Mishellany Anne, Woda Alain, Labas Roland, Peyron Marie-Agnès
Déficiences, Incapacités et Désavantages en Santé Orale, DIDO, Faculté Dentaire, Clermont-Ferrand, France.
Dysphagia. 2006 Apr;21(2):87-94. doi: 10.1007/s00455-006-9014-y.
The main function of mastication is to transform a solid food into a bolus that can be swallowed safely. The bolus characteristics such as particles size or cohesiveness, are continuously sensed during mastication and they are important in initiating deglutition. This study examined the following question: What is the condition of the bolus just before swallowing? Ten subjects with normal dentition aged 37.5 +/- 3.7 years were asked to chew without swallowing six different foods (three nuts and three vegetables) while the number of cycles and the duration of the sequence were recorded. The particle size distribution shown by the expectorated food bolus just before swallowing was examined by image analysis. The results showed that, for a given food, the sizes of the bolus particles just before swallowing were comparable in all subjects. However, the number of cycles and duration of the sequence varied between subjects. Taken together these data strongly suggest that the granularity of the bolus before swallowing has to reach a predetermined state which is obtained by using an individual chewing strategy. This suggests that the bolus structure reflects a key factor for homeostasis and explains the large interindividual variability of the mastication physiologic parameters.
咀嚼的主要功能是将固体食物转化为可以安全吞咽的食团。在咀嚼过程中,食团的特性(如颗粒大小或黏性)会不断被感知,这些特性对于启动吞咽很重要。本研究探讨了以下问题:吞咽前食团的状态是怎样的?招募了10名年龄在37.5±3.7岁、牙列正常的受试者,要求他们咀嚼六种不同食物(三种坚果和三种蔬菜)但不吞咽,同时记录咀嚼周期数和咀嚼序列的持续时间。通过图像分析检查吞咽前咳出的食团的颗粒大小分布。结果表明,对于给定的食物,所有受试者吞咽前食团颗粒的大小相当。然而,受试者之间的咀嚼周期数和咀嚼序列的持续时间有所不同。综合这些数据强烈表明,吞咽前食团的粒度必须达到通过个体咀嚼策略获得的预定状态。这表明食团结构反映了体内平衡的一个关键因素,并解释了咀嚼生理参数个体间的巨大差异。