Skip to main content
Log in

Ventilatory function in breath-hold divers: effect of glossopharyngeal insufflation

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

This study was conducted to determine whether ventilatory parameters would change in breath-hold divers (BHDs) after they performed the glossopharyngeal technique for lung insufflation. Fifteen elite BHDs, 16 non-expert BHDs and 15 control subjects participated in this cross-sectional study. Volumes and expiratory flow rates were measured twice, before and after the glossopharyngeal technique performed at rest. Before the technique, greater forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) and lower FEV1/FVC were noted in the elite and non-expert BHDs compared with controls. No difference was noted regarding the other pulmonary parameters. After the technique, increases were noted in FVC, FEV1 and maximal voluntary ventilation in the elite BHDs (P < 0.001, respectively). The FEF25–75%/FVC ratios were lower in the BHDs both before and after the technique, indicating possible dysanapsis. The ventilatory parameters observed after the glossopharyngeal technique indicated (1) higher lung volumes in expert BHDs and (2) a correlation with BHD performance (maximal dynamic BH performance). This correlation became more significant after the technique, indicating a positive effect of glossopharyngeal insufflation on performance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Andersson J, Schagatay E (1998) Effects of lung volume and involuntary breathing movements on the human diving response. Eur J Appl Physiol Occup Physiol 77:19–24

    Article  CAS  PubMed  Google Scholar 

  • Armour J, Donnelly PM, Bye PT (1993) The large lungs of elite swimmers: an increased alveolar number? Eur Respir J 6:237–247

    CAS  PubMed  Google Scholar 

  • Astrand PO, Eriksson BO, Nylander I, Engstroem L, Karlberg P, Saltin B, Thoren C (1963) Girl swimmers. With special reference to respiratory and circulatory adaptation and gynaecological and psychiatric aspects. Acta Paediatr 43(Suppl 147):141–175

    Google Scholar 

  • Bach JR, Alba AS, Bodofsky E, Curran FJ, Schultheiss M (1987) Glossopharyngeal breathing and noninvasive aids in the management of post-polio respiratory insufficiency. Birth Defects Orig Artic Ser 23:99–113

    CAS  PubMed  Google Scholar 

  • Calder IM, Sweetnham K, Chan KK, Williams MM (1987) Relation of alveolar size to forced vital capacity in professional divers. Br J Ind Med 44:467–469

    CAS  PubMed  Google Scholar 

  • Clanton TL, Dixon GF, Drake J, Gadek JE (1987) Effects of swim training on lung volumes and inspiratory muscle conditioning. J Appl Physiol 62:39–46

    CAS  PubMed  Google Scholar 

  • Collier CR, Dail CW, Affeldt JE (1956) Mechanics of glossopharyngeal breathing. J Appl Physiol 8:580–584

    CAS  PubMed  Google Scholar 

  • Cordain L, Tucker A, Moon D, Stager JM (1990) Lung volumes and maximal respiratory pressures in collegiate swimmers and runners. Res Q Exerc Sport 61:70–74

    CAS  PubMed  Google Scholar 

  • Dail CW, Affeldt JE, Collier CR (1955) Clinical aspects of glossopharyngeal breathing; report of use by one hundred postpoliomyelitic patients. J Am Med Assoc 158:445–449

    CAS  PubMed  Google Scholar 

  • Doherty M, Dimitriou L (1997) Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling. Br J Sports Med 31:337–341

    Article  CAS  PubMed  Google Scholar 

  • Donnelly PM, Grunstein RR, Peat JK, Woolcock AJ, Bye PT (1995) Large lungs and growth hormone: an increased alveolar number? Eur Respir J 8:938–947

    CAS  PubMed  Google Scholar 

  • Durnin JV, Womersley J (1974) Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr 32:77–97

    Article  CAS  PubMed  Google Scholar 

  • Eichinger M, Walterspacher S, Scholz T, Tetzlaff K, Rocker K, Muth CM, Puderbach M, Kauczor HU, Sorichter S (2008) Lung hyperinflation: foe or friend? Eur Respir J 32:1113–1116

    Article  CAS  PubMed  Google Scholar 

  • Green M, Mead J, Turner JM (1974) Variability of maximum expiratory flow-volume curves. J Appl Physiol 37:67–74

    CAS  PubMed  Google Scholar 

  • Kainu A, Lindqvist A, Sarna S, Sovijarvi A (2008) Spirometric and anthropometric determinants of forced expiratory time in a general population. Clin Physiol Funct Imaging 28:38–42

    Article  PubMed  Google Scholar 

  • Lemaitre F, Bedu M, Coudert J (2002) Pulmonary function of recreational divers: a cross sectional study. Int J Sports Med 23:273–278

    Article  CAS  PubMed  Google Scholar 

  • Lemaitre F, Tourny-Chollet C, Lemouton MC (2006) Ventilatory function in experienced recreational scuba divers: Evidence of small airways disease? Int J Sports Med 27:875–879

    Article  CAS  PubMed  Google Scholar 

  • Lindholm P, Nyren S (2005) Studies on inspiratory and expiratory glossopharyngeal breathing in breath-hold divers employing magnetic resonance imaging and spirometry. Eur J Appl Physiol 94:646–651

