The goal of this clinical trial is to learn about the mechanisms of oxygen toxicity in scuba divers. The main questions it aims to answer are: * How does the training of respiratory muscles affect oxygen toxicity? * How do environmental factors, such as sleep deprivation, the ingestion of commonly utilized medications, and chronic exposure to carbon dioxide, impact the risk of oxygen toxicity? * How does immersion in water affect the development of oxygen toxicity? Participants will be asked to do the following: * Undergo a basic screening exam composed of health history, vital signs, and some respiratory function tests * Train their respiratory muscles at regular intervals * Exercise on a cycle ergometer both in dry conditions and underwater/under pressure in the context of medication, sleep deprivation, or carbon dioxide exposure Researchers will compare the performance of each subject before and after the possible interventions described above to see if there are changes in exercise performance, respiratory function, cerebral blood flow, and levels of gene expression.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
62
24 hours sleep deprivation
Oral administration of caffeine
Oral administration of methylphenidate
Oral administration of sodium bicarbonate to simulate carbon dioxide exposure
Duke University Health Sustem
Durham, North Carolina, United States
RECRUITINGHypercapnic ventilatory response
Time frame: 3 months
Lactate, pyruvate
Time frame: 3 months
Arterial PCO2
Time frame: Baseline and after Intervention/arm
Integrated diaphragmatic function (IDF) composite score
A composite score comprised of maximum breathing capacity (MBC), maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and diaphragmatic thickness will be used as the measure of Integrated diaphragmatic function (IDF).
Time frame: Baseline and after Intervention/arm, which averages 3 months
Cerebral blood oxygenation
Time frame: Baseline and after Intervention/arm, which averages 3 months
Hormone levels (leptin, adiponectin)
Time frame: Baseline and after Intervention/arm, which averages 3 months
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