The role of oral processing in dynamic sensory perception

Food oral processing is not only important for the ingestion and digestion of food, but also plays an important role in the perception of texture and flavor. This overall sensory perception is dynamic and occurs during all stages of oral processing. However, the relationships between oral operations and sensory perception are not yet fully understood. This article reviews recent progress and research findings on oral food processing, with a focus on the dynamic character of sensory perception of solid foods. The reviewed studies are discussed in terms of both physiology and food properties, and cover first bite, mastication, and swallowing. Little is known about the dynamics of texture and flavor perception during mastication and the importance on overall perception. Novel approaches use time intensity and temporal dominance techniques, and these will be valuable tools for future research on the dynamics of texture and flavor perception.     

甘薯泥作为吞咽障碍食品的研究进展

质构改良食品作为吞咽障碍患者的安全食品,具有质地柔软、吞咽安全及满足患者营养需求的特点,不同国家对吞咽障碍食品的分级各不相同,大多都聚焦于食品本身的质构特性。近些年,吞咽障碍患者的饮食安全备受关注,开发吞咽障碍食品的研究逐渐增加。甘薯泥是新鲜甘薯经过一系列加工制成的泥状食品,保留了甘薯中绝大多数营养物质,具有柔软、营养成分高的特点,是适合吞咽障碍患者食用的质构改良食品的优质原料。但甘薯泥的质构特性受到多方面因素的影响,例如加工原料、加工工艺以及贮藏条件等,限制甘薯泥作为吞咽障碍食品在食品领域的应用。该文将对质构改良食品的分类、甘薯泥加工工艺及影响甘薯泥质构特性的研究进行综述,旨在为适合吞咽障碍患者食用的甘薯泥产品的研发及应用提供理论依据。     

Next target for food hydrocolloid studies: Texture design of foods using hydrocolloid technology

Texture is important in terms of both food palatability and the safety of eating. Recently, the importance of texture has been emphasized for the development of nursing-care foods, including dysphagia foods, in recent aged society, where the number of patients with mastication and swallowing difficulties is increasing. Texture design of these food products is now one of the most important tasks in the food industry in Japan. Texture of these food products should be optimized by modulating viscoelasticity using hydrocolloids so that they can easily transform to ‘ready-to-swallow’ bolus during oral processing. This article reviews the importance of texture as an essential attribute of foods and also the usefulness of hydrocolloids as an ingredient to modify and control food texture. The article also covers recent trials by the author’s research team on bolus rheology and in vivo acoustic analysis. The trials are to find some objective parameters describing the mastication and swallowing eases as an alternative to conventional bulk rheology and subjective sensory analysis.     

Food polysaccharides and roles of rheology and tribology in rational design of thickened liquids for oropharyngeal dysphagia: A review

In today's market environment, an aging society is recognized as one of the megatrends in the world. The demographic change in the world population age structure has driven a huge demand in healthcare products as well as services that include the technological innovation for the health and wellness of the elderly. Dysphagia or swallowing difficulty is a common problem in the elderly as many changes in swallowing function come with aging. The presence of a strong relationship between swallowing ability, nutritional status, and health outcomes in the elderly leads to the importance of dysphagia management in the population group. Modification of solid food and/or liquid is a mainstay of compensatory intervention for dysphagia patients. In this regard, texture-modified foods are generally provided to reduce risks associated with choking, while thickened liquids are recommended for mitigating risks associated with aspiration. In this review, we discuss thickened liquids and other issues including the importance of their rheological and tribological properties for oropharyngeal dysphagia management in the elderly. The review focuses on both commercial thickeners that are either based on modified starch or xanthan gum and other potential polysaccharide alternatives, which have been documented in the literature in order to help researchers develop or improve the characteristic properties of thickened liquids required for safe swallowing. Furthermore, some research gaps and future perspectives, particularly from the nutrition aspect related to the interaction between thickeners and other food ingredients, are suggested as such interaction may considerably control the rate of nutrient absorption and release within our body.     

