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RESEARCH REPORT |
Institut National de la Recherche Agronomique, Theix, Station de Recherches sur la Viande, Saint-Genès-Champanelle, France; and GEDIDO, Groupe dEtude sur les Déficiences Incapacités et Désavantages en santé orale, Faculté Dentaire, 11 Bd C De Gaulle, 63000 Clermont-Ferrand, France;
* corresponding author, alain.woda{at}u-clermont1.fr
| ABSTRACT |
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KEY WORDS: mastication food bolus particle size swallowing
| INTRODUCTION |
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In this study, we determined the particle size distribution of the boluses collected before swallowing to test for variability between and among individuals. Six different natural foods3 nuts and 3 fresh raw vegetableswere chewed by ten healthy adults. We used two methods, sieving and laser diffraction, to measure the particle sizes in the food boluses after mastication.
| MATERIALS & METHODS |
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For particle size measurements by the sieving method, the expectorated boluses were washed on the 0.4-mm sieve for 1 min in running water and dried (40°C, 1 hr). The boluses were then poured through a stack of 7 sieves with apertures of 4, 2.5, 2, 1.4, 1, 0.8, and 0.4 mm (Saulas, Paisy Cosdon, France). The fractions retained on each of the 7 sieves were weighed, and the weights were expressed as a percentage of the weight of the mouthful before mastication. We achieved particle size measurements of Laser-Bolus1 and Laser-Bolus2 by laser light diffraction using a Mastersizer S (Malvern Instruments Ltd, Malvern, UK) equipped with a 1000-mm lens, allowing for analysis of particles between 5 and 2000 µm. Particles larger than 2 mm were eliminated from Laser-Bolus1 and 2 by means of a 2-mm sieve. This method expressed size distributions as a percentage of the total volume occupied in the laser chamber by the particles. The volume was converted to weight with the use of volumetric mass and expressed as cumulative values. The 5-µm- to 2-mm-diameter range of particle sizes was divided into 17 classes for analysis.
Statistical analyses were performed by SAS®. The distribution was normal in all cases, and a one-way or two-way analysis of variance was performed. When ANOVA indicated a significant difference, a Student Newman-Keuls test was carried out for the comparison of means (risk at 5%).
| RESULTS |
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F
41, p < 0.001); and (3) there was no significant difference in the distribution of particles among the sieves between Sieve-Boluses1 and 2, since no interaction between bolus and sieve factors was observed (p > 0.05). The reduction of the number of masticatory cycles to one-half (Sieve-Bolus3) and one-quarter (Sieve-Bolus4) induced a corresponding increase in the total weight of the bolus (16
F
33, p < 0.001, Table
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Sieving: Food Type and Sieve as Factors and Weight as Measured Variable
The distribution of the particles within the sieves depended on the type of food. A two-way ANOVA (with food and sieve as factors) was performed for each of the 4 Sieve-Boluses. They indicated no difference among the foods, differences among the 7 sieves (p < 0.0001), and, most importantly, an interaction between these two factors, indicating that the distribution of particle sizes among the sieves depended on the food (p < 0.0001). This effect appeared to vary greatly with food group (Fig. 1
). Comminution of nuts gave a 1.4-mm peak in the size distribution, whereas the vegetables showed a peak at 2.5 mm. Particle size distribution, however, was not identical in the 3 nuts (food effect, p = 0.0012; sieve effect, p < 0.001; and interaction, p = 0.004, two-way ANOVA). This food effect was due to the almonds. In contrast, the vegetables presented similar particle size distributions (sieve effect, p < 0.001; no food effect and no interaction, p > 0.05).
Laser Diffraction
Particle diameters were not distributed at random (p < 0.001), and both total weights and the diameter distribution did not differ between Laser-Boluses1 and 2 (two-way ANOVA for each food, with bolus type and diameter class as factors). Again, no significant difference between and among subjects was noted (12 one-way ANOVAs, Laser-Boluses1 and 2 x 6 foods, p > 0.05). As observed with sieving, particles were not evenly distributed in the diameter classes (p < 0.001 for diameter class). No difference was observed between the total weight of the boluses (p > 0.05 for food type), and particle diameter distributions differed between and among foods (p < 0.001 for interaction, two-way ANOVA, Fig. 2
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| DISCUSSION |
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Weight of Food Boluses before Being Swallowed
The boluses collected after complete mastication had lost nearly 60% of the initial weight of the food samples, for all foods or subjects. The amount of loss might be different in normal, not expectorated, boluses. However, intermediate swallowing probably accounts for this marked loss of particles. The weight loss may result from the transportation of bolus fractions, but also from the liquid content liberated by the food and loaded with soluble nutrients. According to several authors, intermediate swallows, which occur in nearly 80% of masticatory sequences, are characterized by several transportations of food fractions to the oropharynx, operated by tongue-palate contact during protraction of the tongue and hyoid (Palmer et al., 1992; Hiiemae et al., 1996; Hiiemae and Palmer, 1999).
