Evidence map›Paper›PMID 34176327›Full record

ArticlePhilosophical transactions of the Royal Society of London. Series B, Biological sciences2021

When the human brain goes diving: using near-infrared spectroscopy to measure cerebral and systemic cardiovascular responses to deep, breath-hold diving in elite freedivers.

J Chris McKnight, Eric Mulder, Alexander Ruesch, Jana M Kainerstorfer, Jingyi Wu, Naser Hakimi, Steve Balfour, Mathijs Bronkhorst, Jörn M Horschig, Frank Pernett and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Heart rate and sub-blubber temperature in harbour seals (Phoca vitulina) measured during the moult and post-moult using implantable loggers.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2026
    Article
  2. Advances in breath-hold diving research: a state-of-the-art review.European journal of applied physiology · 2026
    Review
  3. Review
  4. Article
  5. Cerebral hemodynamic and systemic physiological changes in trained freedivers completing sled-assisted dives to two different depths.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  6. Blood oxygen transport and depletion in diving emperor penguins.The Journal of experimental biology · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Future trends in measuring physiology in free-living animals.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  13. What is physiologging? Introduction to the theme issue, part 2.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  14. Shining new light on sensory brain activation and physiological measurement in seals using wearable optical technology.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  15. Introduction to the theme issue: Measuring physiology in free-living animals.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  16. Fur seals do, but sea lions don't - cross taxa insights into exhalation during ascent from dives.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 5 countries.

J Chris McKnightSea Mammal Research Unit, Scottish Oceans Institute, University of St Andrews, St Andrews, UK.
Eric MulderDepartment of Health Sciences, Mid Sweden University, Östersund, Sweden.
Alexander RueschDepartment of Biomedical Engineering, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, USA.
Jana M KainerstorferDepartment of Biomedical Engineering, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, USA.
Jingyi WuDepartment of Biomedical Engineering, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, USA.
Naser HakimiArtinis Medical Systems BV, Einsteinweg 17, 6662 PW Elst, The Netherlands.
Steve BalfourSea Mammal Research Unit Instrumentation Group, Scottish Oceans Institute, University of St Andrews, St Andrews, UK.
Mathijs BronkhorstArtinis Medical Systems BV, Einsteinweg 17, 6662 PW Elst, The Netherlands.
Jörn M HorschigArtinis Medical Systems BV, Einsteinweg 17, 6662 PW Elst, The Netherlands.
Frank PernettDepartment of Health Sciences, Mid Sweden University, Östersund, Sweden.
Katsufumi SatoAtmosphere and Ocean Research Institute, The University of Tokyo, 5-1-5 Kashiwanoha, Kashiwa, Chiba 277-8564, Japan.
Gordon D HastieSea Mammal Research Unit, Scottish Oceans Institute, University of St Andrews, St Andrews, UK.
Peter TyackSea Mammal Research Unit, Scottish Oceans Institute, University of St Andrews, St Andrews, UK.
Erika SchagatayDepartment of Health Sciences, Mid Sweden University, Östersund, Sweden.
University of St Andrews · GBCarnegie Mellon University · USEinstein Medical Center Philadelphia · USMid Sweden University · SEThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Continuous measurements of haemodynamic and oxygenation changes in free living animals remain elusive. However, developments in biomedical technologies may help to fill this knowledge gap. One such technology is continuous-wave near-infrared spectroscopy (CW-NIRS)-a wearable and non-invasive optical technology. Here, we develop a marinized CW-NIRS system and deploy it on elite competition freedivers to test its capacity to function during deep freediving to 107 m depth. We use the oxyhaemoglobin and deoxyhaemoglobin concentration changes measured with CW-NIRS to monitor cerebral haemodynamic changes and oxygenation, arterial saturation and heart rate. Furthermore, using concentration changes in oxyhaemoglobin engendered by cardiac pulsation, we demonstrate the ability to conduct additional feature exploration of cardiac-dependent haemodynamic changes. Freedivers showed cerebral haemodynamic changes characteristic of apnoeic diving, while some divers also showed considerable elevations in venous blood volumes close to the end of diving. Some freedivers also showed pronounced arterial deoxygenation, the most extreme of which resulted in an arterial saturation of 25%. Freedivers also displayed heart rate changes that were comparable to diving mammals both in magnitude and patterns of change. Finally, changes in cardiac waveform associated with heart rates less than 40 bpm were associated with changes indicative of a reduction in vascular compliance. The success here of CW-NIRS to non-invasively measure a suite of physiological phenomenon in a deep-diving mammal highlights its efficacy as a future physiological monitoring tool for human freedivers as well as free living animals. This article is part of the theme issue 'Measuring physiology in free-living animals (Part II)'.

Indexed as

Breath HoldingCardiovascular Physiological PhenomenaAthletesBrainDivingHeart RateHemodynamicsHumansMaleOxygen ConsumptionSpectroscopy, Near-Infraredbreath-hold divingcererbal oxygenationdiving physiologyfreedivingnear-infrared spectroscopySpO2

Identifiers

PMID34176327
PMCPMC8237162
OpenAlexW3175894517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.