Texture and texture assessment of thickened fluids and texture‐modified food for dysphagia management

Thickened fluids and texture‐modified foods are commonly used in the medical management of individuals who suffer from swallowing difficulty (known as dysphagia). However, how to reliably assess texture properties of such food systems is still a big challenge both to industry and to academic researchers. This article aims to identify key physical parameters that are important for objective assessment of such properties by reviewing the significance of rheological or textural properties of thickened fluids and texture‐modified foods for swallowing. Literature reviews have identified that dominating textural properties in relation to swallowing could be very different for thickened fluids and for texture‐modified foods. Important parameters of thickened fluids are generally related with the flow of the bolus in the pharyngeal stage, while important parameters of texture‐modified foods are generally related with the bolus preparation in the oral stage as well as the bolus flow in the pharyngeal stage. This review helps to identify key textural parameters of thickened fluids and texture‐modified foods in relation to eating and swallowing and to develop objective measuring techniques for quality control of thickened fluids and texture‐modified foods for dysphagia management.     

Texture Modification Technologies and Their Opportunities for the Production of Dysphagia Foods: A Review

Dysphagia or swallowing difficulty is a common morbidity experienced by those who have suffered a stroke or those undergone such treatments as head and neck surgeries. Dysphagic patients require special foods that are easier to swallow. Various technologies, including high‐pressure processing, high‐hydrodynamic pressure processing, pulsed electric field treatment, plasma processing, ultrasound‐assisted processing, and irradiation have been applied to modify food texture to make it more suitable for such patients. This review surveys the applications of these technologies for food texture modification of products made of meat, rice, starch, and carbohydrates, as well as fruits and vegetables. The review also attempts to categorize, via the use of such key characteristics as hardness and viscosity, texture‐modified foods into various dysphagia diet levels. Current and future trends of dysphagia food production, including the use of three‐dimensional food printing to reduce the design and fabrication time, to enhance the sensory characteristics, as well as to create visually attractive foods, are also mentioned.     

Interrelations among physical characteristics,sensory perception and oral processing of protein-based soft-solid structures

Oral processing is essential in breaking down the physicochemical structure of the food and thus important to the sensory perception of food in the mouth. To have an understanding of protein-based, soft-solid texture perception, a multidisciplinary approach was applied that combined studies of food microstructure with mechanical properties, sensory evaluation, and oral physiology. Model foods were developed by combining ion-induced micro-phase separation and protein-polysaccharide phase separation and inversion. Activities of masseter, anterior temporalis and anterior digastric muscles during oral processing were recorded by electromyography (EMG), while jaw movement amplitudes, durations, and velocities were simultaneously collected by a three-dimensional jaw tracking system (JT-3D). Changes in the microstructure of mixed gels significantly altered the characteristics of the chewing sequence, including the muscle activities, number of chews, chewing duration and chewing frequency. Mechanical attributes related to structural breakdown and sensory perception of firmness were highly correlated with the amount of muscle activity required to transform the initial structure into a bolus ready for swallowing. Chewing frequency was linked to mechanical properties such as recoverable energy, fracture strain and water holding capacity of the gels. Increased adhesiveness and moisture release also resulted in slower chewing frequency. Evaluation of oral processing parameters at various stages (i.e., first cycle, first 5 cycles, and last 3 cycles) was found to be a useful method to investigate the dynamic nature of sensory perception at first bite, during chewing and after swallowing. The study showed that muscle activity and jaw movement can be used to understand the links between physical properties of foods and sensory texture.     

