Abstract

  Exposure to hyperbaric atmospheres is an occupational risk for workers. The diver needs a good physical/mental performance, control of physical activity and nutrition. In this work the objective is to assess physical status of professional diver of Italian National Fire Department. The study was conducted on 71 male divers of the National Fire Department subjected to annual medical examination. We utilized a questionnaire regarding work habits and lifestyles, bioimpedance and spirometric analysis. Results of the questionnaire indicate that more than one half of workers practice a correct lifestyle and has varied and balanced consumption of food; 25 - 30% professional divers show a higher BMI respect to the ideal BMI value. These results will be used to create a database on the different physiological parameters of these workers and to define the variations during the immersion phase.

Keywords: Professional Divers; Hyperbaric Risk; Nutrition; Bioimpedance; Spirometry; Occupational Medicine

References

1. Kaczerska D., et al. “The influence of high-fat diets on the occurrence of decompression stress after air dives”. Undersea and Hyperbaric Medicine6 (2013): 487-497.
2. Lee YI and Ye BJ. “Underwater and hyperbaric medicine as a branch of occupational and environmental medicine”. Annals of Occupational and Environmental Medicine1 (2013): 39.
3. ONeill OJ and Murphy-Lavoie HM. “Hyperbaric, Compressed Air Workers, Caissons, Tunneling, Bounce Diving, and Saturation Diving”. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing (2020).
4. Van Wijk CH and Meintjes WAJ. “Associations between adverse underwater events and ADHD diagnosis among military divers”. Journal of Attention Disorders (2019): 1087054719864654.
5. Keuski BM. “Updates in diving medicine: evidence published in 2017-2018”. Undersea and Hyperbaric Medicine 45 (2018): 511-520.
6. Lafère P., et al. “Patent Foramen Ovale (PFO), personality traits, and iterative decompression sickness. Retrospective analysis of 209 cases”. Frontiers in Psychology 8 (2017): 1328.
7. Irgens Å., et al. “Diving exposure and health effects in divers working in different areas of professional diving”. International Maritime Health 67 (2016): 235-242.
8. Vann RD., et al. “Decompression illness”. Lancet 377 (2011): 153-164.
9. Courtenay G., et al. “Occupational health issues in marine and freshwater research”. Journal of Occupational Medicine and Toxicology1 (2012): 4.
10. Thompson JN., et al. “Use of a questionnaire to improve occupational and environmental history taking in primary care physicians”. Journal of Occupational and Environmental Medicine12 (2000): 1188-1194.
11. Ehrenberg RL and Sniezek JE. “Development of a standard questionnaire for occupational health research”. American Journal of Public Health 79 (1989): 15-17.
12. Rosenstock L., et al. “Development and validation of a self-administered occupational health history questionnaire”. Journal of Occupational Medicine1 (1984): 50-54.
13. Marchetti MR., et al. “Primi risultati di un’indagine sullo stile alimentare di un gruppo di sommozzatori”. La Medicina del Lavoro2 (2015): 158.
14. Deb SK., et al. “Nutritional considerations during prolonged exposure to a confined, hyperbaric, hyperoxic environment: recommendations for saturation divers”. Extreme Physiology and Medicine 5 (2016): 1.
15. Carey MG., et al. “A low-glycemic nutritional fitness program to reverse metabolic syndrome in professional firefighters: results of a pilot study”. Journal of Cardiovascular Nursing4 (2011): 298-304.
16. Benardot D., et al. “Nutritional recommendations for divers”. International Journal of Sport Nutrition and Exercise Metabolism4 (2014): 392-403.
17. Sengun S., et al. “Application of multifrequency bioelectrical impedance analysis method for the detection of dehydration status in professional divers”. Medicina (Kaunas)4 (2012): 203-210.
18. Roelofs EJ., et al. “Seasonal effects on body composition, muscle characteristics, and performance of collegiate swimmers and divers”. Journal of Athletic Training1 (2017): 45-50.
19. Mendez-Dominguez N., et al. “Body mass index in association with decompression sickness events: cross-sectional study among small-scale fishermen-divers in southeast Mexico”. Undersea and Hyperbaric Medicine4 (2018): 445-451.
20. Mulasi U., et al. “Bioimpedance at the bedside: current applications, limitations, and opportunities”. Nutrition in Clinical Practice2 (2015): 180-193.
21. Khalil SF., et al. “The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of disease”. Sensors (Basel)6 (2014): 10895-10928.
22. Tetzlaff K., et al. “Effects of ambient cold and depth on lung function in humans. after a single scuba dive”. European Journal of Applied Physiology1-2 (2001): 125-129.
23. Shopov NG. “Study of the changes in respiratory function in self-contained underwater breathing apparatus divers”. International Maritime Health 1 (2019): 61-64.
24. Adir Y., et al. “Large lungs in divers: natural selection or a training effect?” Chest1 (2005): 224-228.
25. Pougnet R., et al. “Longitudinal change in professional divers' lung function: literature review”. International Maritime Health 4 (2014): 223-229.
26. Barnes TA and Fromer L. “Spirometry use: detection of chronic obstructive pulmonary disease in the primary care setting”. Clinical Interventions in Aging 6 (2011): 47-52.
27. Koehle M., et al. “Asthma and recreational SCUBA diving: a systematic review”. Sports Medicine 2 (2003): 109-116.
28. Krieger BP. “Diving: what to tell the patient with asthma and why?” Current Opinion in Pulmonary Medicine 1 (2001): 32-38.
29. Mulasi U. “Bioimpedance at the bedside: current applications, limitations, and opportunities”. Nutrition in Clinical Practice 2 (2015): 180-193.
30. International Committee of Occupational Health (2014).
31. Deb SK., et al. “Nutritional considerations during prolonged exposure to a confined, hyperbaric, hyperoxic environment: recommendations for saturation divers”. Extreme Physiology and Medicine 5 (2016): 1.
32. Tetzlaff K., “Decline of FEV1 in scuba divers”. Chest1 (2006): 238-243.
33. Anderson W., et al. “Dive medicine: current perspectives and future directions”. Current Sports Medicine Reports 4 (2019): 129-135.
34. Keuski BM. “Updates in diving medicine: evidence published in 2017-2018”. Undersea and Hyperbaric Medicine 45 (2018): 511-520.
35. Sames C., et al. “Utility of regular medical examinations of occupational divers”. Internal Medicine Journal11 (2009): 763-766.
36. Lautridou J., et al. “Evolution of the plasma proteome of divers before and after a single SCUBA dive”. Proteomics Clinical Applications9-10 (2017).
37. Lautridou J., et al. “Effect of simulated air dive and decompression sickness on the plasma proteome of rats”. Proteomics Clinical Applications5 (2016): 614-620.
38. Eftedal I. “Diving into the rat plasma proteome to get to the bottom of decompression sickness”. Proteomics Clinical Applications7 (2016): 699-700.
39. Tripodi D., et al. “Brain magnetic resonance imaging, aerobic power, and metabolic parameters among 30 asymptomatic scuba divers”. International Journal of Sports Medicine8 (2004): 575-581.
40. Ciborowski M., et al. “Metabolomic approach with LC-MS reveals significant effect of pressure on diver's plasma”. Journal of Proteome Research8 (2010): 4131-4137.

Citation

Citation: Maria Concetta D’Ovidio., et al. “Life Style, Nutritional Habits, Body Composition and Respiratory Capacity as Fundamental Aspects of Risk Evaluation in Professional Divers".Acta Scientific Nutritional Health 4.12 (2020): 02-27.

Copyright

Copyright: © 2020 Maria Concetta D’Ovidio., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.