EFFECTIVENESS OF FOOD INNOVATION FOR OLDER PERSONS WITH MILD DYSPHAGIA

Authors

  • Sirirat Panuthai Faculty of Nursing, Chiang Mai University 50200, Thailand.
  • Rojanee Chintanawat Faculty of Nursing, Chiang Mai University 50200, Thailand.
  • Niramon Utama-ang Faculty of Agro-Industry, Chiang Mai University 50200, Thailand.
  • Benjamas Suksatit Faculty of Nursing, Chiang Mai University 50200, Thailand.
  • Thunnop Laokuldilok Faculty of Agro-Industry, Chiang Mai University 50200, Thailand.
  • Akkasit Jongjareonrak Faculty of Agro-Industry, Chiang Mai University 50200, Thailand.
  • Suthat Surawang Faculty of Agro-Industry, Chiang Mai University 50200, Thailand.
  • Peerasak Lerttrakarnnon Faculty of Medicine, Chiang Mai University 50200, Thailand.
  • Tuenchai Attawong Faculty of Medicine, Chiang Mai University 50200, Thailand.

Keywords:

Food innovation, dysphagia, older person

Abstract

This two-group pretest-posttest quasi-experimental design study aimed to investigate the effectiveness of food innovation for older persons with dysphagia. The subjects were 64 older persons with dysphagia who were selected using purposive sampling. They were assigned to the experimental group and the control group, with 32 subjects in each group. The experimental group tested food products, including 1) cooked mixed rice, 2) smoked grilled fish ball, or fish maw soup jelly, 3) banana in coconut milk puree, or snake fruit in syrup puree, once a day for three months. When comparing nutrition between before and after the experiment of the experimental, results showed that 1) hemoglobin, calcium, albumin, and body mass index after the experiment were higher than that of before (p<0.01, p<0.001, p<0.001, and p<0.001 respectively). When comparing between the experimental and control group, it was found that the experimental group had significantly higher hemoglobin, hematocrit, and albumin than the control group (p<0.05, p<0.05, and p<0.001 respectively). This research result indicated that all food products had nutritional values that helped to increase the levels of hemoglobin, hematocrit, calcium, albumin, and body mass index. Thus, they should be used for enhancing nutrition in older persons with dysphagia.

References

Abdel-Jalil, A.A., Katzka, D.A., and Castell, D.O. (2015). Approach to the patient with dysphagia. Am. J. Med, 128(10):1138.e17-1138.e1.138E23. doi: 10.1016/j.amjmed. 2015.04.026

Afshar, S., Roderick, P.J., Kowal, P., Dimitrov, B.D., and Hill, A.G. (2015). Multimorbidity and the inequalities of global ageing: a cross-sectional study of 28 countries using the world health surveys. BMC Public Health, 15:776. doi: 10.1186/s12889-015-2008-7

Baijens, L.W., Clavé, P., Cras, P., Ekberg, O., Forster, A., Kolb, G.F., Leners, J.C., Masiero, S., Mateos-Nozal, J., Ortega, O., Smithard, D.G., Speyer, R., and Walshe, M. (2016). European society for swallowing disorders - european union geriatric medicine society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin. Interv. Aging., 11:1,403-1,428.

Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., and Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 380(9836):37-43. doi: 10.1016/s0140-6736(12)60240-2.

Bureau of Health Promotion, Ministry of Public Health. (2013). Report of national survey on health of older persons 2013 under the health promotion of older persons and disabled project. Bangkok, Thailand: Wachrin PP. 123P.

Chen, L.L., Li, H., Lin, R., Zheng, J.H., Wei, Y.P., Li, J., Chen, P., and Chen, H.Y. (2016). Effects of a feeding intervention in patients with Alzheimer's disease and dysphagia. J. Clin. Nurs., 25(5-6):699-707. https://doi.org/ 10.1111/jocn.13013

Chintanawat, R., Panuthai, S., Sucamvang, K., and Suksatit, B. (2017). Nutritional analysis of elderly with dysphagia. [Research Report]. Chiang Mai University, Chiang mai, Thailand. 63p.

