Development of a Gustatory Function Test for Clinical Application in Korean Subjects

PURPOSE: To obtain validated clinical values suitable for developing a gustatory function test, including umami taste, in a Korean population. MATERIALS AND METHODS: The investigation involved 297 participants with self-reported normal sense of taste and smell. Liquid solutions were used for the assessment of gustatory function. The test consisted of 30 taste solutions [six concentrations of five tastants (sweet, bitter, salty, sour, and umami)]. For evaluation of overall gustatory function, the number of detected or correctly recognized taste thresholds was combined to form a “taste score.” RESULTS: Mean values of each detection and recognition threshold for the five tastes in men were consistently lower than those of women. The 10th percentile of taste score for recognition was used as the cut-off value for distinguishing normogeusia from hypogeusia. In subgroup analysis, total taste score from recognition thresholds revealed a significant negative correlation with age, indicating lower scores for increasing age. Taste score for non-smokers was significantly higher than that of smokers, in terms of detection and recognition of taste sensitivities. CONCLUSION: This gustatory function test was easy to perform, affordable, and time-saving, with the capacity to self-produce and obtain reliable data. Gustatory function was more sensitive in young people, women, and non-smokers.

Effect of Age and Severity of Facial Palsy on Taste Thresholds in Bell's Palsy Patients

BACKGROUND AND OBJECTIVES: To investigate whether taste thresholds, as determined by electrogustometry (EGM) and chemical taste tests, differ by age and the severity of facial palsy in patients with Bell's palsy. SUBJECTS AND METHODS: This study included 29 patients diagnosed with Bell's palsy between January 2014 and May 2015 in our hospital. Patients were assorted into age groups and by severity of facial palsy, as determined by House-Brackmann Scale, and their taste thresholds were assessed by EGM and chemical taste tests. RESULTS: EGM showed that taste thresholds at four locations on the tongue and one location on the central soft palate, 1 cm from the palatine uvula, were significantly higher in Bell's palsy patients than in controls (p0.05). The severity of facial palsy did not affect taste thresholds, as determined by both EGM and chemical taste tests (p>0.05). The overall mean electrical taste thresholds on EGM were higher in younger Bell's palsy patients than in healthy subjects, with the difference at the back-right area of the tongue differing significantly (p0.05). CONCLUSIONS: Electrical taste thresholds were higher in Bell's palsy patients than in controls. These differences were observed in younger, but not in older, individuals.

Relationship between thresholds and self-assessed preference for saltiness and sodium intake in young women / 한국영양학회지

PURPOSE: We recruited 118 women in their early 20's to examine the relationship between sodium intake and salty taste thresholds and preference. We also examined the association of salty taste preference with sodium-related dietary behaviors and major dishes contributing to sodium intake. METHODS: Daily sodium intake was estimated using a 127-item dish-frequency questionnaire. Salty taste thresholds and preference were measured using rating scales using water solution of NaCl and a self-administered questionnaire based on a Likert scale, respectively. RESULTS: Salty taste preference showed positive correlation with daily sodium intake and sodium intake-increasing behaviors, and inverse association with sodium intake-decreasing behaviors, including salt and soy sauce use at the table, the frequency of eating out and home delivery of foods, broth consumption of soup, stew or noodle soup, the use of ready-to-serve or processed foods, fresh vegetable intake, and the accommodating attitude toward bland food. Intake of sodium-contributing dishes, including ramen, spicy soft-tofu stew, radish kimchi, and dishes containing kimchi, also showed positive association with salty taste preference. Unexpectedly, detection and recognition thresholds of salty taste showed no association with salty taste preference, sodium intake, and sodium-related dietary behaviors. CONCLUSION: These findings suggest that salty taste preference could reflect sodium intake of individuals rather than thresholds of saltiness, and may be used as a simple and effective proxy for usual sodium intake.

