Comparison of Different Gum-Based Thickeners Using a Viscometer and Line Spread Test: A Preliminary Study
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Objective To compare fluid thickeners composed of starch polysaccharide (STA), guar gum-based polysaccharide (UA), and xanthan gum-based polysaccharide (XAN) with the use of a viscometer and a line spread test (LST) under various measurement conditions.Methods The viscosity of thickened fluid with various concentrations (range, UA 1%-4%, XAN 1%-6%, STA 1%-7%, at intervals of 1%) was measured with a rotational viscometer with various shear rates (1.29 s-1, 5.16 s-1, 51.6 s-1, and 103 s-1) at a temperature of 35°C, representing body temperature. The viscosity of STA showed time dependent alteration. So STA was excluded. Viscosities of UA and XAN (range of concentration, UA 1%-3%, XAN 1%-6%, at intervals of 1%) were measured at a room temperature of 20°C. LST was conducted to compare UA and XAN (concentration, 1.5%, 2.0%, and 3.0%) at temperatures of 20°C and 35°C.Results The viscosities of 1% UA and XAN were similar. However, viscosity differences between UA and XAN were gradually larger as concentration increased. The shear thinning effect, the inverse relationship between the viscosity and the shear rate, was more predominant in XAN than in UA. The results of LST were not substantially different from UA and XAN, in spite of the difference in viscosity. However manufacturers’ instructions do not demonstrate the rheological properties of thickeners.Conclusion The viscosities of thickened fluid were different when the measurement conditions changed. Any single measurement might not be sufficient to determine comparable viscosity with different thickeners. Clinical decision for the use of a specific thickener seems to necessitate cautious consideration of results from a viscometer, LST, and an expert’s opinion.
Abstract
Objective To compare fluid thickeners composed of starch polysaccharide (STA), guar gum-based polysaccharide (UA), and xanthan gum-based polysaccharide (XAN) with the use of a viscometer and a line spread test (LST) under various measurement conditions.Methods The viscosity of thickened fluid with various concentrations (range, UA 1%-4%, XAN 1%-6%, STA 1%-7%, at intervals of 1%) was measured with a rotational viscometer with various shear rates (1.29 s-1, 5.16 s-1, 51.6 s-1, and 103 s-1) at a temperature of 35°C, representing body temperature. The viscosity of STA showed time dependent alteration. So STA was excluded. Viscosities of UA and XAN (range of concentration, UA 1%-3%, XAN 1%-6%, at intervals of 1%) were measured at a room temperature of 20°C. LST was conducted to compare UA and XAN (concentration, 1.5%, 2.0%, and 3.0%) at temperatures of 20°C and 35°C.Results The viscosities of 1% UA and XAN were similar. However, viscosity differences between UA and XAN were gradually larger as concentration increased. The shear thinning effect, the inverse relationship between the viscosity and the shear rate, was more predominant in XAN than in UA. The results of LST were not substantially different from UA and XAN, in spite of the difference in viscosity. However manufacturers’ instructions do not demonstrate the rheological properties of thickeners.Conclusion The viscosities of thickened fluid were different when the measurement conditions changed. Any single measurement might not be sufficient to determine comparable viscosity with different thickeners. Clinical decision for the use of a specific thickener seems to necessitate cautious consideration of results from a viscometer, LST, and an expert’s opinion.
참고문헌 (30)
- Braddom RL, "Physical medicine and rehabilitation" (2011), Saunders
- Barczi SR, "How should dysphagia care of older adults differ? Establishing optimal practice patterns", Semin Speech Lang, 21, pp.347~361 (2000)
- Lee A, "Swallowing impairment and feeding dependency in the hospitalised elderly", Ann Acad Med Singapore, 28, pp.371~376 (1999)
- Mann G, "Swallowing disorders following acute stroke: prevalence and diagnostic accuracy", Cerebrovasc Dis, 10, pp.380~386 (2000)
- Mann G, "Swallowing function after stroke: prognosis and prognostic factors at 6months", Stroke, 30, pp.744~748 (1999)
- Paciaroni M, "Dysphagia following stroke", Eur Neurol, 51, pp.162~167 (2004)
- Sura L, "Dysphagia in the elderly: management and nutritional considerations", Clin Interv Aging, 7, pp.287~298 (2012)
- Martino R, "Dysphagia after stroke: incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
- Smithard DG, "Complications and outcome after acute stroke: does dysphagia matter?", Stroke, 27, pp.1200~1204 (1996)
- Altman KW, "Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources", Arch Otolaryngol Head Neck Surg, 136, pp.784~789 (2010)
- Curran J, "Development and dissemination of an aspiration risk reduction diet", Dysphagia, 5, pp.6~12 (1990)
- Martin AW, "Dietary management of swallowing disorders", Dysphagia, 6, pp.129~134 (1991)
- Kuhlemeier KV, "Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients", Dysphagia, 16, pp.119~122 (2001)
- Diniz PB, "Reduced incidence of aspiration with spoon-thick consistency in stroke patients", Nutr Clin Pract, 24, pp.414~418 (2009)
- Whelan K, "Inadequate fluid intakes in dysphagic acute stroke", Clin Nutr, 20, pp.423~428 (2001)
- National Dysphagia Diet Task Force, "National dysphagia diet: standardization for optimal care" (2002), American Dietetic Association
- Paik NJ, "Categorization of dysphagia diets with the line spread test", Arch Phys Med Rehabil, 85, pp.857~861 (2004)
- Seo CW, "Steady and dynamic shear rheological properties of gum-based food thickeners used for diet modification of patients with dysphagia: effect of concentration", Dysphagia, 28, pp.205~211 (2013)
- Garcia JM, "Viscosity measurements of nectar- and honey-thick liquids:product, liquid, and time comparisons", Dysphagia, 20, pp.325~335 (2005)
- Garcia JM, "Serving temperature viscosity measurements of nectar- and honey-thick liquids", Dysphagia, 23, pp.65~75 (2008)
- Rosencranz R, "Clinical laboratory measurement of serum, plasma, and blood viscosity", Am J Clin Pathol, 125(Suppl), pp.S78~S86 (2006)
- Mann LL, "Development of an objective method for assessing viscosity of formulated foods and beverages for the dysphagic diet", J Am Diet Assoc, 96, pp.585~588 (1996)
- Dewar RJ, "Time-dependent rheology of starch thickeners and the clinical implications for dysphagia therapy", Dysphagia, 21, pp.264~269 (2006)
- Casas JA, "Viscosity of guar gum and xanthan", guar gum mixture solutions, 2000, pp.80, 1722~1727
- Cola PC, "The influence of sour taste and cold temperature in pharyngeal transit duration in patients with stroke", Arq Gastroenterol, 47, pp.18~21 (2010)
- O’Leary M, "Viscosity and non-Newtonian features of thickened fluids used for dysphagia therapy", J Food Sci, 75, pp.E330~E338 (2010)
- Shama F, "Identification of stimuli controlling the sensory evaluation of viscosity: II. Oral methods", J Texture Stud, 4, pp.111~118 (1973)
- Cichero JA, "How thick is thick? Multicenter study of the rheological and material property characteristics of mealtime fluids and videofluoroscopy fluids", Dysphagia, 15, pp.188~200 (2000)
- Adeleye B, "Comparison of the rheological properties of ready-to-serve and powdered instant food-thickened beverages at different temperatures for dysphagic patients", J Am Diet Assoc, 107, pp.1176~1182 (2007)
- Nicosia MA, "The usefulness of the line spread test as a measure of liquid consistency", Dysphagia, 22, pp.306~311 (2007)
