Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging

Abstract Altered neural processing and increased respiratory sensations have been reported in chronic obstructive pulmonary disease (COPD) as larger respiratory‐related evoked potentials (RREPs), but the effect of healthy‐aging has not been considered adequately. We tested RREPs evoked by brief airw...

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Main Authors: Isabella Epiu, Simon C. Gandevia, Claire L. Boswell‐Ruys, Sophie G. Carter, Harrison T. Finn, David A. T. Nguyen, Jane E. Butler, Anna L. Hudson
Format: Article
Language:English
Published: Wiley 2022-12-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15519
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author Isabella Epiu
Simon C. Gandevia
Claire L. Boswell‐Ruys
Sophie G. Carter
Harrison T. Finn
David A. T. Nguyen
Jane E. Butler
Anna L. Hudson
author_facet Isabella Epiu
Simon C. Gandevia
Claire L. Boswell‐Ruys
Sophie G. Carter
Harrison T. Finn
David A. T. Nguyen
Jane E. Butler
Anna L. Hudson
author_sort Isabella Epiu
collection DOAJ
description Abstract Altered neural processing and increased respiratory sensations have been reported in chronic obstructive pulmonary disease (COPD) as larger respiratory‐related evoked potentials (RREPs), but the effect of healthy‐aging has not been considered adequately. We tested RREPs evoked by brief airway occlusions in 10 participants with moderate‐to‐severe COPD, 11 age‐matched controls (AMC) and 14 young controls (YC), with similar airway occlusion pressure stimuli across groups. Mean age was 76 years for COPD and AMC groups, and 30 years for the YC group. Occlusion intensity and unpleasantness was rated using the modified Borg scale, and anxiety rated using the Hospital Anxiety and Depression Scale. There was no difference in RREP peak amplitudes across groups, except for the N1 peak, which was significantly greater in the YC group than the COPD and AMC groups (p = 0.011). The latencies of P1, P2 and P3 occurred later in COPD versus YC (p < 0.05). P3 latency occurred later in AMC than YC (p = 0.024). COPD and AMC groups had similar Borg ratings for occlusion intensity (3.0 (0.5, 3.5) [Median (IQR)] and 3.0 (3.0, 3.0), respectively; p = 0.476) and occlusion unpleasantness (1.3 (0.1, 3.4) and 1.0 (0.75, 2.0), respectively; p = 0.702). The COPD group had a higher anxiety score than AMC group (p = 0.013). A higher N1 amplitude suggests the YC group had higher cognitive processing of respiratory inputs than the COPD and AMC groups. Both COPD and AMC groups showed delayed neural responses to the airway occlusion, which may indicate impaired processing of respiratory sensory inputs in COPD and healthy aging.
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spelling doaj.art-bbca4702b3794f05880bfad4bae473e52023-12-13T02:06:30ZengWileyPhysiological Reports2051-817X2022-12-011023n/an/a10.14814/phy2.15519Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy agingIsabella Epiu0Simon C. Gandevia1Claire L. Boswell‐Ruys2Sophie G. Carter3Harrison T. Finn4David A. T. Nguyen5Jane E. Butler6Anna L. Hudson7Neuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaNeuroscience Research Australia Randwick New South Wales AustraliaAbstract Altered neural processing and increased respiratory sensations have been reported in chronic obstructive pulmonary disease (COPD) as larger respiratory‐related evoked potentials (RREPs), but the effect of healthy‐aging has not been considered adequately. We tested RREPs evoked by brief airway occlusions in 10 participants with moderate‐to‐severe COPD, 11 age‐matched controls (AMC) and 14 young controls (YC), with similar airway occlusion pressure stimuli across groups. Mean age was 76 years for COPD and AMC groups, and 30 years for the YC group. Occlusion intensity and unpleasantness was rated using the modified Borg scale, and anxiety rated using the Hospital Anxiety and Depression Scale. There was no difference in RREP peak amplitudes across groups, except for the N1 peak, which was significantly greater in the YC group than the COPD and AMC groups (p = 0.011). The latencies of P1, P2 and P3 occurred later in COPD versus YC (p < 0.05). P3 latency occurred later in AMC than YC (p = 0.024). COPD and AMC groups had similar Borg ratings for occlusion intensity (3.0 (0.5, 3.5) [Median (IQR)] and 3.0 (3.0, 3.0), respectively; p = 0.476) and occlusion unpleasantness (1.3 (0.1, 3.4) and 1.0 (0.75, 2.0), respectively; p = 0.702). The COPD group had a higher anxiety score than AMC group (p = 0.013). A higher N1 amplitude suggests the YC group had higher cognitive processing of respiratory inputs than the COPD and AMC groups. Both COPD and AMC groups showed delayed neural responses to the airway occlusion, which may indicate impaired processing of respiratory sensory inputs in COPD and healthy aging.https://doi.org/10.14814/phy2.15519dyspneaEEGrespiratory sensation
spellingShingle Isabella Epiu
Simon C. Gandevia
Claire L. Boswell‐Ruys
Sophie G. Carter
Harrison T. Finn
David A. T. Nguyen
Jane E. Butler
Anna L. Hudson
Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
Physiological Reports
dyspnea
EEG
respiratory sensation
title Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
title_full Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
title_fullStr Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
title_full_unstemmed Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
title_short Respiratory‐related evoked potentials in chronic obstructive pulmonary disease and healthy aging
title_sort respiratory related evoked potentials in chronic obstructive pulmonary disease and healthy aging
topic dyspnea
EEG
respiratory sensation
url https://doi.org/10.14814/phy2.15519
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