Acceptability of People Living with HIV who have Oral Problems for Reduced Sugar, High Protein Soybean Milk Candy

Authors

  • Alongkote Singhato Biomedical sciences, Faculty of Allied Health Scinces, Burapha University
  • Pornpen Methajittipunt Registered nurse, Queen SavangVadhana Memorial hospital
  • Uraiporn Booranasuksakul Biomedical sciences, Faculty of Allied Health Scinces, Burapha University
  • Narisa Rueangsri Biomedical sciences, Faculty of Allied Health Scinces, Burapha University
  • Prasert Sobhon Biomedical sciences, Faculty of Allied Health Scinces, Burapha University

Keywords:

HIV patients, Oral problems, Artificial sweeteners, Soybeanmilk candy

Abstract

Oral problems are one of the most deleterious health conditions commonly found in people living with HIV (PLHIV) which seriously affect the food intake and dietary habit. PLHIV with oral problems are at risk in loosing appetite and reduced food intake that can lead to malnutrition and muscle wasting. In addition, they are also facing hyperglycemia due to the antiretroviral drug’s side effects. This study, therefore, aimed to develop an acceptable high protein snack using the artificial sweeteners which is easy to chew and swallow for PLHIV with oral problems. From our previous survey soybean milk candy was the snack most favored by PLHIV; thus it was mixed with either refined sugar, or artificial sweeteners comprising of stevioside or sucralose at the same sweetening level, and isolated whey protein as the main source of dietary protein. To determine the participants’ satisfaction, thirty PLHIV with oral problems, who attend the Outpatient Department, Queen SavangVadhana Memorial hospital, were recruited to participate in this study to conduct the sensory evaluation. In general, results revealed significantly higher satisfaction scores on appearance, taste, and overall satisfaction (p<0.05) among participating PLHIV for formulae using sugar and sucralose than the formula using stevioside. In conclusion, the high protein soy bean milk candy using sugar and or sucralose were equally satisfying and well accepted by PLHIV with oral problems.

References

Coogan MM, Greenspan J, Challacombe SJ. Oral lesions in infection with human immunodeficiency virus. Bull World Health Organ. 2005;83:700-6.

Pakfetrat A, Falaki F, Delavarian Z, Dalirsani Z, Sanatkhani M, Marani MZ. Oral manifestations of Human Immuno- deficiency Virus-infected patients. Iran J Otorhinolaryngol. 2015;27(1):43-54.

Andersson P, Westergren A, Karlsson S, Hallberg IR, Renvert S. Oral health and nutritional status in a group of geriatric rehabilitation patients. Scand J Caring Sci. 2002;16(3):311-8.

Cichero JAY, Atherton M, Bellis-Smith N, Suter M. Texture modified foods and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definitions. Nutr Diet. 2007;64:53–76.

Kosmiski L. Energy expenditure in HIV infection. Am J Clin Nutr. 2011;94(1):1677–82.

Dudgeon WD, Phillips KD, Carson JA, Brewer RB, Durstine JL, Hand GA. Counteracting muscle wasting in HIV-infected individuals. HIV Med. 2006; 7(5): 299-310.

Obi SN, Ifebunandu NA, Onyebuchi AK. Nutritional status of HIV-positive individuals on free HAART treatment in a developing nation. J Infect Dev Ctries. 2010;4(11):745-9.

Ukpebor M, Braimoh OB. HIV/AIDS; oral complications and challenges, the Nigerian experience. BJPM. 2007;9(1):44-54.

Romo-Romo A, Aguilar-Salinas CA, Brito-Córdova GX, Díaz RAG, Valentín DV, Almeda-Valdes P. Effects of the non-nutritive sweeteners on glucose metabolism and appetite regulating hormones: systematic review of observational prospective studies and clinical trials. PLoS One. 2016;11(8):e0161264.

Gupta P, Gupta N, Pawar AP, Birajdar SS, Natt AS, Singh HP. Role of sugar and sugar substitutes in dental caries: a review. ISRN Dent. 2013;519421.

Rocha IFO. Passion fruit juice with different sweeteners: sensory profile by descriptive analysis and acceptance. Food Sci Nutr. 2015;3(2):129–39.

DutraI MBL, Bolini HMA. Physico- chemical evaluation of acerola nectar sweetened with sucrose and different sweeteners. Food Sci. Technol (Campinas). 2013;33(4):150-8.

