1
|
Kong Y, Hossain MB, McNaboe R, Posada-Quintero HF, Daley M, Diaz K, Chon KH, Bolkhovsky J. Sex differences in autonomic functions and cognitive performance during cold-air exposure and cold-water partial immersion. Front Physiol 2024; 15:1463784. [PMID: 39479308 PMCID: PMC11521960 DOI: 10.3389/fphys.2024.1463784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2024] [Accepted: 10/01/2024] [Indexed: 11/02/2024] Open
Abstract
Introduction This study investigated the differences between males and females in autonomic functions and cognitive performance during cold-air exposure and cold-water partial-immersion compared to a room temperature-air environment. Although several studies have investigated the effects of cold-air or cold-water exposures on autonomic function and cognitive performance, biological sex differences are often under-researched. Methods Twenty-two males and nineteen females participated in the current study. Subjects completed a battery of cognitive tasks based upon those used within the Defense Automated Neurobehavioral Assessment (DANA), consisting of five subtasks that assess simple and procedural reaction time, spatial manipulation, attention, and immediate memory. In total, subjects took the battery within a 15-minute period across 30-minute intervals throughout the duration of environmental exposure. Across three separate days, subjects were exposed to three different environmental conditions: room temperature air (23°C), cold air (10°C), and cold water (15°C; in which subjects were immersed up to their necks). Room temperature and cold-air conditions consisted of five sessions (about 2.5 h), and the cold-water condition consisted of three sessions (about 1.5 h). During each experimental condition, physiological data were collected to assess autonomic function, including electrodermal activity (EDA) data and heart rate variability (HRV) derived from electrocardiogram signals. Results Females showed slower reaction time in spatial manipulation tasks, immediate memory, and attention during cold-air exposures compared to room temperature air, whereas the performance of males were similar or better during cold-air exposures compared to room temperature air. Cold-water immersion affected the immediate memory performance of males. Both males and females exhibited smaller EDA amplitudes during cold-air and cold-water conditions compared to room temperature air. For HRV, only male subjects exhibited significantly greater values in low-frequency and very-low-frequency components during cold air exposure compared to the normal condition. Discussion Sex introduces important differences in cognitive performance and autonomic functions during exposure to cold-air and cold-water. Therefore, sex should be considered when assessing the autonomic nervous system in cold environments and when establishing optimal thermal clothing for performance in operational environments. Our findings can assist with determination of operational clothing, temperature in operating environment, and personnel deployment to operational sites, particularly in settings involving both males and females.
Collapse
Affiliation(s)
- Youngsun Kong
- Biomedical Engineering, University of Connecticut, Storrs, CT, United States
| | | | - Riley McNaboe
- Biomedical Engineering, University of Connecticut, Storrs, CT, United States
| | | | - Matthew Daley
- Naval Submarine Medical Research Laboratory, Groton, CT, United States
- Leidos, Reston, VA, United States
| | - Krystina Diaz
- Naval Submarine Medical Research Laboratory, Groton, CT, United States
- Leidos, Reston, VA, United States
| | - Ki H. Chon
- Biomedical Engineering, University of Connecticut, Storrs, CT, United States
| | | |
Collapse
|
2
|
Sullivan-Kwantes W, Tikuisis P. Extremity cooling during an arctic diving training exercise. Int J Circumpolar Health 2023; 82:2190488. [PMID: 36966493 PMCID: PMC10044145 DOI: 10.1080/22423982.2023.2190488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2023] Open
Abstract
A field study was conducted to examine the vulnerability of military divers to non-freezing cold injury (NFCI) during Arctic ice-diving operations. Participants were instrumented with temperature sensors on the back of their hands and on the bottom of their big toe for each dive to measure cooling of their extremities. While NFCI was not diagnosed in any of the participants during this field study, the data indicate that the feet were particularly vulnerable during the dives given that they were mostly in a temperature zone that could cause pain and performance decrements. The data also show that for short term dives, the dry and wet suits with wet gloves in both configurations were thermally more comfortable for the hands than the dry suit with dry glove configuration; however, the latter would be more protective against potential NFCI during longer dives. Features such as hydrostatic pressure and repetitive diving that are unique to diving but not previously considered as risk factors for NFCI are examined herein and warrant deeper investigation given that symptoms of NFCI might be mistaken as decompression sickness.
