The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects

Abstract Hypoxia is mainly caused by cardiopulmonary disease or high‐altitude exposure. We used a driving simulator to investigate whether breathing hypoxic gas influences driving behaviors in healthy subjects. Fifty‐two healthy subjects were recruited in this study, approved by the Science and Engi...

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Main Authors: Jaspreet Kaur, Lebbathana Manokaran, Michael Thynne, Mirza M. F. Subhan
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15963
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author Jaspreet Kaur
Lebbathana Manokaran
Michael Thynne
Mirza M. F. Subhan
author_facet Jaspreet Kaur
Lebbathana Manokaran
Michael Thynne
Mirza M. F. Subhan
author_sort Jaspreet Kaur
collection DOAJ
description Abstract Hypoxia is mainly caused by cardiopulmonary disease or high‐altitude exposure. We used a driving simulator to investigate whether breathing hypoxic gas influences driving behaviors in healthy subjects. Fifty‐two healthy subjects were recruited in this study, approved by the Science and Engineering Ethical Committee. During simulated driving experiments, driving behaviors, breathing frequency, oxygen saturation (SpO2), and heart rate variability (HRV) were analyzed. Each subject had four driving sessions; a 10‐min practice and three 20‐min randomized interventions: normoxic room air (21% FIO2) and medical air (21% FIO2) and hypoxic air (equal to 15% FIO2), analyzed by repeated measures ANOVA. Driving behaviors and HRV frequency domains showed no significant change. Heart rate (HR; p < 0.0001), standard deviation of the RR interval (SDRR; p = 0.03), short‐term HRV (SD1; p < 0.0001), breathing rate (p = 0.01), and SpO2 (p < 0.0001) were all significantly different over the three gas interventions. Pairwise comparisons showed HR increased during hypoxic gas exposure compared to both normoxic interventions, while SDRR, SD1, breathing rate, and SpO2 were lower. Breathing hypoxic gas (15% FiO2, equivalent to 2710 m altitude) may not have a significant impact on driving behavior in healthy subjects. Furthermore, HRV was negatively affected by hypoxic gas exposure while driving suggesting further research to investigate the impact of breathing hypoxic gas on driving performance for patients with autonomic dysfunction.
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spelling doaj.art-96d8d64f48214848a04934452e0511cb2024-03-14T08:20:44ZengWileyPhysiological Reports2051-817X2024-03-01125n/an/a10.14814/phy2.15963The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjectsJaspreet Kaur0Lebbathana Manokaran1Michael Thynne2Mirza M. F. Subhan3School of Biomedical Sciences, Faculty of Health University of Plymouth Plymouth UKSchool of Biomedical Sciences, Faculty of Health University of Plymouth Plymouth UKChest Clinic University Hospitals Plymouth NHS Trust Plymouth UKSchool of Biomedical Sciences, Faculty of Health University of Plymouth Plymouth UKAbstract Hypoxia is mainly caused by cardiopulmonary disease or high‐altitude exposure. We used a driving simulator to investigate whether breathing hypoxic gas influences driving behaviors in healthy subjects. Fifty‐two healthy subjects were recruited in this study, approved by the Science and Engineering Ethical Committee. During simulated driving experiments, driving behaviors, breathing frequency, oxygen saturation (SpO2), and heart rate variability (HRV) were analyzed. Each subject had four driving sessions; a 10‐min practice and three 20‐min randomized interventions: normoxic room air (21% FIO2) and medical air (21% FIO2) and hypoxic air (equal to 15% FIO2), analyzed by repeated measures ANOVA. Driving behaviors and HRV frequency domains showed no significant change. Heart rate (HR; p < 0.0001), standard deviation of the RR interval (SDRR; p = 0.03), short‐term HRV (SD1; p < 0.0001), breathing rate (p = 0.01), and SpO2 (p < 0.0001) were all significantly different over the three gas interventions. Pairwise comparisons showed HR increased during hypoxic gas exposure compared to both normoxic interventions, while SDRR, SD1, breathing rate, and SpO2 were lower. Breathing hypoxic gas (15% FiO2, equivalent to 2710 m altitude) may not have a significant impact on driving behavior in healthy subjects. Furthermore, HRV was negatively affected by hypoxic gas exposure while driving suggesting further research to investigate the impact of breathing hypoxic gas on driving performance for patients with autonomic dysfunction.https://doi.org/10.14814/phy2.15963driving behaviorhealthy subjectsheart rate variabilityhypoxiahypoxic gasstimulated driving performance
spellingShingle Jaspreet Kaur
Lebbathana Manokaran
Michael Thynne
Mirza M. F. Subhan
The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
Physiological Reports
driving behavior
healthy subjects
heart rate variability
hypoxia
hypoxic gas
stimulated driving performance
title The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
title_full The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
title_fullStr The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
title_full_unstemmed The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
title_short The effect of breathing hypoxic gas (15% FIO2) on physiological and behavioral outcomes during simulated driving in healthy subjects
title_sort effect of breathing hypoxic gas 15 fio2 on physiological and behavioral outcomes during simulated driving in healthy subjects
topic driving behavior
healthy subjects
heart rate variability
hypoxia
hypoxic gas
stimulated driving performance
url https://doi.org/10.14814/phy2.15963
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