When Breathing Interferes with Cognition: Experimental Inspiratory Loading Alters Timed Up-and-Go Test in Normal Humans

PLoS One. 2016 Mar 15;11(3):e0151625. doi: 10.1371/journal.pone.0151625. eCollection 2016.

Abstract

Human breathing stems from automatic brainstem neural processes. It can also be operated by cortico-subcortical networks, especially when breathing becomes uncomfortable because of external or internal inspiratory loads. How the "irruption of breathing into consciousness" interacts with cognition remains unclear, but a case report in a patient with defective automatic breathing (Ondine's curse syndrome) has shown that there was a cognitive cost of breathing when the respiratory cortical networks were engaged. In a pilot study of putative breathing-cognition interactions, the present study relied on a randomized design to test the hypothesis that experimentally loaded breathing in 28 young healthy subjects would have a negative impact on cognition as tested by "timed up-and-go" test (TUG) and its imagery version (iTUG). Progressive inspiratory threshold loading resulted in slower TUG and iTUG performance. Participants consistently imagined themselves faster than they actually were. However, progressive inspiratory loading slowed iTUG more than TUG, a finding that is unexpected with regard to the known effects of dual tasking on TUG and iTUG (slower TUG but stable iTUG). Insofar as the cortical networks engaged in response to inspiratory loading are also activated during complex locomotor tasks requiring cognitive inputs, we infer that competition for cortical resources may account for the breathing-cognition interference that is evidenced here.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Airway Obstruction / physiopathology
  • Cognition / physiology*
  • Cognition Disorders / etiology*
  • Cognition Disorders / physiopathology
  • Dyspnea / physiopathology
  • Female
  • Gait / physiology
  • Humans
  • Imagination / physiology
  • Inhalation / physiology*
  • Male
  • Motion Perception / physiology
  • Pilot Projects
  • Psychomotor Performance / physiology*
  • Random Allocation
  • Reaction Time / physiology
  • Reference Values
  • Respiration*
  • Respiratory Center / physiology
  • Self Concept
  • Stress, Mechanical
  • Time Perception / physiology
  • Volition
  • Young Adult

Grants and funding

This work was supported by the program "Investissement d'Avenir ANR-10-AIHU 06" of the French Government, and the Association pour le Développement et l'Organisation de la Recherche en Pneumologie et sur le Sommeil (ADOREPS), Paris, France. Suela Demiri was the recipient of a research scholarship granted by the Centre d'Assistance Respiratoire à Domicile d'Ile-de-France (CARDIF), Fontenay-aux-Roses, France. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.