A comprehensive investigation of gluten free bread dough rheology, proving and baking performance and bread qualities by response surface design and principal component analysis

Contribution of methylcellulose (MC), psyllium seed husk powder (PSY), and water addition level to gluten free bread quality and correlations between dough rheological properties and bread qualities were investigated by response surface design and principal component analysis. The generalised Maxwell model was applied to estimate the relaxation frequency of gluten free doughs. The addition of PSY has a complex influence on pasting viscosity at high temperature and an additional peak was observed. MC significantly influenced dough extensibility and work of adhesion, which are good predictors of bread volume and textural properties. Other rheological responses are less significantly correlated to specific volume, but they are sensitive to formulation variations, reflect dough structures and stability, related to proving behaviours, and correlated to loaf concavity. An inappropriate combination of water and hydrocolloids might lead to problems such as low stability of doughs, overexpansion, and weak crumb structure at high water addition levels, or, in contrast, high rigidity of dough, a trap of excessive air during mixing, and restrained gas cell expansion with high hydrocolloid addition and low water addition

Cellulose fibrillation and interaction with psyllium seed husk heteroxylan

© 2020 Elsevier Ltd Fibrillated cellulose (FC) and its mixture with psyllium seed husk powder (PSY) were investigated to broaden the applications of these two materials by a novel combination. Purified cellulose was processed by a colloid mill and relatively stable suspensions were obtained. An FC suspension shows localised concentrations appearing as flocculates, which can be promoted by heating or centrifugation. The structures of unheated mixtures of FC and PSY appear to be binary phase dispersions while, after heat treatment, FC fibres were incorporated into PSY gels and form composites. Fibrillation on the FC surface does not influence the structure and rheological property of the composite mixtures while fibre disintegration contributes to a denser structure and higher moduli. Fluorescent images show the attachment of PSY heteroxylan aggregates on cellulose and fibrillated cellulose fibres. The interaction is weak and time-dependent because G’ during cooling was higher than that during heating, and declined back to the same value as the start of heating during an isothermal test at 20 °C. PSY was fractionated according to temperature and only F60 (fraction at 60 °C) clearly associates with the unfibrillated cellulose fibres, possibly via long arabinan sidechains (similar to hairy pectin) or/and backbone (via interaction with helical domains or/and conformational compatibility). The interaction was promoted by fibrillation, potentially trapping PSY heteroxylan aggregates within the cellulose dispersion. With further fibrillation, smaller FC fibres were generated and form interpenetrating particles with whole PSY or PSY fractions. Highly fibrillated cellulose has a higher surface area and smaller fibrils, which significantly increased the interaction resulting in a clumped structure

Starch replacement in gluten free bread by cellulose and fibrillated cellulose

© 2020 Elsevier Ltd This study investigated starch reduction and replacement by purified cellulose (FC0) and fibrillated cellulose (FC60) which included a comprehensive investigation on dough properties, proofing behaviours, cooking performance, and bread qualities. Replacing flour with FC0 and FC60 was found to strength the doughs without, however, altering the extension of the structural network according to the weak gel model. The relaxation time calculated by the generalised Maxwell model was found to be shorter than the deformation rate during proofing which suggests that the doughs behave like fluids during proofing. The relaxation time was less influenced by the additions of FC0 and FC60. Although the initial stage of proofing was less influenced, the later stage was significantly affected by the additions of FC0 and FC60 which increased dough rigidity and restrained the volume growth. The pasting properties were significantly influenced by the competition for water and volume between FC0/FC60 and flour. The bread qualities were characterised in terms of loaf volume and crumb properties. Loaves containing FC0 and FC60 had smaller specific volume and harder crumb. However, the addition of FC0 and FC60 is beneficial to the generation of a finer crumb structure. Fibrillation process is detrimental to maximise the addition of fibres. However, a small amount of fibrillated cellulose is beneficial to workability and crumb structure

Development of a separated-dough method and flour/starch replacement in gluten free crackers by cellulose and fibrillated cellulose

