ArticleBMJ open respiratory research2017
Breathing-swallowing discoordination is associated with frequent exacerbations of COPD.
Article in BMJ open respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Interferential current stimulation during dental facial treatment improves masticatory function.Scientific reports · 2026Trial
- Effects of high flow nasal cannula on the coordination between swallowing and breathing in postextubation patients, a randomized crossover study.Critical care (London, England) · 2021Trial
- Respiratory-swallowing Measures and the Impact of Bolus Hold in Individuals with Parkinson's Disease.Dysphagia · 2026Article
- Modeling synaptic interactions between mammalian breathing and swallowing central pattern generators.Biological cybernetics · 2026Article
- Association Between Computed-Tomography-Derived Erector Spinae Muscle Characteristics and Swallowing Outcomes in Older Patients with Pneumonia.Healthcare (Basel, Switzerland) · 2026Article
- The association between dysphagia and the risk of acute exacerbation of COPD: a systematic review and meta-analysis.ERJ open research · 2026Article
- Accuracy of Balloons and Handheld Spirometers as Low-Cost Tools for Measuring Vital Capacity and Air Volume: A Laboratory-Based Validation Study.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026Article
- Expiratory Muscle Strength Training in COPD Dysphagia Management: A Survey of Speech-Language Pathologists.Journal of clinical medicine · 2026Article
- Development and Validation of an Explainable Machine Learning Model for Identification of Dysphagia in Patients with COPD.International journal of chronic obstructive pulmonary disease · 2026Article
- Cost effectiveness of a novel swallowing and respiratory sensation assessment and a modelled intervention to reduce acute exacerbations of COPD.BMC pulmonary medicine · 2025Article
- Efficacy and Safety of "Vacuum Swallowing" Based on a Strong Negative Esophageal Pressure in Healthy Individuals.Dysphagia · 2025Article
- Mastering Vacuum Swallowing to Improve Pharyngeal Bolus Passage by Creating Negative Pressure in the Esophagus: A Case Report of Two Patients.Progress in rehabilitation medicine · 2025Article
- Association between swallowing dynamics, tongue pressure and pulmonary function in patients with idiopathic pulmonary fibrosis.BMC pulmonary medicine · 2024Article
- Article
- Chronic Intermittent Hypoxia reveals role of the Postinspiratory Complex in the mediation of normal swallow production.bioRxiv : the preprint server for biology · 2024Article
- Article
- Cross-System Integration of Respiration and Deglutition: Function, Treatment, and Future Directions.Dysphagia · 2023Review
- Article
- Screening for oropharyngeal dysphagia in hospitalized COVID-19 patients: a prospective study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023Article
- Videofluoroscopic measures of swallowing in people with stable COPD compared to healthy aging.CoDAS · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionImpaired coordination between breathing and swallowing (breathing-swallowing discoordination) may be a significant risk factor for the exacerbation of chronic obstructive pulmonary disease (COPD). We examined breathing-swallowing discoordination in patients with COPD using a non-invasive and quantitative technique and determined its association with COPD exacerbation.
methodsWe recruited 65 stable outpatients with COPD who were enrolled in our prospective observational cohort study and did not manifest an apparent swallowing disorder. COPD exacerbation was monitored for 1 year before and 1 year after recruitment. Swallowing during inspiration (the I-SW pattern) and swallowing immediately followed by inspiration (the SW-I pattern) were identified.
resultsThe mean frequency of the I-SW and/or SW-I patterns (I-SW/SW-I rate) was 21.5%±25.5%. During the 2-year observation period, 48 exacerbation incidents (25 patients) were identified. The I-SW/SW-I rate was significantly associated with the frequency of exacerbation. During the year following recruitment, patients with a higher I-SW/SW-I frequency using thicker test foods exhibited a significantly higher probability of future exacerbations (p=0.002, log-rank test).
conclusionsBreathing-swallowing discoordination is strongly associated with frequent exacerbations of COPD. Strategies that identify and improve breathing-swallowing coordination may be a new therapeutic treatment for patients with COPD.
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