Creating Caregiver-Friendly Recipes for Thickened Liquids Using Noncommercial Thickening Agents for Older Infants and Young Children

The aim of this study was to develop caregiver-friendly recipes for thickened liquids consistent with the International Dysphagia Diet Standardisation Initiative (IDDSI) guidelines using noncommercial thickening agents to reduce variability in preparation. Recipes were tested combining base and thickening agents, where base agents were measured in fluid ounces and thickening agents in weight (ounces). The IDDSI flow test was completed after preparation, 10 min, and 20 min. Step-by-step protocols for slightly thick, mildly thick, and moderately thick recipes of thickened liquids were created. Each recipe resulted in a consistency within the prescribed IDDSI ml range of thickness immediately after preparation and remained stable over 20 min. Given the ease and reliability of preparation, lower costs, and readily available thickening agents, the protocols outlined in this study offer an appealing option for preparing thickened liquids. Additional research is warranted to determine palatability, long-term effects, and caloric value of the recipes.