Two strategies were combined and applied in this study to achieve a desired structure and texture of gluten free crackers and to reduce the calorie content. The first strategy is increasing structural heterogeneity of crackers and doughs and a separated-dough method was developed. A butter dough and a water dough were prepared separately and mixed together and the influence of mixing time was investigated. In the second strategy, which is the incorporation of a structuring material, powdered cellulose and fibrillated cellulose were incorporated in formulation to replace flour and pregelatinised starch with enhanced health benefits of low calorie and high fibre. Powdered cellulose played the role of the skeleton of the gluten free crackers. A laminar structure was observed in crackers when powdered cellulose was initially added to the butter dough. The crackers exhibit high thickness, hardness and fracturability and sharp sound emission which are typically observed in wheat crackers. Pregelatinised starch can be replaced by fibrillated cellulose at a lower addition level

Temperature fractionation, physicochemical and rheological analysis of psyllium seed husk heteroxylan

© 2020 Elsevier Ltd Psyllium husk is a source of natural dietary fibre with marked water absorbability and gelling properties, which makes it an attractive functional ingredient for applications in the food industry, such as gluten free bread and breakfast cereals. The main functional component of psyllium husk is a complex branched heteroxylan. In this study, a straightforward sequential fractionation of hydrated psyllium seed husk powder based on temperature-dependent behaviours was applied. The F20 (20 °C fraction) showed the highest yield followed by F60 while 13.5% of the husk is unextractable (residue). The obtained fractions showed unique rheological properties as analysed using small amplitude oscillatory shear rheometry and the time-temperature superposition (TTS) technique. The results indicate that: 1) only F20 was influenced by heat treatment, 2) high temperature fractions showed stronger gel properties, 3) a three-step softening/melting was observed, 4) F60 has longest relaxation time as shown in TTS master curves. The four fractions were also characterised using the monosaccharide analysis, FTIR and 13C NMR. The arabinose/xylose ratio was found to increase with the increase in fractionation temperature. FTIR and 13C NMR spectra supported that low temperature fraction is less branched. Two hypotheses were therefore proposed: The first one based on models by Haque, Richardson, Morris, and Dea (1993) and Yu et al. (2019) focusing on chemical and structural properties of the molecules. The second hypothesis highlights differences in hierarchical molecular conformations of polysaccharides which is proposed by Diener et al. (2019). Sidechain substitution and composition and length of sidechains are critical and significantly influence the properties of each fraction

Sudden cardiac death in childhood RASopathy-associated hypertrophic cardiomyopathy: Validation of the HCM risk-kids model and predictors of events

Background: RASopathies account for nearly 20% of cases of childhood hypertrophic cardiomyopathy (HCM). Sudden cardiac death (SCD) occurs in patients with RASopathy-associated HCM, but the risk factors for SCD have not been systematically evaluated. Aim: To validate the HCM Risk-Kids SCD risk prediction model in children with RASopathy-associated HCM and investigate potential specific SCD predictors in this population. Methods: Validation of HCM Risk-Kids was performed in a retrospective cohort of 169 patients with a RASopathy-associated HCM from 15 international paediatric cardiology centres. Multiple imputation by chained equations was used for missing values related to the HCM Risk-Kids parameters. Results: Eleven patients (6.5%) experienced a SCD or equivalent event at a median age of 12.5 months (IQR 7.7–28.64). The calculated SCD/equivalent event incidence was 0.78 (95% CI 0.43–1.41) per 100 patient years. Six patients (54.54%) with an event were in the low-risk category according to the HCM Risk-Kids model. Harrell's C index was 0.60, with a sensitivity of 9.09%, specificity of 63.92%, positive predictive value of 1.72%, and negative predictive value of 91%; with a poor distinction between the different risk groups. Unexplained syncope (HR 42.17, 95% CI 10.49–169.56, p < 0.001) and non-sustained ventricular tachycardia (HR 5.48, 95% CI 1.58–19.03, p < 0.007) were predictors of SCD on univariate analysis. Conclusion: Unexplained syncope and the presence of NSVT emerge as predictors for SCD in children with RASopathy-associated HCM. The HCM Risk-Kids model may not be appropriate to use in this population, but larger multicentre collaborative studies are required to investigate this further

