Owing to the dysfunction of chewing and swallowing, the elderly often face inadequate food intake, which can lead to severe malnutrition. It is particularly important to ensure that they have access to sufficient and nutritionally balanced diets. This study aimed to design a nutrient-rich dietary compound for the elderly, utilizing rice, black rice, oatmeal rice and silver carp surimi, focusing on a balance of carbohydrates and proteins. The effects of different water-to-grain ratios (2.0, 2.5, 3.0, 3.5 times, w/w) on the rheological properties, textural properties, microstructure and sensory evaluation of nutritional compound diets were investigated. Additionally, swallowing grades were classified according to the International Dysphagia Diet Standardisation Initiative (IDDSI). Rheological tests showed that the apparent viscosity, storage modulus (G′) and loss modulus (G″) of the nutrient compound diets decreased as the water-to-grain ratio increased, which was further explained by textural and micro-structural analyses. Three-stage recovery experiments showed that the recovery rate of the compound with a 2.0:1 water-to-grain ratio (Ink-A) was the lowest, at 61.31 ± 1.79%. The recovery rate significantly increased (p < 0.05) with higher water addition. According to the IDDSI framework, compounds with water-to-grain ratios of 3.0:1 (Ink-C) and 3.5:1 (Ink-D) were classified as "potential transitional" foods with their texture and taste aligning more closely with consumer expectations, and 3D printing shows that 3.0:1 (Ink-C) has adequate supporting capacity.
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