Changes in the contribution of the rib cage to tidal breathing during infancy. 1990

M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
Department of Anesthesia, Harvard Medical School, Boston, Massachusetts.

As the shape, compliance, and deformability of the rib cage (RC) change during infancy, RC participation in quiet breathing may increase. We used respiratory inductive plethysmography (RIP) to determine the relative contributions of the RC and abdomen (AB) to tidal volume (VT) in 20 studies in 14 healthy infants 1 to 26 months of age during quiet natural sleep. RIP was calibrated with simultaneous flow measurements (anesthesia mask and pneumotachograph) by the least squares method of statistical analysis. We analyzed segments of breathing with and without flow measurement for RIP-derived VT, change in RC volume (Vrc) and AB volume (Vab) with each breath and the RC contribution to tidal breathing (%RC = Vrc/Vrc + Vab). The %RC increased with age: %RC = 1.4 age (months) + 33 (r = 0.69, p less than 0.01). After 9 months of age, %RC resembled that found in quietly sleeping adolescents. Mask placement increased VT in all but one subject (mean increase, 29 +/- 23% of baseline +/- SD; p less than 0.001, paired t test). In infants younger than 10 months of age, mask placement also increased %RC (without mask, 40 +/- 9%; with mask, 46 +/- 10% p less than 0.02). We conclude that by 1 yr of age, the RC contribution to tidal breathing during quiet sleep is similar to that of the adolescent, suggesting that major developmental changes in RC shape, compliance, and deformability take place during infancy.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008176 Lung Volume Measurements Measurement of the amount of air that the lungs may contain at various points in the respiratory cycle. Lung Capacities,Lung Volumes,Capacity, Lung,Lung Capacity,Lung Volume,Lung Volume Measurement,Measurement, Lung Volume,Volume, Lung
D010991 Plethysmography Recording of change in the size of a part as modified by the circulation in it. Plethysmographies
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003187 Compliance Distensibility measure of a chamber such as the lungs (LUNG COMPLIANCE) or bladder. Compliance is expressed as a change in volume per unit change in pressure.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000009 Abdominal Muscles Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS; ABDOMINAL OBLIQUE MUSCLES, transversus abdominis, pyramidalis muscles and quadratus abdominis. Cremaster Muscle,Pyramidalis Muscle,Quadratus Abdominis,Transverse Abdominal,Transversus Abdominis,Abdominal Muscle,Abdominal, Transverse,Abdominals, Transverse,Abdomini, Quadratus,Abdominis, Quadratus,Cremaster Muscles,Muscle, Abdominal,Muscle, Cremaster,Muscle, Pyramidalis,Muscles, Abdominal,Muscles, Cremaster,Muscles, Pyramidalis,Pyramidalis Muscles,Quadratus Abdomini,Transverse Abdominals
D000375 Aging The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time. Senescence,Aging, Biological,Biological Aging
D012272 Ribs A set of twelve curved bones which connect to the vertebral column posteriorly, and terminate anteriorly as costal cartilage. Together, they form a protective cage around the internal thoracic organs. Rib
D012890 Sleep A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility. Sleep Habits,Sleeping Habit,Sleeping Habits,Habit, Sleep,Habit, Sleeping,Habits, Sleep,Habits, Sleeping,Sleep Habit

Related Publications

M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
August 1985, Thorax,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
April 1979, Journal of applied physiology: respiratory, environmental and exercise physiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
July 1994, Respiration physiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
May 1979, British journal of anaesthesia,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
November 1983, Respiration physiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
March 1967, Journal of applied physiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
March 1990, Chest,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
April 1977, The Journal of physiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
November 1981, Anesthesiology,
M B Hershenson, and A A Colin, and M E Wohl, and A R Stark
May 1985, Journal of applied physiology (Bethesda, Md. : 1985),
Copied contents to your clipboard!