A interferência da variação da temperatura nos níveis da Iniciativa Internacional de Padronização de Dietas para Disfagia
The influence of temperature variation on the levels of the International Dysphagia Diet Standardisation Initiative
Tainá Cristina do Espírito Santo; Adriana Ponsoni; Cinthia Madeira de Souza; Lucia Figueiredo Mourao
Resumo
Palavras-chave
Abstract
Purpose To analyze the influence of temperature on the flow/texture of different foods, immediately after preparation and after one hour, and 2) To compare the influence of varying the cook in food preparation, in relation to food flow.
Methods This is a quantitative and experimental study. The IDDSI standardized flow test was used to evaluate the remaining volume in the syringe and the levels of foods (porridge, smoothie, liquid soup, and pureed light soup) prepared by different cooks, in triplicate, at time zero (T0) and after one hour (T1).
Results Differences in temperature were observed in all foods at T0 and T1 (p < 0.05). The IDDSI level changed only in porridge, from level 3 to 4 (p = 0.043). Modifications were observed in the preparation by different cooks for smoothie, on the 2nd and 3rd day (p = 0.049), from level 3 to 4 of IDDSI. In porridge, on the 1st and 3rd day (p = 0.048) and 2nd and 3rd day (p = 0.048), with a change from level 4 to 3 of IDDSI.
Conclusion The temperature of all foods differed within the one-hour interval, with modifications in the flow test and in the IDDSI levels, from level 3 to 4, only for porridge. Different cooks prepared the smoothie and porridge with different characteristics, resulting in changes from level 3 to 4 in both foods.
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Referências
1 Resende PD, Dobelin JB, de Oliveira IB, Luchesi KF. Disfagia orofaríngea neurogênica: análise de protocolos de videofluoroscopia brasileiros e norte-americanos. Rev CEFAC. 2015;17(5):1610-9.
2 Terré R. Disfagia orofaríngea en el ictus: aspectos diagnósticos y terapéuticos. Rev Neurol. 2020;70(12):444-52.
3 Souza CLM, Guimarães MF, Penna LM, Pereira ALC, Nunes JDA, Azevedo EHM. Screening of the risk of dysphagia in inpatients at a university hospital. Distúrb Comun. 2020;32(2):277-84.
4 Cunha DGP, Pontes ES, Wanderley RMM, Bittencourt GKGD, dos Alves GAS, do Amaral AKFJ. Dysphagia in institutionalized elderly. Journal of nursing UFPE. Online (Bergh). 2018;12(8):2181-7.
5 Maciel JRV, Oliveira CJR, Tada CMP. Association between risk of dysphagia and nutritional risk in elderly inpatients at a university hospital of Brasília, Brazil. Rev Nutr. 2008;21(4):411-21.
6 Santos BP, Andrade MJC, Silva RO, Menezes EC, Santos BP, Andrade MJC, et al. Dysphagia in the elderly in long-stay institutions - a systematic literature review. Rev CEFAC. 2018;20(1):123-30.
7 Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke. Stroke. 2005;36(12):2756-63.
8 Steele CM, Alsanei WA, Ayanikalath S, Barbon CEA, Chen J, Cichero JAY, et al. The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review. Dysphagia. 2014;30:2-26.
9 Aguirre FD, Durango Sánchez C, Gómez Yepes A, Rodríguez Sánchez NJ. Propuesta para obtener consistencias líquidas para la evaluación de la disfagia. Areté. 2021;21(1):35-41.
10 Barbon CEA, Steele CM. Thickened liquids for dysphagia management: a current review of the measurement of liquid flow. Curr Phys Med Rehabil Rep. 2018;6:220-6.
11 Cichero JAY, Atherton M, Bellis-Smith N, Suter M. Texture-modified foods and thickened fluids as used for individuals with dysphagia: australian standardised labels and definitions. Nutr Diet. 2007;64(s2):S53-76.
