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International Journal of Bioprinting                                             3D-printed diabetic diet




            Table 2. Hardness, springiness, cohesiveness, gumminess, chewiness, and adhesiveness of the six food inks
                        Hardness    Springiness   Cohesiveness  Gumminess      Chewiness     Adhesiveness
                        (N)         (mm)                       (N)             (N)           (gf/s)
             Ink-M1-1   3.80 ± 0.49  0.15 ± 0.01  0.20 ± 0.00  0.78 ± 0.10     0.11 ± 0.02   -19.79 ± 1.22
             Ink-M1-2   4.00 ± 0.14  0.14 ± 0.01  0.20 ± 0.01  0.79 ± 0.02     0.11 ± 0.01   -18.03 ± 0.53
             Ink-M1-3   2.64 ± 0.22  0.13 ± 0.00  0.19 ± 0.01  0.49 ± 0.03     0.07 ± 0.01   -18.19 ± 0.68
             Ink-M2-1   1.89 ± 0.16  0.12 ± 0.02  0.19 ± 0.01  0.36 ± 0.03     0.04 ± 0.01   -17.65 ± 1.20
             Ink-M2-2   0.54 ± 0.03  0.09 ± 0.01  0.18 ± 0.02  0.10 ± 0.01     0.01 ± 0.00   -17.11 ± 1.14
             Ink-M2-3   3.99 ± 0.18  0.13 ± 0.00  0.20 ± 0.01  0.80 ± 0.03     0.10 ± 0.00   -18.63 ± 0.57







































            Figure 4. Texture profile analysis of the food inks. (A) Texture profile of the food inks. The values are normalized to the highest value and expressed
            between 0 and 1. (B) Fork pressure tests of food samples 3D-printed with the six food inks.

            are suitable for patients with dysphagia, we believe that the   not retain the indentation from the fork and hence align
            same concept can be adopted to evaluate the suitability of   with IDDSI Level 3 (liquidized/moderately thick food),
            food items for patients with oral ulcer by correlating the   indicating that IDDSI Level 3 foods are also soft enough
            quantitative texture analysis with IDDSI tests.    for patients with oral ulcers.
               In the fork pressure test, as depicted in Figure 4B, all   Furthermore, the food ingredients, such as  Russula
            inks exhibited a smooth texture with almost no lump or   mushroom and milk powder, are rich in vitamin B 15,54,55
            granulation. The fork prongs left a distinct pattern on the   and are believed to possess the capacity to accelerate the
            surface, and all the food inks except Ink-M2-2 retained   healing of oral ulcers.
            the indentation from the fork, suggesting these food inks
            belong to IDDSI Level 5 (minced and moist). Based on the   3.4. FT-IR of food inks
            measured hardness of these food inks, it is concluded that   Figure S2A (Supplementary File) depicts the infrared
            foods in IDDSI Level 5 (at ~17 kPa) are soft and suitable for   spectrum of the six ink formulations, and  Figure S2B
            patients with oral ulcers.  In comparison, Ink-M2-2 could   (Supplementary File) presents the infrared spectrum of
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            Volume 10 Issue 2 (2024)                       304                                doi: 10.36922/ijb.1862
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