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Purpose: To examine the effect of freediving depth on risk for hypoxic blackout by recording arterial oxygen saturation (SpO2) and heart rate (HR) during deep and shallow dives in the sea. Methods: Fourteen competitive freedivers conducted open-water training dives wearing a water-/pressure proof pulse oximeter continuously recording HR and SpO2. Dives were divided into deep (> 35 m) and shallow (10–25 m) post-hoc and data from one deep and one shallow dive from 10 divers were compared. Results: Mean ± SD depth was 53 ± 14 m for deep and 17 ± 4 m for shallow dives. Respective dive durations (120 ± 18 s and 116 ± 43 s) did not differ. Deep dives resulted in lower minimum SpO2 (58 ± 17%) compared with shallow dives (74 ± 17%; P = 0.029). Overall diving HR was 7 bpm higher in deep dives (P = 0.002) although minimum HR was similar in both types of dives (39 bpm). Three divers desaturated early at depth, of which two exhibited severe hypoxia (SpO2 ≤ 65%) upon resurfacing. Additionally, four divers developed severe hypoxia after dives. Conclusions: Despite similar dive durations, oxygen desaturation was greater during deep dives, confirming increased risk of hypoxic blackout with increased depth. In addition to the rapid drop in alveolar pressure and oxygen uptake during ascent, several other risk factors associated with deep freediving were identified, including higher swimming effort and oxygen consumption, a compromised diving response, an autonomic conflict possibly causing arrhythmias, and compromised oxygen uptake at depth by lung compression possibly leading to atelectasis or pulmonary edema in some individuals. Individuals with elevated risk could likely be identified using wearable technology. [ABSTRACT FROM AUTHOR]

Purpose: To compare the anaerobic work capacity (AnWC, i.e., attributable anaerobic mechanical work) assessed using four different approaches/models applied to time-trial (TT) cycle-ergometry exercise. Methods: Fifteen male cyclists completed a 7 × 4-min submaximal protocol and a 3-min all-out TT (TTAO). Linear relationships between power output (PO) and submaximal metabolic rate were constructed to estimate TT-specific gross efficiency (GE) and AnWC, using either a measured resting metabolic rate as a Y-intercept (7 + YLIN) or no measured Y-intercept (7-YLIN). In addition, GE of the last submaximal bout (GELAST) was used to estimate AnWC, and critical power (CP) from TTAO (CP3´AO) was used to estimate mechanical work above CP (W', i.e., "AnWC"). Results: Average PO during TTAO was 5.43 ± 0.30 and CP was 4.48 ± 0.23 W∙kg−1. The TT-associated GE values were ~ 22.0% for both 7 + YLIN and 7-YLIN and ~ 21.1% for GELAST (both P < 0.001). The AnWC were 269 ± 60, 272 ± 55, 299 ± 61, and 196 ± 52 J∙kg−1 for the 7 + YLIN, 7-YLIN, GELAST, and CP3´AO models, respectively (7 + YLIN and 7-YLIN versus GELAST, both P < 0.001; 7 + YLIN, 7-YLIN, and GELAST versus CP3´AO, all P < 0.01). For the three pair-wise comparisons between 7 + YLIN, 7-YLIN, and GELAST, typical errors in AnWC values ranged from 7 to 11 J∙kg−1, whereas 7 + YLIN, 7-YLIN, and GELAST versus CP3´AO revealed typical errors of 55–59 J∙kg−1. Conclusion: These findings demonstrate a substantial disagreement in AnWC between CP3´AO and the other models. The 7 + YLIN and 7-YLIN generated 10% lower AnWC values than the GELAST model, whereas 7 + YLIN and 7-YLIN generated similar values of AnWC. [ABSTRACT FROM AUTHOR]

Purpose: Light-load blood flow restriction exercise (BFRE) may provide a novel training method to limit the effects of age-related muscle atrophy in older adults. Therefore, the purpose of this study was to compare the haemodynamic response to resistance and aerobic BFRE between young adults (YA; n = 11; 22 ± 1 years) and older adults (OA; n = 13; 69 ± 1 years).Method: On two occasions, participants completed BFRE or control exercise (CON). One occasion was leg press (LP; 20 % 1-RM) and the other was treadmill walking (TM; 4 km h(-1)). Haemodynamic responses (HR, Q, SV and BP) were recorded during baseline and exercise.Result: At baseline, YA and OA were different for some haemodynamic parameters (e.g. BP, SV). The relative responses to BFRE were similar between YA and OA. Blood pressures increased more with BFRE, and also for LP over TM. Q increased similarly for BFRE and CON (in both LP and TM), but with elevated HR and reduced SV (TM only).Conclusion: While BFR conferred slightly greater haemodynamic stress than CON, this was lower for walking than leg-press exercise. Given similar response magnitudes between YA and OA, these data support aerobic exercise being a more appropriate BFRE for prescription in older adults that may contribute to limiting the effects of age-related muscle atrophy. [ABSTRACT FROM AUTHOR]

A reply by Stuart A. Warmington and colleagues to a letter to the editor by Gustavo Waclawovsky and Alexandre Machado Lehnen on their article "Haemodynamics of aerobic and resistance blood flow restriction exercise in young and older adults," is presented.