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      Evaluating palatability in young children: a mini-review of relevant physiology and assessment techniques

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          Abstract

          The palatability of pediatric pharmaceutical products plays a crucial role of influencing medication compliance. Rejection of unpalatable medications can potentially lead to treatment failure which can have immediate and delayed consequences. With advances in both the food and pharmaceutical industries, the systematic assessment of palatability has gained importance. Various methods such as visual analogue scales, facial hedonic scales, and facial recognition software, have been employed to assess palatability. While proven to be useful, these methods have significant limitations and may not be workable for young children. Despite these advancements, a universally accepted “gold standard” for assessing pediatric mediation palatability, recognized by drug regulatory agencies, is yet to be established.

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          Most cited references38

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          The cell biology of taste

          Taste buds are aggregates of 50–100 polarized neuroepithelial cells that detect nutrients and other compounds. Combined analyses of gene expression and cellular function reveal an elegant cellular organization within the taste bud. This review discusses the functional classes of taste cells, their cell biology, and current thinking on how taste information is transmitted to the brain.
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            Oral processing, texture and mouthfeel: From rheology to tribology and beyond

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              The Impact of Food Viscosity on Eating Rate, Subjective Appetite, Glycemic Response and Gastric Emptying Rate

              Understanding the impact of rheological properties of food on postprandial appetite and glycemic response helps to design novel functional products. It has been shown that solid foods have a stronger satiating effect than their liquid equivalent. However, whether a subtle change in viscosity of a semi-solid food would have a similar effect on appetite is unknown. Fifteen healthy males participated in the randomized cross-over study. Each participant consumed a 1690 kJ portion of a standard viscosity (SV) and a high viscosity (HV) semi-solid meal with 1000 mg acetaminophen in two separate sessions. At regular intervals during the three hours following the meal, subjective appetite ratings were measured and blood samples collected. The plasma samples were assayed for insulin, glucose-dependent insulinotropic peptide (GIP), glucose and acetaminophen. After three hours, the participants were provided with an ad libitum pasta meal. Compared with the SV meal, HV was consumed at a slower eating rate (P = 0.020), with postprandial hunger and desire to eat being lower (P = 0.019 and P<0.001 respectively) while fullness was higher (P<0.001). In addition, consuming the HV resulted in lower plasma concentration of GIP (P<0.001), higher plasma concentration of glucose (P<0.001) and delayed gastric emptying as revealed by the acetaminophen absorption test (P<0.001). However, there was no effect of food viscosity on insulin or food intake at the subsequent meal. In conclusion, increasing the viscosity of a semi-solid food modulates glycemic response and suppresses postprandial satiety, although the effect may be short-lived. A slower eating rate and a delayed gastric emptying rate can partly explain for the stronger satiating properties of high viscous semi-solid foods.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2406964/overview
                URI : https://loop.frontiersin.org/people/2597031/overview
                Role:
                Journal
                Front Pediatr
                Front Pediatr
                Front. Pediatr.
                Frontiers in Pediatrics
                Frontiers Media S.A.
                2296-2360
                08 February 2024
                2024
                : 12
                : 1350662
                Affiliations
                [ 1 ]Departments of Medical Education, The Anne Marion Burnett School of Medicine, Texas Christian University , Fort Worth, TX, United States
                [ 2 ]Davies School of Communication Sciences and Disorders, The Harris College of Nursing and Health Sciences, Texas Christian University , Fort Worth, TX, United States
                [ 3 ]Departments of Pediatrics, The Anne Marion Burnett School of Medicine, Texas Christian University , Fort Worth, TX, United States
                [ 4 ]The Divisions of Intensive Care Medicine, Cook Children's Medical Center , Fort Worth, TX, United States
                [ 5 ]The Divisions of Palliative Care, Cook Children's Medical Center , Fort Worth, TX, United States
                Author notes

                Edited by: Karel Allegaert, KU Leuven, Belgium

                Reviewed by: Jumpei Saito, National Center for Child Health and Development (NCCHD), Japan

                [* ] Correspondence: Gregory L. Kearns g.kearns@ 123456tcu.edu
                Article
                10.3389/fped.2024.1350662
                10881860
                38390280
                114d1f94-19ac-43c8-85c0-ccffb82a1ace
                © 2024 Schluterman, Linardos, Drulia, Marshall and Kearns.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 05 December 2023
                : 25 January 2024
                Page count
                Figures: 2, Tables: 0, Equations: 0, References: 40, Pages: 0, Words: 0
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                The resources necessary to produce this paper were provided through the Burnett School of Medicine at Texas Christian University.
                Categories
                Pediatrics
                Mini Review
                Custom metadata
                Obstetric and Pediatric Pharmacology

                medicine,palatability,taste physiology,viscosity,children
                medicine, palatability, taste physiology, viscosity, children

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