Acceptance Testing of Food Products for Older Persons with Dysphagia
Keywords:
acceptance testing, food innovation, older person, dysphagiaAbstract
Older persons with dysphagia are at risk of malnutrition. Food products developed for this group of persons should have appropriate texture and acceptable for older persons. This one-group posttest only experimental research study aimed to investigate the acceptance of food products among older persons with dysphagia. Thirty-two subjects with dysphagia were purposively selected from Thammapakorn Social Welfare Development Center for Older Person Chiang Mai and Wai Thong Niwet Home for the Aged between November 2018 and March 2019. Subjects were assigned to eat five food products, including 1) cooked mixed rice, 2) smoked grilled fish ball, 3) fish maw soup jelly, 4) banana in coconut milk puree, and 5) snake fruit in syrup puree, once a day for three months in addition to main meals. Instruments used for data collection consisted of the Demographic Data Recording Form, Swallowing Readiness Evaluation Form, Functional Oral Intake (FOIS), 9-point Hedonic Scale, and Amount of Food Product Consumption Recording Form. Data were analyzed using descriptive statistics. The results after three months of food product testing revealed that:
- The overall acceptance of all food products in terms of color, smell, solidity, viscosity, and taste was at a moderate to high levels. The products with the highest level of acceptance were banana in coconut milk puree ( = 8.69, SD.= 0.74), followed by snake fruit in syrup puree ( = 8.63, SD.= 0.79), cooked mixed rice ( = 8.31, SD.=1.0) and fish maw soup jelly ( = 8.16, SD.= 1.02). Smoked grilled fish ball gained the least acceptance ( = 7.78, SD 1.21) from a total score of 9.
- The level of chewing and swallowing difficulty was the easiest for all food products, with a mean ranging between 8.59 and 8.84 (SD. 0.37-0.67) from the total score of 9.
- The products consumed in whole amount in each meal were banana in coconut milk puree and snake fruit in syrup puree, followed by cooked mixed rice that was consumed in whole amount by almost all of the subjects (90.63%) in each meal. Fish maw soup jelly and smoked grilled fish ball were consumed in whole amount by approximately two-third of the subjects (68.75-71.88%) in each meal.
The result of this study indicated that all food products were accepted by older persons with dysphagia in terms of color, smell, taste, texture and ease of chewing and swallowing. Most of the older persons could consume the whole amount of all food products in each meal. Therefore, the developed food products can be used to improve the amount of food intake of older persons with dysphagia.
References
Benjapornlert, P., Arayavichanont, P. , Manimmanakorn, N. & Wat tanapan, P. (2018). The prevalence of oropharyngeal dysphagia in acute stroke patients at Srinagar ind Hospital. Journal of Thai Rehabilitation, 28(2), 49-53.
Bureau of Nutrition, Department of Health, Ministry of Public H ealth. (2020). Food pyramid for elderly. Retrieved from http://nutrition.anamai.moph.go.th/images/files/
Cabre, M., Serra-Prat, M., Palomera, E., Almirall, J., Pallares, R., & Clavé, P. (2009). Prevalence and prognostic implications of dysphagia in elderly patients with p neumonia. Age and Ageing, 39 (1), 39-45.
Clayton, J. (2002). The national dysphagia diet: standardization for optimal care. Chicago, IL:American Dietetic Association.
Crary, M. A., Mann, G. D. C., & Groher, M. E. (2005). Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86(8), 1516-1520. doi:https://doi.org/10.1016/j.apmr.2004.11.049
Dajpratham, P. (2013). Dysphagia in elderly. Journal of Thai Rehabilitation Medicine, 23(3), 73-80.
Ekplakorn, W. (2016). Thai National Health Examination Survey, NHES V. Nonthaburi: Health Systems Research Institute.
Eungprasert, P., Sirisupalak, P. & Sanglestsawai, S. (2018). Attribute of foods for elderly persons in Bangkok. Proceedings of University of the Thai Chamber of Commerce, The Second Academic Day (pp.736-747). University of the Thai Chamber of Commerce. Retr ieved from http://utcc2.utcc.ac.th/academicday/proceeding_aca.
