Maintenance of vital capacity during repetitive breath-hold in a spearfishing competition.
OBJECTIVE
Cough and a reduction in vital capacity have recently been reported following breath-hold dives to depths of 25-75 m. We sought to investigate whether repetitive dives to depths of less than 30 m would elicit similar effects.


METHODS
Participants in a single-day spearfishing competition were recruited. Subjects performed spirometry before and after the 5-h event. Demographics, medical and diving history, respiratory symptoms and competition diving statistics were collected.


RESULTS
Twenty-five subjects (two females), age 33 years (11) (mean (SD)), were studied. During the competition each subject completed 76 (33) dives, to 10 (3) m depth, with each dive lasting 0.9 (0.3) min. Maximum depth was 17 (4) m. No respiratory symptoms were reported. There was no difference in spirometry before and after competition except for FEF(25-75%), which increased by 0.16(0.34) L (P < 0.05).


CONCLUSIONS
Pulmonary oedema or lung injury is not common after repetitive breath-hold diving to depths to 25 m, or is too mild to be reflected in symptoms or spirometry.
Australian School of Advanced Medicine, Macquarie University, Australia. leigh.seccombe@sswahs.nsw.gov.au
Leigh M
LM
Seccombe
Peter G
PG
Rogers
Christine R
CR
Jenkins
Matthew J
MJ
Peters
D000328:Adult; D001469:Barotrauma / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D004242:Diving / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055370:Lung Injury / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D008297:Male; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D012016:Reference Values; D012307:Risk Factors; D013147:Spirometry / Q000379:methods; D011795:Surveys and Questionnaires; D014797:Vital Capacity / Q000502:physiology*