Nutrition-dense Smoothie Diets Reduced Dysphagia Risk in the Elderly
The Effect of Nutrition-dense, Blenderized Enteral Nutrition From Natural Ingredients on Swallowing Capacity to Prevent Suffocation in the Elderly by Using Flexible Endoscopic Examination of Swallowing (FEES)
1 other identifier
interventional
63
1 country
1
Brief Summary
The investigators aimed to compare the effect of consuming high protein (23-34% energy ratio) and low carbohydrate (25-38% energy ratio) smoothie formulas vs. consuming Ensure (a conventional well-known commercial formula) on the swallowing capacity by using Flexible Endoscopic Evaluation of Swallowing (FEES) in the elderly people with dysphagia risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2019
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 8, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2019
CompletedFirst Submitted
Initial submission to the registry
May 18, 2021
CompletedFirst Posted
Study publicly available on registry
May 25, 2021
CompletedMay 25, 2021
May 1, 2021
4 months
May 18, 2021
May 20, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Level of severity of dysphagia as assessed by a healthcare professional using the FEES
Sum of FEES score from three symptoms consists of premature spillage of material, retention/pooling of material and/or secretion, and entrance of material and/or secretion into the larynx or trachea. A healthcare professional evaluated in the five-point scoring system of each symptom. FEES score = 5 means there were not exhibit disorder, FEES score = 1 means there were abnormalities at severe level
Baseline
Secondary Outcomes (3)
Premature spillage of material as assessed by a healthcare professional using the FEES
Baseline
Retention/pooling of material and/or secretion as assessed by a healthcare professional using the FEES
Baseline
Entrance of material and/or secretion into the larynx or trachea; presence/absence of reflex cough as assessed by a healthcare professional using the FEES
Baseline
Study Arms (3)
White sesame soy milk smoothie (WS)
ACTIVE COMPARATORa formula developed from natural ingredients such as soybean and white sesame
Chicken shitake smoothie (CS)
ACTIVE COMPARATORa formula developed from natural ingredients such as chicken and shitake mushroom
Ensure
PLACEBO COMPARATORa conventional well-known commercial formula
Interventions
the effect of consuming white sesame soy milk smoothie (WS), Chicken shitake smoothie (CS) vs. Ensure on the swallowing capacity by using Flexible Endoscopic Evaluation of Swallowing (FEES)
Eligibility Criteria
You may qualify if:
- swallowing difficulty group (SSD) who with symptomatic swallowing difficulties or with a history of swallowing difficulties, coughing or choking when eating or drinking or a sign of malnutrition
- control group (WSD) who without a history of swallowing difficulties, coughing or choking when eating or drinking or a sign of malnutrition
You may not qualify if:
- People with chronic illnesses and tube feeding
- People with anterior bone deformity e.g. facial fracture, sino-nasal or anterior skill-based tumor/surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok Noi, Bangkok, 10700, Thailand
Related Publications (1)
Mongkolsucharitkul P, Pinsawas B, Watcharachaisoponsiri T, Suta S, Pumeiam S, Ophakas S, Surawit A, Ongard S, Keskool P, Thitisakulchai P, Srichayet P, Mayurasakorn K. Evaluating swallowing capacity in older adults with dysphagia: high protein, low carbohydrate smoothie formulas versus commercial formula. BMC Geriatr. 2025 Jul 2;25(1):456. doi: 10.1186/s12877-025-06126-x.
PMID: 40604458DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Korapat Mayurasakorn, MD.
Doctor in Family Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 18, 2021
First Posted
May 25, 2021
Study Start
January 8, 2019
Primary Completion
April 30, 2019
Study Completion
April 30, 2019
Last Updated
May 25, 2021
Record last verified: 2021-05
Data Sharing
- IPD Sharing
- Will not share