Texture design for products using food hydrocolloids

Some in vivo measurements have been carried out using polysaccharide gels of different physical properties (i.e., elastic and plastic) and degrees of hardness. In vivo measurements tested included electromyography (EMG) and acoustic analysis of the swallowing sound to investigate the dynamic changes of food texture during oral processing. As a model of foods for dysphagia patients, the gels were soft enough to be eaten by compression between the tongue and the hard palate without biting by the teeth. From EMG, no significant differences were found between elastic gels and plastic gels in the duration of oral processing and the EMG activity of the suprahyoid musculature when compared at equivalent hardness. The EMG activity of the suprahyoid musculature correlated well with the compression load of gels at 95% strain. From the acoustic analysis, the plastic gels required shorter time to transfer through the pharynx and were scored higher in sensory cohesiveness than the elastic gels. Results indicate that oral processing of soft gels requires equivalent EMG activity of the suprahyoid musculature when the gel hardness is the same. Also, the plastic gels flow through the pharynx as one coherent bolus with smaller variation of the flow speed. Texture of foods for dysphagia patients should be optimized in terms of viscoelasticity so that they can easily transform to swallowable bolus during oral processing.     

Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework

The dysphagia field is still in relative infancy with a sophisticated knowledge base amassed since the early 1980's. The desire to identify aspiration and prevent life threatening pneumonia has resulted in a focus on the complexities of swallowing liquids. However, humans also ingest saliva, food, and oral medications, with the potential for these substances to incompletely clear the pharynx, be aspirated or block the airway. Safe swallowing of solid food in particular requires adequate chewing function, good oral control, and sufficient higher cortical function. Although screening and assessment for liquid swallowing safety is well established, the same cannot be said for the evaluation of safety to chew and swallow different food textures. While research into liquid swallowing physiology and its clinical application has largely come from the medical and allied health fields, our knowledge of chewing function for food textures comes from food texture research and food sensory science arenas. There is an exciting opportunity to bring the medical and food texture science fields together to expand our knowledge base on human chewing function, with clinical application to people with dysphagia. The development of the IDDSI Framework as an international standardized way of describing and labelling food texture and drink thickness allows the field to move toward management of texture modified food and thick liquids in a coordinated fashion, speaking the same language. This commentary will describe what we know of chewing function and how it is assessed clinically, proposing methods of assessment that utilize the IDDSI Framework.     

Effect of saliva on physical food properties in fat texture perception

Sensory properties of food drive our food choices and it is generally accepted that lipids greatly contribute to the sensory properties of many foods and consequently to eating pleasure. Many studies have investigated the mechanisms of the fat perception. Unfortunately they used a variety of methods and products, thereby making generalization very difficult. The mechanism of fat perception in oral cavity is combined of several processes. Lipid composition and its properties strongly influence food structure. During consumption food is exposed to a range of in-mouth processing steps. Oral sensation of fat texture changes with time, from a first bite to chewing, while mixing with saliva, up to swallowing and even after swallowing. The present work reviews many aspects of fat texture perception from physical chemistry to physiology. Understanding the underlying mechanisms of in-mouth lipid processing would provide new concepts to produce low-fat food products with full-fat perception.     

Food oral processing—A review

Food oral processing is an essential procedure not only for the consumption and digestion of foods but also for the appreciation and pleasure of food texture and food flavour. The consumption of a food inside mouth involves various oral operations, including first bite, chewing and mastication, transportation, bolus formation, swallowing, etc. Exact mechanisms and governing principles of these oral operations are still not fully understood, despite of continuous efforts made by scientists from food, psychology, physiology, dental and clinical studies, and other disciplines. This article reviews recent progresses and literature findings about food processing and transformation in mouth, with particular attention on the physiology and rheology aspects of oral operations. The physiological behaviour of human's oral device is discussed in terms of biting capability, tongue movement, saliva production and incorporation, and swallowing. The complexity of oral processing is analysed in relation to the rheology and mechanical properties of foods. The swallowing and oral clearing process is also examined for its criteria, triggering mechanism, bolus deformation, and the rheology of swallowing.     

Understanding the oral processing of solid foods: Insights from food structure

Understanding the relationship between the structure of solid foods and their oral processing is paramount for enhancing features such as texture and taste and for improving health-related factors such as management of body weight or dysphagia. This paper discusses the main aspects of the oral processing of solid foods across different categories: (1) oral physiology related to chewing, (2) in-mouth food transformation, (3) texture perception, and (4) taste perception, and emphasis is placed on unveiling the underlying mechanisms of how food structure influences the oral processing of solid foods; this is exemplified by comparing the chewing behaviors for a number of representative solid foods. It highlights that modification of the texture/taste of food based on food structure design opens up the possibility for the development of food products that can be applied in the management of health.     

