The effect of dietary intake on apneic performance, cardiovascular and splenic responses during repeated breath holds
2022 (English)In: American Journal of Physiology. Regulatory Integrative and Comparative Physiology, ISSN 0363-6119, E-ISSN 1522-1490, Vol. 323, no 6, p. R839-R848Article in journal (Refereed) Published
Abstract [en]
Static apneas performed after an overnight fast as opposed to postprandially have been evinced to improve apneic performance. However, no study has explored the effect of dietary intake on apneic performance, cardiovascular or splenic responses over a series of repeated apneas. Ten healthy adults attended the laboratory on three separate occasions (>48-h apart): after a 14-h fast (F14), 1 h postconsumption of a high-calorie, high-carbohydrate (HCHC) meal, or 1 h postconsumption of a low-calorie, low-carbohydrate (LCLC)-based meal. During each visit, the subjects performed a hyperoxic rebreathing trial and a series of three repeated maximal static apneas. Heart rate, peripheral oxyhemoglobin saturation (Sp(O2)), and gas exchange were monitored continuously, whereas splenic volume (SV) and hematology were assessed after the rebreathing and apneas. At rest, after HCHC, the respiratory exchange ratio (0.87 +/- 0.17, P < 0.043), expired minute volume of carbon dioxide (CO2; HCHC, 0.35 +/- 0.09 L/min, P < 0.014), and SV (227 +/- 45 mL, P < 0.031) were higher compared with F14 (0.71 +/- 0.08; 0.23 +/- 0.04 L/min; 204 +/- 49 mL) and LCLC (0.72 +/- 0.07; 0.25 +/- 0.03 L/min; 199 +/- 49 mL). A faster CO2 accumulation was recorded during the HCHC (96 +/- 35 s) rebreathing trial (F14, 162 +/- 42 s, P = 0.001; LCLC, 151 +/- 23 s, P = 0.002). Longer apneas were reported in F14 compared with HCHC (apneas 1-3, P < 0.046) and LCLC (apneas 2-3, P < 0.006). After the first apnea, SV was lower in F14 (141 +/- 43 mL, P = 0.015) compared with HCHC (180 +/- 34 mL). Moreover, after the third apnea, end-tidal partial pressure of oxygen and nadir Spo t were lower in F14 (8.6 +/- 2.2 kPa, P = 0.028; 77 +/- 13%, P = 0.009) compared with HCHC (10.1 +/- 1.7 kPa; 84 +/- 9%). No differences were measured in end-apneic end-tidal partial pressure of CO2, heart rate nor hematology across diets. Fasting improved apneic performance with apneas being terminated at lower oxygen levels through altering the rate of CO2 accumulation but without affecting the cardiovascular responses.
Place, publisher, year, edition, pages
American Physiological Society , 2022. Vol. 323, no 6, p. R839-R848
Keywords [en]
apnea, carbon dioxide, diet, diving response, spleen
National Category
Physiology
Identifiers
URN: urn:nbn:se:kth:diva-322845DOI: 10.1152/ajpregu.00171.2022ISI: 000894326900001PubMedID: 36222874Scopus ID: 2-s2.0-85142941182OAI: oai:DiVA.org:kth-322845DiVA, id: diva2:1724736
Note
QC 20230109
2023-01-092023-01-092023-01-09Bibliographically approved