Abstract
Diving has shown long-term effects on respiratory function in trained professional
divers, indicating the development of small airways disease. The results are more
controversial in trained recreational divers because of the different degrees of exposure
and training. The aim of this study was to investigate the effects of recreational
diving on respiratory function in highly experienced divers. Volumes and expiratory
flow rates were measured in 32 older recreational divers (51.6 ± 7.4 years). The forced
vital capacity (FVC) and forced expiratory volume in 1 s (FEV1 ) were higher (+ 4.9 % and + 6 %, respectively; p < 0.01) than the theoretical standards
(ERS 93). These values tended to decrease more rapidly as the age advanced (age range:
43 - 73 years) (p < 0.05). Moreover, the mid-expiratory flows at 50 %, 25 % and 25
- 75 % of vital capacity (MEF50 % , MEF25 % and MEF25 - 75 % ) were significantly decreased. These early signs of decrease suggest slight small
airways disease in older experienced recreational divers.
Key words
Exposure effect - recreational diving - senior divers - pulmonary function
References
1
Barthelemy P, Buestel C, Sebert P.
Plongeurs sous-marins amateurs. Caractéristiques ventilatoires, cardiovasculaires
et d'aptitude à l'effort.
Médecine du Sport.
1991;
65
124-127
2
Bermon S, Lapoussiere J M, Dolisi C, Wolkiewiez J, Gastaud M.
Pulmonary function of a firemen-diver population: a longitudinal study.
Eur J Appl Physiol.
1994;
69
456-460
3
Bermon S, Magnie M N, Dolisi C, Wolkiewiez J, Gastaud M.
Decreased pulmonary diffusing capacity of divers over a 6 year period.
Eur J Appl Physiol.
1997;
76
170-173
4
Bove A A.
Pulmonary barotrauma in divers.
Chest.
1997;
112
576-578
5
Burnet H, Lucciano M, Jammes Y.
Respiratory effects of cold gas breathing in humans under hyperbaric environment.
Respir Physiol.
1990;
81
413-424
6
Burrows B, Camilli A E, Lebowitz M D, Knudson R J.
Longitudinal changes in forced expiratory volume in one second in adults.
Am Rev Respir Dis.
1986;
133
974-980
7 Cahen B. La mécanique ventilatoire chez des adultes pratiquant la plongée sous-marine.
Thèse de Médecine, Faculté de Médecine de Créteil. 1983
8
Clanton T L, Dixon G F, Drake J, Gadek J E.
Effects of swim training on lung volumes and inspiratory muscle conditioning.
J Appl Physiol.
1987;
62
39-46
9
Cotes J E, Davey I S, Reed J W, Rooks M.
Respiratory effects of a single saturation dive to 300 m.
Br J Ind Med.
1987;
44
76-82
10
Crosbie W A, Reed J W, Clarke M C.
Functional characteristics of the large lungs found in commercial divers.
J Appl Physiol.
1979;
46
R639-R645
11
Davey I S, Reed J W.
Relationship of ventilatory capacity to hyperbaric exposure in divers.
J Appl Physiol.
1984;
56
R1655-R1658
12
Dembert M L, Beck G J, Jekel J F, Mooney L W.
Relations of smoking and diving experience to pulmonary function among U.S. Navy divers.
Undersea Biomed Res.
1984;
11
299-304
13
Godden D, Currie G, Denison D, Farrell P, Ross J, Stephenson R, Watt S, Wilmshurst P.
British Thoracic Society guidelines on respiratory aspects of fitness for diving.
Thorax.
2003;
58
3-13
14
Green M, Mead J, Turner J.
Variability of maximum expiratory flow-volume curve.
J Appl Physiol.
1974;
37
67-74
15
Jammes Y, Delvolgo-Gori M J, Badier M, Guillot G, Parlenti L.
One year occupational exposure to a cold environment alters lung function.
Arch Environ Health.
2002;
57
360-365
16
Lemaître F, Bedu M, Coudert J.
Pulmonary function of recreational divers: a cross sectional study.
Int J Sports Med.
2002;
23
273-278
17
Lemaître F, Bedu M, Coudert J.
Pulmonary function in children and adult scuba divers: a longitudinal study.
Pediat Exerc Sci.
2004;
16
378-390
18
Lemaître F, Bedu M, Coudert J.
Effect of air diving exposure generally encountered by recreational divers: oxidative
stress?.
Undersea Hyper Med.
2002;
29
39-49
19
Litonjua A A, Sparrow D, Weiss S T.
The FEF25 - 75 % /FVC ratio is associated with methacholine airway responsiveness.
Am J Respir Crit Care Med.
1999;
159
1574-1579
20
Maio D A.
Effect of gas density on mechanics of breathing.
J Appl Physiol.
1967;
23
687-693
21
Martin T R, Castile R G, Fredberg J J, Ellen M EB, Mead J.
Airway size is related to sex but not lung size in normal adults.
J Appl Physiol.
1987;
63
2042-2047
22
O'Donnell D E, Sanii R, Younes M.
