[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-512884-105":59,"doc-detail-512884-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","common-ground-between-ndd-and-iddsi-exploring-iddsi-and-comparing-levels","Common Ground between NDD and IDDSI - Exploring IDDSI and Comparing Levels","","The document explains how the National Dysphagia Diet (NDD) was replaced by the International Dysphagia Diet Standardisation Initiative (IDDSI) framework, focusing on development of IDDSI and identification of diet levels. It contrasts NDD’s generalized, subjective approach with IDDSI’s standardized, objective measures for modified foods and liquids. The comparison details how NDD drink and food labels map to IDDSI levels 0–7, including the use of IDDSI descriptors and testing methods to support safety, education, accurate identification, and improved communication.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/common-ground-between-ndd-and-iddsi-exploring-iddsi-and-comparing-levels/512884/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/common-ground-between-ndd-and-iddsi-exploring-iddsi-and-comparing-levels/512884.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-10-06",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the relationship between NDD and IDDSI?","Question",{"text":112,"@type":113},"The National Dysphagia Diet (NDD) of 2002 was replaced by the IDDSI framework. Both aim to standardize texture-modified foods and liquids for people with dysphagia.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does IDDSI differ from NDD in how it defines diet levels?",{"text":117,"@type":113},"NDD uses generalized, subjective, and less clearly defined descriptions, while IDDSI uses specific, objective measures and standardized testing methods to evaluate modified food and liquid consistencies.",{"name":119,"@type":110,"acceptedAnswer":120},"How do NDD levels map to IDDSI levels for food and drink?",{"text":121,"@type":113},"The document describes transitions where NDD drink labels can move to IDDSI labels and it provides specific examples for foods, such as NDD Level 1 Pureed mapping to IDDSI Pureed (Level 4), and other mappings across levels 2–3 to IDDSI Levels 5–7.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},512884,1792671284,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Common Ground between NDD and IDDSI  \nThe National Dysphagia Diet (NDD) of 2002 was replaced with the International Dysphagia Diet Standardisation Initiative (IDDSI) Framework. This document explores the development of the IDDSI framework and the identification of diet levels. IDDSI is the only professionally recognized and supported diet framework as of October 2021.  \nComparing the NDD to the IDDSI Framework  \n\n| NDD IDDSI Framework |  |\n| --- | --- |\n| Generalized, subjective, undefined, outdated | Specific, objective measures of food/liquid |\n| Limited evaluation tools for modified food and liquid consistencies | Standardized testing methods and tools for\u003Cbr>evaluation of modified food and liquid consistencies |\n\n1. Both NDD and IDDSI are based on modifying food and drink textures for people with chewing and/or swallowing difficulties (i.e., dysphagia) .  \n2. The intention of the NDD was simply to begin the idea of standardization, while pushing for evolution/revisions pending new research and best practice. A systematic review (Steele et al., 2015,  \nDysphagia, 30(1): 2-26) found an urgent need to develop a global standardized terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia of all ages, in all care settings, and all cultures.  \n3. NDD and IDDSI have some similar content, but the final IDDSI framework consists of 8 more clearly defined levels (0-7) of drinks through foods. Drinks and foods are tested using IDDSI Testing Methods.  \n4. The NDD labels for drinks easily transition to the IDDSI labels. IDDSI created clearer labels and added more descriptions to the diet levels to assure drink/liquid and food safety. This labeling system has been shown to facilitate education, allow accurate identification, and improve communication.  \n5. IDDSI identifies all Levels with the 3 descriptors. For example: Thin Liquid, Level 0, White  \n3 Descriptors to Identify IDDSI Levels:  \nLabel, Number, Color  \nComparing NDD Labels to the IDDSI Drink Levels  \nComparing the NDD Labels to the IDDSI Food Levels NDD, Level 1 Pureed → IDDSI, Pureed, Level 4  \n• The name and texture definition for puree in both NDD and IDDSI are similar.  \n• IDDSI lists additional descriptions and provides Testing Methods such as the Spoon Tilt Test to ensure safety of a pureed food product.  \nNDD, Level 2 Mechanically Altered → IDDSI, Minced & Moist, Level 5  \n• The NDD name of “Mechanically Altered” was vague and hard to interpret and the NDD description stated: “moist,”“minced,” “cohesive,” and “easily mashed.”  \n• The IDDSI label of “Minced & Moist” is what NDD intended, but this IDDSI label is more descriptive and specific of how kitchens should prepare and serve foods.  \n• IDDSI provides Testing Methods for exact sizes of food pieces consistent with a safe swallow based on research in children and adults. Added moisture is a must to make this level moist, cohesive, and not crumbly!  \nNDD, Level 3 Dysphagia Advanced → IDDSI, Soft & Bite Sized, Level 6  \n• The NDD description stated,“bite-sized,” “soft,\" “moist,\" and “not sticky. \" However, bite size guidelines were larger than the typical diameter of an airway and did not reduce choking risks.  \n• The IDDSI label of “Soft & Bite Sized” is more descriptive and specific.  \n• The IDDSI Testing Methods are based on the diameter of the average child and adult trachea for improved safety and reduced choking risks.  \nOR  \nNDD, Level 3 Dysphagia Advanced → IDDSI, Easy to Chew, Level 7  \n• IDDSI’s Easy to Chew, Level 7 is a sub-level of Regular, Level 7. Softer foods provided on the Easy to Chew, Level 7 may align to NDD Level 3 or with your facility’s least restrictive texture modified diet.  \n• This level has no particle size restrictions, so it does not reduce choking risks like Soft & Bite-Sized, Level 6. The safety and suitability of breads & mixed consistencies is assessed on an individual basis.  \nFor information on how to implement IDDSI in ","cbCaispNlsOD47Bw","https://ap.wps.com/l/cbCaispNlsOD47Bw","pdf",432408,"English","# Comparing the NDD to the IDDSI Framework\n## Core purpose and standardization goals\n## Differences in measurement and evaluation tools\n## Mapping NDD labels to IDDSI drink and food levels\n## Implementation guidance and transition resources","[{\"question\":\"What is the relationship between NDD and IDDSI?\",\"answer\":\"The National Dysphagia Diet (NDD) of 2002 was replaced by the IDDSI framework. Both aim to standardize texture-modified foods and liquids for people with dysphagia.\"},{\"question\":\"How does IDDSI differ from NDD in how it defines diet levels?\",\"answer\":\"NDD uses generalized, subjective, and less clearly defined descriptions, while IDDSI uses specific, objective measures and standardized testing methods to evaluate modified food and liquid consistencies.\"},{\"question\":\"How do NDD levels map to IDDSI levels for food and drink?\",\"answer\":\"The document describes transitions where NDD drink labels can move to IDDSI labels and it provides specific examples for foods, such as NDD Level 1 Pureed mapping to IDDSI Pureed (Level 4), and other mappings across levels 2–3 to IDDSI Levels 5–7.\"}]","Common Ground between NDD and IDDSI - Exploring IDDSI and Comparing Levels | PDF",1791277202]