Collapse
Affiliation(s)
| | - Peter Tikuisis
- Defence Research and Development Canada, Toronto, Canada
| |
Collapse
|
3
|
Moraes MM, Marques AL, Borges L, Hatanaka E, Heller D, Núñez-Espinosa C, Gonçalves DAP, Soares DD, Wanner SP, Mendes TT, Arantes RME. Sleep impairment and altered pattern of circadian biomarkers during a long-term Antarctic summer camp. Sci Rep 2023; 13:15959. [PMID: 37749123 PMCID: PMC10519969 DOI: 10.1038/s41598-023-42910-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Accepted: 09/15/2023] [Indexed: 09/27/2023] Open
Abstract
Antarctic expeditions include isolation and exposure to cold and extreme photoperiods (with continuous natural light during summer) that may influence psychophysiological responses modulated by luminosity and sleep. We assessed changes in night sleep patterns by actigraphy, salivary biomarkers, and perceptual variables in seven participants in the following time points along a 50-day camping expedition in Antarctica (Nelson Island): Pre-Field (i.e., on the ship before camp), Field-1, Field-2, Field-3, Field-4 (from 1st to 10th, 11th to 20th, 21st to 35th and 36th to 50th days in camp, respectively), and Post-Field (on the ship after camp). We also characterized mood states, daytime sleepiness, and sleep quality by questionnaires. Staying in an Antarctic camp reduced sleep efficiency (5.2%) and increased the number of awakenings and wakefulness after sleep onset (51.8% and 67.1%, respectively). Furthermore, transient increases in time in bed (16.5%) and sleep onset latency (4.8 ± 4.0 min, from Pre- to Field-3) was observed. These changes were accompanied by an altered pattern of the emerging circadian marker β-Arrestin-1 and a trend to reduce nocturnal melatonin [57.1%; P = 0.066, with large effect size (ES) from Pre-Field to Field-2 (ES = 1.2) and Field-3 (ES = 1.2)]. All changes returned to Pre-Field values during the Post-Field. The volunteers reported sleep-related physical complaints (feeling of cold and pain, discomfort to breathe, and cough or loud snoring), excessive daytime sleepiness, and reduced vigor during the camp. Thus, a 50-day camp alters neuroendocrine regulation and induces physical discomfort, which may explain the impaired sleep pattern and the consequent daytime sleepiness and mood changes.
Collapse
Affiliation(s)
- Michele Macedo Moraes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais (NUPAD-FM/UFMG), Belo Horizonte, MG, Brazil
| | - Alice Lamounier Marques
- Post-Graduation Program in Social Sciences in Development, Culture and Society, Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ, Brazil
| | - Leandro Borges
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Elaine Hatanaka
- Interdisciplinary Program in Health Sciences, Universidade Cruzeiro do Sul, São Paulo, SP, Brazil
| | - Debora Heller
- Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
- Post-Graduate Studies in Dentistry, Universidade Cruzeiro Do Sul, São Paulo, SP, Brazil
- Department of Periodontology, School of Dentistry, UT Health San Antonio, San Antonio, TX, USA
| | - Cristian Núñez-Espinosa
- Escuela de Medicina, Universidad de Magallanes, Punta Arenas, Chile
- Centro Asistencial Docente y de Investigación, Universidad de Magallanes, Punta Arenas, Chile
- Interuniversity Center for Healthy Aging, Chilecito, Chile
| | - Dawit Albieiro Pinheiro Gonçalves
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Danusa Dias Soares
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Samuel Penna Wanner
- Exercise Physiology Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Thiago Teixeira Mendes
- Department of Physical Education, Faculty of Education, Universidade Federal da Bahia, Salvador, BA, Brazil
| | - Rosa Maria Esteves Arantes
- Department of Pathology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
- Center for Newborn Screening and Genetics Diagnosis, Faculty of Medicine, Universidade Federal de Minas Gerais (NUPAD-FM/UFMG), Belo Horizonte, MG, Brazil.