Comparison of Salt Taste Threshold and Salt Intake between Hypertensive and Normotensive Group / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Salt-taste threshold can influence salt appetite, and is thought to be another marker of sodium intake. Many studies have found an association between sodium intake and blood pressure. The aim of this study was to compare the salt-taste threshold and salt intake between hypertensive and normotensive groups. SUBJECTS AND METHOD: One hundred twenty volunteers (51 men and 69 women) who did not take antihypertensive medications were evaluated. First, a questionnaire, which included questions regarding demographic information and preference of salty taste, was conducted, and 24-hour ambulatory blood pressure was checked. Then salt taste threshold was measured by assessing the ability of the subjects to discern the taste of salt in graded solutions of saline. Lastly, 24-hour urinary sodium was measured in a 24-hour urine collection. RESULTS: The salt taste threshold and taste preference for salt were slightly higher in hypertensive group. There was slightly higher salt intake measured as 24-hour urinary sodium in the hypertensive group, compared with the normotensive group. However, there were no significant differences in salt taste threshold, preference of salty taste, and salt intake between the normotensive and the hypertensive groups. CONCLUSION: The threshold of salt taste was not related to sodium intake and hypertension status. These results suggest that the development of hypertension depends on the complex interaction of factors such as genes and environmental factors rather than sensory factors like taste threshold and taste preference.

Differences in Taste Thresholds According to Sex and Age Groups in Korean / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The aim of the study was to compare the gustatory function between age-matched men and women in Korean subjects. SUBJECTS AND METHOD: Healthy non-smoking volunteers without smell and taste disorders were investigated. Thirty-nine men and women of the same age group were evaluated for gustatory function. Whole mouth taste test was performed with successive solutions of sucrose, sodium chloride, citric acid, and quinine hydrochloride. The electrical taste thresholds were measured using an electrogustometer for four different sites in the oral cavity, i.e., both sides of anterior and posterior tongue. RESULTS: Female subjects had lower mean values of detection and recognition thresholds for all of the four tastes than male subjects, although these results did not reach statistical significance except for the detection threshold for salt and the recognition threshold for quinine. In electrogustometry, thresholds in the posterior tongue of glossopharyngeal nerve area were significantly higher for men than women. CONCLUSION: Men had higher taste threshold than women of the same age category. For additional information on the effects of gender and aging on taste thresholds, further studies including a large number of well-controlled subjects are essential.

Not Salt Taste Perception but Self-Reported Salt Eating Habit Predicts Actual Salt Intake

Excessive dietary salt intake is related to cardiovascular morbidity and mortality. Although dietary salt restriction is essential, it is difficult to achieve because of salt palatability. However, the association between salt perception or salt eating habit and actual salt intake remains uncertain. In this study, we recruited 74 healthy young individuals. We investigated their salt-eating habits by questionnaire and salt taste threshold through a rating scale that used serial dilution of a sodium chloride solution. Predicted 24-hr urinary salt excretions using Kawasaki's and Tanaka's equations estimated dietary salt intake. Participants' mean age was 35 yr, and 59.5% were male. Salt sense threshold did not show any relationship with actual salt intake and a salt-eating habit. However, those eating "salty" foods showed higher blood pressure (P for trend=0.048) and higher body mass index (BMI; P for trend=0.043). Moreover, a salty eating habit was a significant predictor for actual salt intake (regression coefficient [beta] for Kawasaki's equation 1.35, 95% confidence interval [CI] 10-2.69, P=0.048; beta for Tanaka's equation 0.66, 95% CI 0.01-1.31, P=0.047). In conclusion, a self-reported salt-eating habit, not salt taste threshold predicts actual salt intake.

Caracterização dos limiares de detecção do gosto umami em crianças com e sem câncer / Characterization of umami taste sensitivity in children with and without cancer

Introdução: O gosto umami é proveniente de glutamato e 5 ribonucleotídeos, incluindo inosinato e guanilato, os quais aparecem naturalmente em muitos alimentos. Pode ser identificado pelo glutamato monossódico, sendo considerado como gosto sutil, mas misturando-se bem com outros gostos, expande e incrementa o sabor. Objetivo: Identificar os limiares de detecção do gosto umami emcrianças com Leucemia Lonfóide Aguda ou Linfoma não-Hodgkin e em escolares saudáveis, e correlacionar a sensibilidade ao gosto com o estado nutricional, idade e sexo. Método: Foi aplicado teste de sensibilidade de Threshold para determinar o limiar do gosto umami, com 6 concentrações crescentes de água deionizada e glutamato monossódico. Os indivíduos foram pesados e medidos,e calculado o IMC para determinar o estado nutricional. Para as análises estatísticas foram utilizadas versão 2.6.6 do software estatístico R e testes de Mann-Whitney e Kruskal-Wallis com níveis descritivos (p = 0,05). Resultados: a amostra foi contituida de 102 pacientes e 42 escolares, sendo que 74 do sexo masculino (53,9 por cento e 54,8 por cento), 93 eutróficos (63,7 por cento e 69,0 por cento) e 43 na faixa etária de 6 a 9 anos (58,8 por cento e 52,4 por cento), respectivamente. A maioria dos pacientes (92,0 por cento) e escolares (97,4 por cento) eram sensíveis ao gosto umami e tiveram valores de limiar de sensibilidade semelhantes ao gosto umami. Não foi encontrada diferença estatisticamente significante entre os limiares do gosto umami de pacientes sensíveis e escolares, IMC, sexo. Conclusões: a percepção ao gosto umami foi independente do sexo, idade, estado nutricional ou presença de doença.

