Although recommended to promote safe swallowing and reduce aspiration in patients with dysphagia, modified diets may result in reduced food intake, increasing the risk of malnutrition for some patients with dysphagia.78 Available literature on the nutritional benefit of modified diets is conflicted.79,80 One study evaluated dietary intake over the course of a day in hospitalized patients older than 60 years. The authors compared intake in patients consuming a regular diet to those consuming a texture modified diet and found that patients on the modified diet had a significantly lower nutritional intake in terms of energy and protein