| |
Collapse
|
4
|
Ackermann SP, Raab M, Backschat S, Smith DJC, Javelle F, Laborde S. The diving response and cardiac vagal activity: A systematic review and meta-analysis. Psychophysiology 2023; 60:e14183. [PMID: 36219506 DOI: 10.1111/psyp.14183] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 08/19/2022] [Accepted: 08/24/2022] [Indexed: 01/25/2023]
Abstract
This article aimed to synthesize the various triggers of the diving response and to perform a meta-analysis assessing their effects on cardiac vagal activity. The protocol was preregistered on PROSPERO (CRD42021231419; 01.07.2021). A systematic and meta-analytic review of cardiac vagal activity was conducted, indexed with the root mean square of successive differences (RMSSD) in the context of the diving response. The search on MEDLINE (via PubMed), Web of Science, ProQuest and PsycNet was finalized on November 6th, 2021. Studies with human participants were considered, measuring RMSSD pre- and during and/or post-exposure to at least one trigger of the diving response. Seventeen papers (n = 311) met inclusion criteria. Triggers examined include face immersion or cooling, SCUBA diving, and total body immersion into water. Compared to resting conditions, a significant moderate to large positive effect was found for RMSSD during exposure (Hedges' g = 0.59, 95% CI 0.36 to 0.82, p < .001), but not post-exposure (g = 0.11, 95% CI -0.14 to 0.36, p = .34). Among the considered moderators, total body immersion had a significantly larger effect than forehead cooling (QM = 23.46, df = 1, p < .001). No further differences were detected. Limitations were the small number of studies included, heterogenous triggers, few participants and low quality of evidence. Further research is needed to investigate the role of cardiac sympathetic activity and of the moderators.
Collapse
Affiliation(s)
- Stefan Peter Ackermann
- Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne, Germany
| | - Markus Raab
- Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne, Germany.,School of Applied Sciences, London South Bank University, London, UK
| | - Serena Backschat
- Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne, Germany
| | - David John Charles Smith
- Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne, Germany
| | - Florian Javelle
- Department of Molecular and Cellular Sports Medicine, Institute for Cardiovascular Research and Sports Medicine, German Sport University Cologne, Cologne, Germany
| | - Sylvain Laborde
- Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne, Germany.,UFR STAPS, EA 4260, Cesams, Normandie Université, Caen, France
| |
Collapse
|
5
|
Kelly KR, Arrington LJ, Bernards JR, Jensen AE. Prolonged Extreme Cold Water Diving and the Acute Stress Response During Military Dive Training. Front Physiol 2022; 13:842612. [PMID: 35874531 PMCID: PMC9304957 DOI: 10.3389/fphys.2022.842612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 06/14/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction: Cold water exposure poses a unique physiological challenge to the human body. Normally, water submersion increases activation of parasympathetic tone to induce bradycardia in order to compensate for hemodynamic shifts and reduce oxygen consumption by peripheral tissues. However, elevated stress, such as that which may occur due to prolonged cold exposure, may shift the sympatho-vagal balance towards sympathetic activation which may potentially negate the dive reflex and impact thermoregulation. Objective: To quantify the acute stress response during prolonged extreme cold water diving and to determine the influence of acute stress on thermoregulation. Materials and Methods: Twenty-one (n = 21) subjects tasked with cold water dive training participated. Divers donned standard diving equipment and fully submerged to a depth of ≈20 feet, in a pool chilled to 4°C, for a 9-h training exercise. Pre- and post-training measures included: core and skin temperature; salivary alpha amylase (AA), cortisol (CORT), osteocalcin (OCN), testosterone (TEST) and dehydroepiandosterone (DHEA); body weight; blood glucose, lactate, and ketones. Results: Core, skin, and extremity temperature decreased (p < 0.001) over the 9-h dive; however, core temperature was maintained above the clinical threshold for hypothermia and was not correlated to body size (p = 0.595). There was a significant increase in AA (p < 0.001) and OCN (p = 0.021) and a significant decrease in TEST (p = 0.003) over the duration of the dive. An indirect correlation between changes in cortisol concentrations and changes in foot temperature (ρ = -0.5,p = 0.042) were observed. There was a significant positive correlation between baseline OCN and change in hand temperature (ρ = 0.66, p = 0.044) and significant indirect correlation between changes in OCN concentrations and changes in hand temperature (ρ = -0.59, p = 0.043). Conclusion: These data suggest that long-duration, cold water diving initiates a stress response—as measurable by salivary stress biomarkers—and that peripheral skin temperature decreases over the course of these dives. Cumulatively, these data suggest that there is a relationship between the acute stress response and peripheral thermoregulation.