FOOD TEXTURE AND ITS EFFECT ON INGESTION, MASTICATION AND SWALLOWING

The oral processing of most semisolid and solid foods can be summarized in terms of two opposing mechanical influences: forces that fracture food particles versus those that make them adhere to each other. During either the ingestion of food into the mouth or the early stages of mastication, the aim of processing solid food particles is usually to fracture them. However, later on towards swallowing, adhesion is desirable in order to try to form a sticky food bolus that could clear the mouth of isolated food fragments. Neither of these tendencies is actually a function of any particular force (or stress) or displacement (or strain) on food particles, but is instead controlled by energy. Food particles can adhere not only to each other but to the mouth's surfaces. This produces friction. While this is essential for the tongue to grip food particles and move them around the mouth, it also adds to the work that mouthparts must do during processing and may affect sensory perception of food quality. Successful processing of foods in the mouth requires a considerable amount of neural feedback from sensory receptors. We focus here on recent evidence about these sensory receptors with an attempt to reinterpret their role in terms of textural perception.     

The determining role of bolus rheology in triggering a swallowing

Swallowing is the final stage of an eating process. Even though individuals know exactly when and how to swallow, the controlling mechanisms and the determining criteria of bolus swallowing are still not yet clear. One hypothesis is that bolus rheology, i.e. its flow-ability and stretch-ability, determines the triggering of a swallowing and the main aim of this work was to test this hypothesis. A wide range of fluid foods, including 18 commercial products and 10 lab-constituted foods, were examined for easiness of swallowing by a panel of 19 subjects. Oral residence time, defined as the time from the ingestion till the completion of swallowing, was determined for each eating process. It was observed that the oral residence time had a linear relationship with the sensed difficulty of swallowing. That is a food sensed difficult-to-swallow tends to stay longer in the oral cavity. Rheological properties (both shear and stretching flow) of these foods and their simulated boluses (mixture of food and simulated saliva) have also been determined at body temperature. The apparent shear viscosity showed a positive correlation with the sensed difficult of swallowing. However, the stretching behaviour of a fluid food, characterised by the maximum stretching force and the work of stretching showed much improved correlation to the sensory perceived easiness of swallowing. It was concluded that bolus rheology, in particular its extensional stretch-ability, had the most important influence on the ease of swallowing.     

Structural and mechanical characteristics of bread and their impact on oral processing: a review

Oral processing has become an important area of research in sensory and nutrition studies. Mastication process not only determines the dynamics of flavour release and texture perception but also affects the bioavailability of nutrients. Oral processing of bread is of particular interest because of the need to reduce its glycaemic potential while keeping its desired soft and aerated texture. Bread structure determines its mechanical strength and deformation behaviour which in turn decides people's texture perception and swallowing thresholds. The strong interconnection between food structure and its resistance to breakdown is the rationale behind designing bread to control bread digestion, starting from the oral phase. The present review summarises the characterisation and formation of bread structure, its interlink with bread mechanical behaviour and destruction during human oral processing. Future research should further elucidate the structure–mechanics–digestion interlink by implementing relevant mechanical analyses and micromechanical modelling.     

The impact of modification techniques on the rheological properties of dysphagia foods and liquids