Improvement in exercise endurance in patients with chronic airflow limitation using
continuous positive airway pressure.
Am Rev Respir Dis.
1998;
138
1510-1514
23
Parker A L, Abu-Hijek M, McCool F D.
Ratio between forced expiratory flow between 25 % and 75 % of vital capacity and FVC
is a determinant of airway reactivity and sensitivity to methacholine.
Chest.
2003;
124
63-69
24
Phillips M, Cateno R N, Greenberg J, Grodman R, Gunawardena R, Naidu A.
Effect of oxygen on breath markers of oxidative stress.
Eur Respir J.
2003;
21
1-5
25
Quanjer Ph H, Tammeling G J, Cotes J E, Pedersen O F, Peslin R, Yernault J C.
Lung volumes and forced ventilatory flows.
Eur Respir J.
1993;
6
S5-S40
26
Reuter M, Tetzlaff K, Steffens J C, Gluer C C, Faeseke K P, Bettinghausen E, Heller M.
Functional and high resolution computed tomographic studies of divers' lungs.
Scand J Work Environ Health.
1999;
25
67-74
27
Skogstad M, Haldorsen T, Kjuuss H.
Pulmonary and auditory function among experienced construction divers: a cross sectional
study.
Aviat Space Environ Med.
1999;
70
644-649
28
Skogstad M, Thorsen E, Haldorsen T, Melbostad E, Tynes T, Westrum B.
Divers' pulmonary function after open-sea bounce dives to 10 and 50 meters.
Undersea Biomed Res.
1996;
23
71-75
29
Skogstad M, Thorsen E, Haldorsen T.
Lung function over the first 3 years of a professional diving career.
Occup Environ Med.
2000;
57
390-395
30
Skogstad M, Haldorsen T, Kjuus H.
Lung function over six years among professional divers.
Occup Environ Med.
2002;
59
629-633
31
Stocks J, Quanjer H.
Reference values for residual volume, functional residual capacity and total lung
capacity.
Eur Respir J.
1997;
8
492-506
32
Strauss C S, Similowski T.
Seconde édition Française des recommandations Européennes pour les explorations fonctionnelles
respiratoires.
Rev Maladies Respir.
2001;
18
119
33
Tager T B, Weiss S T, Munoz A, Welty C, Speizer F E.
Determinants of response to eucapneic hyperventilation with cold air in a population-based
study.
Am Rev Respir Dis.
1986;
134
502-508
34
Tetzlaff K, Friege L, Reuter M, Mutzbauer T, Neubauer B.
Expiratory flow limitation in compressed air divers and oxygen divers.
Eur Respir J.
1998;
12
895-899
35
Tetzlaff K, Neubauer B, Reuter M, Friege L.
Atopy, airway reactivity and compressed air diving in males.
Respiration.
1998;
65
270-274
36
Tetzlaff K, Reuter M, Leplow B, Heller M, Bettinghausen E.
Risk factors for pulmonary barotrauma in divers.
Chest.
1997;
112
654-659
37
Tetzlaff K, Neubauer B, Kampen J, Mutzbauer T, Bettinghausen E.
Lung function changes after wet chamber dives to 0.4 MPa ambient pressure.
Undersea Hyper Med.
1999;
26
28
38
Tetzlaff K, Staschen C M, Koch A, Heine L, Kampen J, Neubauer B.
Respiratory pattern after wet and dry chamber dives to 0.6 MPa ambient pressure in
healthy males.
Respir Physiol.
1999;
118
219-226
39
Tetzlaff K, Staschen C M, Struck N, Mutzbauer T S.
Respiratory effects of a single dive to 50 meters in sport divers with asymptomatic
respiratory atopy.
Int J Sports Med.
2001;
22
85-89
40
Thorsen E, Ronnestad I, Segadal K, Hope A.
Respiratory effects of warm and dry air at increased ambient pressure.
Undersea Biomed Res.
1992;
19
73-83
41
Thorsen E, Segadal K, Kambestad B, Gulsvik A.
Divers' lung function: a small airways disease?.
Br J Ind Med.
1990;
47
519-523
42
Thorsen E, Segadal K, Kambestad B, Gulsvik A.
Pulmonary function one and four years after a deep saturation dive.
Scand J Work Environ Health.
1993;
19
115-120
43
Thorsen E, Segadal K, Kambestad B K.
Mechanisms of reduced pulmonary function after a saturation dive.
Eur Respir J.
1994;
7
4-10
44
Wenzel J.
The influence of pressure and gas composition on breathing mechanics and alveolar
gas exchange.
Arch Int Physiol Biochem.
1990;
98
355-356
F. Lemaître
Centre d'Etudes des Transformations des Activités Physiques et Sportives Equipe d'Accueil UPRES N° 3832 Faculté des Sciences du Sport et de l'Education Physique de Rouen Université de Rouen
Boulevard Siegfried
76130 Mont-Saint-Aignan
France
Phone: + 33232107784
Email: frederic.lemaitre@univ-rouen.fr