{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:08:42Z","timestamp":1789182522570,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Age- and lifestyle-related changes in respiratory and physical function affect cough strength. However, in older adults, the main factors that relate to cough strength remain unclear. This study was a preliminary investigation of factors that contribute to cough strength and the relationships between cough strength and respiratory function, physical performance, physical activity, and sedentary behavior in community-dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      By using accelerometers and other tools, we assessed cough peak flow (CPF), FVC, maximum inspiratory pressure (P\n                      <jats:sub>Imax<\/jats:sub>\n                      ), maximum expiratory pressure (P\n                      <jats:sub>Emax<\/jats:sub>\n                      ), chest and abdominal wall mobility (breathing movement scale), physical performance (Timed Up and Go test and 30-s chair stand test), physical activity (steps, and locomotive and non-locomotive moderate-to-vigorous physical activity), and sedentary behavior (sedentary time) in 65 community-dwelling older adults (25 males and 40 females) without air-flow limitation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Twenty-six percent of the subjects (17\/65) had reduced CPF (&lt;240 L\/min). The subjects with reduced CPF had significantly lower FVC, P\n                      <jats:sub>Imax<\/jats:sub>\n                      , P\n                      <jats:sub>Emax<\/jats:sub>\n                      , chest and abdominal wall mobility, physical performance, and locomotive moderate-to-vigorous physical activity compared with those with non-reduced CPF. Significant correlations between CPF and variables of respiratory function (FVC, P\n                      <jats:sub>Imax<\/jats:sub>\n                      , P\n                      <jats:sub>Emax<\/jats:sub>\n                      , and breathing movement scale) and physical performance were weak to moderate. FVC and P\n                      <jats:sub>Imax<\/jats:sub>\n                      were independently associated with CPF during the multiple regression analysis adjusted for sex, age, and height. The receiver operating characteristic analysis showed that FVC and P\n                      <jats:sub>Imax<\/jats:sub>\n                      had fair-to-good sensitivity for detecting reduced CPF.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>\n                      Analysis of our results indicated that FVC and P\n                      <jats:sub>Imax<\/jats:sub>\n                      were related to CPF and provided preliminary evidence that supported strategies for preserving and improving cough strength in community-dwelling older adults.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.06490","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T17:25:13Z","timestamp":1549387513000},"page":"828-834","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Relationship of Cough Strength to Respiratory Function, Physical Performance, and Physical Activity in Older Adults"],"prefix":"10.1177","volume":"64","author":[{"given":"Hideo","family":"Kaneko","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Okawa-shi, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akari","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Okawa-shi, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Horie","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health Sciences, Kyoto Tachibana University, Kyoto-shi, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.1_suppl.48S"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.02.60"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3182556701"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resp.2017.08.004"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2005.05.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2011.213157"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01359.x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/rej.2014.1549"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-007-9027-9"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.112.1.87"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-014-9667-7"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000600004"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3182a0595f"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1589\/rika.32.521"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034805"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2014.03.003"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.166.4.518"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04742"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1999.10608028"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114510005441"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20151"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22836"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2010.51.3.392"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.94.6.1232"},{"issue":"2","key":"e_1_3_2_28_2","first-page":"494","article-title":"Cough dynamics during progressive expiratory muscle weakness in healthy curarized subjects","volume":"51","author":"Arora NS","year":"1981","unstructured":"Arora NS, , Gal TJ. 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