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Cerebral, cardiac and skeletal muscle stress associated with a series of static and dynamic apnoeas
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Environmental Physiology. Carnegie School of Sport, Leeds Beckett University, Leeds, United Kingdom..ORCID iD: 0000-0002-5991-0733
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2022 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 32, no 1, p. 233-241Article in journal (Refereed) Published
Abstract [en]

Purpose: This study sought to explore, for the first time, the effects of repeated maximal static and dynamic apnoeic attempts on the physiological milieu by assessing cerebral, cardiac and striatal muscle stress-related biomarkers in a group of elite breath-hold divers (EBHD). Methods: Sixteen healthy males were recruited (EBHD = 8; controls = 8). On two separate occasions, EBHD performed two sets of five repeated maximal static apnoeas (STA) or five repeated maximal dynamic apnoeas (DYN). Controls performed a static eupnoeic protocol to negate any effects of water immersion and diurnal variation on haematology (CTL). Venous blood samples were drawn at 30, 90, and 180 min after each protocol to determine S100β, neuron-specific enolase (NSE), myoglobin, and high sensitivity cardiac troponin T (hscTNT) concentrations. Results: S100β and myoglobin concentrations were elevated following both apnoeic interventions (p < 0.001; p ≤ 0.028, respectively) but not after CTL (p ≥ 0.348). S100β increased from baseline (0.024 ± 0.005 µg/L) at 30 (STA, +149%, p < 0.001; DYN, +166%, p < 0.001) and 90 min (STA, +129%, p < 0.001; DYN, +132%, p = 0.008) following the last apnoeic repetition. Myoglobin was higher than baseline (22.3 ± 2.7 ng/ml) at 30 (+42%, p = 0.04), 90 (+64%, p < 0.001) and 180 min (+49%, p = 0.013) post-STA and at 90 min (+63%, p = 0.016) post-DYN. Post-apnoeic S100β and myoglobin concentrations were higher than CTL (STA, p < 0.001; DYN, p ≤ 0.004). NSE and hscTNT did not change from basal concentrations after the apnoeic (p ≥ 0.146) nor following the eupnoeic (p ≥ 0.553) intervention. Conclusions: This study suggests that a series of repeated maximal static and dynamic apnoeas transiently disrupt the blood-brain barrier and instigate muscle injury but do not induce neuronal-parenchymal damage or myocardial damage.

Place, publisher, year, edition, pages
Wiley , 2022. Vol. 32, no 1, p. 233-241
Keywords [en]
apnoea, breath-hold, cardiac troponin, diving, hypoxaemia, myoglobin, neuron-specific enolase, S100β, apnea, breath holding, heart, human, male, skeletal muscle, Humans, Muscle, Skeletal
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:kth:diva-312065DOI: 10.1111/sms.14067ISI: 000705031200001PubMedID: 34597427Scopus ID: 2-s2.0-85116571172OAI: oai:DiVA.org:kth-312065DiVA, id: diva2:1657573
Note

QC 20220511

Available from: 2022-05-11 Created: 2022-05-11 Last updated: 2025-02-11Bibliographically approved

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Elia, Antonis

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