Collapse
Affiliation(s)
- Karen R. Kelly
- Applied Translational Exercise and Metabolic Physiology Team, Warfighter Performance, Naval Health Research Center, San Diego, CA, United States
- *Correspondence: Karen R. Kelly,
| | - Laura J. Arrington
- Applied Translational Exercise and Metabolic Physiology Team, Warfighter Performance, Naval Health Research Center, San Diego, CA, United States
- Leidos, Inc., San Diego, CA, United States
| | - Jake R. Bernards
- Applied Translational Exercise and Metabolic Physiology Team, Warfighter Performance, Naval Health Research Center, San Diego, CA, United States
- Leidos, Inc., San Diego, CA, United States
| | - Andrew E. Jensen
- Applied Translational Exercise and Metabolic Physiology Team, Warfighter Performance, Naval Health Research Center, San Diego, CA, United States
- Leidos, Inc., San Diego, CA, United States
| |
Collapse
|
6
|
Bruzzi RS, Moraes MM, Martins YAT, Hudson ASR, Ladeira RVP, Núñez-Espinosa C, Wanner SP, Arantes RME. Heart rate variability, thyroid hormone concentration, and neuropsychological responses in Brazilian navy divers: a case report of diving in Antarctic freezing waters. AN ACAD BRAS CIENC 2022; 94:e20210501. [PMID: 35648992 DOI: 10.1590/0001-3765202120210501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 09/16/2021] [Indexed: 11/22/2022] Open
Abstract
Open-water diving in a polar environment is a psychophysiological challenge to the human organism. We evaluated the effect of short-term diving (i.e., 10 min) in Antarctic waters on autonomic cardiac control, thyroid hormone concentration, body temperatures, mood, and neuropsychological responses (working memory and sleepiness). Data collection was carried out at baseline, before, and after diving in four individuals divided into the supporting (n=2) and diving (n=2) groups. In the latter group, autonomic cardiac control (by measuring heart rate variability) was also assessed during diving. Diving decreased thyroid-stimulating hormone (effect size = 1.6) and thyroxine (effect size = 2.1) concentrations; these responses were not observed for the supporting group. Diving also reduced both the parasympathetic (effect size = 2.6) and sympathetic activities to the heart (ES > 3.0). Besides, diving reduced auricular (effect size > 3.0), skin [i.e., hand (effect size = 1.2) and face (effect size = 1.5)] temperatures compared to pre-dive and reduced sleepiness state (effect size = 1.3) compared to basal, without changing performance in the working memory test. In conclusion, short-term diving in icy waters affects the hypothalamic-pituitary-thyroid axis, modulates autonomic cardiac control, and reduces body temperature, which seems to decrease sleepiness.
Collapse
Affiliation(s)
- Rúbio S Bruzzi
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Michele M Moraes
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Patologia, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais (NUPAD- FM/UFMG), Núcleo de Ações e Pesquisa em Apoio Diagnóstico, Rua Alfredo Balena, 189, 30130-100 Belo Horizonte, MG, Brazil
| | - Ygor A T Martins
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Alexandre S R Hudson
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Roberto V P Ladeira
- Universidade Federal de Minas Gerais (NUPAD- FM/UFMG), Núcleo de Ações e Pesquisa em Apoio Diagnóstico, Rua Alfredo Balena, 189, 30130-100 Belo Horizonte, MG, Brazil
| | - Cristian Núñez-Espinosa
- Universidad de Magallanes, Escuela de Medicina, Laboratorio de Fisiología, Avenida Bulnes, Punta Arenas, Chile
| | - Samuel P Wanner
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Rosa M E Arantes
- Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Patologia, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais (NUPAD- FM/UFMG), Núcleo de Ações e Pesquisa em Apoio Diagnóstico, Rua Alfredo Balena, 189, 30130-100 Belo Horizonte, MG, Brazil
| |
Collapse
|
7
|
Hernando A, Posada-Quintero H, Peláez-Coca MD, Gil E, Chon KH. Autonomic Nervous System characterization in hyperbaric environments considering respiratory component and non-linear analysis of Heart Rate Variability. