Particle agglomeration of gum mixture thickeners used for dysphagia diets
Introduction
Dysphagia is a congenital or acquired swallowing disease that can be caused by anatomical or physiological abnormalities such as motor neuropathy, a stroke, and Parkinson's disease (Logemann, 2007). Patients with dysphagia struggle to control the flow of fluids, resulting in the risk of liquid aspiration. Dysphagia can lead to various negative health symptoms: nutritional deficiency, dehydration, aspiration, pneumonia, and other problems (Sura et al., 2012). In general, it is known that adding food thickeners to liquid foods is a popular management strategy for dysphagia (Kim et al., 2018). Thin liquids are difficult for these patients to consume because too low a viscosity may mean that the material travels faster into the pharynx and may be more likely to enter the airway before the protective mechanisms of the swallow can be initiated (Kim and Yoo, 2015). Patients with dysphagia can be treated with food thickeners which control the speed of thickened-fluid movement by engaging in the swallowing process and promote safe food intake via slow fluids movement through the oropharynx (Garin et al., 2014). Therefore, the rheological characteristics of food thickener are essential for the treatment of dysphagia. The main ingredients of commercial food thickeners are referred to as gums (e.g., xanthan gum (XG), guar gum (GG) and carboxymethyl cellulose (CMC)). These thickeners play a major role in various food processes, including thickening, gelation, dispersion, stabilization, and film formation (Funami, 2011). However, these gums are fine particles and suffer from low flowability and poor dispersion, leading to lumping. To avoid these problems, commercial food thickeners are manufactured by means of fluidized bed agglomeration process.
In the fluidized bed agglomeration process, the fine powders are agglomerated by spraying a binder solution directly onto the fluidized powder bed, resulting in liquid bridges associated with an increase in size of the agglomerates. The agglomerated powders are characterized by improved physical and morphological characteristics (such as size, density, surface and porosity) relative to those of the initial powders. In this fluidized bed agglomeration process, the physical and morphological characteristics as well as rheological characteristics can vary depending on the type of powder, binder solution, and process condition employed (Bellocq et al., 2018, Jeong et al., 2019, Szulc and Lenart, 2013). Recently, Jeong et al. (2019) and Kim et al. (2017) reported that the rheological properties of agglomerated XG can be significantly influenced by the binder type and the concentration of the binder solution.
The physical and morphological properties of agglomerates associated with food powders such as dairy products, beverage, starch-based powders, and tea powder have been extensively investigated (Bellocq et al., 2018, Ji et al., 2015, Jinapong et al., 2008, Sakurai et al., 2017). In contrast, the food thickeners used for dysphagic patients have rarely been studied. Several studies have considered the rheological properties of various thickened liquids prepared with commercial food thickeners (Cho and Yoo, 2015, Garin et al., 2014, Moret-Tatay et al., 2015; C. W. Seo and Yoo, 2013, Sopade et al., 2007, Yoon and Yoo, 2017). However, no analysis has been conducted on the rheological properties of thickened liquids prepared with agglomerated gum powders manufactured by a lab-scale fluidized bed agglomerator under the same agglomeration conditions. Therefore, in this study, the physical (density, flowability, cohesiveness, and particle size distribution) and morphological properties of agglomerated XG and gum mixture powders (XG/GG and XG/GG/CMC) were investigated. The flow and dynamic rheological properties of four different thickened liquids (water, milk, orange juice, and sports drink) prepared with different agglomerated gum powders were also examined. During this evaluation, the synergistic effect of the GG and CMC on XG, and the rheological differences between XG/GG and XG/GG/CMC mixtures were assessed.
Section snippets
Materials and fluidized bed agglomeration process
Xanthan gum (XG; CP Kelco, Atlanta, GA, USA), guar gum (GG; MSC Co., Ltd. Yangsan-si, Korea), and carboxymethyl cellulose (CMC; Shanghai ShenGuang Edible Chemicals Co., Shanghai, China) were mixed in ratio of 50/50/0 and 47.5/47.5/5 according to XG/GG/CMC for binary and ternary gum mixtures. Maltodextrin (MD) powder, which is usually used as an excipient in the food industry, was also mixed with gum powders (XG alone, XG/GG, and XG/GG/CMC) for the agglomeration process, using a top-spray
Flowability, cohesiveness, and porosity
The CI and HR of gum powders agglomerated with different gum mixtures are shown in Table 1. The CI (16.2–17.9%) and HR values (1.19–1.22) of the agglomerated gum mixtures were lower than the corresponding values of the XG alone (CI: 25.7%, HR: 1.35). In general, the CI values decreased with increasing particle size of the powder, indicating improved flowability (Jeong et al., 2019, Jinapong et al., 2008). The agglomerated gum mixtures exhibited good flowability (CI: 15–20), as classified by the
Conclusions
To the best of our knowledge, this study represents the first-ever investigation of the physical properties characterizing different agglomerated gum powders (XG alone, binary (XG/GG), and ternary gum (XG/GG/CMC) mixtures) used for dysphagic patients. These powders were manufactured under the same agglomeration conditions, using a lab-scale fluidized bed agglomerator. Furthermore, the flow and dynamic rheological properties of thickened liquids prepared with these gum powders were investigated.
Author Contributions
Jeachun Park: Investigation, Formal analysis, Visualization. Byoungseung Yoo: Conceptualization, Supervision, Funding acquisition, Writing - original draft, Writing - review & editing.
Declaration of competing interest
No potential conflict of interest was reported by the authors.
Acknowledgements
This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (NRF-2019R1A2C1085195). This work was also supported by the Dongguk University Research Fund.
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2022, Powder TechnologyCitation Excerpt :In the case of Jinapong et al. [30], the trend is the same. However, most of their studies are no longer about encapsulation; now, most of them deal with applications in food products [90–103], using different techniques for producing powder, for example, microencapsulation by spray drying [68,70,81,104–110], fluidized bed [45,56,85,87,111–114], drying by spray [93,115–122], in addition to heat treatment and bioaccessibility [123], and particle size impact [124–126]. It can be noted that both papers are used as a basis for a range of recent works focused on applications of granulation, even if they were published over a decade ago.