{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T12:08:39Z","timestamp":1770898119646,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100015755","name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas","doi-asserted-by":"publisher","award":["CB06\/04\/1087 RB\u2010100"],"award-info":[{"award-number":["CB06\/04\/1087 RB\u2010100"]}],"id":[{"id":"10.13039\/501100015755","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003030","name":"Ag\u00e8ncia de Gesti\u00f3 d'Ajuts Universitaris i de Recerca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002809","name":"Generalitat de Catalunya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI22\/01101"],"award-info":[{"award-number":["PI22\/01101"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Texture Studies"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Background: The therapeutic effect and optimal rheological properties of thick purees for hospitalized patients with oropharyngeal dysphagia (OD) have not yet been settled. Objectives: The objectives of this study were to (a) Quantify the rheological properties of 6 thick purees Texture C, <jats:styled-content style=\"fixed-case\">BDA<\/jats:styled-content>; (b) Determine the biomechanics of oral processing and its effect on the rheological properties; (c) Evaluate the safety and efficacy of swallowing the purees in patients with <jats:styled-content style=\"fixed-case\">OD<\/jats:styled-content>. Methods: Six pureed dishes (30\u2009g) were given to 20 patients with OD aged 84\u2009\u00b1\u20097.2\u2009years. Oral processing was measured using electromyography. Rheological and textural properties were analyzed before and after oral processing using a rheometer and texture analyzer. The safety and efficacy of swallowing were evaluated using the Volume\u2010Viscosity Swallow Test (V\u2010VST). Results: All dishes met Texture C BDA. Basal shear viscosity at 50s\u20101 ranged from 1200 to 2200\u2009mPa\u00b7s; maximum force, 0.47\u20130.67\u2009N; cohesiveness, 0.73\u20130.82; and adhesiveness, 0.77\u20131.1\u2009N\u00b7s. Oral processing reduced shear viscosity and maximum force without altering cohesiveness. To achieve bolus ready\u2010to\u2010swallow, 17\u201320 mastication cycles (MC) and 15\u201322\u2009s at 0.98\u20131.44\u2009MC\/S frequency were needed. All purees were significantly safer to swallow (98%\u2013100%) compared to thin liquids (87%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and 250\u2009mPa\u00b7s nectar fluids (94% <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.008). Oral residue prevalence increased to 28% and pharyngeal residue to 21% for purees. Palatability resulted in 40%\u201360% liking all dishes. Conclusion:This study shows that thick purees within a viscosity range of 1200\u20132200\u2009mPa\u00b7s are a safe treatment for nutritional support for most hospitalized older patients with oropharyngeal dysphagia.<\/jats:p>","DOI":"10.1111\/jtxs.70017","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T06:29:06Z","timestamp":1744612146000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["How Do Thick Purees Perform in Terms of Safety and Efficacy in Hospitalized Patients With Swallowing Impairments?"],"prefix":"10.1111","volume":"56","author":[{"given":"Kovan","family":"Ismael\u2010Mohammed","sequence":"first","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"},{"name":"Institute of Agrochemistry and Food Technology (IATA, CSIC)  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mireia","family":"Bolivar\u2010Prados","sequence":"additional","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas (Ciberehd)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Laguna","sequence":"additional","affiliation":[{"name":"Institute of Agrochemistry and Food Technology (IATA, CSIC)  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian Nu\u00f1ez","family":"Lara","sequence":"additional","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas (Ciberehd)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Vi\u00f1as","sequence":"additional","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Cera","sequence":"additional","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pere","family":"Clav\u00e9","sequence":"additional","affiliation":[{"name":"Gastrointestinal Physiology Laboratory Hospital de Matar\u00f3, Universitat Aut\u00f2noma de Barcelona  Matar\u00f3 Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas (Ciberehd)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.03.001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodhyd.2020.105894"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3705.1041"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodhyd.2021.106960"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13695"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14235028"},{"key":"e_1_2_10_8_1","unstructured":"British Dietetic Association: National descriptors\u2026 \u2013 Google Scholar.2023.\u201c(s. f.). 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