Hall, K. E. (2017). Aging of the Gastrointestinal System. In J. B. Halter, J. G. Ouslander, S. Studenski,K. P. High, S. Asthana, M. A. Supiano, & C. Ritchie (Eds.), Hazzard’s geriatric medicine andgerontology, (7th ed., pp.1333-1422). New York, NY: McGraw-Hill Education.
Heart and Stroke Foundation of Ontario [HSFO]. (2002). Improving recognition and management of dysphagia in acute stroke. Toronto: The Medicine Group.
Jongjareonrak, A., Panuthai, S., Lerttrakarnnon, P. & Attawong , T. (2018). Development of protein food products prototype from fish for older persons with dysphagia for industrial scale application. Chiang mai: Chiang Mai University.
Jongjareonrak, A., Panuthai, S., Lerttrakarnnon, P. & Attawong , T. (2018). Development of surimi gel product for promoting the nutritional status in elderly with dysphagia. Chiang mai:Chiang Mai University.
Kalf, J. G., De Swart, B. J. M., Bloem, B. R., & Munneke, M. (2012). Prevalence of oropharyngeal dysphagia in Parkinson’s disease: A meta-analysis. Parkinsonism & Related Disorders, 18(4), 311-315.
Leslie, P., Drinnan, M. J., Ford, G. A., & Wilson, J. A. (2005) . Swallow respiratory patterns and aging: presbyphagia or dysphagia?. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(3), 391-395.
Laokuldilok, T., Surawang, S., Suksatit, B., Lerttrakarnnon, P. & Attawong, T. (2561). Modification of textural and rheological properties of dessert products for elderly with dysphagia. Chiang mai: Chiang Mai University.
Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 36 (12), 2756-2763.
Mitprasart U, Surit P. (2011). Nutritional status and as¬sociated factors among oder adults in the hospital. Journal of Nurses’ Association of Thailand North-eastern Division, 29 (3), 46-55.
National Food Institute. (2013). Guideline to develop healthy food innovation to support aging society: Project report. Bangkok: The Office of Industrial Economics.
National Statistical Office. (2014). Statistical yearbook Thailand. Bangkok: National Statistical Office.
Nicole, R. P., Steven, B., & JoAnne, R. (2017). Chapter 36: Disorders of Swallowing. In J. B. Halter, J. G. Ouslander, S. Studenski, K. P. High, S. Asthana, M. A. Supiano, & C. Ritchie (Eds.),Hazzard’s geriatric medicine and gerontology. (7th ed.). New York: McGraw-Hill.
Raats, M., De Groot, L., & Van Staveren, W. (2009). Food for the ageing population. Cambridge: Woodhead.
Sammasut, R. (2000). Food Modified for elderly. Klaimor, 24 (9), 44-46.
Satheintaworawong, V. (2015). New product adoption process case study: Betagro low fat sausage(Independent Study, Thammasat University).
Soenen, S., & Chapman, I. M. (2013). Body weight, anorexia, and undernutrition in older people. Journal of the American Medical Directors Association, 14 (9), 642-648.
Sriraksa, L., Panuthai, S., & Tamdee, D. (2016). Food consumption behaviors and nutritional status in older persons with dysphagia (Master’ s thesis, Chiang Mai University).
Sura, L., Madhavan, A., Carnaby, G., & Crary, M. A. (2012). Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging, 7, 287-298. doi:10.2147/cia.S23404
Trakoontivakorn, K., Tangkanakul, P., Treesuwan, W., Narasri, W., Pakkaew, W., & sawatdichaikul, O.(2015). Ready-to-eat products with reconstructed concept for chewing problem elderly and with low sugar, fat and sodium concept for metabolic syndrome elderly. Bangkok: Kasetsart University.
Utama-ang, N., Sangpimpa, W., Chintanawat, R., Lerttrakarnnon, P., Attawong, T., Sucamvang, K. (2017).Development of rice texture for older persons with dysphagia. Chiang mai: Chiang Mai University.
World Health Organization [WHO]. (2015). Ageing and health. Retrieved from http://www.who.int/ mediacentre/factsheets /fs404/en/
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