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.     

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.     

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.     

Relationships between saliva and food bolus properties from model dairy products

During food consumption, complex oral processing occurs to transform the food into a bolus, ready to be swallowed. The objective of this study was to relate food, saliva and bolus properties, by using model dairy products, to better understand the role of saliva in bolus formation. Un-stimulated and stimulated saliva was collected from 5 subjects and biochemical and enzymatic properties were measured. Food bolus was then obtained from 8 different dairy products, varying in composition and ranging from liquid to gelled samples. The rate of saliva incorporation, pH, spreading ability and bolus rheological properties were determined. Some correlations seemed to exist between lysozyme activity and bolus properties. Subject and food product had a significant effect on almost all bolus properties. The rheology of bolus was highly correlated with food product texture. Even though preliminary, this approach could be used to better understand stimulus release and perception during food consumption.     

In-mouth mechanisms leading to flavor release and perception

During eating, foods are submitted to two main oral processes-chewing, including biting and crushing with teeth, and progressive impregnation by saliva resulting in the formation of a cohesive bolus and swallowing of the bolus. Texture influences the chewing behavior, including mastication and salivation, and in turn, these parameters influence texture perception and bolus formation. During this complex mouth process, flavor compounds are progressively released from the food matrix. This phenomenon is mainly dependent on the food texture, the composition and in-mouth breakdown, and on saliva impregnation and activity, but an individual's anatomical and physiological aspects characteristics should also be taken into account. This article reviews the knowledge and progresses on in-mouth processes leading to food breakdown and flavor release and affecting perception. Relationships between food texture and composition, food breakdown, oral physiology, and flavor release are developed and discussed. This review includes not only the mechanical aspects of oral physiology but also the biological aspects such as the influence of saliva composition, activity, and regulation on flavor perception. In vitro and in silico approaches are also described.     

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 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.     

Particle size distribution in the food bolus after mastication of natural foods

The main goal of mastication is to prepare a food bolus suitable for deglutition. The bolus preparation consists in food breakdown and processing during which oral sensations are generated. This study was performed to examine the particle size distribution in the bolus formed by chewing 10 natural foods. Ten young subjects with normal dentition were asked to chew the food and to expectorate the bolus just before swallowing, while masticatory parameters were recorded. The particle size distribution of each bolus was evaluated by wet sieving. The number of cycles, sequence duration and masticatory frequency varied among subjects and foods. The particle size distributions differed among foods but were similar among subjects. The median particle size d₅₀ gave a range from 0.82 to 3.04 mm allowing a food classification based on the state of the bolus. The d₅₀ value reflected the fracturability and may be useful to describe food behaviour in the mouth during bolus preparation.     

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.     

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.     

Linking oral processing behavior to bolus properties and dynamic sensory perception of processed cheeses with bell pepper pieces

The addition of food particles to food matrices is a convenient approach that allows to steer oral behavior, sensory perception and satiation. The aim of this study was to determine the influence of physical-chemical properties of heterogenous foods on oral processing behavior, bolus properties and dynamic sensory perception. Bell pepper gel pieces varying in fracture stress and concentration were added to processed cream cheese matrices differing in texture. Addition of bell pepper gel pieces to processed cheeses increased consumption time, decreased eating rate and led to harder and less adhesive bolus with more saliva incorporated. Addition of bell pepper gel pieces to processed cheeses decreased dominance rate and duration of creaminess, smoothness, melting and dairy flavor and increased graininess and bell pepper flavor. Increasing fracture stress of bell pepper gel pieces from 100 to 300 kPa resulted in longer consumption time and lower eating rate. For hard/non-adhesive processed cheese matrices increasing gel pieces fracture stress lead to a boli with larger particles and more saliva. These changes were accompanied by decreased dominance perception of creaminess and bell pepper flavor and increased dominance of graininess. Increasing the concentration of bell pepper gel pieces from 15 to 30% did not affect oral behavior but led to the formation of harder and less adhesive bolus with larger particles and less saliva that were perceived with reduced dominance of creaminess, meltiness and dairy flavor while dominance of graininess and bell pepper flavor increased. Changing the texture of the cheese matrix from soft/adhesive to hard/non-adhesive decreased consumption time, increased eating rate, did not influence bolus properties and decreased dominance rate of creaminess, smoothness and melting sensations. Number of chews and total consumption time were positively correlated with saliva content of the bolus, number of bolus particles, bolus hardness, dominance of firmness, chewiness and graininess. We conclude that the modification of physical-chemical properties of processed cheeses and embedded bell pepper gel pieces can be a strategy to steer oral behavior and bolus properties which consequently determine dynamic sensory perception.     

