Comprehensive Physiology Wiley Online Library

Hyperbaria: Breath‐hold Diving

Full Article on Wiley Online Library



Abstract

The sections in this article are:

1 Professional Breath‐Hold Divers
1.1 Brief History
1.2 Geographical Distribution
1.3 Equipment
1.4 Work Patterns
1.5 Diving Patterns
1.6 Energy Expenditure
2 Duration
2.1 Diving Time
2.2 Time Course of a Breath‐Hold Dive
2.3 Breaking Point
3 Depth Limit
4 Alveolar Gas Exchange
5 Blood N2 and O2 Profile
5.1 Venous Blood N2 Tension During Repetitive Breath‐Hold Diving
5.2 Arterial Blood O2 and CO2 Tensions During a Breath‐Hold Dive
6 Danger of Hyperventilation
7 Diving Responses
7.1 Head‐Out Water Immersion
7.2 Cardiovascular Responses
8 Adaptation
8.1 Lung Volume and Maximal Respiratory Pressure
8.2 CO2 Adaptation
8.3 Adaptation to Hypoxia
8.4 Other Adaptations
Figure 1. Figure 1.

Time course of breath‐hold. Record shows intraesophageal pressure (IEP) during a course of breath‐hold. Events are A, beginning of breath‐hold; B, onset of involuntary ventilatory activity; and C, termination of breath‐hold. Period between A and B was 39 s and between B and C 31 s. Subject was exercising at 167 kg‐m/min while breath‐holding. A similar result was observed during breath‐hold at rest but with a longer breath‐hold time. Modified from Lin et al. 81.

Figure 2. Figure 2.

Record depths of breath‐hold diving. Maximal depth records for breath‐hold diving before 1967 obtained from Craig 17. Modified from Hong 45 and Lin 77.

Figure 3. Figure 3.

Breath‐hold bradycardiac response in humans at rest and during exercise. FI and FO are breath‐hold with and without face immersion in water, respectively.

Reproduced from Lin 77 with permission


Figure 1.

Time course of breath‐hold. Record shows intraesophageal pressure (IEP) during a course of breath‐hold. Events are A, beginning of breath‐hold; B, onset of involuntary ventilatory activity; and C, termination of breath‐hold. Period between A and B was 39 s and between B and C 31 s. Subject was exercising at 167 kg‐m/min while breath‐holding. A similar result was observed during breath‐hold at rest but with a longer breath‐hold time. Modified from Lin et al. 81.



Figure 2.

Record depths of breath‐hold diving. Maximal depth records for breath‐hold diving before 1967 obtained from Craig 17. Modified from Hong 45 and Lin 77.



Figure 3.

Breath‐hold bradycardiac response in humans at rest and during exercise. FI and FO are breath‐hold with and without face immersion in water, respectively.