12 IDDSI: International Dysphagia Diet Standardisation Initiative. [Internet]. United Kingdom: IDDSI; 2019 [cited 2023 Nov 16]. Available from:
13 Garcia JM, Chambers E, Matta Z, Clark M. Serving temperature viscosity measurements of nectar- and honey-thick liquids. Dysphagia. 2007;23:65-75.
14 Vergara J, Teixeira HS, de Souza CM, Ataide JA, de Souza Ferraz F, Mazzola PG, et al. Flow test by the International Dysphagia Diet Standardization Initiative reveals distinct viscosity parameters of three thickening agents. J Food Sci Technol. 2022;59:3627-33.
15 Gelman JJ. Pesquisa experimental: um instrumento para decisões mercadológicas. R Adm Emp [Internet]. 1971 [cited 2023 Nov 16];11(2):24-31. Available from:
16 Silva PG. Desenho de pesquisa [Internet]. Brasília: ENAP; 2018 [cited 2023 Nov 16]. Available from:
17 Sella‐Weiss O. What could go wrong? Non‐standardized versus standardized food texture classification. Int J Lang Commun Disord. 2022;57(6):1244-54.
18 Velasco M, Peris-García P. Tecnología de alimentos y evolución en los alimentos de textura modificada del triturado o el deshidratado a los productos actuales. Nutr Hosp. 2014;29(3):465-9. https://www.doi.org/10.3305/nh.2011.26.3.4679. PMid:24558986.
19 Batista SA, Siqueira JSS, Silva A Jr, Ferreira MF, Agostini M, Torres SR. Alterações orais em pacientes internados em unidades de terapia intensiva. Rev Bras Odontol. 2014;71(2):156-9.
20 Robbins J, Gensler G, Hind J, Logemann JA. Comparison of 2 interventions for liquid aspiration on pneumonia incidence. Annals of Internal Medicine. 2008;148(7):509.
21 Cruz LDF, Lunardi TCP, Okubo PCM, Moriguti EKU, Santos VMCB, Tanaka NYY, et al. Adequação e padronização de dietas utilizadas por pacientes com disfagia orofaríngea do HCFMRP- USP. Revista Qualidade. 2012;3:14-22.
22 Dhillon B, Sodhi NS, Singh D, Kaur A. Analyses of functional diets formulated for dysphagia patients under international dysphagia diet standardization initiative (IDDSI) level 3 to level 7. J Food Meas Charact. 2022;16(5):16-3546.
23 Sodhi NS, Dhillon B, Kaur R, Goria G, Sharma S, Jaiswal S. Physico‐chemical, sensory, antioxidant and electromyographic analyses of functional liquid diets (IDDSI levels 0–2) formulated for dysphagia patients. Int J Food Sci Technol. 2022;58(6):3321-28.
24 Clavé P, Kraa M, Arreola V, Girvent M, Farré R, Palomera E, et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24(9):1385-94.
25 Guedes LU, Vicente LCC, Paula CM, Oliveira E, Andrade EA, Barcelos WCO. Knowledge of nursing professionals that assist patients with swallowing disorders at a University Hospital in Belo Horizonte. Rev Soc Bras Fonoaudiol. 2009;14(3):372-80.
26 Rodrigues CS, Lira TM, Azevedo AP, Müller DL, Siqueira VC, Silva RKS. Multidisciplinary assessment for diet adequacy in patients with signs of dysphagia in a reference hospital in infectology in Amazonas. Braz J Health Rev. 2020;3(6):20088-104.
27 Machado AS, Moreira CHS, Vimercati DCS, Pereira TC, Endringer DC. Consistencies and terminologies – the use of IDDSI. Nutr Hosp. 2018;6(36):1273-7.
28 Brasil. Agência Nacional de Vigilância Sanitária – ANVISA. Resolução RDC nº 216, de 15 de setembro de 2004 dispõe sobre Regulamento Técnico de Boas Práticas para Serviços de Alimentação [Internet]. 2004 [cited 2023 Nov 16]. Available from:
Submetido em:
21/12/2023
Aceito em:
09/04/2024
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