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Related Experiment Video

Updated: Jul 8, 2026

Measuring Cardiac Autonomic Nervous System ANS Activity in Children
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First Real-Life Data on the Diving Response in Healthy Children.

Mareike Rixen1, Johannes Weickmann1, Roman Antonin Gebauer1

  • 1Department for Pediatric Cardiology, University of Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany.

Pediatric Cardiology
|January 4, 2024
PubMed
Summary

Children

Keywords:
BradycardiaChildrenDive reflexDivingPediatricsSwimming

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Area of Science:

  • Pediatric Physiology
  • Cardiovascular Adaptations
  • Diving Response

Background:

  • Swimming and diving are popular for cardiovascular fitness.
  • Limited data exists on cardiovascular adaptations to submersion in children.

Purpose of the Study:

  • To investigate the physiological diving response in children.
  • To understand cardiovascular adaptations during apnea and submersion.

Main Methods:

  • Stepwise apnea protocol: rest, facial immersion, whole body submersion.
  • Continuous monitoring of heart rate, oxygen saturation, and peripheral resistance index.
  • Analysis of influencing factors on cardiovascular responses.

Main Results:

  • Facial or whole body submersion caused a significant heart rate drop and increased peripheral resistance.
  • Oxygen saturation remained largely unaffected during static apnea up to 75 seconds in most children.
  • This study provides the first data on the physiological diving response in pediatric subjects.

Conclusions:

  • Children exhibit a distinct physiological diving response.
  • Heart rate and peripheral resistance significantly change with submersion in children.
  • Further research is needed to fully elucidate the long-term cardiovascular effects.