Reproduced from Lin 77 with permission
References
 1. Agostoni, E. Diaphragm activity during breath holding: factors related to its onset. J. Appl. Physiol. 18: 30–36, 1963.
 2. Alvis, H. J. Breath‐hold breaking point at various increased pressures. U.S. Navy Med. Res. Lab. Rep. 177, 10: 110–120, 1951.
 3. Andersen, H. T. Physiological adaptations in diving vertebrates. Physiol. Rev. 46: 212–243, 1966.
 4. Arnold, R. W. Extremes in human breath‐hold, facial immersion bradycardia. Undersea Biomed. Res. 12: 183–190, 1985.
 5. Bachman, J. C., and S. M. Horvath. Pulmonary function changes which accompany athletic conditioning program. Res. Q. 30: 235–239, 1969.
 6. Bartlett, D., Jr. Effects of Valsalva and Mueller maneuvers on breath‐holding time. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 42: 717–721, 1977.
 7. Beebe, W. Half Mile Down. New York: Duel, Sloan and Pearce, 1934.
 8. Berk, J. L., and M. N. Levy. Profound reflex bradycardia produced by transient hypoxia or hypercapnia in man. Eur. Surg. Res. 9: 75–84, 1977.
 9. Bjertnaes, L., A. Hauge, J. Kjekshus, and E. Soyland. Cardiovascular responses to face immersion and apnea during steady state muscle exercise. Acta Physiol. Scand. 120: 605–612, 1984.
 10. Blix, A. S., and B. Folkow. Cardiovascular adjustments to diving in mammals and birds. In: Handbook of Physiology. Peripheral Circulation and Organ Blood Flow, edited by J. T. Shepherd and F. M. Abboud. Bethesda, MD: Am. Physiol. Soc., 1983, sect. 2, vol. 3, p. 917–945.
 11. Blix, A. S., J. K. Kjekshus, I. Enge, and A. Bergan. Myocardial blood flow in the diving seal. Acta Physiol. Scand. 96: 277–280, 1976.
 12. Brick, I. Circulatory responses to immersing the face in water. J. Appl. Physiol. 21: 33–36, 1966.
 13. Carey, C. R., K. E. Schaefer, and H. J. Alvis. Effect of skin diving on lung volume. J. Appl. Physiol. 8: 519–523, 1956.
 14. Craig, A. B. Cause of loss of consciousness during underwater swimming. J. Appl. Physiol. 16: 583–586, 1961.
 15. Craig, A. B. Underwater swimming and loss of consciousness. JAMA 176: 255–258, 1961.
 16. Craig, A. B. Summary of 58 cases of loss of consciousness during underwater swimming and diving. Med. Sci. Sports 8: 171–175, 1967.
 17. Craig, A. B. Depth limits of breath‐hold diving (an example of fennology). Respir. Physiol. 5: 14–22, 1968.
 18. Craig, A. B., and W. L. Medd. Oxygen consumption and carbon dioxide production during breath‐hold diving. J. Appl. Physiol. 24: 190–202, 1968.
 19. Cross, E. R. Taravana. Diving syndrome in the Tuamotu diver. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 207–219.
 20. Davis, R. W. Deep diving and underwater rescue. J. R. Soc. Arts 82: 1032–1047, 1934.
 21. Douglas, C. G., and J. S. Haldane. The causes of periodic or Cheyne‐Stokes breathing. J. Physiol. 38: 401–419, 1909.
 22. Elsner, R., D. L. Franklin, R. L. Van Citters, and D. W. Kenney. Cardiovascular defense against asphyxia. Science 153: 941–949, 1966.
 23. Elsner, R., and B. Gooden. Diving and Asphyxia. Cambridge: Cambridge University Press, 1983, p. 60–73.
 24. Elsner, R. W., B. A. Gooden, and S. M. Robinson. Arterial blood gas changes and the diving response in man. Aust. J. Exp. Biol. Med. Sci. 49: 435–444, 1971.
 25. Epstein, M. Cardiovascular and renal effects of head‐out water immersion in man. Circ. Res. 39: 619–627, 1976.
 26. Epstein, M. Renal effect of head‐out water immersion in man: implications for an understanding of volume homeostasis. Physiol. Rev. 58: 529–581, 1978.
 27. Ferrera, F. Personal experience at deep breath‐hold diving [Abstract]. In: The Physiology of Deep Breath‐Hold Diving, edited by P. D. Data. Chieti, Italy: 1991.
