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Luks AM, Beidleman BA, Freer L, Grissom CK, Keyes LE, McIntosh SE, Rodway GW, Schoene RB, Zafren K, Hackett PH. Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update. Wilderness Environ Med 2024; 35:2S-19S. [PMID: 37833187 DOI: 10.1016/j.wem.2023.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 04/14/2023] [Accepted: 05/17/2023] [Indexed: 10/15/2023]
Abstract
To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention, diagnosis, and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches for managing each form of acute altitude illness that incorporate these recommendations as well as recommendations on how to approach high altitude travel following COVID-19 infection. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in Wilderness & Environmental Medicine in 2010 and the subsequently updated WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2014 and 2019.
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Affiliation(s)
- Andrew M Luks
- Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA
| | - Beth A Beidleman
- Military Performance Division, US Army Research Institute of Environmental Medicine, Natick, MA
| | - Luanne Freer
- Everest ER, Himalayan Rescue Association, Kathmandu, Nepal
| | - Colin K Grissom
- Pulmonary and Critical Care Medicine, Intermountain Healthcare and the University of Utah, Salt Lake City, UT
| | - Linda E Keyes
- Department of Emergency Medicine, Section of Wilderness Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO
| | - Scott E McIntosh
- Department of Emergency Medicine, University of Utah Health, Salt Lake City, UT
| | - George W Rodway
- Department of Family Medicine-Sports Medicine, University of Nevada, Reno School of Medicine, Reno, NV
| | - Robert B Schoene
- Division of Pulmonary and Critical Care Medicine, Sound Physicians, St. Mary's Medical Center and Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA
| | - Ken Zafren
- Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA
- Himalayan Rescue Association, Kathmandu, Nepal
| | - Peter H Hackett
- Altitude Research Center, Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
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Zhang G, Yang G, Zhou Y, Cao Z, Yin M, Ma L, Fan M, Zhao YQ, Zhu L. Intermittent hypoxia training effectively protects against cognitive decline caused by acute hypoxia exposure. Pflugers Arch 2024; 476:197-210. [PMID: 37994929 DOI: 10.1007/s00424-023-02885-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 10/24/2023] [Accepted: 11/08/2023] [Indexed: 11/24/2023]
Abstract
Intermittent hypoxia training (IHT) is a promising approach that has been used to induce acclimatization to hypoxia and subsequently lower the risk of developing acute mountain sickness (AMS). However, the effects of IHT on cognitive and cerebrovascular function after acute hypoxia exposure have not been characterized. In the present study, we first confirmed that the simplified IHT paradigm was effective at relieving AMS at 4300 m. Second, we found that IHT improved participants' cognitive and neural alterations when they were exposed to hypoxia. Specifically, impaired working memory performance, decreased conflict control function, impaired cognitive control, and aggravated mental fatigue induced by acute hypoxia exposure were significantly alleviated in the IHT group. Furthermore, a reversal of brain swelling induced by acute hypoxia exposure was visualized in the IHT group using magnetic resonance imaging. An increase in cerebral blood flow (CBF) was observed in multiple brain regions of the IHT group after hypoxia exposure as compared with the control group. Based on these findings, the simplified IHT paradigm might facilitate hypoxia acclimatization, alleviate AMS symptoms, and increase CBF in multiple brain regions, thus ameliorating brain swelling and cognitive dysfunction.
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Affiliation(s)
- Guangbo Zhang
- Department of Cognition Sciences and Stress Medicine, Beijing Institute of Basic Medical Sciences, No. 27 Taiping Road, Haidian District, Beijing, China
- Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China
| | - Guochun Yang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Beijing, China
| | - Yanzhao Zhou
- Department of Cognition Sciences and Stress Medicine, Beijing Institute of Basic Medical Sciences, No. 27 Taiping Road, Haidian District, Beijing, China
| | | | - Ming Yin
- The First Medical Center of Chinese, PLA General Hospital, Beijing, China
| | - Lin Ma
- The First Medical Center of Chinese, PLA General Hospital, Beijing, China
| | - Ming Fan
- Department of Cognition Sciences and Stress Medicine, Beijing Institute of Basic Medical Sciences, No. 27 Taiping Road, Haidian District, Beijing, China
- Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China
- Co-Innovation Center of Neuroregeneration, Nantong University, Nantong, China
| | - Yong-Qi Zhao
- Department of Cognition Sciences and Stress Medicine, Beijing Institute of Basic Medical Sciences, No. 27 Taiping Road, Haidian District, Beijing, China.