    Article  PubMed  Google Scholar 

  • Loring SH, O’Donnell CR, Butler JP, Lindholm P, Jacobson F, Ferrigno M (2007) Transpulmonary pressures and lung mechanics with glossopharyngeal insufflation and exsufflation beyond normal lung volumes in competitive breath-hold divers. J Appl Physiol 102:841–846

    Article  PubMed  Google Scholar 

  • Mannino DM, Buist AS, Petty TL, Enright PL, Redd SC (2003) Lung function and mortality in the United States: data from the First National Health and Nutrition Examination Survey follow up study. Thorax 58:388–393

    Article  CAS  PubMed  Google Scholar 

  • Martin TR, Castile RG, Fredberg JJ, Wohl ME, Mead J (1987) Airway size is related to sex but not lung size in normal adults. J Appl Physiol 63:2042–2047

    CAS  PubMed  Google Scholar 

  • Muth CM, Ehrmann U, Radermacher P (2005) Physiological and clinical aspects of apnea diving. Clin Chest Med 26:381–394

    Article  PubMed  Google Scholar 

  • Nygren-Bonnier M, Gullstrand L, Klefbeck B, Lindholm P (2007a) Effects of glossopharyngeal pistoning for lung insufflation in elite swimmers. Med Sci Sports Exerc 39:836–841

    Article  PubMed  Google Scholar 

  • Nygren-Bonnier M, Lindholm P, Markstrom A, Skedinger M, Mattsson E, Klefbeck B (2007b) Effects of glossopharyngeal pistoning for lung insufflation on vital capacity in healthy women. Am J Phys Med Rehabil 86:290–294

    Article  PubMed  Google Scholar 

  • Nygren-Bonnier M, Wahman K, Lindholm P, Markstrom A, Westgren N, Klefbeck B (2009) Glossopharyngeal pistoning for lung insufflation in patients with cervical spinal cord injury. Spinal Cord 47:418–422

    Article  CAS  PubMed  Google Scholar 

  • Overgaard K, Friis S, Pedersen RB, Lykkeboe G (2006) Influence of lung volume, glossopharyngeal inhalation and P(ET) O2 and P(ET) CO2 on apnea performance in trained breath-hold divers. Eur J Appl Physiol 97:158–164

    Article  PubMed  Google Scholar 

  • Parker AL, Abu-Hijleh M, McCool FD (2003) Ratio between forced expiratory flow between 25% and 75% of vital capacity and FVC is a determinant of airway reactivity and sensitivity to methacholine. Chest 124:63–69

    Article  PubMed  Google Scholar 

  • Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, Coates A, van der Grinten CP, Gustafsson P, Hankinson J, Jensen R, Johnson DC, MacIntyre N, McKay R, Miller MR, Navajas D, Pedersen OF, Wanger J (2005) Interpretative strategies for lung function tests. Eur Respir J 26:948–968

    Article  CAS  PubMed  Google Scholar 

  • Potkin R, Cheng V, Seigel R (2007) Effects of glossopharyngeal insufflation on cardiac function: an echocardiographic study in elite breath-hold divers. J Appl Physiol 103:823–827

    Article  PubMed  Google Scholar 

  • Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC (1993) Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J Suppl 16:5–40

    CAS  PubMed  Google Scholar 

  • Simpson G, Ferns J, Murat S (2003) Pulmonary effects of ‘lung packing’ by buccal pumping in an elite breath-hold diver. SPUMS J 33:122–126

    Google Scholar 

  • Seccombe LM, Rogers PG, Mai N, Wong CK, Kritharides L, Jenkins CR (2006) Features of glossopharyngeal breathing in breath-hold divers. J Appl Physiol 101:799–801

    Article  PubMed  Google Scholar 

  • Tetzlaff K, Scholz T, Walterspacher S, Muth CM, Metzger J, Roecker K, Sorichter S (2008) Characteristics of the respiratory mechanical and muscle function of competitive breath-hold divers. Eur J Appl Physiol 103:469–475

    Article  PubMed  Google Scholar 

  • Wells GD, Plyley M, Thomas S, Goodman L, Duffin J (2005) Effects of concurrent inspiratory and expiratory muscle training on respiratory and exercise performance in competitive swimmers. Eur J Appl Physiol 94:527–540

    Article  PubMed  Google Scholar 

  • Whittaker LA, Irvin CG (2007) Going to extremes of lung volume. J Appl Physiol 102:831–833

    Article  PubMed  Google Scholar 

  • Zinman R, Gaultier C (1986) Maximal static pressures and lung volumes in young female swimmers. Respir Physiol 64:229–239

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

Special thanks are given to the BHDs for their cooperation. We also thank Cathy Carmeni for help in preparing the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frederic Lemaître.

Additional information

Communicated by Susan Ward.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lemaître, F., Clua, E., Andréani, B. et al. Ventilatory function in breath-hold divers: effect of glossopharyngeal insufflation. Eur J Appl Physiol 108, 741–747 (2010). https://doi.org/10.1007/s00421-009-1277-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-009-1277-1

Keywords

Navigation