Evidence map›Paper›PMID 37060440›Full record

ArticleEuropean journal of applied physiology2023

Effects of hyperventilation on oxygenation, apnea breaking points, diving response, and spleen contraction during serial static apneas.

Frank Pernett, Pontus Bergenhed, Pontus Holmström, Eric Mulder, Erika Schagatay

Open access · hybridAbstract read
In one paragraph

Article in European journal of applied physiology, 2023. 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
2.3field-weighted citation impact, top 11% 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, 9 citations in OpenAlex.

  1. Advances in breath-hold diving research: a state-of-the-art review.European journal of applied physiology · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Effects of hyperventilation on repeated breath-holding while in a fasting state: do risks outweigh the benefits?American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  6. 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

5 authors at 1 institution in 1 country.

Frank PernettEnvironmental Physiology Group, Department of Health Sciences, Mid Sweden University, Östersund, Sweden. frank.pernett@miun.se.ORCID http://orcid.org/0000-0002-9787-6660
Pontus BergenhedEnvironmental Physiology Group, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.ORCID http://orcid.org/0000-0002-8635-9115
Pontus HolmströmEnvironmental Physiology Group, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.ORCID http://orcid.org/0000-0003-1957-1527
Eric MulderEnvironmental Physiology Group, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.ORCID http://orcid.org/0000-0002-6916-4121
Erika SchagatayEnvironmental Physiology Group, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.ORCID http://orcid.org/0000-0001-5477-9265
Mid Sweden University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHyperventilation is considered a major risk factor for hypoxic blackout during breath-hold diving, as it delays the apnea breaking point. However, little is known about how it affects oxygenation, the diving response, and spleen contraction during serial breath-holding.

methods18 volunteers with little or no experience in freediving performed two series of 5 apneas with cold facial immersion to maximal duration at 2-min intervals. In one series, apnea was preceded by normal breathing and in the other by 15 s of hyperventilation. End-tidal oxygen and end-tidal carbon dioxide were measured before and after every apnea, and peripheral oxygen saturation, heart rate, breathing movements, and skin blood flow were measured continuously. Spleen dimensions were measured every 15 s.

resultsApnea duration was longer after hyperventilation (133 vs 111 s). Hyperventilation reduced pre-apnea end-tidal CO

conclusionsSerial apneas  revealed a previously undescribed aspect of hyperventilation; a progressively increased desaturation across the series, not observed after normal breathing and could heighten the risk of a blackout.

Indexed as

ApneaDivingCarbon DioxideHumansHyperventilationOxygenSpleenCarbon DioxideOxygenBlackoutBreath-hold divingHypocapniaHypoxia

Identifiers

PMID37060440
PMCPMC10363065
OpenAlexW4365811179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.