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.
We have measured the viscometric functions of mono- and bimodal noncolloidal suspensions of poly (methyl methacrylate) spheres in a density-matched aqueous Newtonian suspending fluid using parallel-plate and cone-and-plate rheometry for particle volume fractions in the range of 0.20–0.50. Cone-and-plate normal stress measurements employed the method of Marsh and Pearson, in which there is a finite gap between the cone tip and the plate. The monodisperse suspensions showed an unexpected particle size dependence of the viscometric functions, with the viscosity increasing with decreasing particle size. Normal stresses were very small in magnitude and difficult to measure at volume fractions below 0.30. At higher concentrations, N2 was negative and much larger in magnitude than N1, for which the algebraic sign was positive over most of the shear rate range for the monodisperse suspensions but indeterminate and possibly negative for the bimodal suspensions. The normal stresses were insensitive to bidispersity when plotted as functions of the shear stress at each volume fraction.