Modifying food and the textures of food has been done for decades within the food science and technology field. More recently, modifying the texture of foods has been used to manage swallowing disabilities (dysphagia). Swallowing disabilities are often associated with dehydration and malnutrition, thus nutritional intervention has formed part of serving texture-modified diets. The question remains whether these modification techniques are viable for individuals with swallowing disabilities living in majority world countries. This study used two modification methods on a widely used specialized nutritious food (SNF) to determine whether it may be modified and used in dysphagia management. The techniques had to be ergonomic and economically appropriate for individuals with swallowing disabilities living in majority world countries. The International Dysphagia Diet Standardization Initiative's (IDDSI) standards were used to determine whether the texturally modified SNF is safe for swallowing. Rheological measurements were performed to determine apparent viscosity and structure recovery of each sample. The effects of two modification techniques, aeration and particle separation, on the rheological properties of the SNF were also measured and analyzed. It was determined that both milk and water could be used with this SNF to create a dysphagia diet, but only under certain conditions. The overall results indicated that heating the samples increased the apparent viscosity and exacerbated lumping. Room temperature samples had less lumps and could be classified to the desired levels of the IDDSI (Level 2 and Level 4). Using a whisk to aerate the samples reduced lumps significantly and using a sieve to separate particles of liquid samples eliminated lumps. This study provides new data on how texture modification techniques and the IDDSI framework could be adapted to individuals living in majority world countries. By using modification techniques that are ergonomic and economically viable and an SNF with longevity, this study could be useful in guiding future training of nursing staff and caregivers of individuals living in poverty or resource-constrained communities. This study also adds to the data on the rheological properties of dysphagia foods, although this study did not make use of commercial thickeners generally used in the modification of diets.     

STUDY OF FOOD TEXTURES BY RECORDING OF CHEWING AND SWALLOWING MOVEMENTS

Abstract Chewing and swallowing patterns were recorded in three subjects eating freely pieces of foods of various initial textures in an attempt to assess objectively these food textures as sensory stimuli in the mouth. In each phase of masticatory and swallowing movements corresponding to each piece of food, variations were noted differentiating the 16 textures tested. The number of masticatory movements, the time of mastication up to complete swallowing, the time course of the force of mastication and the number and distribution of swallowing movements were found to be the most discriminating parameters. In considering them, foods might be placed on a scale from hard and dry to soft and fluid textures. The results confirm the validity of recording chewing and swallowing movements as a new method for describing the true dimensions of oral sensory stimulations by food textures.     

淀粉-多酚复合物理化及功能特性的研究进展

近年来,利用食品成分间的相互作用来调节食物的感官与功能特性已成为食品学科的研究热点。多酚与淀 粉的相互作用在食品中普遍存在,多数情况下可赋予食品优良特性并产生一定的功能效应。本文综述了国内外关于 多酚与淀粉间相互作用的研究进展,介绍了淀粉-多酚复合物的形成机理和模型,并对复合物中淀粉的理化特性、 消化特性以及多酚的包埋特性进行了探讨。淀粉与多酚类化合物的相互作用不但可以提高淀粉的抗消化性,而且能 够提高多酚的生物利用率,为开发能够预防、控制高血糖症等的功能性食品提供一定的理论依据。     

Oral processing behavior and dynamic sensory perception of composite foods: Toppings assist saliva in bolus formation

Composite foods consist of combinations of single foods, such as bread with toppings. Single foods can differ considerably in their mechanical and sensory properties. This study aimed to investigate the effect of toppings on oral processing behavior and dynamic sensory perception of carrier foods when consumed as composite foods. Two carriers (bread, crackers) and three toppings (firm cheese, cheese spread, mayonnaise) were selected and six carrier-topping combinations were prepared. Mastication behavior, bolus properties (33, 66 and 100% of total mastication time) and dynamic sensory perception were determined for single carriers and all carrier-topping combinations. Both carriers with cheese spread and mayonnaise were chewed shorter and with fewer chews than single bread and crackers, although twice the mass of food was consumed. These toppings contributed to a faster bolus formation by providing moisture, so that less saliva was incorporated into the bolus during mastication. As a result of the moisture incorporation, carrier boli with toppings were softened and perceived less firm and less dry than carrier boli alone. The largest effects of toppings on oral processing behavior and perception were found for liquid-like mayonnaise, and these effects were more pronounced in dry crackers than in moist bread. We conclude that toppings assist saliva in bolus formation of carriers. Carriers drive oral processing behavior and texture perception whereas toppings drive overall flavor perception. This knowledge contributes to food design tailored for specific consumer segments and future personalized nutrition.