Taste function in children: normative values and associated factors.


Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
10 2022
Historique:
received: 09 08 2021
accepted: 10 12 2021
revised: 23 11 2021
pubmed: 30 12 2021
medline: 26 10 2022
entrez: 29 12 2021
Statut: ppublish

Résumé

Although less frequent than in adults, taste loss also occurs in childhood. "Taste Strips" are frequently used for diagnosing taste dysfunction; however, normative values are lacking for children. In this study, we will create normative values for the "Taste Strips" in children. This cross-sectional study included 609 children aged 6-15 years. "Taste Strips" were used to determine sweet, sour, salty, and bitter taste scores by a non-forced procedure. The 10th percentile was used to distinguish normal taste function from a reduced sense of taste. Multivariable generalized linear models (GLM) were estimated to study the effect of age (group), sex, and 6-n-propylthiouracil (PROP) status on taste function. Taste function changed with age, allowing for a distinction of three age groups: (I) 6-7 years, (II) 8-9 years, and (III) 10-15 years. Normative values were created for the age groups and boys and girls separately. Additionally, GLM showed a significant effect of (1) age (group) on sweet, salty, bitter, and total taste scores; (2) sex on sweet, sour, and total taste scores; and (3) PROP status on total taste scores. This study provided normative values for the "Taste Strips" in children, highlighting age- and sex-related differences. Taste dysfunction can be harmful and impacts quality of life, a topic that became increasingly important since the COVID-19 pandemic. Although taste dysfunction is thought to be rare in childhood, the detrimental impact of such dysfunction might be large, as children's eating habits are strongly influenced by input from the chemical senses. Measuring taste function may elucidate the relationship between taste dysfunction and disease, fostering the development of more appropriate supportive strategies. However, adequate tools are lacking for children. Normative values of the "Taste Strips" are now available for children, which bolster the clinical utility of this test.

Sections du résumé

BACKGROUND
Although less frequent than in adults, taste loss also occurs in childhood. "Taste Strips" are frequently used for diagnosing taste dysfunction; however, normative values are lacking for children. In this study, we will create normative values for the "Taste Strips" in children.
METHODS
This cross-sectional study included 609 children aged 6-15 years. "Taste Strips" were used to determine sweet, sour, salty, and bitter taste scores by a non-forced procedure. The 10th percentile was used to distinguish normal taste function from a reduced sense of taste. Multivariable generalized linear models (GLM) were estimated to study the effect of age (group), sex, and 6-n-propylthiouracil (PROP) status on taste function.
RESULTS
Taste function changed with age, allowing for a distinction of three age groups: (I) 6-7 years, (II) 8-9 years, and (III) 10-15 years. Normative values were created for the age groups and boys and girls separately. Additionally, GLM showed a significant effect of (1) age (group) on sweet, salty, bitter, and total taste scores; (2) sex on sweet, sour, and total taste scores; and (3) PROP status on total taste scores.
CONCLUSIONS
This study provided normative values for the "Taste Strips" in children, highlighting age- and sex-related differences.
IMPACT
Taste dysfunction can be harmful and impacts quality of life, a topic that became increasingly important since the COVID-19 pandemic. Although taste dysfunction is thought to be rare in childhood, the detrimental impact of such dysfunction might be large, as children's eating habits are strongly influenced by input from the chemical senses. Measuring taste function may elucidate the relationship between taste dysfunction and disease, fostering the development of more appropriate supportive strategies. However, adequate tools are lacking for children. Normative values of the "Taste Strips" are now available for children, which bolster the clinical utility of this test.

Identifiants

pubmed: 34963699
doi: 10.1038/s41390-021-01920-w
pii: 10.1038/s41390-021-01920-w
pmc: PMC8713146
doi:

Substances chimiques

Propylthiouracil 721M9407IY

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1175-1180

Informations de copyright

© 2021. The Author(s).