 28. Ferretti, G., M. Costa, M. Ferrigno, B. Grassi, C. Marconi, C. E. G. Lundgren, and P. Cerretteli. Alveolar gas composition and exchange during deep breath‐hold diving and dry breath‐holds in elite divers. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 70: 794–802, June 28–30, 1991.
 29. Ferrigno, M., B. Grassi, G. Ferretti, M. Costa, C. Marconi, P. Cerretelli, and C. Lundgren. Electrocardiogram during deep breath‐hold dives by elite divers. Undersea Biomed. Res. 18: 81–91, 1991.
 30. Finley, J. P., J. F. Bonet, and M. B. Waxman. Autonomic pathways responsible for bradycardia on facial immersion. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 47: 1218–1222, 1979.
 31. Fowler, W. S. Breaking point of breath holding. J. Appl. Physiol. 6: 539–545, 1954.
 32. Gamba, R. New world records of breath‐hold diving depth, Francisco Ferrera, 112 m; and Angela Bandini, 107 m (in Japanese). Marine Diving Jan. (suppl.): 6–9, 1990.
 33. Gauer, O. H., and J. P. Henry. Neurohormonal control of plasma volume. In: International Review of Physiology, Cardiovascular Physiology II, edited by A. C. Guyton and A. W. Cowley. Baltimore, MD: University Park, 1976, p. 145–190.
 34. Gautier, H., R. Lefrancois, and P. Pasquis. Breath holding and rebreathing at low and high altitude. Respir. Physiol. 23: 201–207, 1975.
 35. Greenleaf, J. E. Physiological responses to prolonged bed rest and fluid immersion in humans. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 57: 619–633, 1984.
 36. Godfrey, S., and E. J. M. Campbell. The control of breath holding. Respir. Physiol. 5: 385–400, 1968.
 37. Guinness Book of World Records, edited by N. McWhirter, D. A. Boehm, S. Topping, and C. Smith. New York, NY: Sterling Publ. Co., 1984, p. 30.
 38. Guinness Book of World Records, edited by N. McWhirter, S. Greenberg, D. A. Boehm, and S. Topping. New York, NY: Sterling Publ. Co., 1981, p. 45.
 39. Hayward, J. S., C. Hay, B. R. Mathews, C. H. Overweel, and D. D. Radford. Temperature effect on the human dive response in relation to cold water near‐drowning. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 56: 202–206, 1984.
 40. Heistad, D. D., F. M. Abboud, and J. W. Eckstein. Vasoconstrictor response to simulated diving in man. J. Appl. Physiol. 25: 542–549, 1968.
 41. Hesser, C. M. Breath holding under high pressure. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS–NSC Publ. 1341, 1965, p. 165–181.
 42. Honda, Y., Y. Masuda, F. Hayashi, and A. Yoshida. Differences in ventilatory responses to hypoxia and hypercapnia between assisted (funado) and non‐assisted (cachido) breath‐hold divers. In: Hyperbaric Medicine and Underwater Physiology, edited by K. Shiraki and S. Matsuoka. Kitakyushu, Japan: Univ. Occup. Environ. Hlth., 1983, p. 45–58.
 43. Hong, S. K. Hae‐nyo, the diving women of Korea. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS–NRC Publ. 1341, 1965, p. 99–111.
 44. Hong, S. K. The physiology of breath‐hold diving. In: Diving Medicine, edited by R. H. Strauss. New York: Grune and Stratton, 1976, p. 269–286.
 45. Hong, S. K. Breath‐hold bradycardia in man: an overview. In: The Physiology of Breath‐Hold Diving, edited by C. E. G. Lundgren and M. Ferrigno. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 158–173.
 46. Hong, S. K. Physical and physiological adaptations to breath‐hold diving in humans: a review. In: Underwater and Hyperbaric Physiology, IX, edited by A. A. Bove, A. J. Bachrach, and L. J. Greenbaum, Jr. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 57–65.
 47. Hong, S. K. Diving physiology—man. In: Comparative Pulmonary Physiology—Current Concepts, edited by S. C. Wood. New York: Marcel Dekker, 1989, p. 787–802.