- Anhui Medical University, Hefei, China.
| | - Lingling Zhu
- Department of Cognition Sciences and Stress Medicine, Beijing Institute of Basic Medical Sciences, No. 27 Taiping Road, Haidian District, Beijing, China.
- Co-Innovation Center of Neuroregeneration, Nantong University, Nantong, China.
- Anhui Medical University, Hefei, China.
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Gupta D, Wal P, Mishra M, Wal A, Rathore S, Shanker Pandey S, Saraswat N, Saxena B. Recent Progress in the Understanding and Management of Acute Mountain Sickness: A Narrative Review. Curr Rev Clin Exp Pharmacol 2024; 19:213-224. [PMID: 37888823 DOI: 10.2174/0127724328237059230919093818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 08/14/2023] [Accepted: 08/30/2023] [Indexed: 10/28/2023]
Abstract
BACKGROUND Individuals at higher altitudes may experience a decrease in blood oxygen levels, which can result in a variety of clinical illnesses, such as high-altitude pulmonary edema, high-altitude cerebral edema, and milder but more common acute mountain sickness (AMS). OBJECTIVE This study aims to review the current state of knowledge related to motion sickness, the risk of AMS, and pharmacological and non-pharmacological treatments for AMS. METHODS Several databases, including PubMed, Bentham Science, Elsevier, Springer, and Research Gate, were used to compile the data for the article following a thorough analysis of the various research findings connected to acute mountain sickness and motion sickness, along with treatments and prevention. RESULTS This article covers the research on mountain sickness as well as every imaginable form of conventional and alternative medicine. It contains ten medicinal plants that are useful in treating mountain sickness and various other remedies. Additionally, case studies are provided. CONCLUSION Therefore, the information in the paper will help travel medicine specialists better personalize their appropriate care for patients who travel to high-altitude locations. Additionally, all available antiemetic medications, serotonin agonists, nonsteroidal anti-inflammatory drugs, and herbal treatments for motion sickness were discussed. The prevention and consequences of acute mountain sickness are also covered in this study.
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Affiliation(s)
- Divyanshi Gupta
- Department of Pharmacy, Pranveer Singh Institute of Technology (Pharmacy), Kanpur, India
| | - Pranay Wal
- Department of Pharmacy, Pranveer Singh Institute of Technology (Pharmacy), Kanpur, India
| | - Mudita Mishra
- Department of Pharmacy, Quantum School of Health Sciences, Roorkee, Uttarakhand, India
| | - Ankita Wal
- Department of Pharmacy, Pranveer Singh Institute of Technology (Pharmacy), Kanpur, India
| | | | | | - Nikita Saraswat
- Dr. D.Y Patil College of Pharmacy, Akurdi, Pune, Maharashtra, India
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Janssen Daalen JM, Meinders MJ, Giardina F, Roes KCB, Stunnenberg BC, Mathur S, Ainslie PN, Thijssen DHJ, Bloem BR. Multiple N-of-1 trials to investigate hypoxia therapy in Parkinson's disease: study rationale and protocol. BMC Neurol 2022; 22:262. [PMID: 35836147 PMCID: PMC9281145 DOI: 10.1186/s12883-022-02770-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 06/24/2022] [Indexed: 11/30/2022] Open
Abstract
Background Parkinson’s disease (PD) is a neurodegenerative disease, for which no disease-modifying therapies exist. Preclinical and clinical evidence suggest that hypoxia-based therapy might have short- and long-term benefits in PD. We present the contours of the first study to assess the safety, feasibility and physiological and symptomatic impact of hypoxia-based therapy in individuals with PD. Methods/Design In 20 individuals with PD, we will investigate the safety, tolerability and short-term symptomatic efficacy of continuous and intermittent hypoxia using individual, double-blind, randomized placebo-controlled N-of-1 trials. This design allows for dose finding and for including more individualized outcomes, as each individual serves as its own control. A wide range of exploratory outcomes is deployed, including the Movement Disorders Society Unified Parkinson’s Disease Rating scale (MDS-UPDRS) part III, Timed Up & Go Test, Mini Balance Evaluation Systems (MiniBES) test and wrist accelerometry. Also, self-reported impression of overall symptoms, motor and non-motor symptoms and urge to take dopaminergic medication will be assessed on a 10-point Likert scale. As part of a hypothesis-generating part of the study, we also deploy several exploratory outcomes to probe possible underlying mechanisms of action, including cortisol, erythropoietin and platelet-derived growth factor β. Efficacy will be assessed primarily by a Bayesian analysis. Discussion This evaluation of hypoxia therapy could provide insight in novel pathways that may be pursued for PD treatment. This trial also serves as a proof of concept for deploying an N-of-1 design and for including individualized outcomes in PD research, as a basis for personalized treatment approaches. Trial registration ClinicalTrials.gov Identifier: NCT05214287 (registered January 28, 2022).
