{"refrec":{"BRefID":448861,"RR":"<b>Brizzolari, A.; Mrakic-Sposta, S.; Vezzoli, A.; Balestra, C.; Bonini, B.; Barassi, A.; Camporesi, E.; BOSCO, G.</b> (2025). Oxy-inflammation after repetitive \"open circuit\" dives in the Baltic Sea. <i>Undersea Hyperb. Med. 52(3)</i>: 211-225. <a href=\"https://dx.doi.org/\" target=\"_blank\">https://dx.doi.org/</a>","BEntID":446699,"PublicFlag":1,"CheckedFlag":1,"wosflag":1,"vabbflag":null,"RefStringPartII":". <i>Undersea Hyperb. Med. 52(3)</i>: 211-225. <a href=\"https://dx.doi.org/\" target=\"_blank\">https://dx.doi.org/</a>","DocTypID":8,"DocType":"Journal article","MarineFlag":0,"FreshFlag":0,"BrackishFlag":0,"TerrestrialFlag":0,"Authorstring":"Brizzolari, A.; Mrakic-Sposta, S.; Vezzoli, A.; Balestra, C.; Bonini, B.; Barassi, A.; Camporesi, E.; BOSCO, G.","OrigTitleTranslFlag":0,"Authorstringtrunc":"Brizzolari, A. <i>et al.</i>","Englishabstract":"Background: SCUBA diving involves exposure to a hyperbaric environment that can induce oxidative stress and inflammation.This study investigates the evolution of oxy-inflammation status in divers who performed repetitive dives in cold water. Methods: In the Baltic Sea, nine expert divers were recruited to perform five dives (T1-T5). Urine and saliva were collected before (A) and after (B) each dive. Reactive Oxygen Species (ROS), total antioxidant capacity (TAC), lipid peroxidation (8-iso-PGF2 alpha), DNA damage (8-OH-dG), inflammatory status (IL-6), nitric oxide metabolites, neopterin, and electrolyte balance changes were investigated. Results: Pre-dive values showed significant increases at the fourth to fifth days in ROS (+45 and +89%) and consequently in lipid peroxidation (+65%) at the fourth day and in DNA damage (+49 and +61%) at the fourth to fifth days, respectively, compared to the first day value. Post-dive significant increases were recorded at the fourth to fifth days in ROS (+83 % and +146%), and at the fifth day in lipid peroxidation (+59%) and DNA damage (+41%) with respect to the post-dive value of the first day. TAC showed a decrease from the fourth to fifth days post-dive (-15% and-24%) compared to the value on the first day post-dive. Finally, IL-6 increased at the basal level of the fifth day (+183%) and post dive (+154%) with respect to the corresponding values of the first day. Conclusion: Repetitive dives in cold water induced a progressive increase in pre-dive ROS, 8-iso-PGF2 alpha, 8-OH-dG, and IL-6. Oxidative stress was only partially contained by activation of endogenous antioxidant defenses, while IL-6 variation resulted from diving-related physical effort or oxy-inflammation. We did not find notable changes in the electrolyte balance, probably because all subjects examined were well-trained and experienced divers.","AbstractOtherLang":null,"BibLvlCode":"AS","StandardTitle":"Oxy-inflammation after repetitive \"open circuit\" dives in the Baltic Sea","OrigTitleLangCode":"en","OrigTitleLangCodeExtended":"eng","OrigTitleLangID":15,"DateLastModified":{"date":"2026-10-15 01:35:03.674534","timezone_type":1,"timezone":"+02:00"},"AuthorKeywords":"cold water;diving;hyperoxia;interleukin;oxidative stress;oxy-inflammation;ros;prostaglandin-like products;decompression-sickness;antioxidant defenses;scuba;exposure;cold;isoprostanes;expression;responses","OtherDescriptors":null,"Notes":null,"AnaPub":2025,"MonPub":null,"DateUpdate":"2026-09-28","DateCreate":"2026-09-28","SecASFANote":null,"ConfID":null,"PeerRev":1,"VlizCoreFlag":1,"WoScode":"WOS:001630709900002","VABBcode":null,"OpenAcc":0,"DOI":""},"refs":null,"anarec":{"AnaID":448861,"PubliDate":2025,"Pagination":"211-225","XtraPublOfAnaID":null,"ISBN":null,"Volume":"52","Issue":"3","BRefMon":null,"BRefMonRR":null,"BRefXtra":null,"BRefXtraRR":null,"SerBRefID":43996,"SerRR":"Undersea and Hyperbaric Medicine. 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