INTRODUCTION: The umami taste comes from glutamate and 5 ribonucleotides including inosinate and guanylate, which appear naturally in many foods. It can be identified by monosodium glutamate, being considered as a subtle taste, but blending well with other tastes, expands and enhances the flavor. OBJECTIVE: to identify umami taste thresholds in children with ALL or NHL and in healthy school children and to correlate taste sensitivity with nutritional status, age and gender. METHODS: The threshold sensitivity test was applied to determine umami taste using 6 solutions containing increasing concentrations of deionized water and monosodium glutamate. Subjects were weighed and measured, and BMI was calculated to determine nutritional status. For statistical analyses were used version 2.6.6 of the R Statistical software and Mann-Whitney and Kruskal-Wallis tests with descriptive levels (p = 0.05). RESULTS: The sample consisted of 102 patients and 42 school children, and that subjects were male (53.9% and 54.8%), eutrophic (63.7% and 69.0%) and aged from 6 to 9 years (58.8% and 52.4%), respectively. Most patients (92.0%) and school children (97.4%) were sensitive to umami taste and had similar umami taste threshold values. No statistically significant difference was found between umami taste thresholds of sensitive patients and school children, BMI, gender. CONCLUSIONS: Perception of umami taste was independent of gender, age, nutritional status or presence of disease.

The Effect of Aging on Taste Thresholds in Korean / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The sense of taste is one of the most important human senses and plays a critical role in an individual's food preferences and the nutritional status. Proper gustatory function in older people is important for quality of life and enjoyment of food. The objectives of this study was to investigate the effect of aging on taste thresholds in Korean subjects. SUBJECTS AND METHOD: One hundred sixty normal volunteers without smell and taste disorders were investigated. Each subject was given a questionnaire for age, sex, status of smoking and medication. Then, a whole mouth taste test was performed with successive solutions of sucrose, sodium chloride, citric acid, and quinine hydrochloride. RESULTS: Older subjects (over 50 years) showed worse taste sensitivity compared with younger subjects (age 20-29 years). The detection thresholds of all four basic tastes and the recognition threshold of salty taste of elderly participants were significantly higher than those of young participants. CONCLUSION: Gustatory sensitivity was found to decrease with age. Especially, older subjects appeared to have a reduced perception of salt, which can alter eating habits, such as intake of more salty foods. Our data can provide preliminary normative values for future investigation of chemosensation in the Korean population.

Comparison of salty taste acuity and salty taste preference with sodium intake and blood pressure based on zinc nutritional status in two rural populations in Korea

This study examined salty taste acuity and salty taste preference and sodium intake in relation to zinc nutritional status in 2 rural populations in Korea. And we also examined the main food contributors of their sodium intakes. We enrolled 218 adults (66 men and 152 women) from the Kangneung and Samcheok regions in Korea's Kangwon province in our study conducted from December 2011 to February 2012. Participants from each region were divided into 3 groups based on their serum zinc level (T1: lowest, T2: intermediate, T3: highest). We compared the salty taste acuity and preference, Na index (Dish Frequency Questionnaire for estimation of habitual sodium intake), blood pressure, and intakes of nutrients including sodium by 3 groups of serum zinc level. The results were as follows: a higher serum zinc level indicated a lower sodium intake and Na index (P < 0.05). The salty taste acuity was considerably higher for participants from the Kangneung region than those from the Samcheok region (P < 0.05). And the serum zinc level was significantly higher in participants from the Kangneung region than those from the Samcheok region (P < 0.05). We further divided the participants into 2 groups: those who consumed more zinc than the recommended intake (RI) and the others. We compared salty taste acuity and salty taste preference in the 2 groups. The salty taste threshold and palatable salty taste concentrations were lower for the group with a zinc intake above RI than for the group with zinc intake below the RI. However, the difference was not significant. This study confirms that taste function differs depending on zinc nutritional status. In future, it is required to a large-scale, long-term, prospective study on the correlation between zinc intake, serum zinc levels, and taste perception function and blood pressure.

