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August 13, 2026Clinical Linguistics & Phonetics

Clinical relevance of maximum phonation time in children and adolescents: Task-dependent roles of age, sex, and forced vital capacity

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Key result

FVC and age predict one-breath endurance, linking FVC to sustained /a/ and age to repeated /ka/.

  • n=971

Why the study?

It was unclear whether spirometrically measured forced vital capacity is associated with one-breath endurance in typically developing children and adolescents, and whether this association differs by task.

Is forced vital capacity associated with one-breath endurance in typically developing children and adolescents, and does this association differ by task?

Population

971 typically developing children and adolescents aged 8-17 years

Comparison

Sustained /a/ vs repeated /ka/ tasks to exhaustion

Design

Cross-sectional study

Authors

WGWANG GUANNANNFNurul Hidayah Md FadzilJLJaehoon Lee

Discussion

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Overview

FVC was associated with task-specific phonatory endurance in youth; leaves open whether spirometry aids clinical voice assessment.

Key Points

  • This study aims to evaluate the relationship between forced vital capacity and one-breath endurance in children and adolescents during different tasks.
  • 971 participants aged 8-17 years were tested on sustained /a/ and repeated /ka/ tasks.
  • Forced vital capacity was measured using spirometry before tasks.
  • A long-format regression model analyzed the endurance differences by task, age, and sex.
  • Endurance was significantly longer for sustained /a/ compared to repeated /ka/.
  • Forced vital capacity was a stronger predictor of performance for sustained /a/ than for repeated /ka/.
  • No adjusted sex difference was found for sustained /a/, but females showed longer endurance on repeated /ka/ despite lower forced vital capacity.

Study Design

Type

Cross-Sectional (n=971)

Structured PICO

Is forced vital capacity associated with one-breath endurance in typically developing children and adolescents, and does this association differ by task?

P
Population
971 typically developing children and adolescents aged 8-17 years assessed for one-breath endurance and forced vital capacity.
E
Exposure
Measurement of one-breath endurance during sustained /a/ and repeated /ka/ tasks to exhaustion after maximal inspiration, with concurrent forced vital capacity (FVC) measurement
O
Outcome
One-breath endurance (maximum phonation time)

Separating respiratory capacity from task-specific endurance may help clinicians distinguish predominantly capacity-limited from coordination-limited patterns of reduced speech-breathing endurance in children.

Cite This Study

GUANNAN et al. (2026) conducted a cross-sectional in Typically developing children and adolescents (n=971). Forced vital capacity (FVC) was evaluated on One-breath endurance for sustained /a/ and repeated /ka/. Forced vital capacity and age significantly predicted one-breath endurance, with FVC more strongly associated with sustained /a/ and age more strongly associated with repeated /ka/.

synapsesocial.com/papers/6a7d769b2b0e0cff3f64020dhttps://doi.org/10.1080/02699206.2026.2713451
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Framework of Motoric Complexity: An Investigation in Children With Typical and Impaired Speech Development2020 · 20 citations
  2. 2Multi-ethnic reference values for spirometry for the 3–95-yr age range: the global lung function 2012 equations2012 · 6,034 citations
  3. 3Maximum phonation time in pre-school children2008 · 15 citations
  4. 4Changes to respiratory mechanisms during speech as a result of different cues to increase loudness2005 · 69 citations
  5. 5What anticipatory coarticulation in children tells us about speech motor control maturity2020 · 25 citations