Sweet sticky rice puree diet for elderly with dysphagia

Paweerisa Choichuedee, Uthaiwan Suttisansanee, Chatrapa Hudthagosol, Promluck Somboonpanyakul


This research aimed to study the effect of xanthan gum (XG) on physico-chemical and sensory properties of sweet sticky rice puree diet (SRD). The three different concentrations of XG at 0.75, 1.00 and 1.25% (w/w) were added in the SRD. The results showed that shear stress and shear rate (50 s-1) at 25 oC of SRD with 0.75, 1.00 and 1.25 % (w/w) were fitted to the power law model with high determination coefficients (R2= 0.94-0.97). All of the SRD samples showed high shear-thinning behavior (n = 0.18-0.21) and the apparent viscosities were in the range of 5.13 to 7.07 Pa.s. Thus, all three SRD were classified as puree diet. The sensory evaluation was conducted by 20 elderly with dysphagia, who classified as untrained panel.The results showed that texture, color, flavor, taste and overall acceptability of SRD with different levels of XG were not significantly different (p>0.05), but the SRD with 0.75% XG was selected to be further developed because it was identified by the elderly with dysphagia that it was the easiest swallowing puree diet. In addition, the total phenolic content and antioxidant activities by DPPH, FRAP and ORAC assay of SRD with 0.75% XG were 82.30 mgGAE/100g, 45.16, 91.35 and 494.45 µmol TE/100g, respectively. Therefore, the modified texture of SRD will improve swallowing safety of the elderly with dysphagia.


sticky rice flour, puree diet, elderly, dysphagia


United Nations, World Population Aging 2015. Department of Economic and Social Affairs, Population Division, New York, 2015, p.9-27.

Ministry of Social Development and Human Security. Thai elderly population: Present and Future (in Thai), Available at: https://www.m-society.go.th/article_attach/13225/17347.pdf, accessed March 2017.

Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly 2010 (in Thai), Available at: http://www.thaitgri.org/images/document/ElderSituations/situationofthailandelderThai2553.pdf, accessed March 2017.

GR Boss and JE Seegmiller. Age-related physiological changes and their clinical significance. West. J. Med. 1981; 135, 434-40.

AWG Walls. Mastication, Nutrition, Oral Health and Health in Older Patients. In: Lamster IB, Northridge ME (eds.). Improving Oral Health for the Elderly: An Interdisciplinary Approach. Springer New York, 2008, p. 353-67.

National Food Institute. The 2013 survey on food consumption behaviors of Thai elderly (in Thai), Available at: http://www.nfi.or.th, accessed March 2017.

IA Humbert and J Robbins. Dysphagia in the elderly. Phys. Med. Rehabil. Clin. N. Am. 2008; 19, 853-65.

L Sura, A Madhavan, G Carnaby and MA Crary. Dysphagia in the elderly: management and nutritional considerations. Clin. Interv. Aging. 2012; 7, 287-98.

Dietitians Association of Australia and The Speech Pathology Association of Australia Limited. Texture-modified foods and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definitions. Nutr. Diet. 2007; 64, s53-76.

JAY Cichero, C Stwwle, J Duivestein, P Clavé, Chen J, Kayashita and et al. The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative. Curr. Phys. Med. Rehabil. Rep. 2013; 1, 280-91.

H Habibi and K Khosravi-Darani. Effective variables on production and structure of xanthan gum and its food applications: A review. Biocatal. Agric. Biotechnol. 2017; 10: 130-40.

S Riso, G Baj and F D’Andrea. Thickened beverages for dysphagic patients. Data and myth. Med. J. Nutrition Metab. 2008; 1, 15-7.

BR Sharma, L Naresh, NC Dhuldhoya, SU Merchant and UC Merchant. Xanthan Gum - A Boon to Food Industry. Food Promot. Chron. 2006; 1, 27-30.

S Rosalam and R England. Review of xanthan gum production from unmodified starches by Xanthomonas comprestris sp. Enzyme. Microb. Technol. 2006; 39, 197-207.

C Amico, T Tornetta, C Scifo and AR Blanco. Antioxidant effect of 0.2% xanthan gum in ocular surface corneal epithelial cells. Curr. Eye Res. 2015; 40, 72-6.

R Amarowicz, RB Pegg, P Rahimi-Moghaddam, B Barl and JA Weil. Free-radical scavenging capacity and antioxidant activity of selected plant species from the Canadian prairies. Food Chem. 2004; 84, 551-62.

LR Fukumoto and G Mazza. Assessing antioxidant and prooxidant activities of phenolic compounds. J. Agric. Food Chem. 2000; 48, 3597-604.

IFF Benzie and JJ Strain. The ferric reducing ability of plasma (FRAP) as a measure of ‘Antioxidant Power’: The FRAP assay. Anal. Biochem. 1996; 239, 70-6.

B Ou, M Hampsch-Woodill and RL Prior. Development and validation of an improved oxygen radical absorbance capacity assay using fluorescein as the fluorescent probe. J. Agric. Food Chem. 2001; 49, 4619-26.

L Zhong, M Oostrom, MJ Truex, VR Vermeul and JE Szecsody. Rheological behavior of xanthan gum solution related to shear thinning fluid delivery for subsurface remediation. J. Hazard. Mater. 2013; 244-245: 160-70.

A Casanovas, MJ Hernández, E Martí-Bonmatí and M Dolz. Cluster classification of dysphagia-oriented products considering flow, thixotropy and oscillatory testing. Food Hydrocoll. 2011; 25, 851-9.

A Palaniraj and V Jayaraman. Production, recovery and applications of xanthan gum by Xanthomonas campestris. J. Food Eng. 2011;106, 1-12.

M Yoshimura, T Kuwano, R Morisaki and K Nishinari. Rheological properties and sensory evaluation of the minced foods with xanthan gum. J. Jpn. Soc. Masticat. Sci. Health Promotion. 2004; 14, 50-61.

X-Q Zha, J-H Wang, X-F Yang, H Liang, L-L Zhao, S-H Bao, J-P Lua, Y-Y Xu and B-B Zhao. Antioxidant properties of polysaccharide fractions with different molecular mass extracted with hot-water from rice bran. Carbohydr. Polym. 2009; 78, 570-5.

X Xiong, M Li, J Xie, Q Jin, B Xue and T Sun. Antioxidant activity of xanthan oligosaccharides prepared by different degradation methods. Carbohydr. Polym. 2013; 92, 1166-71.


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Last updated: 20 June 2019