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 214:106527. [PMID: 34879328 DOI: 10.1016/j.cmpb.2021.106527] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 11/05/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES an evaluation of Principal Dynamic Mode (PDM) and Orthogonal Subspace Projection (OSP) methods to characterize the Autonomic Nervous System (ANS) response in three different hyperbaric environments was performed. METHODS ECG signals were recorded in two different stages (baseline and immersion) in three different hyperbaric environments: (a) inside a hyperbaric chamber, (b) in a controlled sea immersion, (c) in a real reservoir immersion. Time-domain parameters were extracted from the RR series of the ECG. From the Heart Rate Variability signal (HRV), classic Power Spectral Density (PSD), PDM (a non-linear analysis of HRV which is able to separate sympathetic and parasympathetic activities) and OSP (an analysis of HRV which is able to extract the respiratory component) methods were used to assess the ANS response. RESULTS PDM and OSP parameters follows the same trend when compared to the PSD ones for the hyperbaric chamber dataset. Comparing the three hyperbaric scenarios, significant differences were found: i) heart rate decreased and RMSSD increased in the hyperbaric chamber and the controlled dive, but they had the opposite behavior during the uncontrolled dive; ii) power in the OSP respiratory component was lower than power in the OSP residual component in cases a and c; iii) PDM and OSP methods showed a significant increase in sympathetic activity during both dives, but parasympathetic activity increased only during the uncontrolled dive. CONCLUSIONS PDM and OSP methods could be used as an alternative measurement of ANS response instead of the PSD method. OSP results indicate that most of the variation in the heart rate variability cannot be described by changes in the respiration, so changes in ANS response can be assigned to other factors. Time-domain parameters reflect vagal activation in the hyperbaric chamber and in the controlled dive because of the effect of pressure. In the uncontrolled dive, sympathetic activity seems to be dominant, due to the effects of other factors such as physical activity, the challenging environment, and the influence of breathing through the scuba mask during immersion. In sum, a careful description of the changes in all the possible factors that could affect the ANS response between baseline and immersion stages in hyperbaric environments is needed for better interpretation of the results.
Collapse
Affiliation(s)
- Alberto Hernando
- Centro Universitario de Defensa (CUD), Academia General Militar (AGM), Zaragoza, Spain; BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, University of Zaragoza, Zaragoza, Spain.
| | | | - María Dolores Peláez-Coca
- Centro Universitario de Defensa (CUD), Academia General Militar (AGM), Zaragoza, Spain; BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, University of Zaragoza, Zaragoza, Spain
| | - Eduardo Gil
- Centro de Investigación Biomédica en Red Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid, Spain; BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, University of Zaragoza, Zaragoza, Spain
| | - Ki H Chon
- Department of Biomedical Engineering, University of Connecticut, Storrs CT, USA
| |
Collapse
|
8
|
Dugrenot E, Balestra C, Gouin E, L'Her E, Guerrero F. Physiological effects of mixed-gas deep sea dives using a closed-circuit rebreather: a field pilot study. Eur J Appl Physiol 2021; 121:3323-3331. [PMID: 34435274 DOI: 10.1007/s00421-021-04798-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 08/19/2021] [Indexed: 12/11/2022]
Abstract
PURPOSE Deep diving using mixed gas with closed-circuit rebreathers (CCRs) is increasingly common. However, data regarding the effects of these dives are still scarce. This preliminary field study aimed at evaluating the acute effects of deep (90-120 msw) mixed-gas CCR bounce dives on lung function in relation with other physiological parameters. METHODS Seven divers performed a total of sixteen open-sea CCR dives breathing gas mixture of helium, nitrogen and oxygen (trimix) within four days at 2 depths (90 and 120 msw). Spirometric parameters, SpO2, body mass, hematocrit, short term heart rate variability (HRV) and critical flicker fusion frequency (CFFF) were measured at rest 60 min before the dive and 120 min after surfacing. RESULTS The median [1st-3rd quartile] of the forced vital capacity was lower (84% [76-93] vs 91% [74-107] of predicted values; p = 0.029), whereas FEV1/FVC was higher (98% [95-99] vs 95% [89-99]; p = 0.019) after than before the dives. The other spirometry values and SpO2 were unchanged. Body mass decreased from 73.5 kg (72.0-89.6) before the dives to 70.0 kg (69.2-85.8) after surfacing (p = 0.001), with no change of hematocrit or CFFT. HRV was increased as indicated by the higher SDNN, RMSSD and pNN50 after than before dives. CONCLUSION The present observation represents the first original data regarding the effects of deep repeated CCR dives. The body mass loss and decrease of FVC after bounce dives at depth of about 100 msw may possibly impose an important physiological stress for the divers.
