Feasibility of using a protein gel for masticatory assessment of older people

Masticatory function plays a crucial role in the breakdown of food for bolus formation and safe swallowing. Chewable silicone gel particles (Optosil) were used for assessing masticatory performance by dentists but such particles were found not suitable for older people due to its hard and dry texture and unfavored flavor. Therefore, with fast growing number of older people who have eating and swallowing difficulties, seeking a suitable model food for masticatory performance assessment becomes an important issue. This study was to develop a glucose-containing model food system for reliable evaluation of the masticatory performance. Three formulas with different amount of gelatin were used to prepare the gels and their textural properties were analyzed. A glucometer was used to measure glucose concentration in saliva. Both young adults (23.5 ± 1.1 years) and older subjects (72.9 ± 5.4 years) were asked to perform mastication tests to verify the reliability of the method. Results showed that the Gel-15% sample gave the best performance and was selected as the test food. Reliability of the current method was proved by the classical standard of Optosil method. Moreover, our findings indicated that masticatory performance was significantly positively correlated with bite force in both young and older adults (young subjects: r = 0.874, p < 0.01; older subjects: r = 0.638, p < 0.01). In conclusions, this study suggested that the newly method could accurately and efficiently measure the masticatory performance of older people.