Bhattarai Biraj, Vijayan Syam Krishna, Swapna N
MSc. SLP, All India Institute of Speech and Hearing, Mysuru, India.
Junior Research Fellow, All India Institute of Speech and Hearing, Mysuru, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1687-1693. doi: 10.1007/s12070-023-03709-1. Epub 2023 Mar 25.
The main objective of the study was to compare four measures of TOMASS (number of bites, number of masticatory cycles, number of swallowing and total time taken) across brands of Marie biscuits and gender.
The study employed a cross-sectional design with nonrandomized convenience sampling. A total of 60 participants (30 females and 30 males) were recruited for the study in the age range of 18 to 26 years. Prior to enrolment in the study, the participants were screened for potential speech and swallowing issues. Two commercially available crackers (biscuits) in India, Sunfeast Marie Light and Britannia Marie Gold were used. Video recordings of the participants eating the biscuits were analyzed to document four measures of TOMASS.
The mean values obtained on all the measures for males were lesser than mean values for females for both the biscuits. Mann-Whitney U test revealed a statistically significant difference across number of swallows and total time taken across gender. There were no significant differences across biscuits on the four TOMASS measures.
It can be concluded that the TOMASS measures were near similar for both brands of Marie biscuits. Thus, any of these two brands of Marie could be used for clinical swallow evaluation. However, gender needs to be kept in mind, while interpreting the results of TOMASS. Future studies need to be conducted with other brands of Marie biscuit and in other age groups.
本研究的主要目的是比较不同品牌玛丽饼干以及不同性别的四项TOMASS指标（咬的次数、咀嚼周期数、吞咽次数和总用时）。
本研究采用非随机便利抽样的横断面设计。共招募了60名年龄在18至26岁之间的参与者（30名女性和30名男性）。在纳入研究之前，对参与者进行了潜在言语和吞咽问题的筛查。使用了印度市场上两种可买到的饼干（薄脆饼干），即阳光玛丽轻盐饼干和 Britannia 玛丽金牌饼干。对参与者吃饼干的视频记录进行分析，以记录TOMASS的四项指标。
两种饼干的所有指标在男性中的均值均低于女性中的均值。曼-惠特尼U检验显示，吞咽次数和总用时在不同性别之间存在统计学上的显著差异。在四项TOMASS指标上，不同饼干之间没有显著差异。
可以得出结论，两种品牌的玛丽饼干的TOMASS指标相近。因此，这两种品牌的玛丽饼干中的任何一种都可用于临床吞咽评估。然而，在解释TOMASS结果时需要考虑性别因素。未来需要对其他品牌的玛丽饼干以及其他年龄组进行研究。