Références

Doty, R. L. Age-related deficits in taste and smell. Otolaryngol. Clin. North Am. 51, 815–825 (2018).
doi: 10.1016/j.otc.2018.03.014
Skolin, I. et al. Altered food intake and taste perception in children with cancer after start of chemotherapy: perspectives of children, parents and nurses. Support Care Cancer 14, 369–378 (2006).
doi: 10.1007/s00520-005-0904-6
van den Brink, M. et al. Smell and taste function in childhood cancer patients: a feasibility study. Support Care Cancer 29, 1619–1628 (2021).
doi: 10.1007/s00520-020-05650-3
Mameli, C. et al. Associations among taste perception, food neophobia and preferences in type 1 diabetes children and adolescents: a cross-sectional study. Nutrients 11, 3052 (2019).
doi: 10.3390/nu11123052
Correa, M. et al. Reduced taste function and taste papillae density in children with chronic kidney disease. Pediatr. Nephrol. 30, 2003–2010 (2015).
doi: 10.1007/s00467-015-3131-5
Obrebowski, A., Obrebowska-Karsznia, Z. & Gawlinski, M. Smell and taste in children with simple obesity. Int. J. Pediatr. Otorhinolaryngol. 55, 191–196 (2000).
doi: 10.1016/S0165-5876(00)00397-9
van den Brink, M., IJpma, I., Tissing, W. J. E. & Havermans, R. C. Taste dysfunction in children-a clinical perspective and review of assessment methods. Chem. Senses 46, bjab035 (2021).
Doty, R. L. Epidemiology of smell and taste dysfunction. Handb. Clin. Neurol. 164, 3–13 (2019).
doi: 10.1016/B978-0-444-63855-7.00001-0
Deems, D. A. et al. Smell and taste disorders, a study of 750 patients from the University of Pennsylvania Smell and Taste Center. Arch. Otolaryngol. Head Neck Surg. 117, 519–528 (1991).
doi: 10.1001/archotol.1991.01870170065015
Mueller, C. et al. Quantitative assessment of gustatory function in a clinical context using impregnated “Taste Strips”. Rhinology 41, 2–6 (2003).
pubmed: 12677732
Overberg, J., Hummel, T., Krude, H. & Wiegand, S. Differences in taste sensitivity between obese and non-obese children and adolescents. Arch. Dis. Child. 97, 1048–1052 (2012).
doi: 10.1136/archdischild-2011-301189
Sauer, H. et al. Changes in gustatory function and taste preference following weight loss. J. Pediatr. 182, 120–126 (2017).
doi: 10.1016/j.jpeds.2016.11.055
Hill, C. A., Beach, M., Smith, M. C. & Chen, E. Y. Incidence of and factors associated with hypogeusia in healthy children. JAMA Otolaryngol. Head Neck Surg. 142, 229–233 (2016).
doi: 10.1001/jamaoto.2015.3266
Landis, B. N. et al. “Taste Strips” - a rapid, lateralized, gustatory bedside identification test based on impregnated filter papers. J. Neurol. 256, 242–248 (2009).
doi: 10.1007/s00415-009-0088-y
De Graaf, C. & Zandstra, E. H. Sweetness intensity and pleasantness in children, adolescents, and adults. Physiol. Behav. 67, 513–520 (1999).
doi: 10.1016/S0031-9384(99)00090-6
Anliker, J. A., Bartoshuk, L., Ferris, A. M. & Hooks, L. D. Children’s food preferences and genetic sensitivity to the bitter taste of 6-N-propylthiouracil (Prop). Am. J. Clin. Nutr. 54, 316–320 (1991).
doi: 10.1093/ajcn/54.2.316
Visser, J., Kroeze, J. H., Kamps, W. A. & Bijleveld, C. M. Testing taste sensitivity and aversion in very young children: development of a procedure. Appetite 34, 169–176 (2000).
doi: 10.1006/appe.1999.0306
Vennerød, F. F. F., Hersleth, M., Nicklaus, S. & Almli, V. L. The Magic Water Test. An affective paired comparison approach to evaluate taste sensitivity in pre-schoolers. Food Qual. Preference 58, 61–70 (2017).
doi: 10.1016/j.foodqual.2017.01.003