 48. Hong, S. K., P. Cerretelli, J. C. Cruz, and H. Rahn. Mechanics of respiration during submersion in water. J. Appl. Physiol. 27: 535–538, 1969.
 49. Hong, S. K., J. Henderson, A. Olszowka, W. E. Hurford, K. J. Falke, J. Qvist, P. Radermacher, K. Shiraki, M. Mohri, H. Takeuchi, W. J. Zapol, D. W. Ahn, J. K. Choi, and Y. S. Park. Daily diving pattern of Korean and Japanese breath‐hold divers (ama). Undersea Biomed. Res. 18: 433–443, 1991.
 50. Hong, S. K., Y. C. Lin, D. A. Lally, B. J. B. Yim, N. Kominami, P. W. Hong, and T. O. Moore. Alveolar gas exchanges and cardiovascular functions during breath‐holding with air. J. Appl. Physiol. 30: 540–547, 1971.
 51. Hong, S. K., T. O. Moore, G. Seto, H. K. Park, W. R. Hiatt, and E. M. Bernauer. Lung volumes and apneic bradycardia in divers. J. Appl. Physiol. 29: 172–176, 1970.
 52. Hong, S. K., and H. Rahn. The diving women of Korea and Japan. Sci. Am. 216: 34–43, 1967.
 53. Hong, S. K., H. Rahn, D. H. Kang, S. H. Song, and B. S. Kang. Diving pattern, lung volumes, and alveolar gas of the Korean diving women (ama). J. Appl. Physiol. 18: 457–465, 1963.
 54. Hong, S. K., D. W. Rennie, and Y. S. Park. Cold acclimatization and deacclimatization in Korean women divers. Exerc. Sports Sci. Rev. 14: 231–268, 1986.
 55. Hong, S. K., S. H. Song, P. K. Kim, and C. S. Suh. Seasonal observations on the cardiac rhythm during diving in the Korean ama. J. Appl. Physiol. 23: 18–22, 1967.
 56. Hurford, W. E., S. K. Hong, Y. S. Park, D. W. Ahn, K. Shiraki, M. Mohri, and W. M. Zapol. Splenic contraction during breath‐hold diving in the Korean ama. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 69: 932–936, 1990.
 57. Irimoto, T. Daily space use patterns of male breath‐hold abalone divers. J. Hum. Ergol. (Tokyo) 2: 59–74, 1973.
 58. Irving, L. Bradycardia in human divers. J. Appl. Physiol. 18: 489–491, 1963.
 59. Jung, K., and W. Stolle. Behavior of heart rate and incidence of arrhythmia in swimming and diving. Biotelem. Pat. Monit. 8: 228–239, 1981.
 60. Kang, B. S., S. H. Song, C. S. Suh, and S. K. Hong. Changes in body temperature and basal metabolic rate of the ama. J. Appl. Physiol. 18: 483–488, 1963.
 61. Kang, D. H., P. K. Kim, B. S. Kang, S. H. Song, and S. K. Hong. Energy metabolism and body temperature in the ama. J. Appl. Physiol. 20: 46–50, 1965.
 62. Kang, D. H., Y. S. Park, Y. D. Park, I. S. Lee, D. S. Yoen, S. H. Lee, D. W. Rennie, and S. K. Hong. Energetics of wet‐suit diving in Korean women breath‐hold divers. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 54: 1702–1707, 1983.
 63. Klocke, F. J., and H. Rahn. Breath‐holding after breathing of oxygen. J. Appl. Physiol. 14: 689–693, 1959.
 64. Kobayashi, S., T. Ogawa, C. Adachi, F. Ishikawa, and K. Takahashi. Maximal respiratory pressure and pliability of the body wall of the Japanese ama. Acta Med. Biol. 18: 249–260, 1971.
 65. Kobayashi, S., and C. Sasaki. Breaking point of breath holding and tolerance time in rebreathing. Jpn. J. Physiol. 17: 43–56, 1967.
 66. Lamb, L. E., G. Dermksian, and C. A. Sarnoff. Significant cardiac arrhythmia induced by common respiratory maneuvers. Am. J. Cardiol. 2: 563–571, 1958.
 67. Lanphier, E. Application of decompression tables to repeated breath‐hold dives. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 227–236.
 68. Lanphier, E. H. Breath‐hold and ascent blackout. In: The Physiology of Breath‐Hold Diving, edited by C. E. G. Lundgren and M. Ferrigno. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 32–42.
 69. Lanphier, E. H., and H. Rahn. Alveolar gas exchange during breath‐hold diving. J. Appl. Physiol. 18: 471–477, 1963.
 70. Levy, M. N. Cardiac sympathetic–parasympathetic interactions. Federation Proc. 43: 2598–2602, 1984.
 71. Lin, Y. C. Autonomic nervous control of cardiovascular response during diving in the rat. Am. J. Physiol. 227: 601–605, 1974.
 72. Lin, Y. C. Breath‐hold diving in terrestrial mammals. In: Exercise and Sport Sciences Reviews, edited by R. L. Terjung. Philadelphia: Franklin, 1982, vol. 10, p. 270–307.
 73. Lin, Y. C. Cardiopulmonary physiology of nondiving mammals during breath‐hold dives. In: Hyperbaric Medicine and Underwater Physiology, edited by K. Shiraki and S. Matsuoka. Kitakyushu, Japan: Univ. Occup. Environ. Hlth., 1983, p. 25–35.
 74. Lin, Y. C. Circulatory functions during immersion and breath‐hold dives in humans. Undersea Biomed. Res. 11: 123–138, 1984.
 75. Lin, Y. C. Breath‐hold diving: human imitation of aquatic mammals. In: Diving in Mammals and Man, edited by A. O. Brubakk, J. W. Kanwisher, and G. Sundnes. Trondheim, Norway: Tapir, 1986, p. 81–89.
 76. Lin, Y. C. Effect of O2 and CO2 on breath‐hold breaking point. In: The Physiology of Breath‐Hold Diving, edited by C. E. G. Lundgren and M. Ferrigno. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 75–86.
 77. Lin, Y. C. Human imitation of marine mammals and its clinical significance. In: Underwater and Hyperbaric Physiology IX, edited by A. A. Bove, A. J. Bachrach, and L. J. Greenbaum. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 29–45.
 78. Lin, Y. C. Applied physiology of diving. Sports Med. 5: 41–56, 1988.
 79. Lin, Y. C. Physiological limitations of humans as breath‐hold divers. In: Man in the Sea, edited by Y. C. Lin and K. K. Shida, 1990, vol. II, p. 33–56.
 80. Lin, Y. C. Physiological limitations of diving depth in humans [Abstracts]. In: Proceedings of the Workshop of Deep Breath‐Hold Diving, edited by P. G. Data, Chieti, Italy: June 28–30, 1991.
 81. Lin, Y. C., and D. G. Baker. Cardiac output and its distribution during diving in the rat. Am. J. Physiol. 228: 733–737, 1975.
 82. Lin, Y. C., E. L. Carlson, E. P. McCutcheon, and H. Sandler. Cardiovascular functions during voluntary apnea in dogs. Am. J. Physiol. 245 (Regulatory Integrated Comp. Physiol. 16): R143–R150, 1983.
 83. Lin, Y. C., D. A. Lally, T. O. Moore, and S. K. Hong. Physiological and conventional breath‐hold breaking points. J. Appl. Physiol. 37: 291–296, 1974.
 84. Lin, Y. C., K. K. Shida, and S. K. Hong. Effect of hypercapnia, hypoxia, and rebreathing on heart rate response to apnea. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 54: 166–171, 1983.
 85. Lin, Y. C., K. K. Shida, and S. K. Hong. Effect of hypercapnia, hypoxia, and rebreathing on circulatory response to apnea. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 54: 172–177, 1983.
 86. Manley, L. Apnoeic heart rate responses in humans, a review. Sports Med. 9: 286–310, 1990.
 87. Mayol, J. Jacques Mayol—apnea a meno cento. Frateli Fabbri Editori Jan., 1–96, 1976.
 88. Missiroli, di F. M. Mayol a 105 m. Mondo Sommerso N271: 32–37, 1983–1984.
 89. Mithoefer, J. C. Breath holding. In: Handbook of Physiology. Respiration, edited by W. O. Fenn and H. Rahn. Washington, DC: Am. Physiol. Soc., 1965, vol. II, p. 1011–1025.
 90. Mithoefer, J. C. The breaking point of breath holding. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 195–205.
 91. Moore, T. O., R. Elsner, Y. C. Lin, D. A. Lally, and S. K. Hong. Effects of alveolar Po2 and Pco2 on apneic bradycardia in man. J. Appl. Physiol. 34: 795–798, 1973.
 92. Morreli, L., and P. G. Data. Thoracic radiological changes during deep breath‐hold diving [Abstract]. In: Proceedings of the Workshop on the Physiology of Deep Breath‐Hold Diving, edited by P. G. Data. Chieti, Italy: June 28–30, 1991.
 93. Nashimoto, I. Intravascular bubbles following repeated breath‐hold dives (in Japanese). Jpn. J. Hyg. 31: 439, 1976.
 94. Nukada, M. Historical development of the ama's diving activities. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 25–41.
 95. Olszowka, A. J., and H. Rahn. Breath‐hold diving. In: Extreme Environments: Coping Strategies of Animals and Man, edited by J. R. Sutton, C. S. Houston, and G. Cowles. New York: Praeger, 1987, p. 417–428.
 96. Olszowka, A. J., and H. Rahn. Gas store changes during repetitive breath‐hold diving. In: Man in Stressful Environments—Diving, Hyper‐ and Hypobaric Physiology, edited by K. Shiraki and M. K. Yousef. Springfield, IL: Thomas, 1987, p. 41–56.
 97. Otis, A. B., H. Rahn, and W. O. Fenn. Alveolar gas exchanges during breath hold. Am. J. Physiol. 152: 674–686, 1948.
 98. Park, Y. S., H. Rahn, I. S. Lee, S. I. Lee, D. H. Kang, S. Y. Hong, and S. K. Hong. Patterns of wet suit diving in Korean women breath‐hold divers. Undersea Biomed. Res. 10: 203–215, 1983.
 99. Park, Y. S., K. Shiraki, and S. K. Hong. Energetics of breath‐hold diving in Korean and Japanese professional divers. In: Man in the Sea, edited by Y. C. Lin and K. K. Shida. San Pedro, CA: Best, 1990, vol. II, p. 75–87.
 100. Paulev, P. Decompression sickness following repeated breath‐hold dives. J. Appl. Physiol. 20: 1028–1031, 1965.
 101. Pendergast, D. R. Energetics of breath‐hold diving. In: The Physiology of Breath‐Hold Diving, edited by C. E. G. Lundgren and M. Ferrigno. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 135–147.
 102. Qvist, J., R. D. Hill, R. C. Schneider, K. J. Falke, G. C. Leggins, M. Guppy, R. L. Elliot, P. W. Hochachka, and W. M. Zapol. Hemoglobin concentrations and blood gas tensions of free‐diving Weddell seals. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 61: 1560–1569, 1986.
 103. Qvist, J., W. E. Hurford, P. Radermacher, G. Guyton, K. J. Falke, Y. S. Park, D. W. Ahn, S. K. Hong, K. Stanek, and W. M. Zapol. Arterial blood gas tensions during breath‐hold diving in the Korean ama. FASEB J. 5: A1127, 1991.
 104. Radermacher, P., K. J. Falke, Y. S. Park, D. W. Ahn, J. Qvist, S. K. Hong, and W. M. Zapol. Nitrogen tensions in brachial vein blood of Korean divers (ama). FASEB J. 5: A1125, 1991.
 105. Rahn, H. The physiological stresses of the ama. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 113–137.
 106. Rahn, H. Breath‐hold diving: a brief history. In: The Physiology of Breath‐Hold Diving, edited by C. E. G. Lundgren and M. Ferrigno. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 1–3.
 107. Rahn, H. Breath‐hold diving: alveolar O2 and blackout. In: Underwater and Hyperbaric Physiology IX, edited by A. A. Bove, A. J. Bachrach, and L. J. Greenbaum. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 3–15.
 108. Rahn, H., H. T. Bahyson, J. F. Muxworthy, and J. M. Hagen. Adaptation to high altitude: changes in breath‐holding time. J. Appl. Physiol. 6: 154–157, 1953.
 109. Rahn, H., and T. Yokoyama. Physiology of Breath‐Hold Diving and the AMA of Japan. Washington, DC: NAS—NRC Publ. 1341, 1965.
 110. Robard, S. Effect of oxygen, altitude and exercise on breath‐holding time. Am. J. Physiol. 150: 148–152, 1947.
 111. Sasamoto, H. The electrocardiogram pattern of the diving ama. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 271–280.
 112. Schaefer, K. E. Adaptation to breath‐hold diving. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS—NRC Publ. 1341, 1965, p. 237–252.
 113. Schaefer, K. E., R. D. Allison, J. H. Dougherty, Jr., C. R. Carey, R. Walker, F. Yost, and D. Parker. Pulmonary and circulatory adjustments determining the limits of depth in breath‐hold diving. Science 162: 1020–1023, 1968.
 114. Schneider, E. C. Observation on holding the breath. Am. J. Physiol. 94: 464–470, 1930.
 115. Schneider, E. C. Respiration at high altitude. Yale J. Biol. Med. 4: 537–550, 1932.
 116. Scholander, P. F. Physiological adaptation to diving in animals and man. The Harvey Lectures 57: 93–110, 1961–1962.
 117. Scholander, P. F., H. T. Hammel, H. LeMessurier, E. Hemmingsen, and W. Garey. Circulatory adjustment in pearl divers. J. Appl. Physiol. 17: 184–190, 1962.
 118. Shiraki, K., N. Konda, S. Sagawa, Y. S. Park, T. Komatsu, and S. K. Hong. Diving pattern of Tsushima male breath‐hold divers (Katsugi). Undersea Biomed Res. 12: 439–452, 1985.
 119. Song, S. H., D. H. Kang, B. S. Kang, and S. K. Hong. Lung volumes and ventilatory responses to high CO2 and low O2 in the ama. J. Appl. Physiol. 18: 466–470, 1963.
 120. Song, S. H., W. K. Lee, Y. A. Chung, and S. K. Hong. Mechanism of apneic bradycardia in man. J. Appl. Physiol. 27: 323–327, 1969.
 121. Spencer, M. P., and H. Okino. Venous gas emboli following repeated breath‐hold dives. Federation Proc. 31: 355, 1972.
 122. Stanek, K., G. P. Guyton, W. E. Hurford, Y. S. Park, D. W. Ahn, J. Qvist, K. J. Falke, S. K. Hong, H. Kobayashi, K. Kobayashi, and W. M. Zapol. Continuous pulse oximetry in the breath‐hold diving women of Korea and Japan. FASEB J. 5: A1127, 1991.
 123. Sterba, J. A., and C. E. G. Lundgren. Diving bradycardia and breath‐holding time in man. Undersea Biomed. Res. 12: 139–150, 1985.
 124. Tatai, K., and K. Tatai. Anthropometric studies on the Japanese ama. In: Physiology of Breath‐Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokoyama. Washington, DC: NAS–NRC Publ. 1341, 1965, p. 71–83.
 125. Teruoka, G. Die Ama und ihre Arbeit. Arbeitsphysiol. 5: 239–251, 1932.
 126. West, J. B., K. Tsukimoto, O. Mathieu‐Costello, and R. Prediletto. Stress failure in pulmonary capillaries. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 70: 1731–1742, 1991.
 127. Whayne, T. F., N. T. Y. Smith, E. I. Eger, II, R. K. Stoeling, and C. E. Whitcher. Reflex cardiovascular responses to simulated diving. Angiologia 23: 500–508, 1972.
 128. Whitelaw, W. A., B. McBride, J. Arnar, and K. Corbet. Respiratory neuromuscular output during breath‐holding. J. Appl. Physiol.: Respir. Environ. Exerc. Physiol. 50: 435–443, 1981.
 129. Woods, V. Angela Bandini. Vogue 180: 228–230, 1990.
 130. Wyss, V. Electrocardiogram of apneic subjects during immersion in water at various depths. Boll. Soc. Ital. Biol. Sper. 32: 503–506, 1956.
 131. Wyss, V. Swimming under water in apnea and the nature of the electrocardiogram. Boll. Soc. Ital. Biol. Sper. 32: 506–509, 1956.
 132. Yokoyama, T. Energy expenditure by the diving ama in Japan. In: Underwater and Hyperbaric Physiology IX, edited by A. A. Bove, A. J. Bachrach, and L. J. Greenbaum, Jr. Bethesda, MD: Undersea Hyperbaric Med. Soc., 1987, p. 17–28.
 133. Yokoyama, T., and S. Iwasaki. Ecology of the Japanese ama. In: Human Adaptability, edited by H. Yoshimura and S. Kobayashi. Tokyo: University of Tokyo, 1975, vol. 3, p. 199–209.

Contact Editor

Submit a note to the editor about this article by filling in the form below.

* Required Field

How to Cite

Yu‐Chong Lin, Suk Ki Hong. Hyperbaria: Breath‐hold Diving. Compr Physiol 2011, Supplement 14: Handbook of Physiology, Environmental Physiology: 979-995. First published in print 1996. doi: 10.1002/cphy.cp040242