Feasibility of salt reduction in processed foods in Argentina / Factibilidad de reducir el contenido de sal de los alimentos procesados en la Argentina

OBJECTIVE: To assess an intervention to reduce salt intake based on an agreement with the food industry. METHODS: Salt content was measured in bakery products through a national survey and biochemical analyses. Low-salt bread was evaluated by a panel of taste testers to determine whether a reduced salt bread could remain undetected. French bread accounts for 25 percent of the total salt intake in Argentina; hence, reducing its salt concentration from 2 percent to 1.4 percent was proposed and tested. A crossover trial was conducted to evaluate the reduction in urinary sodium and blood pressure in participants during consumption of the low-salt bread compared with ordinary bread. RESULTS: Average salt content in bread was 2 percent. This study evaluated low-salt bread containing 1.4 percent salt. This reduction remained mostly undetected by the panels of taste testers. In the crossover trial, which included 58 participants, a reduction of 25 milliequivalents in 24hour urine sodium excretion, a reduction in systolic blood pressure of 1.66 mmHg, and a reduction in diastolic blood pressure of 0.76 mmHg were found during the low-salt bread intake. CONCLUSIONS: The study showed that dietary salt reduction was feasible and well accepted in the population studied through a reduction of salt content in bread. Although the effects on urinary sodium and blood pressure were moderate, a countrywide intervention could have a greater public health impact.

OBJETIVO: Evaluar una intervención destinada a reducir el consumo de sal a partir de un convenio con la industria alimentaria. MÉTODOS: Se midió el contenido de sal de los productos de panadería por medio de una encuesta nacional y análisis bioquímicos. Un grupo de catadores evaluó el pan con bajo contenido de sal para determinar si la disminución pasaba inadvertida. Dado que el pan francés representa 25 por ciento del consumo total de sal en la Argentina, se propuso someter a prueba este tipo de pan con una disminución de la concentración de sal de 2 por ciento a 1,4 por ciento. Se realizó un estudio cruzado con el fin de evaluar si los participantes presentaban una concentración urinaria de sodio más baja y una presión arterial menor durante el período en que consumieron pan con bajo contenido de sal respecto del período en que consumieron pan común. RESULTADOS: El pan común contiene un porcentaje promedio de sal de 2 por ciento. En este estudio, el pan con bajo contenido de sal contenía 1,4 por ciento, disminución que, en general, pasó inadvertida a los catadores. En el estudio cruzado, en el que participaron 58 sujetos, la eliminación urinaria de sodio disminuyó 25 miliequivalentes en 24 horas, la presión arterial sistólica bajó 1,66 mmHg y la presión arterial diastólica bajó 0,76 mmHg durante el período en que los participantes consumieron pan con bajo contenido de sal. CONCLUSIONES: El estudio demuestra que es factible reducir la ingesta de sal alimentaria y que la población estudiada considera aceptable que el pan contenga esta menor concentración de sal. Aunque los efectos sobre la concentración urinaria de sodio y la presión arterial fueron moderados, es probable que una intervención nacional tenga repercusiones más importantes para la salud pública.

Caracterização de crianças portadoras de câncer segundo sensibilidade ao umami e consumo alimentar / Characterization of children with cancer according to sensitivity to umami and food consumption

Introdução: A Leucemia Linfóide Aguda (LLA) e o Linfoma não-Hodgkin (LNH) são os tipos de câncer mais incidentes em crianças e a ingestão alimentar pode ser diminuída pela quimioterapia. A sensação do gosto é resultante da detecção e resposta ao estímulo doce, salgado, azedo, amargo e umami. Esse último, identificado pelo glutamato monossódico (MSG), é relacionado ao aumento da palatabilidade, o que pode colaborar para a melhora da aceitação alimentar em crianças com câncer. Objetivo: Identificar os limiares de detecção do gosto umami e a qualidade da alimentação em crianças portadoras de LLA e LNH. Metodologia: Foi aplicado teste de sensibilidade de Threshold para determinar o limiar do gosto umami, com 6 concentrações crescentes de água deionizada e MSG. Aplicou-se recordatório 24 horas e questionário de frequência alimentar para avaliar o consumo alimentar. O peso e altura foram mensurados e IMC utilizados para classificação do estado nutricional, segundo o National Center for Health Statistics (2000). Caracterizou-se a amostra através da distribuição de frequência das variáveis, com auxílio do pacote estatístico Epinfo Versão 6.0. As análises estatísticas e gráficas foram feitas no software R, versão 2.6.2. Foi realizado teste de Cluster para caracterizar a amostra. Resultados: Dos 102 pacientes, 94 eram sensíveis ao umami. 54,3 por cento do sexo masculino e 45,7 por cento do feminino. 78,4 por cento portadores de LLA e 21,6 por cento de LNH. 91,0 por cento em fase de manutenção. Quanto à idade, 38,3 por cento entre 6 e 7 anos; 20,6 por cento entre 8 e 9; 15,7 por cento entre 10 e 11; 15,7 por cento entre 12 e 13 e 9,8 por cento 14 anos. 8,5 por cento apresentaram baixo peso, 66,0 por cento eutrofia e 25,5 por cento sobrepeso ou obesidade. O produto rico em glutamato monossódico mais consumido foi macarrão instantâneo. O molho inglês e de soja foram os menos consumidos...

