Evidence map›Paper›PMID 40428503›Full record

ArticleFoods (Basel, Switzerland)2025

The Effectiveness of Fork-Mashable Dishes in Managing Older Patients with Mastication and Swallowing Impairments.

Kovan Ismael-Mohammed, Mireia Bolivar-Prados, Laura Laguna, Adrian Nuñez Lara, Marta Cera, Paula Viñas, Pere Clavé

Abstract read
In one paragraph

Article in Foods (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kovan Ismael-MohammedGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.
Mireia Bolivar-PradosGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.ORCID 0000-0002-8896-1150
Laura LagunaInstitute of Agrochemistry and Food Technology (IATA, CSIC), 46980 Valencia, Spain.ORCID 0000-0001-8551-1886
Adrian Nuñez LaraGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.
Marta CeraGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.
Paula ViñasGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.
Pere ClavéGastrointestinal Physiology Laboratory, Hospital de Mataró, Universitat Autònoma de Barcelona, 08304 Barcelona, Spain.ORCID 0000-0002-0696-8560

Funding

Centro de Investigación en Red en Enfermedades Hepáticas y Digestivas (CIBERehd). Instituto de Salud Carlos III (CB06/04/1087)Government of Catalunya-Generalitat de Catalunya within the framework of the Eu-ropean Regional Development Fund of Catalonia Operational Programme 2014-2020. The Territorial Competitiveness Specialization Project (PECT) of Mataro-Maresme PRE/161/2019.• Instituto de Salud Carlos III (ISCIII) Grant: PI22/01101; and co-funded by the European Union (FEDER funds)Spanish Ministry of Science and Innovation (MICINN). Predoctoral Fellowship (FPI) (Kovan Ismael) PRE2021-09699Spanish Ministry of Science, Innovation and Universities (MICIU). Severo Ochoa Centre of Excellence and accreditation for financial assistance CEX2021-001189-S/MICIU/AEI/10.13039/501100011033The Agency for Management of University and Research Grants (AGAUR). Generalitat de Catalunya. Ajuts per donar suport a l'activitat científica dels grups de recerca de Ca-talunya (SGR-Cat 2021): 2021 SGR 01344The transformative project "Implantació d'un protocol d'innovació assistencial pel maneig de disfàgia orofaríngia: cribratge sistemàtic i protocol·lització del tractament compensatori (Disfàgia Orofaríngia) is promoted and funded by Servei Català de la Sa PT-092023-CSC
6 · The paper itself

Abstract

backgroundThe optimal textural properties and therapeutic effects of fork-Mashable dishes for hospitalized older patients with oropharyngeal dysphagia (OD) have not been adequately defined.

objectivesThis study aimed to (a) quantify the textural properties of six fork-Mashable dishes (British Dietetic Association (BDA) texture E; International Dysphagia Diet Standardization Initiative (IDDSI) level 6), (b) assess the impact of oral processing on texture, and (c) evaluate their safety and efficacy in older patients with OD. MATERIALS AND

methodsTwenty patients (85 ± 4.51 years) consumed six 30 g dishes. Oral processing was analyzed using surface electromyography (EMG), texture was measured pre- and post-oral processing, and swallowing safety was assessed using the volume-viscosity swallowing test (V-VST).

resultsAlthough all the dishes met the BDA E/IDDSI 6 descriptors, significant differences were found in both safety (ranging from 50-100%,

conclusionsThe therapeutic effect of our diets was independent of the BDA or IDDSI levels, with great variations in safety and swallowing efficacy. Textural properties, oral processing behavior, and individual patient responses played decisive roles. Variations in maximum force and adhesiveness during oral processing were crucial for the therapeutic effect, as indicated by the principal component analysis (PCA) correlation.

Indexed as

fork-mashable dishesoral residuespharyngeal residuesswallowing safetytextural propertiestexture E

Identifiers

PMID40428503
PMCPMC12111229

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.