Fatty versus creamy sensations for custard desserts,white sauces,and mayonnaises

Perceived fattiness and creaminess plus other texture and flavor attributes were assessed for a group of vanilla custard desserts, white sauces, and mayonnaises that differed widely in ingredients, fat content (0–72%), and consumption temperatures. In addition, the foods were measured instrumentally with regard to their lubricative properties, infra-red reflectance and turbidity of rinse water. Despite the variety in foods, fat content showed strong correlations with the instrumental measures, and perceived fattiness, and weaker but still significant correlations with creamy mouth and after-feel. Friction and infra-red reflectance demonstrated that properties of the surface of the oral food bolus are important for fat-related attributes via mechanisms such as lubrication. Turbidity of rinse water suggested that properties of the bulk of the food bolus are important as well. Creamy after-feel related less well to instrumental measures, fat content and other sensory attributes suggesting that the creaminess of oral coatings is not only affected by fat but also by other unknown properties.     

Rheological,tribological and sensory attributes of texture-modified foods for dysphagia patients and the elderly: A review

Texture-modified foods (TMFs) and thickened fluids have been used as a therapeutic strategy in the management of food intake in the elderly and people with dysphagia. Despite recent advances in describing rheological features of TMFs for dysphagia management, there is still paucity of research regarding the sensory attributes, therapeutic thickness levels and swallowing safety of these foods. Additionally, the relationship between mechanical and structural properties of TMFs throughout the oral processing is not yet fully understood. The present review discusses several properties of food boluses that are important during oral processing to allow for safe swallowing. Dynamic changes that occur during oral processing of TMFs will be reviewed. The use of hydrocolloids to improve the cohesiveness of TMFs and how this impacts the sensory properties of TMFs will be also discussed. Additionally, this review will suggest potential new research directions to improve textural and sensory properties of TMFs.     

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.     

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.     

ORAL PHYSIOLOGY AND TEXTURE PERCEPTION OF SEMISOLIDS

ABSTRACT

In the oral cavity, the food is subjected to several mechanical and chemical processes. It is fractured by the teeth, diluted and broken down by saliva, heated or cooled by the ambient temperature of the mouth, formed into a bolus and finally swallowed. Numerous receptors in the oral cavity and nose respond to the initially ingested food and monitor the changes during processing. This leads to central perceptions of taste, odor, irritation and texture of the food. Most sensations associated with food texture occur only when the food is manipulated, deformed or moved across the oral receptors. In addition, people assessing the same stimulus differ in their ratings of that stimulus and their oral physiological parameters also exhibit inter‐individual variations. This paper is based on the PhD thesis of one of the authors. It gives an overview of this study and includes related work of other authors. The aim of our research was to improve the understanding of oral texture perception, in particular to examine the role of oral physiological processes in oral texture perception of semisolids and to investigate whether individual differences in perception could be attributed to differences in oral physiology among subjects. The results of our study demonstrate that oral physiological parameters such as oral sensitivity, tongue movements, temperature and saliva composition are of importance for texture perception of semisolids. Many parameters of oral physiology correlate with various perceived texture attributes. This implies that intra‐individual differences in texture perception could be attributed to variations in oral physiology. Oral physiology thus plays a role in texture perception of semisolids and should be taken into account in future texture research.

PRACTICAL APPLICATIONS

By understanding the processes in the mouth while eating, a better understanding of the sensations and the perceptions of the food can be gained. Taking for each food the relevant physiological parameter into consideration when performing and designing rheological/instrumental measurements grants more natural conditions and better predictions of sensory perception. This could save time and money on time‐consuming and expensive sensory panels in the earlier steps of product development and renovation. Knowing how physiological processes highlight specific flavor/texture sensations may be useful for product development or quality control where one typically wants to focus on certain sensations and ignores others. In addition, a future application could be to tailor products for personalized nutrition, individual choices or clinical nutrition based on physiological groups.     

