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I consider myself fairly fit and strong (I am a physician, male and 47yo). But even since my teens I have been unable to swim the length of an Olympic pool underwater. It’s not strength, it’s air hunger. Friends of similar build and activity can swim TWO lengths without problem, but I cannot. I have an extensive history of running, biking, swimming,etc., mostly aerobic workouts, and have normal PFTs. Can you explain why this happens to me and if there is anything I can do to improve it? It has interfered with scuba certification. Thanks !!!This has to do with a number of physiological factors, primarily ventilatory efficiency. The efficiency or inefficiency can be affected by many factors, including anxiety, the pattern of breathing, the metabolic demand, the matching of ventilation to perfusion in the lung, the amount of physiological dead space, maximum exercise ventilation, and your total vital capacity. Maybe you recall some of this from physiology in college.If you’re already doing aerobic workouts, the only way to possibly improve your lung function is to do short bouts of high intensity training interspersed in your workouts. You must push yourself to the max during these short intervals of maybe 30 seconds to 60 seconds, making it an all out, guts it out effort. It’s usually not fun, not very pleasant, and not comfortable. But it may help you in your quest to increase your vital capacity. You will hit a threshold though. Lung capacity is determined, like most other things, by genetic factors. Probably your mother and father could not swim underwater very well either.Don’t let the fact that you can’t swim underwater as far as your friends be discouraging. What is far more important and valuable is how far you can swim above water. slimmg botanic I just went to my gastro doc two days ago and they sent my blood off to Calif. for dairy testing. Switch to Almond milk. It’s delicious! I use it in my tea. Mix it in and you never miss the butter OR sour cream..