Choichuedee, P., Suttisansanee, U., Hudthagosol, C., and Somboonpanyakul, P. (2018). Sweet sticky rice puree diet for elderly with dysphagia. Walailak J. Sci. Technol., 17(1):47-54.

Dajpratham, P. (2013). Dysphagia in elderly. J. Thai Rehabil. Med.., 23(3):73-80.

Foundation of Thai Gerontology Research and Development Institute. (2017). Situation of the Thai elderly 2017. Bangkok, Thailand: Amarin Printing & Publishing Public.

Gallagher, J.C. (2013). Vitamin D and aging. Endocrinol Metab. Clin. North. Am., 42(2):319-332. doi: 10.1016/j.ecl.2013. 02.004

Germain, I., Dufresne, T., and Gray-Donald, K. (2006). A novel dysphagia diet improves the nutrient intake of institutionalized elders. J. Am. Diet. Assoc., 106(10): 1,614-1,623. doi:10.1016/ j.jada.2006.07.008

Gregory, D., Bonnie, L., and Susan, H. (2014). Oral diseases & disorders. In: Current diagnosis & treatment: Geriatrics. (2nd Ed). Williams B.A., Chang, A., Ahalt, C., Chen, H., Conant, R., Landefeld, C., Ritchie, C., and Yukawa M. (Eds.), NY: McGraw-Hill., 582p.

Gu, J., Chao, J., Chen, W., Xu, H., Wu, Z., Chen, H., and Zhang, R. (2017). Multimorbidity in the vommunity-dwelling elderly in urban china. Arch. Gerontol. Geriatr., 68:62-67. doi: 10.1016/j.archger.2016.09.001.

Harrison, C., Henderson, J., Miller, G., and Britt, H. (2017). The prevalence of diagnosed chronic conditions and multimorbidity in Australia: a method for estimating population prevalence from general practice patient encounter data. PLoS One, 12(3):e0172935. doi: 10.1371/journal.pone.0172935.

Heart and Stroke Foundation of Ontario, [HSFO]. (2002). Improving recognition and management of dysphagia in acute stroke. Toronto: The Medicine Group, 16p.

Holland, G., Jayasekeran, V., Pendleton, N., Horan, M., Jones, M., and Hamdy, S. (2011). Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Diseases of the Esophagus, 24(7):476-480.

Jongjareonrak, A., Panuthai, S., Lerttrakarnnon, P. and Attawong, T. (2018). Development of protein food products prototype from fish for older persons with dysphagia for industrial scale application. [Research Report]. Chiang Mai University, Chiang Mai, Thailand. 57p.

Karen, E.H. (2017). Chapter 90: aging of the gastrointestinal system. In: Hazzard’s Deriatric Medicine and Gerontology. 7th ed. Halter, J.B., Ouslander, J.G., Studenski, S., High, K.P., Asthana, S., Supiano, M.A., and Ritchie C. (Eds.), NY: McGraw-Hill, 2,064p.

Kawashima, K., Motohashi, Y., and Fujishima, I. (2004). Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia, 19(4):266-271.

Lane, D.J. and Richardson, D.R. (2014). The active role of vitamin C in mammalian iron metabolism: much more than just enhanced iron absorption. Free Radic Biol Med, 75:69-83. doi: 10.1016/j.freeradbiomed.2014.07.007.

Laokuldilok, T, Surawang, S, Suksatit, B., Lerttrakarnnon, P., and Attawong, T. (2018). Modification of textural and rheological properties of dessert products for elderly with dysphagia. [Research Report]. Chiang Mai University, Chiang Mai, Thailand. 92p.

Leslie, P., Drinnan, M.J., Ford, G.A., and Wilson, J.A. (2005). Swallow respiratory patterns and aging: presbyphagia or dysphagia. J. Gerontol. A Biol. Sci. Med. Sci., 60(3):391-395.

Luis, D.A., Izaola, O., Prieto, R., Mateos, M., Aller, R., Cabezas, G., and Cuéllar, L. (2009). Effects of a diet with products in texture modified diets in elderly ambulatory patients. Nutr. Hosp., 24(1):87-92.