Supplementary Information The online version contains supplementary material available at 10.1186/s12883-022-02770-7.
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Affiliation(s)
- Jules M Janssen Daalen
- Center of Expertise for Parkinson & Movement Disorders; Nijmegen, the Netherlands, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Marjan J Meinders
- Center of Expertise for Parkinson & Movement Disorders; Nijmegen, the Netherlands, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.,IQ Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Federica Giardina
- Department of Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Section Biostatistics, Nijmegen, The Netherlands
| | - Kit C B Roes
- Department of Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Section Biostatistics, Nijmegen, The Netherlands
| | - Bas C Stunnenberg
- Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.,Department of Neurology, Rijnstate Hospital, Arnhem, Netherlands
| | | | - Philip N Ainslie
- Center for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada
| | - Dick H J Thijssen
- Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Bastiaan R Bloem
- Center of Expertise for Parkinson & Movement Disorders; Nijmegen, the Netherlands, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
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Zhang G, Zhou Y, Cao Z, Cheng X, Yue X, Zhao T, Zhao M, Zhao Y, Fan M, Zhu L. Preliminary Intermittent Hypoxia Training Alleviates the Damage of Sustained Normobaric Hypoxia on Human Hematological Indexes and Cerebral White Matter. High Alt Med Biol 2022; 23:273-283. [PMID: 35486840 DOI: 10.1089/ham.2021.0166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Zhang, Guangbo, Yanzhao Zhou, Zhengtao Cao, Xiang Cheng, Xiangpei Yue, Tong Zhao, Ming Zhao, Yongqi Zhao, Ming Fan, and Lingling Zhu. Preliminary intermittent hypoxia training alleviates the damage of sustained normobaric hypoxia on human hematological indexes and cerebral white matter. High Alt Med Biol. 00:000-000, 2022. Study Objectives: We aimed to examine the effects of preliminary intermittent hypoxia training (IHT) on human hematological indexes and cerebral white matter (WM) after exposure to a simulated altitude of 4,300 m. Methods: We recruited 20 young healthy volunteers. Participants were then randomized to either the IHT group (n = 10) or the control group (n = 10). We measured the physiological function of the control group at sea level and after exposure to a simulated altitude of 4,300 m, respectively. The IHT group performed the above tests at three time points: before and after hypoxia training, and after exposure to a simulated altitude of 4,300 m, respectively. Results: We found that mean SpO2 during day 10 of hypoxia training showed a significant increase compared with mean SpO2 on day 1 (88.3% ± 1.5% vs. 90.0% ± 1.6%, p < 0.05), and erythrocyte P50 of post-training was significantly increased compared with pretraining (37.8 ± 2.9 mmHg vs. 45.9 ± 6.4 mmHg, p < 0.05). Mean SpO2 measures after acute exposure to high altitude exhibited a significant difference, with the IHT group showing significantly greater SpO2 than the control group (73.8% ± 3.7% vs. 77.4% ± 3.2%, p < 0.05), and the Lake Louise Score was also lower than the control group (2.55 ± 2.1 vs. 6.67 ± 2.5, p < 0.05). After daily IHT, brain-derived neurotrophic factor plasma levels of participants in the IHT group did not change but significantly increased in response to high-altitude hypoxia (103.5% ± 70.4% vs. 29.7% ± 73.2%, p < 0.05). Interleukin-10 (IL-10) plasma level did not change before and after IHT in the IHT group, whereas the IL-10 plasma level of the control group after high-altitude exposure was significantly higher. Furthermore, we found that fractional anisotropy values in the left corticospinal tract and splenium of the corpus callosum in the IHT group were significantly higher than those in the control group after high-altitude hypoxia. Conclusions: These results demonstrate that IHT alleviates the damage of sustained normobaric hypoxia on human hematological indexes and cerebral WM.