Collapse
Affiliation(s)
- Emmanuel Dugrenot
- TEK diving SAS, F-29200, Brest, France
- Univ Brest, ORPHY, IBSAM, 6 avenue Le Gorgeu, F-29200, Brest, France
| | - Costantino Balestra
- Environmental and Occupational Physiology Laboratory, (ISEK), Haute Ecole Bruxelles-Brabant (HE2B), 1160, Brussels, Belgium
| | | | - Erwan L'Her
- Médecine Intensive et Réanimation, CHRU de Brest, Brest, NA, France
| | - François Guerrero
- Univ Brest, ORPHY, IBSAM, 6 avenue Le Gorgeu, F-29200, Brest, France.
| |
Collapse
|
9
|
Lafère P, Lambrechts K, Germonpré P, Balestra A, Germonpré FL, Marroni A, Cialoni D, Bosco G, Balestra C. Heart Rate Variability During a Standard Dive: A Role for Inspired Oxygen Pressure? Front Physiol 2021; 12:635132. [PMID: 34381372 PMCID: PMC8350129 DOI: 10.3389/fphys.2021.635132] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 06/18/2021] [Indexed: 01/02/2023] Open
Abstract
Introduction: Heart rate variability (HRV) during underwater diving has been infrequently investigated because of environment limitations and technical challenges. This study aims to analyze HRV changes while diving at variable hyperoxia when using open circuit (OC) air diving apparatus or at constant hyperoxia using a closed-circuit rebreather (CCR). We used HRV analysis in time and frequency domain adding nonlinear analysis which is more adapted to short-time analysis and less dependent on respiratory rate (Sinus respiratory arrhythmia). Materials and Methods: 18 males, 12 using OC (30 mfw for 20 min) and 6 using CCR (30 mfw for 40 min.). HRV was recorded using a polar recorder. Four samples of R-R intervals representing the dive were saved for HRV analysis. Standard deviation of normal-to-normal intervals (SDNN), square root of the mean squared differences between successive RR intervals (rMSSD), and average RR intervals (RR) in time-domain; low frequency (LF) and high frequency (HF) in frequency domain were investigated. Nonlinear analysis included fractal dimension (FrD). Results: SDNN and rMSSD were significantly increased during descent and at depth with OC, not with CCR. Mean RR interval was longer at depth with OC, but only during ascent and after the dive with CCR. HF power was higher than baseline during the descent both with OC and CCR and remained elevated at depth for OC. The LF/HF ratio was significantly lower than baseline for descent and at depth with both OC and CCR. After 30 min of recovery, the LF/HF ratio was higher than baseline with both OC and CCR. Nonlinear analysis detected differences at depth for OC and CCR. Discussion: Increased parasympathetic tone was present during diving. RR duration, SDNN; rMSSD, HF spectral power all increased during the dive above pre-dive levels. Conversely, HF power decreased (and the LF/HF increased) 30 min after the dive. Using FrD, a difference was detected between OC and CCR, which may be related to differences in partial pressure of oxygen breathed during the dive.
Collapse
Affiliation(s)
- Pierre Lafère
- Environmental, Occupational & Ageing Physiology Laboratory, Haute Ecole Bruxelles-Brabant, Brussels, Belgium.,DAN Europe Research Division, Roseto degli Abruzzi, Italy.,Laboratoire ORPHY, EA4324, Université de Bretagne Occidentale, Brest, France
| | - Kate Lambrechts
- Environmental, Occupational & Ageing Physiology Laboratory, Haute Ecole Bruxelles-Brabant, Brussels, Belgium
| | - Peter Germonpré
- Environmental, Occupational & Ageing Physiology Laboratory, Haute Ecole Bruxelles-Brabant, Brussels, Belgium.,DAN Europe Research Division, Roseto degli Abruzzi, Italy.,Centre for Hyperbaric Oxygen Therapy, Military Hospital "Queen Astrid", Brussels, Belgium
| | - Ambre Balestra
- Environmental, Occupational & Ageing Physiology Laboratory, Haute Ecole Bruxelles-Brabant, Brussels, Belgium
| | - Faye Lisa Germonpré
- Centre for Hyperbaric Oxygen Therapy, Military Hospital "Queen Astrid", Brussels, Belgium
| | | | - Danilo Cialoni
- DAN Europe Research Division, Roseto degli Abruzzi, Italy.,Environmental Physiology and Medicine Laboratory, Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Gerardo Bosco
- Environmental Physiology and Medicine Laboratory, Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Costantino Balestra
- Environmental, Occupational & Ageing Physiology Laboratory, Haute Ecole Bruxelles-Brabant, Brussels, Belgium.,DAN Europe Research Division, Roseto degli Abruzzi, Italy.,Physical Activity Teaching Unit, Motor Sciences Department, Université Libre de Bruxelles (ULB), Brussels, Belgium
| |
Collapse
|
10
|
