The early impact of feeding on infant breathing-swallowing coordination

Respir Physiol Neurobiol. 2007 May 14;156(2):147-53. doi: 10.1016/j.resp.2006.09.007. Epub 2006 Oct 7.

Abstract

This longitudinal study assessed the coordination of nutritive and non-nutritive swallowing with breathing in 10 healthy term infants from birth to 1 year of age. Swallows were classified into five respiratory-phase categories: mid-inspiration (II), mid-expiration (EE), inspiratory-expiratory cusp (IE), expiratory-inspiratory cusp (EI), and mid-pause (P). Breathing-swallowing coordination differed markedly between the two swallowing conditions, especially between 2 weeks and 2 months. Significant condition effects were found in up to four respiratory-phase categories (II, IE, EI, and P). The condition effect was minimal from 9 months with only IE swallow proportions differing between conditions. These data suggest a 'critical period' in infantile neural response to oropharyngeal stimulation during feeding and that the impact of this on infants with neurological and/or respiratory disorders should be further investigated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological
  • Age Factors
  • Analysis of Variance
  • Child Development / physiology*
  • Deglutition / physiology*
  • Feeding Behavior / physiology
  • Female
  • Humans
  • Infant
  • Infant, Newborn / physiology*
  • Longitudinal Studies
  • Male
  • Periodicity
  • Reference Values
  • Respiratory Mechanics / physiology*
  • Sucking Behavior / physiology*