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Affiliation(s)
- Guangbo Zhang
- Department of Neurobiology, Collaborative Innovation Center for Brain Disorders, Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China.,Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China.,Department of Neurology, Kangjixintu Hospital, Renqiu, China
| | - Yanzhao Zhou
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Zhengtao Cao
- Department of Biomedical Engineering, Air Force Medical Center, PLA, Beijing, China
| | - Xiang Cheng
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Xiangpei Yue
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Tong Zhao
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Ming Zhao
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Yongqi Zhao
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Ming Fan
- Department of Neurobiology, Collaborative Innovation Center for Brain Disorders, Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China.,Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
| | - Lingling Zhu
- Department of Brain Protection and Plasticity, Beijing Institute of Basic Medical Sciences, Beijing, China
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Pre-acclimation to altitude in young adults: choosing a hypoxic pattern at sea level which provokes significant haematological adaptations. Eur J Appl Physiol 2021; 122:395-407. [PMID: 34750724 DOI: 10.1007/s00421-021-04837-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 10/17/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE This single-blind, repeated measures study evaluated adaptive and maladaptive responses to continuous and intermittent hypoxic patterns in young adults. METHODS Changes in haematological profile, stress and cardiac damage were measured in ten healthy young participants during three phases: (1) breathing normoxic air (baseline); (2) breathing normoxic air via a mask (Sham-controls); (3) breathing intermittent hypoxia (IH) via a mask, mean peripheral oxygen saturation (SpO2) of 85% ~ 70 min of hypoxia. After a 5-month washout period, participants repeated this three-phase protocol with phase, (4) consisting of continuous hypoxia (CH), mean SpO2 = 85%, ~ 70 min of hypoxia. Measures of the red blood cell count (RBCc), haemoglobin concentration ([Hb]), haematocrit (Hct), percentage of reticulocytes (% Retics), secretory immunoglobulin A (S-IgA), cortisol, cardiac troponin T (cTnT) and the erythropoietic stimulation index (calculated OFF-score) were compared across treatments. RESULTS Despite identical hypoxic durations at the same fixed SpO2, no significant effects were observed in either CH or Sham-CH control, compared to baseline. While IH and Sham-IH controls demonstrated significant increases in: RBCc; [Hb]; Hct; and the erythropoietic stimulation index. Notably, the % Retics decreased significantly in response to IH (-31.9%) or Sham-IH control (-23.6%), highlighting the importance of including Sham-controls. No difference was observed in S-IgA, cortisol or cTnT. CONCLUSION The IH but not CH pattern significantly increased key adaptive haematological responses, without maladaptive increases in S-IgA, cortisol or cTnT, indicating that the IH hypoxic pattern would be the best method to boost haematological profiles prior to ascent to altitude.
