Evidence map›Paper›PMID 37947879›Full record

ArticleDysphagia2024

The Impact of Varying Nipple Properties on Infant Feeding Physiology and Performance Throughout Ontogeny in a Validated Animal Model.

K E Steer, M L Johnson, C E Edmonds, K Adjerid, L E Bond, R Z German, C J Mayerl

Abstract read
In one paragraph

Article in Dysphagia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
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  9. Article
  10. Longitudinal Changes in Aerodigestive Responses to Varying Nipple Properties in Infant Pigs.Journal of experimental zoology. Part A, Ecological and integrative physiology · 2025
    Article
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

7 authors.

K E SteerDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
M L JohnsonDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
C E EdmondsDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
K AdjeridDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
L E BondDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
R Z GermanDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA.
C J MayerlDepartment of Anatomy and Neurobiology, Northeast Ohio Medical University, 4209 St Route 44, Rootstown, OH, 44272, USA. christopher.mayerl@nau.edu.ORCID 0000-0003-0402-8388

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 impact of biomimetic nipple on infant feeding functionR00HD105922 · NICHD · NORTHERN ARIZONA UNIVERSITY · PI MAYERL, CHRISTOPHER · 2022 to 2024
$720k
The impact of a biomimetic nipple on infant performance during breast and bottle feedingR21HD105294 · NICHD · NORTHEAST OHIO MEDICAL UNIVERSITY · PI GERMAN, REBECCA Z · 2022 to 2023
$429k
National Institute of Child Health and Human Development HD09688102NICHD NIH HHS R00 HD105922NICHD NIH HHS R01 HD096881NICHD NIH HHS R21 HD105294
6 · The paper itself

Abstract

Infant feeding requires successful interactions between infant physiology and the maternal (or bottle) nipple. Within artificial nipples, there is variation in both nipple stiffness and flow rates, as well as variation in infant physiology as they grow and mature. However, we have little understanding into how infants interact with variable nipple properties to generate suction and successfully feed. We designed nipples with two different stiffnesses and hole sizes and measured infant feeding performance through ontogeny using a pig model. We evaluated their response to nipple properties using high-speed X-Ray videofluoroscopy. Nipple properties substantially impacted sucking physiology and performance. Hole size had the most profound impact on the number of sucks infants took per swallow. Pressure generation generally increased with age, especially in nipples where milk acquisition was more difficult. However, most strikingly, in nipples with lower flow rates the relationship between suction generation and milk acquisition was disrupted. In order to design effective interventions for infants with feeding difficulties, we must consider how variation in nipple properties impacts infant physiology in a targeted manner. While reducing flow rate may reduce the frequency an infant aspirates, it may impair systems involved in sensorimotor integration.

Indexed as

NipplesSucking BehaviorAnimalsDeglutitionFemaleHumansInfantModels, AnimalSwineAnimal modelFeeding physiologyInfant oral feedingNipple properties

Identifiers

PMID37947879
PMCPMC11181904

What OpenQuestion holds

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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.