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Date: Thu, 5 Mar 1998 13:43:26 +0100 (MET)
To: "Dan Volker" <dlv@ga*.ne*>
From: Hans Petter Roverud <proverud@on*.no*>
Subject: Re: Why Obesity in deep tech diving is a
Cc: <techdiver@aquanaut.com>
At 22:14 04.03.98 -0500, Tom wrote wrote:

>>Simply, if a fat diver with poor circulayion to slow tissues off gasses
>slower
>>than a slim diver with better circulation to slow tissues, then didn't the
>fat
>>diver not on gas as much gas in those tissues in the first place?

>Dan wrote:

>No, because the highly fit tech diver will be able to run an extremely low
>heart rate, with extremely low exertion rate, particularly if they are
>scootering, which is always desirable at depth on reefs or in caves.  For
>this reason, the very fit have the ability to expose a relatively small
>volume of blood to gradient, by low heart rate, during the bottom portion of
>the dive, and on ascent, can increase heart rate and blood flow by mild
>exertion.  The obese diver will have less ability to efficiently power his
>body at low heart rate levels, and will have no where near the ability to
>increase volume of blood pumped  through gradient, during ascent and
>offgassing.

For recreational exposures high fat tissues do not pose deco problems since
the slow absorbing tissues have not had time to onload. Post-dive they may
actually serve as a sink of high nitrogen solubility and lower the risk for
DCS on single dives. However, repetitive dives will be worse since A) the
fat diver has retained more inert gas in slow tissues and B) these same
tissues may become governing on the second or third dive. In saturation
diving obesity is a great liability since then the slow tissues get time to
absorb gas to their full capacity. 

If a technical exposure is enough to load the adipose tissues they'll
present a deco problem. A WKPP cave exposure certainly would while say, 30
min at 200' might still be OK. My personal experience (personal in the sense
of watching people of different build during hyperbaric exposures) is that
gross obesity did not cause more bubbles than in skinny people after air
exposures to 170' for 40 min. Upon completed deco everybody was
Doppler-monitored and the big guys did not seem to have more problems than
the others. Still, an important point is that the truly big divers were
never working during the exposure. 

The whole point is, ultra-slow compartments with a huge dissolving capacity
are beneficial sinks when near-empty while they become a great deco problem
when they are filled. Since helium is faster than nitrogen a shorter
exposure will be needed to get beyond the critical point. Further, as Dan
says, when obese divers have to fin hard their workload increases many times
that of a fit diver. Since any minor task will mean hard work their
ventilation and heart rate are higher. This means faster uptake per unit
time than for a fit diver. 

Now, rec diving probably won't fill the slow compartments anyway. Sat diving
will fill them anyway. Thus, single-dive obese rec diving will not reach the
critical point and sat diving is always beyond it. A big rec diver will not
cross the line while a big sat diver has taken it to the max anyway and may
huff and puff all he needs to -- it's already as bad as it can get.
Technical diving is in-between. Most exposures are way into decompression,
yet far from saturation. 

If anybody wants to try to do the math, the turning point is where the
adipose tissues go into decompression. Remember to count in higher blood
turnover from higher work load. 

regards,

Hans 


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