Breath-hold diving: Performance and safety

Diving and Hyperbaric Medicine

Volumn 38, Issue 2, 2008, Pages 79-86

  Pollock, Neal W ^a,b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b Clinical Research Department   (United States)

Author keywords

Ascent; Breath hold diving; Deep diving; Freediving; Hypoxia; Physiology; Review article; Safety

Indexed keywords

AWARENESS; BLOOD PRESSURE; BREATH HOLDING; COMPETITION; DIVING; FATALITY; GENETIC PREDISPOSITION; HEART OUTPUT; HEART RATE; HUMAN; HYPERVENTILATION; HYPOXIA; METABOLISM; MOTIVATION; PHYSICAL ACTIVITY; REVIEW; SAFETY; SPORT; TRAINING; VASOCONSTRICTION;

EID: 48449093582     PISSN: 18333516     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (46)

1. Strømme SB, Kerem D, Elsner R. Diving bradycardia during rest and exercise and its relation to physical fitness. J Appl Physiol. 1970; 28: 614-21.
2. Andersson JPA, Linér MH, Rünow E, Schagatay EKA. Diving response and arterial oxygen saturation during apnea and exercise in breath-hold divers. J Appl Physiol. 2002; 93: 882-6.
3. Lindholm P, Nordh J, Gennser M. The heart rate of breath-hold divers during static apnea: effects of competitive stress. Undersea Hyperb Med. 2006; 33: 119-24.
4. Hurford WE, Hong SK, Park YS, Ahn DW, Shiraki K, et al. Splenic contraction during breath-hold diving in the Korean ama. J Appl Physiol. 1990; 69: 932-6.
5. Espersen K, Frandsen H, Lorentzen T, Kanstrup IL, Christensen NJ. The human spleen as an erythrocyte reservoir in diving-related interventions. J Appl Physiol. 2002; 92: 2071-9.
6. Bakovic D, Valic Z, Eterovic D, Vukovic I, Obad A, et al. Spleen volume and blood flow response to repeated breath-hold apneas. J Appl Physiol. 2003; 95: 1460-6.
7. Stewart IB, Bulmer AC, Sharman JE, Ridgway L. Arterial oxygen desaturation kinetics during apnea. Med Sci Sports Exerc. 2005; 37: 1871-6.
8. Valic Z, Palada I, Bakovic D, Valic M, Mardesic-Brakus S, Dujic Z. Muscle oxygen supply during cold face immersion in breath-hold divers and controls. Aviat Space Environ Med. 2006; 77: 1224-9.
9. Lin YC, Lally DA, Moore TO, Hong SK. Physiological and conventional breath-hold breaking points. J Appl Physiol. 1974; 37: 291-6.
10. Craig AB Jr. Causes of loss of consciousness during underwater swimming. J Appl Physiol. 1961; 16: 583-6.
11. Craig AB Jr. Underwater swimming and loss of consciousness. JAMA. 1961; 176: 255-8.
12. Craig AB Jr. Summary of 58 cases of loss of consciousness during underwater swimming and diving. Med Sci Sports. 1976; 8: 171-5.
13. Pollock NW, Vann RD, Denoble PJ, Freiberger JJ, Dovenbarger JA, et al. Annual diving report, 2007 edition. Durham, NC: Divers Alert Network; 2007. p. 61-8, 100-3.
14. Donald KW. Oxygen poisoning in man. Admiralty Experimental Diving Unit Report number XVI, 1946; 172-81.
15. Simpson G, Ferns J, Murat S. Pulmonary effects of 'lung packing' by buccal pumping in an elite breath-hold diver. SPUMS J. 2003; 33:122-6.
16. Lindholm P, Nyren S. Studies on inspiratory and expiratory glossopharyngeal breathing in breath-hold divers employing magnetic resonance imaging and spirometry. Eur J Appl Physiol. 2005; 94: 646-51.
17. Jacobson FL, Loring SH, Ferrigno M. Pneumomediastinum after lung packing. Undersea Hyperb Med. 2006; 33: 313-6.
18. 2 on apnea performance in trained breath-hold divers. Eur J Appl Physiol. 2006; 97: 158-64.
19. Seccombe LM, Rogers PG, Mai N, Wong CK, Kritharides L, Jenkins CR. Features of glossopharyngeal breathing in breath-hold divers. J Appl Physiol. 2006; 101: 799-801.
20. Loring SH, O'Donnell CR, Butler JP, Lindholm P, Jacobson F, Ferrigno M. Transpulmonary pressures and lung mechanics with glossopharyngeal insufflation and exsufflation beyond normal lung volumes in competitive breath-hold divers. J Appl Physiol. 2007; 102: 841-6.
21. Potkin RT, Cheng V, Siegel R. Effects of glossopharyngeal insufflation on cardiac function: an echocardiographic study in elite breath-hold divers. J Appl Physiol. 2007; 103: 823-7.
22. Liner MH, Andersson JPA. Pulmonary edema after competitive breath-hold diving. J Appl Physiol. 2008; 104: 986-90.
23. Novalija J, Lindholm P, Loring SH, Diaz E, Fox JA, Ferrigno M. Cardiovascular aspects of glossopharyngeal insufflation and exsufflation. Undersea Hyperb Med. 2007; 34: 415-23.