National Food Institute. (2013). Study project: guideline to develop food innovation to support aging society. Bangkok, Thailand: Office of Industrial Economics, Ministry of Industry.

Park, Y.H., Han, H.R., Oh, B.M., Lee, J., Park, J.A., Yu, S.J., and Chang, H. (2013). Prevalence and associated factors of dysphagia in nursing home residents. Geria. Nurs., 34(3):212-217. doi: 10.1016/j.gerinurse. 2013.02.014.

Phukasmas, U. (2018). Fish: Essential fatty acid. Food J., 48(2): 63-68.

Roy, N., Stemple, J., Merrill, R.M., and Thomas, L. (2007). Dysphagia in the elderly: preliminary evidence of prevalence, risk factors, and socioemotional effects. Ann. Otol. Rhinol. Laryngol., 116(11):858-865.

Serra-Prat, M., Palomera, M., Gomez, C., Sar-Shalom, D., Saiz, A., Montoya, J.G., Navajas, M., Palomera, E., and Clavé, P. (2012). Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study. Age Ageing, 41(3):376-381. https:// doi.org/10.1093/ageing/afs006.

Sriraksa, L. (2016). Food consumption behaviors and nutritional status in older persons with dysphagia, [MNS. Thesis]. Graduated School, Chiang Mai University, Chiang Mai, Thailand.

Sura, L., Madhavan, A., Carnaby, G., and Crary, M.A. (2012). Dysphagia in the elderly: management and nutritional considerations. Clin. Interv. Aging., 7:287-298. doi: 10.2147/cia.S23404.

Suvarnaraksha, T. (2017). Healthy diet innovation for elderly. EAU Heritage J.: Sci. Technol., 11(3):1-10.

Suwanno, J., Oneketphon, A., Thiamwong, L., Thongchim, N., and Kaewbangpood, T. (2015). Differentiation the primary causes of anemia in older adults: a nurse practitioner practice guidelines. J. Nurs. Div., 42(1):132-152.

Tasiri, P., Suttisansanee, U., Hudthagosol, C., and Somboonpanyakul, P. (2015). Development of riceberry rice vegan jelly contains high protein and high energy for the elderly with dysphagia. Agri. Sci. J., 46(3):369-375.

Trakoontivakorn, K., Tangkanakul, P., Treesuwan, W., Narasri, W., Pakkaew, W., and Sawatdichaikul, O. (2015). Ready-to-eat products with reconstructed concept for chewing problem elderly and with low sugar, fat and sodium concept for metabolic syndrome elderly. [Research Report]. Kasetsart University, Bangkok, Thailand.

Violan, C., Foguet-Boreu, Q., Flores-Mateo, G., Salisbury, C., Blom, J., Freitag, M., Glynn, L., Muth, C., and Valderas, J.M. (2014). Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One, 9(7):e102149. doi: 10.1371/journal.pone.0102149

Utama-ang, N., Sangpimpa, W., Chintanawat, R., Lerttrakarnnon, P., Attawong, T., and Sucamvang K. (2017). Development of rice texture for older persons with dysphagia. [Research Report]. Chiang Mai University, Chiang Mai, Thailand. 125p.

Wisetsuwannaphum, S. (2018). Foodie's corner: from the royal food to food innovation for patients and older persons. Mat. Technol. J., 87(4):42-47.

Downloads

Published

2026-08-28

How to Cite

Panuthai, S., Chintanawat, R., Utama-ang, N., Suksatit, B., Laokuldilok, T., Jongjareonrak, A., Surawang, S., Lerttrakarnnon, P., & Attawong, T. (2026). EFFECTIVENESS OF FOOD INNOVATION FOR OLDER PERSONS WITH MILD DYSPHAGIA. Suranaree Journal of Science and Technology, 28(4), 070022(1–10). retrieved from https://ph04.tci-thaijo.org/index.php/SUJST/article/view/14962

Issue

Section

Research Article