Particle Size Distribution Depends on Food Type
The 6 foods analyzed in this study resulted in two particle size distributions. Raw vegetables were transformed into boluses made up of particles larger than 2 mm, and nuts gave a bolus which contained 90% of particles smaller than 2 mm (Fig. 3
). A special food index based on mechanical properties of a large array of foods was shown to correlate with the breakdown properties observed after a single stroke (Agrawal et al., 1997). It is also correlated with the electromyographic activities recorded during mastication of the same product (Agrawal et al., 1998). This food index, which takes into account important characteristics such as water and fiber content, separated nuts from raw vegetables and reflects the differences in particle size distribution observed in this study.
Analysis of our data shows that deglutition is triggered in spite of very different particle size distributions. Thus, other parameters must be at work to inform the swallowing center of the need to operate. Prinz and Lucas (1997) have proposed that particle size reduction by increasing the surface tension, insalivation, by adding viscosity within the bolus and optimal duration for preparing the bolus inside the mouth are the main factors that determine the rheological properties of the bolus. The perception of the resulting bolus cohesion and plasticity may, in turn, be the key factor to triggering a safe swallow.
Significance of the Small Inter-individual Variability in Bolus Composition
Variability between and among subjects is a major characteristic of the physiology of human mastication. This variability has been observed, for example, in cycle shape, amplitude of muscular contraction, duration of masticatory sequences, number of masticatory cycles, and masticatory frequency (Pröschel and Hoffmann, 1988; Lassauzay et al., 2000) and was confirmed in this study. It could not be eliminated by the use of strict dental criteria or rheological control of the food (Lassauzay et al., 2000; Peyron et al., 2002). The most striking result of the present study is that the size distribution of bolus particle for a given food type was similar in the 10 subjects. This means that the requirements that the food bolus must meet before it is ready to be swallowed are similar for everyone. These requirements may strongly depend, for each food type, on a certain bolus particle size. Until the mandatory particle size is reached, swallowing may be inhibited and chewing prolonged. The wide inter-individual variability displayed by electromyographic activity and masticatory kinematics (Pröschel and Hoffmann, 1988; Lassauzay et al., 2000) may therefore be explained by the individuals need to adapt their chewing strategy to their personal anatomical features and acquired sensori-motor patterns and conditionings. Several properties other than particle sizefor example, lubrication, plasticity, or modification of the structure of meatmay also be included in the required properties of the pre-swallow bolus (Hutchings and Lillford, 1988; Lillford, 1991; Prinz and Lucas, 1995; Alexander, 1999; Mioche et al., 2002).
The Rationale for the Use of Different Methods
Several methods can be used to measure particle size, including microscopy and image analysis, sedimentation analysis, diffusion of light, sieving, and laser diffraction (Shi et al., 1990; Mahmood et al., 1992; Van Der Bilt et al., 1993; Hoebler et al., 1998, 2000). Sieving and laser diffraction were chosen here because their combined use widens the range of analysis from 5 µm to 4 mm. Laser diffraction appeared to be the most suitable method for measuring the granularity of dry and brittle foods, since these foods contain a high percentage of particles under 400 µm. Food boluses of raw vegetables made up of larger particles can also be characterized by sieving. Other kinds of foods would certainly need other approaches. For example, some foods break not into regular spherical particles but into fibrous spines. Hence, examining particle shapes with image analysis might be the best method (Shi et al., 1990; Hoebler et al., 1998 , 2000). In other cases, the observation of either the softening or the dissolution of the bolus rather than its breakdown might be appropriate.
| ACKNOWLEDGMENTS |
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Received February 14, 2003; Last revision November 11, 2003; Accepted April 16, 2004
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