Swimming-induced changes in pulmonary function : special observations for clinical testing

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dc.contributor.author Päivinen, Marja
dc.contributor.author Keskinen, Kari
dc.contributor.author Tikkanen, Heikki
dc.date.accessioned 2021-08-10T06:49:01Z
dc.date.available 2021-08-10T06:49:01Z
dc.date.issued 2021-05-20
dc.identifier.citation Päivinen , M , Keskinen , K & Tikkanen , H 2021 , ' Swimming-induced changes in pulmonary function : special observations for clinical testing ' , BMC sports science, medicine & rehabilitation , vol. 13 , no. 1 , 55 . https://doi.org/10.1186/s13102-021-00277-1
dc.identifier.other PURE: 167344423
dc.identifier.other PURE UUID: f8b5d3d0-6350-438b-975b-3c2d1c2097fd
dc.identifier.other WOS: 000657045800002
dc.identifier.uri http://hdl.handle.net/10138/332983
dc.description.abstract Background A special improvement in pulmonary function is found in swimmers. In clinical testing the airway reactivity is observed at certain exercise intensity and target ventilation. However, in highly trained swimmers exercising in water the reactions may not function the same way. The aim was to study the combined effects of the water environment and swimming on pulmonary function and the associations with perceived symptoms. Methods First, 412 competitive swimmers completed questionnaires concerning respiratory symptoms at different swimming intensities. Then, pulmonary function testing was performed in 14 healthy elite swimmers. Spirometry and maximal voluntary ventilation (MVV) were measured on land and in water before and after swimming. While swimming, minute ventilation (VE) tidal volume (VT) and breathing frequency (fb) were measured during competition speed swimming. Results Swimmers reported the most symptoms at competition speed intensity swimming. In the transition from the land into the water swimming body position, the ratio of forced expiratory volume in one second (FEV1) and forced expiratory capacity (FVC) (FEV1/FVC) decreased by a mean (SD) 5.3 % (3) in females and by 2.2 % (5) in males. During competition speed intensity swimming, the minute ventilation (VE) had a mean of 72 and 75 % of calculated maximal voluntary ventilation (cMVV) in females and in males, respectively. Conclusions Spirometry showed sex differences in water compared to land measurements. These differences should be considered when the effects of swimming are observed. During the intensity that triggered the symptoms the most, the VE was approximately 20 % higher than the target ventilations for clinical testing. These findings encourages specific modifications of clinical testing protocols for elite swimmers. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof BMC sports science, medicine & rehabilitation
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Pulmonary function
dc.subject Spirometry
dc.subject Exercise
dc.subject Swimming
dc.subject LUNG-VOLUMES
dc.subject ASTHMA
dc.subject RESPONSES
dc.subject HYPERPNEA
dc.subject SWIMMERS
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.subject 315 Sport and fitness sciences
dc.title Swimming-induced changes in pulmonary function : special observations for clinical testing en
dc.type Article
dc.contributor.organization University of Helsinki
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1186/s13102-021-00277-1
dc.relation.issn 2052-1847
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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