Clinical Features and Natural History of Preadolescent Nonsyndromic Hypertrophic Cardiomyopathy

BACKGROUND Up to one-half of childhood sarcomeric hypertrophic cardiomyopathy (HCM) presents before the age of 12 years, but this patient group has not been systematically characterized. OBJECTIVES The aim of this study was to describe the clinical presentation and natural history of patients presenting with nonsyndromic HCM before the age of 12 years. METHODS Data from the International Paediatric Hypertrophic Cardiomyopathy Consortium on 639 children diagnosed with HCM younger than 12 years were collected and compared with those from 568 children diagnosed between 12 and 16 years. RESULTS At baseline, 339 patients (53.6%) had family histories of HCM, 132 (20.9%) had heart failure symptoms, and 250 (39.2%) were prescribed cardiac medications. The median maximal left ventricular wall thickness z-score was 8.7 (IQR: 5.3-14.4), and 145 patients (27.2%) had left ventricular outflow tract obstruction. Over a median follow-up period of 5.6 years (IQR: 2.3-10.0 years), 42 patients (6.6%) died, 21 (3.3%) underwent cardiac transplantation, and 69 (10.8%) had life-threatening arrhythmic events. Compared with those presenting after 12 years, a higher proportion of younger patients underwent myectomy (10.5% vs 7.2%; P = 0.045), but fewer received primary prevention implantable cardioverter-defibrillators (18.9% vs 30.1%; P = 0.041). The incidence of mortality or life-threatening arrhythmic events did not differ, but events occurred at a younger age. CONCLUSIONS Early-onset childhood HCM is associated with a comparable symptom burden and cardiac phenotype as in patients presenting later in childhood. Long-term outcomes including mortality did not differ by age of presentation, but patients presenting at younger than 12 years experienced adverse events at younger ages. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.Peer reviewe

Relationship Between Maximal Left Ventricular Wall Thickness and Sudden Cardiac Death in Childhood Onset Hypertrophic Cardiomyopathy

Background: Maximal left ventricular wall thickness (MLVWT) is a risk factor for sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HCM). In adults, the severity of left ventricular hypertrophy has a nonlinear relationship with SCD, but it is not known whether the same complex relationship is seen in childhood. The aim of this study was to describe the relationship between left ventricular hypertrophy and SCD risk in a large international pediatric HCM cohort. Methods: The study cohort comprised 1075 children (mean age, 10.2 years [+/- 4.4]) diagnosed with HCM (1-16 years) from the International Paediatric Hypertrophic Cardiomyopathy Consortium. Anonymized, noninvasive clinical data were collected from baseline evaluation and follow-up, and 5-year estimated SCD risk was calculated (HCM Risk-Kids). Results: MLVWT Z score was = 10 to = 20 in 143 (13.3%). Higher MLVWT Z scores were associated with heart failure symptoms, unexplained syncope, left ventricular outflow tract obstruction, left atrial dilatation, and nonsustained ventricular tachycardia. One hundred twenty-two patients (71.3%) with MLVWT Z score >= 20 had coexisting risk factors for SCD. Over a median follow-up of 4.9 years (interquartile range, 2.3-9.3), 115 (10.7%) had an SCD event. Freedom from SCD event at 5 years for those with MLVWT Z scores = 10 to = 20 was 95.6%, 87.4%, and 86.0, respectively. The estimated SCD risk at 5 years had a nonlinear, inverted U-shaped relationship with MLVWT Z score, peaking at Z score +23. The presence of coexisting risk factors had a summative effect on risk. Conclusions: In children with HCM, an inverted U-shaped relationship exists between left ventricular hypertrophy and estimated SCD risk. The presence of additional risk factors has a summative effect on risk. While MLVWT is important for risk stratification, it should not be used either as a binary variable or in isolation to guide implantable cardioverter defibrillator implantation decisions in children with HCM.Peer reviewe