# Making Mealtime Easier: Nutrition and Texture in Foods for the Elderly with Swallowing Difficulties in Formal and Informal Care

**Authors:** Cristina M. M. Almeida, Juliana Beltrame, Joana Marto, Lídia Pinheiro

PMC · DOI: 10.3390/foods15040708 · 2026-02-14

## TL;DR

This study focuses on improving mealtime for elderly people with swallowing difficulties by developing texture-modified diets that are safe and nutritious.

## Contribution

The study introduces new rheological data for foods in Portugal and evaluates water quality's impact on texture during cooking.

## Key findings

- Rheological properties of common Portuguese foods for elderly dysphagia patients were developed.
- Water quality was found to influence food texture during cooking.
- Texture-modified diets were created to meet nutritional needs in care settings.

## Abstract

Dysphagia, or difficulty swallowing, is a significant issue that impacts 10% to 33% of the elderly population and can lead to serious complications such as aspiration, malnutrition, and weight loss. To overcome these obstacles, there is a critical need for comprehensive rheological data and detailed information on food texture, specifically designed to align with local eating habits and cooking methods. This study aims to develop tables of rheological properties for foods commonly consumed by older adults in Portugal. Additionally, it will assess the impact of water quality on these properties during the cooking process. Based on this data, we will develop texture-modified diets that meet the nutritional needs of elderly dysphagic patients, ensuring they are safe, palatable, and practical for everyday care settings.

## Full-text entities

- **Genes:** MYH14 (myosin heavy chain 14) [NCBI Gene 79784] {aka DFNA4, DFNA4A, FP17425, MHC16, MYH17, NMHC II-C}, polygalacturonase [NCBI Gene 103419899]
- **Diseases:** aspiration (MESH:D011015), xerostomia (MESH:D014987), TMDs (MESH:C564098), muscular disorders (MESH:D009135), Dysphagia (MESH:D003680), motility dysfunction (MESH:D015835), Malnutrition (MESH:D044342), infection (MESH:D007239), dehydration (MESH:D003681), weight loss (MESH:D015431), stroke (MESH:D020521), neurological disorders (MESH:D009461), tooth loss (MESH:D016388), injury to (MESH:D014947), neurodegenerative diseases (MESH:D019636), sarcopenia (MESH:D055948), sensory decline (MESH:D060825)
- **Chemicals:** PDMS (MESH:C013830), lipid (MESH:D008055), cellulose (MESH:D002482), hydrogen (MESH:D006859), calcium (MESH:D002118), creatinine (MESH:D003404), magnesium (MESH:D008274), Mg2+ (-), olive oil (MESH:D000069463), Na+ (MESH:D012964), CH (MESH:D002241), Chlorine (MESH:D002713), Starch (MESH:D013213), Pectic acids (MESH:C003181), Water (MESH:D014867), NO3- (MESH:C038619), xanthan (MESH:C002563), Amylose (MESH:D000688), sugar (MESH:D000073893), nitrogen (MESH:D009584), lactic acid (MESH:D019344), Pectin (MESH:D010368), amylopectin (MESH:D000687)
- **Species:** Brassica oleracea var. italica (asparagus broccoli, varietas) [taxon 36774], Brassica oleracea var. botrytis (cauliflower, varietas) [taxon 3715], Spondias dulcis (ambarella, species) [taxon 43861], Solanum tuberosum (potatoes, species) [taxon 4113], Oryza sativa (Asian cultivated rice, species) [taxon 4530], Brassica rapa subsp. rapa (turnip, subspecies) [taxon 51350], Gallus gallus (bantam, species) [taxon 9031], Powellomyces sp. EA (species) [taxon 252690], Daucus carota (carrot, species) [taxon 4039], Homo sapiens (human, species) [taxon 9606], Meleagris gallopavo (common turkey, species) [taxon 9103], Cicer arietinum (chickpea, species) [taxon 3827], Spinacia oleracea (spinach, species) [taxon 3562], Malus domestica (apple, species) [taxon 3750], Pyrus communis (pear, species) [taxon 23211]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12940075/full.md

---
Source: https://tomesphere.com/paper/PMC12940075