Weenink RP, Wingelaar TT. The Circulatory Effects of Increased Hydrostatic Pressure Due to Immersion and Submersion. Front Physiol 2021; 12:699493. [PMID: 34349668 PMCID: PMC8326965 DOI: 10.3389/fphys.2021.699493] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 07/02/2021] [Indexed: 11/16/2022] Open
Abstract
Increased hydrostatic pressure as experienced during immersion and submersion has effects on the circulation. The main effect is counteracting of gravity by buoyancy, which results in reduced extravasation of fluid. Immersion in a cold liquid leads to peripheral vasoconstriction, which centralizes the circulation. Additionally, a pressure difference usually exists between the lungs and the rest of the body, promoting pulmonary edema. However, hydrostatic pressure does not exert an external compressing force that counteracts extravasation, since the increased pressure is transmitted equally throughout all tissues immersed at the same level. Moreover, the vertical gradient of hydrostatic pressure down an immersed body part does not act as a resistance to blood flow. The occurrence of cardiovascular collapse when an immersed person is rescued from the water is not explained by removal of hydrostatic squeeze, but by sudden reinstitution of the effect of gravity in a cold and vasoplegic subject.
Collapse
Affiliation(s)
- Robert P Weenink
- Diving Medical Center, Royal Netherlands Navy, Den Helder, Netherlands.,Department of Anesthesiology, Amsterdam University Medical Centers, Location AMC, Amsterdam, Netherlands
| | - Thijs T Wingelaar
- Diving Medical Center, Royal Netherlands Navy, Den Helder, Netherlands.,Department of Anesthesiology, Amsterdam University Medical Centers, Location AMC, Amsterdam, Netherlands
| |
Collapse
|
11
|
Lundell RV, Tuominen L, Ojanen T, Parkkola K, Räisänen-Sokolowski A. Diving Responses in Experienced Rebreather Divers: Short-Term Heart Rate Variability in Cold Water Diving. Front Physiol 2021; 12:649319. [PMID: 33897457 PMCID: PMC8058382 DOI: 10.3389/fphys.2021.649319] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 03/16/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction Technical diving is very popular in Finland throughout the year despite diving conditions being challenging, especially due to arctic water and poor visibility. Cold water, immersion, submersion, hyperoxia, as well as psychological and physiological stress, all have an effect on the autonomic nervous system (ANS). Materials and methods To evaluate divers' ANS responses, short-term (5 min) heart rate variability (HRV) during dives in 2-4°C water was measured. HRV resting values were evaluated from separate measurements before and after the dives. Twenty-six experienced closed circuit rebreather (CCR) divers performed an identical 45-meter decompression dive with a non-physical task requiring concentration at the bottom depth. Results Activity of the ANS branches was evaluated with the parasympathetic (PNS) and sympathetic (SNS) indexes of the Kubios HRV Standard program. Compared to resting values, PNS activity decreased significantly on immersion with face out of water. From immersion, it increased significantly with facial immersion, just before decompression and just before surfacing. Compared to resting values, SNS activity increased significantly on immersion with face out of water. Face in water and submersion measures did not differ from the immersion measure. After these measurements, SNS activity decreased significantly over time. Conclusion Our study indicates that the trigeminocardiac part of the diving reflex causes the strong initial PNS activation at the beginning of the dive but the reaction seems to decrease quickly. After this initial activation, cold seemed to be the most prominent promoter of PNS activity - not pressure. Also, our study showed a concurrent increase in both SNS and PNS branches, which has been associated with an elevated risk for arrhythmia. Therefore, we recommend a short adaptation phase at the beginning of cold-water diving before physical activity.
Collapse
Affiliation(s)
| | - Laura Tuominen
- Department of Anaestesia, Tampere University Hospital, Tampere, Finland
| | - Tommi Ojanen
- Finnish Defence Research Agency, Finnish Defence Forces, Tuusula, Finland
| | - Kai Parkkola
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.,Department of Leadership and Military Pedagogy, National Defence University, Helsinki, Finland
| | - Anne Räisänen-Sokolowski
- Diving Medical Centre, Finnish Defence Forces, Helsinki, Finland.,Department of Pathology, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland
| |
Collapse
|