Evidence map›Paper›PMID 34305646›Full record

ArticleFrontiers in physiology2021

Endothelial Nitric Oxide Production and Antioxidant Response in Breath-Hold Diving: Genetic Predisposition or Environment Related?

Danilo Cialoni, Andrea Brizzolari, Michele Samaja, Gerardo Bosco, Matteo Paganini, Nicola Sponsiello, Valentina Lancellotti, Alessandro Marroni

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Advances in breath-hold diving research: a state-of-the-art review.European journal of applied physiology · 2026
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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

8 authors at 3 institutions in 1 country.

Danilo CialoniEnvironmental Physiology and Medicine Laboratory, Department of Biomedical Sciences, Università degli Studi di Padova, Padua, Italy.
Andrea BrizzolariDAN Europe Research Division, DAN Europe Foundation, Roseto degli Abruzzi, Italy.
Michele SamajaDepartment of Health Sciences, Università degli Studi di Milano, Milan, Italy.
Gerardo BoscoEnvironmental Physiology and Medicine Laboratory, Department of Biomedical Sciences, Università degli Studi di Padova, Padua, Italy.
Matteo PaganiniEnvironmental Physiology and Medicine Laboratory, Department of Biomedical Sciences, Università degli Studi di Padova, Padua, Italy.
Nicola SponsielloApnea Academy Research, Padua, Italy.
Valentina LancellottiCardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Alessandro MarroniDAN Europe Research Division, DAN Europe Foundation, Roseto degli Abruzzi, Italy.
University of Padua · ITUniversity of Milan · ITAzienda Ospedaliera Universitaria Pisana · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNitric oxide (NO) is an essential signaling molecule modulating the endothelial adaptation during breath-hold diving (BH-diving). This study aimed to investigate changes in NO derivatives (NOx) and total antioxidant capacity (TAC), searching for correlations with different environmental and hyperbaric exposure. MATERIALS AND

methodsBlood samples were obtained from 50 breath-hold divers (BH-divers) before, and 30 and 60 min after the end of training sessions performed both in a swimming pool or the sea. Samples were tested for NOx and TAC differences in different groups related to their hyperbaric exposure, experience, and additional genetic polymorphism.

resultsWe found statistically significant differences in NOx plasma concentration during the follow-up (decrease at T30 and increase at T60) compared with the pre-dive values. At T30, we found a significantly lower decrease of NOx in subjects with a higher diving experience, but no difference was detected between the swimming pool and Sea. No significant difference was found in TAC levels, as well as between NOx and TAC levels and the genetic variants.

conclusionThese data showed how NO consumption in BH-diving is significantly lower in the expert group, indicating a possible training-related adaptation process. Data confirm a significant NO use during BH-diving, compatible with the well-known BH-diving related circulatory adaptation suggesting that the reduction in NOx 30 min after diving can be ascribed to the lower NO availability in the first few minutes after the dives. Expert BH-divers suffered higher oxidative stress. A preliminary genetic investigation seems to indicate a less significant influence of genetic predisposition.

Indexed as

breath hold divingdivinggenetic pronenitric oxideoxidative stress

Identifiers

PMID34305646
PMCPMC8300565
OpenAlexW3177824594

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Registered trials

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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.