Evidence map›Paper›PMID 31018743›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2019

Preterm birth disrupts the development of feeding and breathing coordination.

Christopher J Mayerl, Francois D H Gould, Laura E Bond, Bethany M Stricklen, Randal K Buddington, Rebecca Z German

Open access · bronzeAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Longitudinal Changes in Aerodigestive Responses to Varying Nipple Properties in Infant Pigs.Journal of experimental zoology. Part A, Ecological and integrative physiology · 2025
    Article
  10. Article
  11. The effects of simulated gastroesophageal reflux on infant pig oropharyngeal feeding physiology.American journal of physiology. Gastrointestinal and liver physiology · 2024
    Article
  12. Article
  13. Review
  14. Impact of volume and rate of milk delivery on coordination of respiration and swallowing in infant pigs.Journal of experimental zoology. Part A, Ecological and integrative physiology · 2023
    Article
  15. Nipple properties affect sensorimotor integration during bottle feeding in an infant pig model.Journal of experimental zoology. Part A, Ecological and integrative physiology · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christopher J MayerlDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown Ohio.ORCID 0000-0003-0402-8388
Francois D H GouldDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown Ohio.
Laura E BondDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown Ohio.
Bethany M StricklenDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown Ohio.
Randal K BuddingtonUniversity of Tennessee Health Science Center, College of Nursing , Memphis, Tennessee.
Rebecca Z GermanDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University (NEOMED), Rootstown Ohio.ORCID 0000-0001-9989-7847
Northeast Ohio Medical University · USUniversity of Tennessee Health Science Center · US

Funding

The effect of sensory intervention on swallowing and respiration through neurological maturation in preterm infantsR01HD096881 · NICHD · NORTHEAST OHIO MEDICAL UNIVERSITY · PI GERMAN, REBECCA Z · 2019 to 2023
$2.9M
The Effect of Preterm Birth and RLN Damage on Airway Protection and MaturationR01HD088561 · NICHD · NORTHEAST OHIO MEDICAL UNIVERSITY · PI GERMAN, REBECCA Z · 2016 to 2020
$2.4M
NICHD NIH HHS R01 HD088561NICHD NIH HHS R01 HD096881
6 · The paper itself

Abstract

All mammals must breathe and breathe continuously from birth. Similarly, all mammals, including infants, have high functional demands for feeding. However, the pathway that food takes through the pharynx interrupts respiration. The coordination between swallowing and breathing is therefore critical for all infant mammals. Clinically, this coordination differs between term and preterm infants. However, the neurological mechanisms underlying this coordination and how it matures as infants grow are poorly understood. Here, we integrate high-resolution data from multiple physiologic processes across a longitudinal time frame to study suck-swallow-breathe dynamics in a preterm animal model, the infant pig. In doing so, we test the hypothesis that preterm birth will have an impact on some, but not all, behaviors associated with suck-swallow-breath performance. We hypothesize that coordination will be disrupted, reflecting incomplete connections in the brainstem. We found that preterm pigs became rhythmic and mature in sucking and swallowing behaviors, suggesting substantial postnatal maturation in the coordination of these behaviors. However, their ability to coordinate swallowing and breathing never developed. These results have implications for the nature of clinical care of human infants, as well as for how feeding processes develop in mammals. Clinically, they provide a foundation for developing interventions for preterm infants. Additionally, these results suggest that the lack of coordination between swallowing and breathing may be a significant factor in determining the minimum gestation time across mammals.

Indexed as

AnimalsBrain StemDeglutitionFeeding BehaviorHumansInfant, NewbornInfant, PrematurePharynxRespirationSucking BehaviorSwineaerodigestivedysphagiafeedingneonatepremature

Identifiers

PMID31018743
PMCPMC6620663
OpenAlexW2942014729

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.