ArticleAmerican journal of speech-language pathology2025
Using the BaByVFSS Impairment Profile to Characterize the Impact of Thin and Mildly Thick Liquid Consistencies on Validated Physiological Components of Swallowing in Bottle-Fed Children.
Article in American journal of speech-language pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Association Between Salivary Substance P and Aspiration on Videofluoroscopic Swallow Study in Infants and Toddlers.The Journal of pediatrics · 2026Article
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Authors and funding
4 authors.
Funding
Abstract
purposeThickening liquids is a common intervention to minimize aspiration despite limited understanding of how two different consistencies impact swallow physiology in babies. This investigation used the BaByVFSS Impairment Profile (BaByVFSSImP) to examine the influence of different liquid consistencies on validated physiological components of swallowing during bottle feeding.
methodParticipants were bottle-fed thin and nectar-thick barium liquid (Varibar) during clinically indicated videofluoroscopic swallowing studies (VFSSs) at two study sites. Swallowing impairments were scored using the BaByVFSSImP. Demographic and clinical data, maximum Penetration-Aspiration Scale (PASmax) scores, Feeding/Swallowing Impact Survey (FS-IS) scores, and pre- and post-VFSS levels of feeding were collected.
resultsTwo hundred twenty-five babies (median age = 2.9 months, interquartile range = 1.1-7.1 months) with heterogeneous conditions participated. On the BaByVFSSImP, mildly thick liquid was associated with lower (better) impairment scores than thin for Domain 2 (Palatal-Pharyngeal Approximation,
conclusionsOur findings demonstrate improved swallow physiology and airway protection with mildly thick compared with thin liquids in bottle-fed children with diverse diagnostic conditions. Additional studies are needed to guide clinical decisions about thickening liquids for individual and well-defined populations of children that take into account their diagnostic conditions and physiological impairment profiles and move beyond the limitations associated with Penetration-Aspiration Scale findings alone.
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