Sensibilidade gustativa de adultos de uma instituição universitária do município de São Paulo / Gustatory perception of adults from a university institution of São Paulo

Objetivos. Verificar a relação entre limiares de detecção dos gostos doce e salgado, concentração ideal e mais aceita de açúcar, sal e gordura, sensibilidade ao 6-n-propiltiouracil (PROP) e sexo, grupo etário e estado nutricional. Verificar a relação entre sensibilidade ao PROP e frequência referida de ingestão alimentar. Verificar a correlação entre aceitação e concentração ideal. Métodos. Estudo transversal com 123 adultos (20 a 58 anos). Variáveis de estudo: limiar de detecção dos gostos doce e salgado, concentração ideal e mais aceita de açúcar, sal e gordura, sensibilidade ao PROP. O estado nutricional foi determinado pelo Índice de Massa Corporal, sendo incluídos indivíduos com valores entre 18,5 e 24,9kg/m2 (peso adequado) e, 25kg/m2(excesso de peso). No teste de limiar de detecção, o participante recebeu 5 soluções de sacarose e 5 de cloreto de sódio (NaCl). A concentração ideal e a mais aceita foram determinadas, utilizando 5 concentrações de açúcar em suco de laranja, 5, de sal e 5, de gordura, em purê de batata industrializado. Para a determinação da concentração ideal, utilizaram-se as médias obtidas a partir de escala de 7 centímetros e, para o teste de aceitação, escala hedônica de 7 pontos. O nível de sensibilidade ao PROP foi determinado a partir da degustação de soluções de PROP e NaCl, com utilização de escala de magnitude rotulada. Para identificar a frequência de ingestão alimentar foi utilizado questionário de frequência alimentar. Análise estatística. As variáveis do 7 estudo foram apresentadas por meio de média, desvio-padrão e amplitude. A análise estatística foi conduzida, utilizando os testes Kruskall-Wallis, Mann-Whitney, análise não paramétrica de dados ordinais com medidas repetidas e correlação de Spearman. O nível de significância adotado foi de 5 por cento. Resultados. Os limiares do gosto doce foram menores para os indivíduos com excesso de peso...

Associação entre atividade antioxidante in vitro e características químicas, sensoriais, cromáticas e comerciais de vinhos tintos Sul-Americanos / Association between in vitro antioxidant activity and chemical, sensory, chromatic and commercial characteristics of South-American red wines

O vinho tinto é rico em compostos fenólicos com atividade antioxidante, capazes de inativar espécies reativas de oxigênio, minimizando danos celulares oriundos do estresse oxidativo, proporcionando uma redução de risco para doenças crônicas não transmissíveis. Assim, os objetivos desta pesquisa foram identificar associações entre a atividade antioxidante in vitro e fatores relacionados ao tipo de uva, região de produção, perfil sensorial, safra, valor comercial e concentração de compostos fenólicos de vinhos tintos produzidos no Brasil, Chile e Argentina. Inicialmente, os vinhos brasileiros (n=29) foram avaliados em relação à atividade antioxidante (ORAC e DPPH), cor instrumental e compostos fenólicos majoritários, no intuito de verificar qual classe de fenólicos estaria associada com a atividade antioxidante. Verificou-se que tanto os compostos fenólicos totais como os flavonóides totais, com destaque aos flavonóides não-antociânicos, se associaram significativamente (p<0,05) com a atividade antioxidante. Em um segundo passo, as características sensoriais, a cor, o valor comercial e a atividade antioxidante das 80 amostras de vinhos Sul-Americanos, distribuídas em Merlot (n=9), Pinot Noir (n=17), Malbec (n=11), Syrah (n=12), Cabernet Sauvignon (n=24), e vinhos de uvas americanas (Vitis labrusca) (n=7) foram avaliados usando estatística multivariada, objetivando-se verificar se a qualidade sensorial das amostras estaria associada com o valor comercial, cor, e à atividade antioxidante. De uma forma geral, os vinhos chilenos e argentinos apresentaram maior atividade antioxidante, valor comercial, intensidade de odor, qualidade sensorial, índice de acidez e taninos, ao passo que os vinhos brasileiros obtiveram os menores valores para os atributos sensoriais. Os vinhos de uvas americanas apresentaram menores valores para todas as variáveis. As varietais Syrah, Malbec e Cabernet Sauvignon apresentaram maior capacidade antioxidante e melhores características ...