24. Lindholm P, Ekborn A, Oberg D, Gennser M. Pulmonary edema and hemoptysis after breath-hold diving at residual volume. J Appl Physiol. 2008; 104: 912-7.
25. Germonpre P, Balestra C, Musimu P. Passive flooding of paranasal sinuses and middle ears as a method of equalisation in extreme breath-hold diving. Br J Sports Med. 2008; Epub ahead of print.
26. Lindholm P, Gennser M. Aggravated hypoxia during breath-holds after prolonged exercise. Eur J Appl Physiol. 2005; 93: 701-7.
27. Lindholm P, Conniff M, Gennser M, Pendergast D, Lundgren C. Effects of fasting and carbohydrate consumption on voluntary resting apnea duration. Eur J Appl Physiol. 2007; 100: 417-25.
28. 2 in the ama. J Appl Physiol. 1963; 18: 466-70.
29. Nygren-Bonnier M, Lindholm P, Markstrom A, Skedinger M, Mattsson E, Klefbeck B. Effects of glossopharyngeal pistoning for lung insufflation on vital capacity in healthy women. Am J Phys Med Rehabil. 2007; 86: 290-4.
30. Nygren-Bonnier M, Gullstrand L, Klefbeck B, Lindholm P. Effects of glossopharyngeal pistoning for lung insufflation in elite swimmers. Med Sci Sports Exerc. 2007; 39: 836-41.
31. Davis FM, Graves MP, Guy HJ, Prisk GK, Tanner TE. Carbon dioxide response and breath-hold times in underwater hockey players. Undersea Biomed Res. 1987; 14: 527-34.
32. Binks AP, Vovk A, Ferrigno M, Banzett RB. The air hunger response of four elite breath-hold divers. Respir Physiol Neurobiol. 2007; 159: 171-7.
33. Lemaitre F, Polin D, Joulia F, Boutry A, Le Pessot D, et al. Physiological responses to repeated apneas in underwater hockey players and controls. Undersea Hyperb Med. 2007; 34: 407-14.
34. Dujic Z, Ivancev V, Heusser K, Dzamonja G, Palada I, et al. Central chemoreflex sensitivity and sympathetic neural outflow in elite breath-hold divers. J Appl Physiol. 2008; 104: 205-11.
35. Feiner JR, Bickler PE, Severinghaus JW. Hypoxic ventilatory response predicts the extent of maximal breath-holds in man. Respir Physiol. 1995; 100: 213-22.
36. Moosavi SH, Golestanian E, Binks AP, Lansing RW, Brown R, Banzett RB. Hypoxic and hypercapnic drives to breathe generate equivalent levels of air hunger in humans. J Appl Physiol. 2003; 94: 141-54.
37. Lindholm P, Lundgren CEG. Alveolar gas composition before and after maximal breath-holds in competitive divers. Undersea Hyperb Med. 2006; 33: 463-7.
38. Fitz-Clarke JR. Adverse events in competitive breath-hold diving. Undersea Hyperb Med. 2006; 33: 55-62.
39. Krack K, Stepanek M, Cruickshank M. Safety techniques and problem management in recreational and competitive freediving. In: Lindholm P, Pollock NW, Lundgren CEG, eds. Breath-hold diving. Proceedings of the Undersea Hyperbaric Medical Society/Divers Alert Network 2006 June 20-21 Workshop. Durham, NC: Divers Alert Network; 2006. p. 82-95.
40. Edmonds CW, Walker DG. Snorkelling deaths in Australia, 1987-1996. Med J Aust. 1999; 171: 591-4.
41. Ridgway L, McFarland K, Stewart IB, Bulmer AC. 'Sambas', 'Mooglies' and other acute effects of apnea. In: Lindholm P, Pollock NW, Lundgren CEG, eds. Breath-hold diving. Proceedings of the Undersea Hyperbaric Medical Society/Divers Alert Network 2006 June 20-21 Workshop. Durham, NC: Divers Alert Network; 2006. p. 39-45.
42. Lindholm P. Loss of motor control and/or loss of consciousness during breath-hold competitions. Int J Sports Med. 2007; 28: 295-9.
43. Butler FK. A proposed 60 second limit for breath-hold diving. In: Lindholm P, Pollock NW, Lundgren CEG, eds. Breath-hold diving. Proceedings of the Undersea Hyperbaric Medical Society/Divers Alert Network 2006 June 20-21 Workshop. Durham, NC: Divers Alert Network; 2006. p. 64-74.
44. Vann RD, Freiberger JJ, Caruso JL, Denoble PJ, Pollock NW, et al. Report on decompression illness, diving fatalities and Project Dive Exploration: DAN's annual review of recreational scuba diving injuries and fatalities Based on 2003 data; 2005 edition. Durham, NC: Divers Alert Network; 2005. p. 91-8, 129-31.
45. Vann RD, Freiberger JJ, Caruso JL, Denoble PJ, Pollock NW, et al. Annual diving report, 2006 edition. Durham, NC: Divers Alert Network; 2006. p. 59-63, 92-3.
46. Pollock NW. Development of the DAN breath-hold incident database. In: Lindbolm P, Pollock NW, Lundgren CEG, eds. Breath-hold diving. Proceedings of the Undersea Hyperbaric Medical Society/Divers Alert Network 2006 June 20-21 Workshop. Durham, NC: Divers Alert Network; 2006. p. 46-55.