The dynamics of aroma compound transfer properties in cheeses during simulated eating conditions

In vivo aroma release during solid food consumption is a complex phenomenon that depends on food structure and composition, as well as on oral processing (combination of mastication and incorporation of saliva into the food product). The objective of this study was to understand and to predict the physico-chemical properties of aroma compounds through the dynamics of flavor release during in-mouth oral processing of food before bolus swallowing. Within this context, the evolution of two aroma compounds during bolus formation was explored by studying the two main properties that account for mass transfer: air/bolus partition and mass transfer coefficients. Four types of industrial cheese products (varying in fat and firmness) flavored with ethyl propanoate and 2-nonanone were chosen. Each matrix was mixed with various amounts of artificial saliva to mimic boluses at different stages of mastication. The air/bolus partition coefficient was determined by the static phase ratio variation method (PRV), while the mass transfer coefficient was obtained by non-linear regression from dynamic headspace experiments. Results showed that there is a dilution effect on the air/bolus partition coefficient and both a dilution and a product effect (firmness) on the mass transfer coefficient of ethyl propanoate in the bolus. These results were also validated with 2-nonanone for the low-fat cheeses.     

EFFECTS OF PHYSICAL PROPERTIES AND ORAL PERCEPTION ON TRANSIT SPEED AND PASSING TIME OF SEMILIQUID FOODS FROM THE MID-PHARYNX TO THE HYPOPHARYNX

The results of two sensory analyses, using healthy young individuals as assessors and semiliquid foods with markedly different physical properties as samples, were compared. One analysis required the assessors to perceive the food texture by oral perception alone and to use it as a basis for predicting the ease of swallowing of the bolus samples (i. e., the mobility of the samples through the pharynx) without actually swallowing the samples. The other analysis required the assessors to evaluate the mobility of the bolus samples through the pharynx, by actually swallowing them. Comparison of the results implied that human beings predict how easy it is to swallow a bolus (i. e., the mobility of the bolus through the pharynx) by perceiving in the oral cavity the texture of the food. Examinations were also made on the relationship between the evaluation of mobility of the bolus through the pharynx obtained by sensory analyses, and the transit speed and passing time of the bolus samples obtained by videomanofluorography. It was recognized that the front end speed was fast for semiliquid food samples that were soft and easy to swallow (and therefore easy to move through the pharynx), whereas the front end speed was slow for semiliquid food samples that were hard and difficult to swallow (and therefore perceived as being difficult to move through the pharynx.) These findings suggest that human beings' perception of the ease of swallowing of semiliquid food is closely related to the front end speed of the bolus. No significant difference was found among samples, either in the tail end speed of the bolus samples, or in the passing time from the front end to the tail end of the bolus samples. These results imply that, through some kind of swallowing efforts, healthy individuals are controlling the passing time through the pharynx of boluses with markedly diflerent physical properties, so that the time remains constant.     

口腔软摩擦理论与测量技术及其在食品感官感知研究中的应用

食品口腔加工是一个复杂的动态过程，包括食物持续破碎、食团尺寸减小、唾液分泌和食团形成等一系列过程。它既是食品的口腔物理处理过程，又是食品的感官感知过程。在此过程中，食品颗粒之间以及食品颗粒与口腔表面之间普遍存在着相对移动。因此，如何准确描述与该过程控制相关的物理原理，已超出了传统的流变学范畴，而且许多感官特性（如光滑感、脂肪感、油腻感、后余味等）亦不可用简单的流变学测量来表征。近年来兴起的口腔软摩擦研究被认为是研究食品口腔加工与口腔感官的可行技术手段。本文阐述了摩擦学基本原理和口腔软摩擦的基本知识，主要包括口腔软摩擦的生物学基础和测量方法，同时介绍了软摩擦技术在食品研发与感官品质评定中应用的最新进展。