Red wine is rich in phenolic compounds with antioxidant activity, being able to buffer reactive oxygen species, thus decreasing the risk of non-transmissible chronic diseases. In this regard, the objectives of this research aimed at identifying associations between the in vitro antioxidant activity and factors related to grape varietal, region of production, sensory profile, vintage, color, commercial value, and concentration of phenolic compounds of red wines produced in Brazil, Chile, and Argentina. Initially, the Brazilian red wines (n = 29) were assessed in relation to antioxidant activity, instrumental color, and major phenolic compounds with the objective to verify which phenolic class was associated with the antioxidant activity. Both the total phenolic compounds and total flavonoids, with special attention to non-anthocyanin flavonoids, were significantly associated with the antioxidant activity. In a second step, the sensory characteristics, color, commercial value, and antioxidant activity of the 80 red wine samples, which were distributed in Merlot (n=9), Pinot Noir (n=17), Malbec (n=11), Syrah (n=12), Cabernet Sauvignon (n=24), and table wines (Vitis labrusca) (n=7) were evaluated using multivariate statistical techniques, with the aim to verify how the overall perception of quality of wines was related to commercial value, color and antioxidant activity. In a general way, te Chilean and Argentinean red wines displayed a higher antioxidant activity, commercial value, intensity of odors, sensory perception of quality, acidity level, and tannin level, whereas the Brazilian samples obtained the lowest values for the sensory attributes. The table wines presented the lowest values for all response variables. Syrah, Malbec and Cabernet Sauvignon varietals presented the highest antioxidant activity and most favorable sensory features, and this result was independent of wine's vintage and origin. As a last step, the wines produced with V. vinifera grapes …

Taste Thresholds of Phenylthiocarbamide and 6-n-Propylthiouracil and their Correlation with TAS2R38 Genotype / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Phenylthiocarbamide (PTC) and its chemically related compound,6-n-propylthiouracil (PROP), both produce a taste that is extremely bitter to some subjects (tasters) but tasteless or only slightly bitter to others (non-tasters). Earlier studies had used PTC, but most investigators have switched to PROP because of its several advantages. Recently, three single nucleotide polymorphisms in the TAS2R38 gene were identified and several studies have demonstrated a strong association between these genes with taster status. The aim of this study was to investigate the relationship between taste thresholds of PTC and PROP and their correlation with the TAS2R38 genotype. SUBJECTS AND METHOD: Seventy-five healthy normal volunteers were included. Taster status was determined using successive solutions of PTC and PROP, which comprised a total of 15 grades. All participants were genotyped for polymorphism of the TAS2R38 gene that affects taste sensitivity to PTC and PROP. RESULTS: PTC taste thresholds showed 96% correlation with the taste thresholds for PROP. Non-tasters defined by the PTC threshold test were the exactly the same with those identified as AVI (alanine, valine, isoleucine) homozygous, but taster status determined by the PROP threshold test showed 96% correlation with the genotypes. CONCLUSION: The PTC threshold test was more reliable for determining taste blindness than the PROP threshold test.