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Fehrenbacher K, Apel C, Bertsch D, van der Giet MS, van der Giet S, Grass M, Gschwandtl C, Heussen N, Hundt N, Kühn C, Morrison A, Müller-Ost M, Müller-Tarpet M, Porath S, Risse J, Schmitz S, Schöffl V, Timmermann L, Wernitz K, Küpper T. Temporary threshold shift after noise exposure in hypobaric hypoxia at high altitude: results of the ADEMED expedition 2011. Int Arch Occup Environ Health 2021; 94:1191-1199. [PMID: 34023963 PMCID: PMC8292300 DOI: 10.1007/s00420-021-01715-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 08/29/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To evaluate whether there is an increased risk for noise-induced hearing loss at high altitude rsp. in hypobaric hypoxia. METHODS Thirteen volunteers got standard audiometry at 125, 250, 500, 750, 1000, 1500, 2000, 3000, 4000, 6000, and 8000 Hz before and after 10 min of white noise at 90 dB. The system was calibrated for the respective altitude. Measurements were performed at Kathmandu (1400 m) and at Gorak Shep (5300 m) (Solo Khumbu/Nepal) after 10 days of acclimatization while on trek. Temporary threshold shift (TTS) was analyzed by descriptive statistics and by factor analysis. RESULTS TTS is significantly more pronounced at high altitudes. Acclimatization does not provide any protection of the inner ear, although it increases arterial oxygen saturation. CONCLUSION The thresholds beyond which noise protection is recommended (> 80 dB) or necessary (> 85 dB) are not sufficient at high altitudes. We suggest providing protective devices above an altitude of 1500 m ("ear threshold altitude") when noise level is higher than 75 dB and using them definitively above 80 dB. This takes the individual reaction on hypobaric hypoxia at high altitude into account.
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Affiliation(s)
- K Fehrenbacher
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - C Apel
- Department of Dental Preservation, Parodontology and Preventive Dentistry, RWTH Aachen Technical University, Aachen, Germany
| | - D Bertsch
- Department of Cardiology, Catholic Hospital Marienhof, Koblenz, Germany
| | - M S van der Giet
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - S van der Giet
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - M Grass
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - C Gschwandtl
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - N Heussen
- Department of Medical Statistics, RWTH Aachen Technical University, Aachen, Germany
- Medical School, Sigmund Freud Private University, Vienna, Austria
| | - N Hundt
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - C Kühn
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - A Morrison
- Royal Free London NHS Foundation Trust, London, UK
| | - M Müller-Ost
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - M Müller-Tarpet
- Department of Technical Acoustics, RWTH Aachen University, Aachen, Germany
| | - S Porath
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - J Risse
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - S Schmitz
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - V Schöffl
- Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom), Bern, Switzerland
- Department of Sports Medicine-Sports Orthopaedics, Klinikum Bamberg, Bamberg, Germany
- Department of Trauma Surgery, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany
| | - L Timmermann
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany
| | - K Wernitz
- Department of Dental Preservation, Parodontology and Preventive Dentistry, RWTH Aachen Technical University, Aachen, Germany
| | - T Küpper
- Institute of Occupational and Social Medicine, RWTH Aachen Technical University, Pauwelsstr. 30, 52074, Aachen, Germany.
- Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom), Bern, Switzerland.
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Richalet JP, Pillard F, LE Moal D, Rivière D, Oriol P, Poussel M, Chenuel B, Doutreleau S, Vergès S, Demanez S, Vergnion M, Boulet JM, Douard H, Dupré M, Mesland O, Remetter R, Lonsdorfer-Wolf E, Frey A, Vilcoq L, Nedelec Jaffuel A, Debeaumont D, Duperrex G, Lecoq F, Hédon C, Hayot M, Giardini G, Lhuissier FJ. Validation of a Score for the Detection of Subjects with High Risk for Severe High-Altitude Illness. Med Sci Sports Exerc 2021; 53:1294-1302. [PMID: 33433150 DOI: 10.1249/mss.0000000000002586] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE A decision tree based on a clinicophysiological score (severe high-altitude illness (SHAI) score) has been developed to detect subjects susceptible to SHAI. We aimed to validate this decision tree, to rationalize the prescription of acetazolamide (ACZ), and to specify the rule for a progressive acclimatization. METHODS Data were obtained from 641 subjects in 15 European medical centers before and during a sojourn at high altitude. Depending on the value of the SHAI score, advice was given and ACZ was eventually prescribed. The outcome was the occurrence of SHAI at high altitude as a function of the SHAI score, ACZ prescription, and use and fulfillment of the acclimatization rule. RESULTS The occurrence of SHAI was 22.6%, similar to what was observed 18 yr before (23.7%), whereas life-threatening forms of SHAI (high-altitude pulmonary and cerebral edema) were less frequent (2.6%-0.8%, P = 0.007). The negative predictive value of the decision tree based was 81%, suggesting that the procedure is efficient to detect subjects who will not suffer from SHAI, therefore limiting the use of ACZ. The maximal daily altitude gain that limits the occurrence of SHAI was established at 400 m. The occurrence of SHAI was reduced from 27% to 12% when the recommendations for ACZ use and 400-m daily altitude gain were respected (P < 0.001). CONCLUSIONS This multicenter study confirmed the interest of the SHAI score in predicting the individual risk for SHAI. The conditions for an optimized acclimatization (400-m rule) were also specified, and we proposed a rational decision tree for the prescription of ACZ, adapted to each individual tolerance to hypoxia.
