Dysphagia

, Volume 22, Issue 1, pp 37–43 | Cite as

The First Year of Human Life: Coordinating Respiration and Nutritive Swallowing

  • Bronwen N. Kelly
  • Maggie-Lee Huckabee
  • Richard D. Jones
  • Christopher M. A. Frampton
Article

Abstract

This study provides the first documented report of the maturation of breathing-swallowing coordination during feeding in ten healthy term human infants through the first year of life. A total of 15,073 swallows were obtained across ten assessments between 48 h and 12 months of age. Midexpiratory swallows represented the dominant pattern of breathing-swallowing coordination within the first 48 h (mean = 45.4%), but the prevalence of this pattern declined rapidly in the first week to 29.1% (p = 0.012). Inspiratory-expiratory swallows increased with age (p < 0.001), particularly between 9 (37.0%) and 12 months (50.4%). Between 72.6% and 75.0% of swallows were followed by expiration in the latter 6 months, which is an adult-like characteristic. These data suggest that while postswallow expiration is a robust feature of breathing-swallowing coordination from birth, two major shifts in the precise patterns occur: the first after 1 week of postnatal feeding experience and the second between 6 and 12 months, most likely due to neural and anatomical maturation.

Keywords

Breathing-swallowing coordination Feeding Infant Deglutition Deglutition disorders 

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Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Bronwen N. Kelly
    • 1
    • 4
  • Maggie-Lee Huckabee
    • 1
    • 4
    • 5
  • Richard D. Jones
    • 2
    • 3
    • 4
  • Christopher M. A. Frampton
    • 3
    • 4
  1. 1.Department of Communication DisordersUniversity of CanterburyChristchurchNew Zealand
  2. 2.Department of Medical Physics and BioengineeringChristchurch Hospital ChristchurchNew Zealand
  3. 3.Department of Medicine, Christchurch School of Medicine and Health SciencesUniversity of Otago ChristchurchNew Zealand
  4. 4.Van der Veer Institute for Parkinson’s and Brain ResearchChristchurchNew Zealand
  5. 5.Van der Veer Institute for Parkinson’s and Brain ResearchChristchurchNew Zealand

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