Taste Perceptions of Middle-aged and Elderly People Living in Rural Areas: Relationships among Threshold, Taste Preference and Physical Activity / 대한지역사회영양학회지

Recognition thresholds for NaCl, sucrose, citric acid, and caffeine, as well as the pleasant concentration of NaCl were assessed in 176 males and 312 females aged 50-88 years. Furthermore, relationships among taste sensitivities, taste preferences, and lifestyles were examined. The taste solutions were presented one after the other in ascending order using the sip-and-spit method. For the recognition thresholds of the 4 basic tastes, women perceived significantly lower concentrations than the men. However, the pleasant concentration of NaCl did not show a gender difference. Sensitivities for the 4 basic tastes did not decrease with age in the men, but they did significantly decrease with age for the women, especially for those above 70 years. For men, regular exercise was positively correlated with sensitivities for sour taste and bitter taste, and physical activity was negatively correlated with the pleasant concentrations of NaCl. For women, who had more physical activity, sensitivities for sweet taste and sour taste were lower compared to the others. This study indicates that the sensitivities for 4 basic tastes in water diminished with age, but pleasant salt concentration did not change with age. Further research on pleasant NaCl concentration is required to determine factors affecting salt preference, in order to decrease salt intake in the elderly.

Clinical Investigations in Patients with Taste Disorder / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Taste disorders have not received sufficient attention by otolaryngologists and only a few studies have documented the clinical characteristics of taste disorders. We therefore analyzed the characteristics of patients with taste disorders who visited our Taste and Smell Clinic over a 3-year period. SUBJECTS AND METHOD: Sixty patients with taste disorders were investigated. The efficacy of treatment was evaluated according to the age, sex, duration of symptom, cause, and severity of taste disorder. RESULTS: Sixty percent of patients visited the clinic within 6 months of the onset of decrease in taste sensation. Multiple etiology was more common than single etiology. Taste disorder due to olfactory disorder was the most frequent etiology, followed by drug induced taste disorder and taste disorder due to zinc deficiency. Sixty percent of the patients experienced improvement of the taste abnormality. The efficacy of treatment decreased with increasing severity of taste disorder at the initial visit. CONCLUSION: Careful history taking and physical examination are needed for determination of the cause of any taste abnormality. The site and severity of dysgeusia should be determined through the chemical and electrical taste threshold test. Treatment should direct toward the causative abnormality, if possible.

Changes of Taste Function after Palatopharyngeal Surgery in Obstructive Sleep Apnea Syndrome / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Postoperative taste changes after uvulopalatopharyngoplasty (UPPP) is regarded as an unusual and minor complication. This study aims to evaluate the objective changes of taste threshold according to time course and subjective symptoms change. MATERIALS AND METHOD: With 45 patients who underwent UPPP and 35 patients who underwent nasal surgery as control group, we have prospectively studied postoperative taste changes using a questionnaire, and an electrogustometer (EGM) with regard to symptoms at 7th, 28th days after the surgery. EGM was measured at 5 areas. Also, we have checked pre-operatively about the serum level of zinc. RESULTS: With EGM, the threshold of taste was increased at 7th days after the surgery (p<0.05), but recovered 28th days after the surgery at the posterior part of the tongue in the UPPP group. There were no significant changes in subjective taste dysfunction, smell dysfunction, tongue sensory abnormality, and dysgeusia. CONCLUSION: Taste changes after UPPP was transient and they disappeared within the 1st postoperative month. There were no patients who complained of subjective taste dysfunction, dysgeusia, tongue sensory abnormality after UPPP.

Sodium taste threshold in children and its relationship to blood pressure

Popular science has emphasized the risks of high sodium intake and many studies have confirmed that salt intake is closely related to hypertension. The present mini-review summarizes experiments about salt taste sensitivity and its relationship with blood pressure (BP) and other variables of clinical and familial relevance. Children and adolescents from control parents (N = 72) or with at least one essential hypertensive (EHT) parent (N = 51) were investigated. Maternal questionnaires on eating habits and vomiting episodes were collected. Offspring, anthropometric, BP, and salt taste sensitivity values were recorded and blood samples analyzed. Most mothers declared that they added "little salt" when cooking. Salt taste sensitivity was inversely correlated with systolic BP (SBP) in control youngsters (r = -0.33; P = 0.015). In the EHT group, SBP values were similar to control and a lower salt taste sensitivity threshold. Obese offspring of EHT parents showed higher SBP and C-reactive protein values but no differences in renin-angiotensin-aldosterone system activity. Salt taste sensitivity was correlated with SBP only in the non-obese EHT group (N = 41; r = 0.37; P = 0.02). Salt taste sensitivity was correlated with SBP in healthy, normotensive children and adolescents whose mothers reported significant vomiting during the first trimester (N = 18; r = -0.66; P < 0.005), but not in "non-vomiter offspring" (N = 54; r = -0.18; nonsignificant). There is evidence for a linkage between high blood pressure, salt intake and sensitivity, perinatal environment and obesity, with potential physiopathological implications in humans. This relationship has not been studied comprehensively using homogeneous methods and therefore more research is needed in this field.

