Hello Roger:
Answers are for information only, do not imply diagnosis or treatment and should always be used in conjunction with advice from your personal physician.
To my knowledge there is no specified age limit to sport diving. Chronological age and physiological age can differ markedly; and each individual ticks to his own genetic clock. This having been said, most elderly divers are not capable of sustaining the work load required by all but the least physically demanding dives. The majority of elderly divers do not exercise regularly or adequately. Physical training can definitely minimize the decline in physical capacity in older divers.
Carl Edmonds, in 'Diving and Subaquatic Medicine, 3rd Edit. p. 456. states "With increasing age, allowance must be made for a more conservative approach to diving activity as well as to restricting decompression schedules. " He goes on to recommend that allowable bottom time be reduced by 10% for every decade over the age of thirty years.
Older divers have a higher incidence of chronic diseases; i.e., cardiovascular disease and chronic lung disease. Atherosclerosis affects the blood flow to the brain, heart, kidneys and limb muscles and therefore the function of these organs. Appropriate screening evaluations of the heart and coronary arteries with exercise testing is useful in older divers before instituting a diving program.
Edmonds also states on p. 161, that "increasing age increases DCS incidence, possibly due to impaired perfusion (blood supply) or to already damaged vessels being more susceptible to other flow interferences." Joint abnormalities also increase the likelihood of bubbling in the aged. In aviation statistics, a 28 year old has twice the likelihood of DCS as an 18 year old.
In Fred Bove's 'Diving Medicine', 3rd Edit. p. 156, it is stated that "Greater age is cited as a risk factor in 11 early reports of increased risk for DCs, but that 3 recent reports found no association." Bove also states that aging increases the percentage of fat, decreases the ability of the diver to cope with hypothermia and exercise stress and increases the risks from the effects of atherosclerosis. (p.111).
DAN's report on DCS and Diving fatalities for 2000, page 59, reports mean diver age at time of death has risen steadily from 1989 to 1997. The same publication reports that over 50% of reported diving injuries (DCS, AGE) were in divers over the age of 40 - but few over the age of sixty.
My personal feelings are that if an elder citizen is in good physical condition and is mentally alert enough to do adequate problem solving at depth, then I would personally have no qualms in certifying him to dive - with reductions in his bottom times and depths, diving in warm water, asking for and getting adequate assistance for entries and exits and a knowledgeable 'buddy' or dive master.
At 72, I don't feel "old" - but I have to admit that there are things that I can't do now that I did 40 years ago (and probably shouldn't have done then!). In many respects I consider myself a much wiser and better diver as I've grown older. However, because of the factors stated above, I have placed my self on a rule of 10% - reduced bottom time, increased hang time and increased SI.
If you are in good physical condition and have no evidence of coronary artery disease, untreated hypertension or other vascular disease - then you should be allowed to dive until they take your driver's license away.
Best regards for safe diving!
scubadoc
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