Minced And Moist Diet

Have you ever wondered about the different levels of food consistency? If so, you’re in luck! In this article, we will walk you through the IDDSI (International Dysphagia Diet Standardisation Initiative) levels 3 to 7, each with its unique characteristics and testing methods. Whether you’re a beginner or just looking to expand your knowledge, we’ve got you covered. So, let’s dig in and uncover the secrets behind each level.

Minced And Moist Diet
Minced And Moist Diet

IDDSI Level 3: Smooth and Liquid

At level 3, the consistency should be smooth and free from any lumps, bits, skin, pips, or seeds. To test this, simply take a fork and run it over the top of the product. If it doesn’t leave a clear indent and the liquid disperses back on itself, you’re on the right track. However, keep in mind that when you try to pick it up with a fork, the liquid will drip through the prongs. Another test involves using a small disposable teaspoon. If it stands upright in the bowl and the liquid has some viscosity, you’re good to go. Just remember, at this level, plating the food might cause it to collapse, so avoid piping, layering, molding, or shaping.

IDDSI Level 4: Smooth Puree

Level 4 is all about achieving a completely smooth texture. Unlike level 3, when you run a fork over the top, it should leave a clear indent in the product. And when you pick it up and eat it with a fork, it should stay on the fork, with perhaps a slight overhang on the bottom. Another way to test this level is by using a teaspoon. Load the product onto the spoon and give it a gentle flick. If all the product falls off and the spoon is not sticky, you’ve nailed it. The exciting part about level 4 is that it stands up on a plate, allowing you to be more creative with piping, layering, molding, and shaping.

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IDDSI Level 5: Minced and Moist

Now, let’s move on to level 5, where we enter the world of minced and moist textures. To test if your food fits this level, use a fork. The prongs of a fork should be four millimeters apart, and each piece of food should be small enough to pass through one prong to the other. A simple plate test with the fork will help you ensure that all the particles pass through. Alternatively, you can test level 5 with a teaspoon. Load the spoon and give it a gentle flick. There might be a slight residue on the spoon, but that’s perfectly fine. When you put it onto a plate, it should stand up, giving you the freedom to pipe, layer, mold, and shape to your heart’s content.

IDDSI Level 6: Soft and Bite-Sized

Level 6 introduces the concept of soft and bite-sized textures. Here, we’re looking for particles that are around one and a half centimeters cubed in size. You can easily crush this texture with a fork, especially when it comes to dishes like stews and casseroles. To test this level, apply a simple pressure test using a fork. Push down on the particle of food with your thumb, and your nails should blanch slightly white. If it breaks down and stays down, you’ve mastered level 6, and you’re well-prepared to create soft and bite-sized dishes.

IDDSI Level 7: Easy to Chew

Level 7 is all about foods that are easy to chew, which includes normal everyday foods that are soft and age-appropriate. Avoid hard, crunchy, sticky foods, as well as those with pips, seeds, bone, or gristle. To test this level, simply use a fork and try cutting through the food. It should break up easily without much effort. This level is perfect for satisfying your cravings while ensuring a pleasant and safe dining experience.


Texture modification for dysphagia can be a challenging task, but by following the IDDSI standards, you can ensure that your food meets the appropriate consistency for individuals with swallowing difficulties. Remember, each level has its own unique characteristics and testing methods. So whether you’re aiming for a smooth and liquid consistency at level 3 or looking to create soft and bite-sized dishes at level 6, pay attention to detail and enjoy the process.

For more information and helpful resources on dysphagia and food consistency, be sure to check out svgphon.com. We’re here to support you on your culinary journey and help you provide the best dining experience for your loved ones or residents.

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