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Underwater pulse oximetry reveals increased rate of arterial oxygen desaturation across repeated freedives to 11 metres of freshwater
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). OXYGEN Scientific GmbH, Feldkirchen, Austria.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). (Swedish Winter Sports Research Centre)
2023 (English)In: Diving and Hyperbaric Medicine, ISSN 1833-3516, Vol. 53, no 1, p. 16-23Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Recreational freedivers typically perform repeated dives to moderate depths with short recovery intervals. According to freediving standards, these recovery intervals should be twice the dive duration; however, this has yet to be supported by scientific evidence. METHODS: Six recreational freedivers performed three freedives to 11 metres of freshwater (mfw), separated by 2 min 30 s recovery intervals, while an underwater pulse oximeter measured peripheral oxygen saturation (SpO2) and heart rate (HR). RESULTS: Median dive durations were 54.0 s, 103.0 s and 75.5 s (all dives median 81.5 s). Median baseline HR was 76.0 beats per minute (bpm), which decreased during dives to 48.0 bpm in dive one, 40.5 bpm in dive two and 48.5 bpm in dive three (all P < 0.05 from baseline). Median pre-dive baseline SpO2 was 99.5%. SpO2 remained similar to baseline for the first half of the dives, after which the rate of desaturation increased during the second half of the dives with each subsequent dive. Lowest median SpO2 after dive one was 97.0%, after dive two 83.5% (P < 0.05 from baseline) and after dive three 82.5% (P < 0.01 from baseline). SpO2 had returned to baseline within 20 s after all dives. CONCLUSIONS: We speculate that the enhanced rate of arterial oxygen desaturation across the serial dives may be attributed to a remaining 'oxygen debt', leading to progressively increased oxygen extraction by desaturated muscles. Despite being twice the dive duration, the recovery period may be too short to allow full recovery and to sustain prolonged serial diving, thus does not guarantee safe diving. Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.

Place, publisher, year, edition, pages
2023. Vol. 53, no 1, p. 16-23
Keywords [en]
Breath-hold diving, Diving reflex, Hypoxia, Oxygen consumption, Safety, Unconsciousness
National Category
Physiology
Identifiers
URN: urn:nbn:se:miun:diva-48063DOI: 10.28920/dhm53.1.16-23ISI: 000965255900004PubMedID: 36966518Scopus ID: 2-s2.0-85151043338OAI: oai:DiVA.org:miun-48063DiVA, id: diva2:1750107
Available from: 2023-04-12 Created: 2023-04-12 Last updated: 2023-05-26Bibliographically approved

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Mulder, EricSchagatay, Erika

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