Abebe M, Kinde S, Belay G, Gebreegziabxier A, Challa F, Gebeyehu T, et al. Antiretroviral treatment asso-ciated hyperglycemia and dyslipidemia among HIV infected patients at Burayu Health Center, Addis Ababa, Ethiopia: a cross-sectional comparative study. BMC. 2014;7:380.

Sales-Peres SHC, Costa AH, Mapengo MA, Yamashita JM, Xavier CN, Sales-Peres A. Oral health status and anthropometric conditions among HIV infected adolescents on antiretroviral therapy in Mozambique. J HIV Clin Scientific Res. 2015;2(1):105.

Rueangsri N, Sumrit T, Booranasuksakul U, Singhato A. Acceptance and satisfaction on the developed Thai dessert recipes using artificial sweeteners. Proceedings of the 20th World Congress on Clinical Nutrition (WCCN) 2016, Traditional Medicine, Functional Food, Nutrition, Natural Health Product and Spiritual Healing: Additional Tools for Healthcare Delivery; 2016 December14-16; Rama Gardens Hotel, Bangkok. Bangkok: Thammasat University; 2016:29-34.

Goldsmith LA, Meckel CM. Sucralose. In: Nabors L, O’B. & Gelardi, RC, Editors. Alternative sweeteners. 3rd. New York: Marcel Dekker; 2001;185-207.

Gupta E, Purwar S, Sundaram S, Rai GK. Nutritional and therapeutic values of Stevia rebaudiana: a review. J Med Plants Res. 2013;7(46):3343-53.

Wichchukit S, O'Mahony M. The 9-point hedonic scale and hedonic ranking in food science: some reappraisals and alternatives. J Sci Food Agric. 2015;95(11):2167-78.

Sammasud R. Thai food exchange list. Thai J Parent Enteral Nutr. 2004;15(1):33-45.

Manickavasagan A, Abbas I, Cork L, Khan MA, Al-Rahbi S, Subramanian K, et al. Acceptability of reformulated whole-grain products using net acceptance score (NAS) and relative acceptance score (RAS). IJNPND. 2016;6(1):12-22.

Singhato A,Banjong O, Charoonruk G. Effectiveness and acceptance of the developed educational media on the application of a Thai ethnic snack, Thong Pub, with calcium fortification. J Ethn Foods. 2017;4(1):58-63.

Singh-Ackbarali D, Maharaj R. Sensory evaluation as a tool in determining acceptability of innovative products developed by undergraduate students in food science and technology at the university of Trinidad and Tobago. J Curric Teach. 2014;3(1):10-27.

Rojjanawanicharkorn A, Luangpituksa P, Siriwedchayant S, Changcharoen T. The situation of using artificial sweetener instead of sugar in instant beverage powder. J Nutr Assoc Thailand. 2017;52(1):12-22.

Liao CW.Service quality and customers’ satisfaction of the food and beverage industry. J Stat Manag Syst. 2013;12(4):759-74.

Bagheri F, Radi M, Amiri S. Use of sweetener stevioside for produce dietary breakfast cream. Agric Sci Dev. 2014;3 (9):284-91.

Pepino MY, Tiemann CD, Patterson BW, Wice BM, Klein S. Sucralose affects glycemic and hormonal responses to an oral glucose load. Diabetes Care. 2013;36(9):2530-5.

Miller PE, Perez V. Low-calorie sweeteners and body weight and composition: a meta-analysis of randomized controlled trials and prospective cohort studies. Am J Clin Nutr. 2014;100(3):765–77.

Tsutsumi R, Tsutsumi YM. Peptides and proteins in whey and their benefits for human health. Austin J Nutr Food Sci. 2014;1(1):1-9.

Shah BV. The changing role of dietary protein restriction in management of chronic kidney disease (CKD). J Assoc Phys India. 2015;63:34-40.

Downloads

Published

2018-11-09

How to Cite

Singhato, A., Methajittipunt, P., Booranasuksakul, U., Rueangsri, N., & Sobhon, P. (2018). Acceptability of People Living with HIV who have Oral Problems for Reduced Sugar, High Protein Soybean Milk Candy . Journal of Nutrition Association of Thailand, 53(2), 25–36. Retrieved from https://he01.tci-thaijo.org/index.php/JNAT/article/view/134839

Issue

Section

Research article