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The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative

Identifieur interne : 000564 ( Pmc/Checkpoint ); précédent : 000563; suivant : 000565

The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative

Auteurs : Julie A. Y. Cichero ; Catriona Steele ; Janice Duivestein ; Pere Clavé ; Jianshe Chen [Royaume-Uni] ; Jun Kayashita [Japon] ; Roberto Dantas [Brésil] ; Caroline Lecko [Royaume-Uni] ; Renee Speyer ; Peter Lam ; Joseph Murray [États-Unis]

Source :

RBID : PMC:3873065

Abstract

Conservative estimates suggest that dysphagia (difficulty swallowing) affects approximately 8 % of the world’s population. Dysphagia is associated with malnutrition, dehydration, chest infection and potentially death. While promising treatments are being developed to improve function, the modification of food texture and liquid thickness has become a cornerstone of dysphagia management. Foods are chopped, mashed or puréed to compensate for chewing difficulties or fatigue, improve swallowing safety and avoid asphyxiation. Liquids are typically thickened to slow their speed of transit through the oral and pharyngeal phases of swallowing, to avoid aspiration of material into the airway and improve transit to the esophagus. Food texture and liquid modification for dysphagia management occurs throughout the world. However, the names, the number of levels of modification and characteristics vary within and across countries. Multiple labels increase the risk to patient safety. National standardization of terminology and definitions has been promoted as a means to improve patient safety and inter-professional communication. This article documents the need for international standardized terminology and definitions for texture-modified foods and liquids for individuals with dysphagia. Furthermore, it documents the research plan and foundations of a global initiative dedicated to this purpose.


Url:
DOI: 10.1007/s40141-013-0024-z
PubMed: 24392282
PubMed Central: 3873065


Affiliations:


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PMC:3873065

Le document en format XML

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<p>Conservative estimates suggest that dysphagia (difficulty swallowing) affects approximately 8 % of the world’s population. Dysphagia is associated with malnutrition, dehydration, chest infection and potentially death. While promising treatments are being developed to improve function, the modification of food texture and liquid thickness has become a cornerstone of dysphagia management. Foods are chopped, mashed or puréed to compensate for chewing difficulties or fatigue, improve swallowing safety and avoid asphyxiation. Liquids are typically thickened to slow their speed of transit through the oral and pharyngeal phases of swallowing, to avoid aspiration of material into the airway and improve transit to the esophagus. Food texture and liquid modification for dysphagia management occurs throughout the world. However, the names, the number of levels of modification and characteristics vary within and across countries. Multiple labels increase the risk to patient safety. National standardization of terminology and definitions has been promoted as a means to improve patient safety and inter-professional communication. This article documents the need for
<italic>international</italic>
standardized terminology and definitions for texture-modified foods and liquids for individuals with dysphagia. Furthermore, it documents the research plan and foundations of a global initiative dedicated to this purpose.</p>
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<title-group>
<article-title>The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative</article-title>
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<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Cichero</surname>
<given-names>Julie A. Y.</given-names>
</name>
<address>
<phone>+61-7-33461900</phone>
<fax>+61-7-33461999</fax>
<email>j.cichero@uq.edu.au</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Steele</surname>
<given-names>Catriona</given-names>
</name>
<address>
<email>catriona.steele@uhn.ca</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Duivestein</surname>
<given-names>Janice</given-names>
</name>
<address>
<email>j.duivestein@cw.bc.ca</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clavé</surname>
<given-names>Pere</given-names>
</name>
<address>
<email>pere.clave@ciberehd.org</email>
</address>
<xref ref-type="aff" rid="Aff4"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Jianshe</given-names>
</name>
<address>
<email>jianshec@food.leeds.ac.uk</email>
</address>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kayashita</surname>
<given-names>Jun</given-names>
</name>
<address>
<email>kayashita@pu-hiroshima.ac.jp</email>
</address>
<xref ref-type="aff" rid="Aff6"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dantas</surname>
<given-names>Roberto</given-names>
</name>
<address>
<email>rodantas@fmrp.usp.br</email>
</address>
<xref ref-type="aff" rid="Aff7"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lecko</surname>
<given-names>Caroline</given-names>
</name>
<address>
<email>caroline.lecko@nhs.net</email>
</address>
<xref ref-type="aff" rid="Aff8"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Speyer</surname>
<given-names>Renee</given-names>
</name>
<address>
<email>r.speyer@online.nl</email>
</address>
<xref ref-type="aff" rid="Aff9"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lam</surname>
<given-names>Peter</given-names>
</name>
<address>
<email>peter@peterlamconsulting.com</email>
</address>
<xref ref-type="aff" rid="Aff10"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Murray</surname>
<given-names>Joseph</given-names>
</name>
<address>
<email>joe.murray@va.gov</email>
</address>
<xref ref-type="aff" rid="Aff11"></xref>
</contrib>
<aff id="Aff1">
<label></label>
School of Pharmacy, The University of Queensland, 20 Cornwall St, Brisbane, QLD 4102 Australia</aff>
<aff id="Aff2">
<label></label>
Toronto Rehabilitation Institute, Toronto, ON Canada</aff>
<aff id="Aff3">
<label></label>
Sunny Hill Health Centre, Vancouver, BC Canada</aff>
<aff id="Aff4">
<label></label>
Unitat d’Exploracions Funcionals Digestives, Department of Surgery, Hospital de Mataró, Mataró, Barcelona Spain</aff>
<aff id="Aff5">
<label></label>
Food Science, University of Leeds, West Yorkshire, UK</aff>
<aff id="Aff6">
<label></label>
Department of Health Sciences, Prefectural University of Hiroshima, Hiroshima, Japan</aff>
<aff id="Aff7">
<label></label>
Departmento de Clinica Medica, Faculdade de Medecina de Ribeirao Preto, Universidade de Sao Paulo, São Paulo, Brazil</aff>
<aff id="Aff8">
<label></label>
National Patient Safety Agency, London, UK</aff>
<aff id="Aff9">
<label></label>
Speech Pathology Discipline, James Cook University, Townsville, QLD Australia</aff>
<aff id="Aff10">
<label></label>
Peter Lam Consulting, Vancouver, BC Canada</aff>
<aff id="Aff11">
<label></label>
Ann Arbor Veterans Affairs, Ann Arbor, MI USA</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>24</day>
<month>8</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>24</day>
<month>8</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2013</year>
</pub-date>
<volume>1</volume>
<issue>4</issue>
<fpage>280</fpage>
<lpage>291</lpage>
<permissions>
<copyright-statement>© The Author(s) 2013</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<p>Conservative estimates suggest that dysphagia (difficulty swallowing) affects approximately 8 % of the world’s population. Dysphagia is associated with malnutrition, dehydration, chest infection and potentially death. While promising treatments are being developed to improve function, the modification of food texture and liquid thickness has become a cornerstone of dysphagia management. Foods are chopped, mashed or puréed to compensate for chewing difficulties or fatigue, improve swallowing safety and avoid asphyxiation. Liquids are typically thickened to slow their speed of transit through the oral and pharyngeal phases of swallowing, to avoid aspiration of material into the airway and improve transit to the esophagus. Food texture and liquid modification for dysphagia management occurs throughout the world. However, the names, the number of levels of modification and characteristics vary within and across countries. Multiple labels increase the risk to patient safety. National standardization of terminology and definitions has been promoted as a means to improve patient safety and inter-professional communication. This article documents the need for
<italic>international</italic>
standardized terminology and definitions for texture-modified foods and liquids for individuals with dysphagia. Furthermore, it documents the research plan and foundations of a global initiative dedicated to this purpose.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Dysphagia</kwd>
<kwd>Deglutition</kwd>
<kwd>Deglutition disorders</kwd>
<kwd>Thickened liquids</kwd>
<kwd>Texture-modified food</kwd>
<kwd>Diet</kwd>
</kwd-group>
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<meta-value>© Springer Science + Business Media New York 2013</meta-value>
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<li>Japon</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
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<region>
<li>Angleterre</li>
<li>Grand Londres</li>
<li>Michigan</li>
<li>Yorkshire-et-Humber</li>
<li>État de São Paulo</li>
</region>
<settlement>
<li>Leeds</li>
<li>Londres</li>
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