Majorana, A. et al. Development and validation of a taste sensitivity test in a group of healthy children. Eur. J. Paediatr. Dent. 13, 147–150 (2012).
pubmed: 22762179
James, C. E., Laing, D. G. & Oram, N. A comparison of the ability of 8-9-year-old children and adults to detect taste stimuli. Physiol. Behav. 62, 193–197 (1997).
doi: 10.1016/S0031-9384(97)00030-9
Hayes, J. E., Bartoshuk, L. M., Kidd, J. R. & Duffy, V. B. Supertasting and Prop bitterness depends on more than the Tas2r38 gene. Chem. Senses 33, 255–265 (2008).
doi: 10.1093/chemse/bjm084
Bajec, M. R. & Pickering, G. J. Thermal taste, Prop responsiveness, and perception of oral sensations. Physiol. Behav. 95, 581–590 (2008).
doi: 10.1016/j.physbeh.2008.08.009
Keller, K. L., Steinmann, L., Nurse, R. J. & Tepper, B. J. Genetic taste sensitivity to 6-N-propylthiouracil influences food preference and reported intake in preschool children. Appetite 38, 3–12 (2002).
doi: 10.1006/appe.2001.0441
Steiner, J. E., Glaser, D., Hawilo, M. E. & Berridge, K. C. Comparative expression of hedonic impact: affective reactions to taste by human infants and other primates. Neurosci. Biobehav. Rev. 25, 53–74 (2001).
doi: 10.1016/S0149-7634(00)00051-8
Correa, M., Hutchinson, I., Laing, D. G. & Jinks, A. L. Changes in fungiform papillae density during development in humans. Chem. Senses 38, 519–527 (2013).
doi: 10.1093/chemse/bjt022
Webb, J., Bolhuis, D. P., Cicerale, S., Hayes, J. E. & Keast, R. The relationships between common measurements of taste function. Chemosens. Percept. 8, 11–18 (2015).
doi: 10.1007/s12078-015-9183-x
Soter, A. et al. Accuracy of self-report in detecting taste dysfunction. Laryngoscope 118, 611–617 (2008).
doi: 10.1097/MLG.0b013e318161e53a
Doty, R. L. Psychophysical testing of smell and taste function. Handb. Clin. Neurol. 164, 229–246 (2019).
doi: 10.1016/B978-0-444-63855-7.00015-0
Doty, R. L., Shaman, P. & Dann, M. Development of the University of Pennsylvania Smell Identification Test: a standardized microencapsulated test of olfactory function. Physiol. Behav. 32, 489–502 (1984).
doi: 10.1016/0031-9384(84)90269-5
Kobal, G. et al. Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur. Arch. Otorhinolaryngol. 257, 205–211 (2000).
doi: 10.1007/s004050050223
Gellrich, J. et al. Normative data for olfactory threshold and odor identification in children and adolescents. Int. J. Pediatr. Otorhinolaryngol. 123, 5–9 (2019).
doi: 10.1016/j.ijporl.2019.01.009

Auteurs

Mirjam van den Brink (M)

Laboratory of Behavioural Gastronomy, Centre for Healthy Eating and Food Innovation, Maastricht University Campus Venlo, Venlo, the Netherlands. M.vandenBrink-9@prinsesmaximacentrum.nl.
Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands. M.vandenBrink-9@prinsesmaximacentrum.nl.

Irene IJpma (I)

Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.

Marta Fiocco (M)

Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Mathematical Institute, Leiden University, Leiden, the Netherlands.
Medical Statistics, Department of Biomedical Data Science, Leiden University Medical Center, Leiden, the Netherlands.

Wim J E Tissing (WJE)

Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Department of Pediatric Oncology and Hematology, University of Groningen, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, the Netherlands.

Remco C Havermans (RC)

Laboratory of Behavioural Gastronomy, Centre for Healthy Eating and Food Innovation, Maastricht University Campus Venlo, Venlo, the Netherlands.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH