Abstract
To understand disordered physiology, it is first necessary to determine what constitutes normal function. Liquid sip size during swallowing in healthy individuals has been investigated with varied results. Bolus size is a variable that is manipulated in both research studies and clinical swallowing assessments, so defining normal sip size has relevance in both domains. This study looked at sip size under instruction in experimental tasks and compared it to sip size in free drinking while participants were unaware that drinking was being observed. A statistically significant difference was found in water sip volume between natural drinking (mean = 16 ml) and instructed experimental drinking tasks (mean = 6.6–6.8 ml). This difference far exceeded the magnitude of sip-size variation observed between instructed drinking tasks using different stimuli and as a function of participant’s gender or age group.

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Acknowledgments
This research was supported by funding from the Canadian Institutes of Health Research (grants IAO-69521 and MOP-644200) and the Toronto Rehabilitation Institute, and, in part, from the Canada Research Chairs Program. Equipment and space have been funded with grants from the Canada Foundation for Innovation and the Province of Ontario. The authors acknowledge the support of Toronto Rehabilitation Institute which receives funding under the Provincial Rehabilitation Research Program from the Ministry of Health and Long-term Care in Ontario. The views expressed do not necessarily reflect those of the ministry. In addition, the authors gratefully acknowledge the assistance of Aravind Namasivayam, Mitsuko Takeuchi, and Heidi Diepstra with data collection and analysis.
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Bennett, J.W., Van Lieshout, P.H.H.M., Pelletier, C.A. et al. Sip-Sizing Behaviors in Natural Drinking Conditions Compared to Instructed Experimental Conditions. Dysphagia 24, 152–158 (2009). https://doi.org/10.1007/s00455-008-9183-y
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DOI: https://doi.org/10.1007/s00455-008-9183-y