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December 22, 2015Scandinavian Journal of Medicine and Science in Sports

Elite freediving is linked to a ~7 bpm lower minimal heart rate and mild physiological remodeling.

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Why the study?

The influence of cardiac arrhythmias during maximal voluntary breath-holds on the long-term cardiac health of elite freedivers had not been investigated.

Does frequent maximal breath-holding affect the cardiac health and structure of elite freedivers compared to non-athletes?

Population

32 healthy young men including 16 elite freedivers and 16 non-athlete controls

Comparison

Elite freedivers with frequent maximal breath-holds vs healthy non-athlete controls

Design

Observational cross-sectional study

Key result

Elite freediving was associated with a lower minimal heart rate (42.3 vs 48.8 bpm, P<0.005) and mild structural cardiac changes that remained within normal physiological values.

Authors

IZIrina ZelenkovaPCP S H Chomahidze

Discussion

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Overview

Freediver cardiac changes appear exercise-related and benign; leaves open long-term breath-hold effects in larger prospective cohorts.

Study Design

Type

Observational (n=32)

Structured PICO

Does frequent maximal breath-holding affect the cardiac health and structure of elite freedivers compared to non-athletes?

P
Population
32 healthy young men (mean age 32.6 years), comprising 16 elite freedivers and 16 non-athlete controls, evaluated for cardiac health.
E
Exposure
Continuous freediving training involving frequent maximal voluntary breath-holds.
C
Comparator
Healthy young men not involved in sports.
O
Outcome
Cardiac status including heart rate, arrhythmias on 24-h ECG, and cardiac dimensions on echocardiography.surrogate

Main Result

Absolute Event Rate: 42.3% vs 48.8%

p-value: p=< 0.005

Elite freedivers exhibit benign physiological cardiac adaptations, including lower minimal heart rate and slightly increased ventricular volumes, which remain within normal limits and do not limit their practice.

Cite This Study

Zelenkova et al. (2015) conducted an observational in Healthy (n=32). Elite freediving (frequent maximal breath-holding) vs. Healthy young men not involved in sports was evaluated on Minimal heart rate (bpm) (p=< 0.005). Elite freediving was associated with a lower minimal heart rate (42.3 vs 48.8 bpm, P<0.005) and mild structural cardiac changes that remained within normal physiological values.

synapsesocial.com/papers/6aaceb98ad3ef49274635e6dhttps://doi.org/10.1111/sms.12580
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart rate variability in free diving athletes2011 · 29 citations
  2. 2Cardiac changes induced by immersion and breath-hold diving in humans2008 · 59 citations
  3. 3Cerebral hemodynamic and systemic physiological changes in trained freedivers completing sled-assisted dives to two different depths2024 · 1 citations
  4. 4Autonomic regulation of the heart and arrhythmogenesis in trained breath‐hold divers2020 · 16 citations
  5. 5Central chemoreflex sensitivity and sympathetic neural outflow in elite breath-hold divers2007 · 46 citations