Salt preference: age and sex related variability.

Salt preference was assessed in 60 adults of 18-21 yrs of age (30 males and 30 females) and in 60 children of 7-12 yrs of age (30 boys and 30 girls). Subjects rated the preference on Likert scale for popcorns of five salt concentrations (OM, 1M, 2M, 3M and +3M). Statistical analysis using Two way ANOVA revealed statistically significant effect of age and sex on salt preference (F4,100 = 15.027, P < 0.01) and One Way ANOVA revealed statistically significant sex difference in salt preference of adults (F4,50 = 16.26, P < 0.01) but no statistically significant sex difference in salt preference of children (F4,50 = 4.08, P > 0.05). Dietary experiences during development and more physical activity in children may be responsible for higher salt preference in children while finding no sex variability in children favours the role of sex hormones in salt preference of male and females.

Sensibilidade gustativa ao sal, natriúria e pressão arterial em indivíduos normotensos / Salt taste threshold, 24 hour natriuresis and blood pressure variation in normotensive individuals

OBJETIVO: O estudo avalia sensibilidade gustativa ao sal, excreção urinária de sódio e pressão arterial (PA) em normotensos. A hipótese foi de que limiar de sensibilidade gustativa ao sal (LSGS) aumentado se associasse a maior natriúria em 24 horas e níveis aumentados de PA. MÉTODOS: Foram avaliados 24 voluntários sem diagnóstico de HA. Para avaliar LSGS, usou-se soluções de cloreto de sódio (NaCl) em diferentes concentrações. Os voluntários foram submetidos à monitorização ambulatorial da pressão arterial (MAPA) de 24 horas e coleta de urina de 24 horas para dosagem de sódio (NaU). Para análise, foram agrupados de acordo com o LSGS, aumentado ou normal. RESULTADOS: Os grupos não diferiram para idade, índice de massa corporal (IMC), variáveis demográficas, uso de álcool, fumo e PA. NaU foi significativamente maior no grupo com LSGS aumentado. Utilizando-se o coeficiente de correlação de Pearson, com significância determinada pelo teste t, houve correlação de forte intensidade entre médias de PA sistólica e diastólica com IMC, de regular intensidade entre LSGS e NaU, assim como para PA sistólica e NaU. CONCLUSÃO: Natriúria de 24 horas foi maior em indivíduos com LSGS aumentado, sugerindo que esta maior avidez ao sal determine maior ingestão de sódio. Houve forte associação entre PA e IMC. Não foi evidenciada associação entre LSGS e PA, diferente do já documentado em pacientes com PA aumentada. Aumentando-se o número de pessoas, faixa etária e pacientes com níveis pressóricos aumentados, talvez se respondam outras perguntas a respeito da relação entre LSGS, natriúria e PA.

OBJECTIVE: The study evaluates salt taste sensibility, urinary sodium excretion and blood pressure (BP) in normotensive persons. The hypothesis was that a higher salt taste threshold (STT) can be associated to a higher 24 hour natriuresis and increased BP levels. METHODS: Twenty four not hypertensive volunteers were selected. To evaluate STT, different concentrations of sodium chloride were used. Individuals were submitted to 24 hour ambulatory blood pressure monitoring (ABPM) and the 24 hour urine was collected for sodium dosage. Patients were divided in two groups related to higher or normal STT. RESULTS: Both groups did not differ regarding age or body mass index (BMI). There was no difference between the groups regarding demographic variables, alcohol or tobacco use, and ABPM. Twenty-four hour natriuresis was significantly higher in the group with increased STT. Using Pearson´s correlation coefficient, with the significance determined by Student-t test, there was a strong correlation between 24 hour Systolic BP and BMI, Diastolic BP and BMI, and a regular correlation between STT with 24 hour natriuresis and Systolic BP with 24 hour natriuresis. CONCLUSION: Twenty four hour natriuresis was significantly higher in individuals with higher STT, suggesting that this avidity for salt is followed by higher ingestion of sodium. There was strong association between BP and BMI. The association between STT and BP levels was not confirmed. Increasing the number of persons, the age bracket, and of hypertensive patients may lead to a better understanding of the relations between STT, natriuresis and BP variation.