), which were higher than those fed the CON diet. In conclusion, WL could be used as a replacement of SBM in growing–finishing pigs’ diets, with significant improvements in the meat fatty acid profile and technological properties. Full article

Legumes are vital sources of protein, dietary fibre and nutrients, making them crucial for global food security and sustainable agriculture. However, their widespread acceptance and consumption are often limited by undesirable sensory characteristics, such as “a beany flavour”, bitterness or variable textures. Addressing these challenges requires a comprehensive understanding of the complex molecular mechanisms governing appearance, aroma, taste, flavour, texture and palatability in legumes, aiming to enhance their sensory appeal. This review highlights the transformative power of multi-omics approaches in dissecting these intricate biological pathways and facilitating the targeted enhancement of legume sensory qualities. By integrating data from genomics, transcriptomics, proteomics and metabolomics, the genetic and biochemical networks that directly dictate sensory perception can be comprehensively unveiled. The insights gained from these integrated multi-omics studies are proving instrumental in developing strategies for sensory enhancement. They enable the identification of key biomarkers for desirable traits, facilitating more efficient marker-assisted selection (MAS) and genomic selection (GS) in breeding programs. Furthermore, a molecular understanding of sensory pathways opens avenues for precise gene editing (e.g., using CRISPR-Cas9) to modify specific genes, reduce off-flavour compounds or optimise texture. Beyond genetic improvements, multi-omics data also inform the optimisation of post-harvest handling and processing methods (e.g., germination and fermentation) to enhance desirable sensory profiles and mitigate undesirable ones. This holistic approach, spanning from the genetic blueprint to the final sensory experience, will accelerate the development of new legume cultivars and products with enhanced palatability, thereby fostering increased consumption and ultimately contributing to healthier diets and more resilient food systems worldwide. Full article

This study aimed to improve the visual appeal of texture-modified (TM) dishes for individuals with dysphagia by developing a method to unify the texture of solid and liquid components through innovative food processing techniques. It investigated various meat-softening methods while preserving its solid appearance and ensuring a uniform texture when combined with a thickened soup. A grinding and reconstitution approach enabled the incorporation of pea protein (0% and 1%), olive oil (0%, 5%, or 10%), and papain (0% and 0.2%) to enhance the nutritional and sensory properties. This method successfully matched the firmness of TM meat with that of the thickened soup. Papain significantly reduced the firmness, and olive oil decreased the cohesiveness. After categorizing the TM meat and thickened soup as IDDSI level 4, four dishes at three firmness levels were developed. This study highlighted the potential of this approach to integrate solid and liquid food matrices, contributing to the advancement of TM food engineering and to the challenge of improving visual sensory acceptance and personalizing TM diets for individuals with dysphagia. Full article

Oropharyngeal dysphagia is a common condition among older adults and individuals with neurological disorders, necessitating the use of texture-modified foods (TMFs) to ensure safe swallowing; however, reheating often leads to syneresis and structural breakdown, compromising both functionality and patient acceptability. This study aimed to evaluate the efficacy of single and binary hydrocolloid systems for improving the thermal and structural stability of moulded carrot purée formulated to meet International Dysphagia Diet Standardisation Initiative (IDDSI) Level 4 standards. The main methods involved preparing purées with various hydrocolloid combinations, assessing gel strength, shape retention, and syneresis following steaming, and validating results using commercial moulds. Thermoreversible methylcellulose (Benecel™ A4M) was the most effective single-component system, while binary blends of A4M with locust bean gum (LBG)—specifically B2 (1.5% A4M + 0.5% LBG) and B3 (1.5% A4M + 1% LBG)—demonstrated superior structural integrity, with height retention of 80 ± 2% (B2) and 85 ± 2% (B3), and reduced syneresis (~22 ± 1% and ~19 ± 3%, respectively; p < 0.05), both meeting IDDSI requirements. In contrast, formulations containing agar, xanthan, or carboxymethylcellulose exhibited poorer shape fidelity, likely due to matrix-disrupting interactions. These findings indicate that A4M-LBG blends offer a practical solution for producing reheatable, visually recognisable meals for individuals with moderate-to-severe dysphagia. Full article

Improving the proportion of polyunsaturated fatty acids (PUFAs) in meat enhances its nutritional value; however, because PUFAs are prone to oxidation, incorporating antioxidants into animal diets may be an effective way to limit lipid degradation. This study investigated the effects of dietary fat content, vitamin E supplementation, and storage time on the oxidative stability, physico-chemical, sensory, and technological traits of rabbit hamburgers. Seventy-two rabbits (aged 40–78 days) were assigned to four groups: F0-E0 (0% pork fat, 0 mg/kg vitamin E), F0-E200 (0% fat, 200 mg/kg vitamin E), F2-E0 (2% fat, 0 mg/kg vitamin E), and F2-E200 (2% fat, 200 mg/kg vitamin E). After slaughter and carcass deboning, fat-free meat was processed into hamburgers. Three hamburgers per rabbit were analyzed immediately (T0) and three after 7 days of storage at 4 °C (T7). Vitamin E supplementation significantly reduced TBARS values (p < 0.001) and improved meat appearance and texture. Fat-enriched diets modified the fatty acid profile, increasing unsaturated and n-3 fatty acids, and enhanced meat flavor. Vitamin E supplementation improved the nutritional quality of the lipids by increasing PUFAs and n-3 FA levels. Storage time significantly affected quality traits, with T7 hamburgers showing higher TBARS values (p < 0.001) and a greater UFA percentage. Full article

Dysphagia is a medical condition affecting millions globally. Traditional modified diets designed for individuals with dysphagia often focus primarily on improved swallowability, yet they typically fall short in terms of palatability, nutritional diversity, and visual appeal, leading to reduced food intake, malnutrition and reduced quality of life. Recent advancements in 3D-printing technology offer the potential to create texture-modified foods that not only facilitate swallowing but also preserve nutritional content and visual appeal. However, there is a noticeable gap in the comprehensive bibliometric analysis of studies on the use of 3D printing to address swallowing difficulties. To bridge this gap, this study systematically analyzes the literature on the development of 3D-printed foods tailored for individuals with dysphagia from the bibliometric perspective. The results highlight the top journals, leading countries, and prominent institutes/authors in this field. The study also examines the adoption of various 3D-printer brands, the key indicators used to assess the palatability of 3D-printed foods for dysphagia, and the common ingredients used for the development of 3D-printing ink. Overall, this review provides a comprehensive overview of current research trends in the development of 3D-printed food for dysphagia, offering valuable insights for future research in this area. Full article