Airway cooling in asthmatic and nonasthmatic subjects during nasal and oral breathing. 1982

M P Griffin, and E R McFadden, and R H Ingram

It has been suggested that nasal breathing attenuates the airway obstruction that follows physical exertion in asthmatics. In an effort to determine the reason for this protection, we had nine asymptomatic asthmatics and five normal subjects inhale subfreezing air at equal ventilations through either their noses or mouths in a random fashion while we measured the temperature in the retrotracheal esophagus (Trt). Pulmonary mechanics recorded before and after voluntary eucapnic hyperventilation simulating moderately heavy workloads demonstrated a mean fall in forced expiratory volume in one second (as a representative variable) of 28.6% +/- 4.8% (SEM) and 7.5% +/- 1.9% from control in the oral and nasal challenges, respectively, in the asthmatic subjects (p less than 0.001). Measurement of Trt during hyperventilation showed a mean fall of 2.7 degrees +/- 0.05 degree C with nasal breathing in this group (p less than 0.0001) and a linear relationship between the degree of airway cooling and the severity of subsequent bronchoconstriction (r=0.81). The normal subject showed similar changes in temperature but did not change their lung function. These data demonstrate that nasal ventilation minimizes airway cooling in both normal and asthmatic individuals through more efficient conditioning of inspired air, and it is through this mechanism that this form of respiration protects against exercise-induced bronchospasm.

UI MeSH Term Description Entries
D008297 Male Males
D009058 Mouth Breathing Abnormal breathing through the mouth, usually associated with obstructive disorders of the nasal passages. Breathing, Mouth,Breathings, Mouth,Mouth Breathings
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D001986 Bronchial Spasm Spasmodic contraction of the smooth muscle of the bronchi. Bronchospasm,Bronchial Spasms,Bronchospasms,Spasm, Bronchial,Spasms, Bronchial
D003080 Cold Temperature An absence of warmth or heat or a temperature notably below an accustomed norm. Cold,Cold Temperatures,Temperature, Cold,Temperatures, Cold
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures

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