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Affiliation(s)
| | - Fabien Pillard
- Université Paul Sabatier III, Faculté de Médecine Purpan, UMR INSERM U1048 Institut des maladies métaboliques et cardiovasculaires, Hôpital Pierre Paul Riquet, Unité de Médecine du Sport, Toulouse, FRANCE
| | - David LE Moal
- Université Sorbonne Paris Nord, UMR INSERM 1272 Hypoxie et poumon, Bobigny, FRANCE
| | - Daniel Rivière
- Université Paul Sabatier III, Faculté de Médecine Purpan, UMR INSERM U1048 Institut des maladies métaboliques et cardiovasculaires, Hôpital Pierre Paul Riquet, Unité de Médecine du Sport, Toulouse, FRANCE
| | - Philippe Oriol
- Institut Régional de Médecine et d'Ingénierie de Sport, Médecine du sport et Myologie, CHU Saint-Etienne, Saint-Etienne, FRANCE
| | - Mathias Poussel
- Centre Hospitalier Régional Universitaire de Nancy, Centre Universitaire de Médecine du Sport et Activité Physique Adaptée, Service des Explorations de la Fonction Respiratoire, Université de Lorraine, EA 3450 Développement, Adaptation et Handicap, Nancy, FRANCE
| | - Bruno Chenuel
- Centre Hospitalier Régional Universitaire de Nancy, Centre Universitaire de Médecine du Sport et Activité Physique Adaptée, Service des Explorations de la Fonction Respiratoire, Université de Lorraine, EA 3450 Développement, Adaptation et Handicap, Nancy, FRANCE
| | | | | | - Sophie Demanez
- Centre de physiologie de l'effort-CB Move Herve-Julémont, BELGIUM
| | - Michel Vergnion
- Centre de physiologie de l'effort-CB Move Herve-Julémont, BELGIUM
| | - Jean-Michel Boulet
- Hôpital cardiologique, Service maladies coronaires, tests d'effort et readaptation, Pessac, FRANCE
| | - Hervé Douard
- Hôpital cardiologique, Service maladies coronaires, tests d'effort et readaptation, Pessac, FRANCE
| | - Maryse Dupré
- Institut Régional de Médecine du Sport, CHU Nantes, PHU 10, Hôpital Saint Jacques, Nantes, FRANCE
| | - Olivier Mesland
- Institut Régional de Médecine du Sport, CHU Nantes, PHU 10, Hôpital Saint Jacques, Nantes, FRANCE
| | - Romain Remetter
- Centre Hospitalier Universitaire de Strasbourg, Service de Physiologie et EFR, Nouvel Hôpital Civil, Strasbourg, FRANCE
| | - Evelyne Lonsdorfer-Wolf
- Centre Hospitalier Universitaire de Strasbourg, Service de Physiologie et EFR, Nouvel Hôpital Civil, Strasbourg, FRANCE
| | - Alain Frey
- Centre Hospitalier Intercommunal Poissy/Saint-Germain, Service Médecine du Sport, Site Saint Germain, Saint-Germain en Laye, FRANCE
| | - Louis Vilcoq
- Centre Hospitalier Intercommunal Poissy/Saint-Germain, Service Médecine du Sport, Site Saint Germain, Saint-Germain en Laye, FRANCE
| | - Anne Nedelec Jaffuel
- Centre Hospitalier Intercommunal Poissy/Saint-Germain, Service Médecine du Sport, Site Saint Germain, Saint-Germain en Laye, FRANCE
| | - David Debeaumont
- Centre Hospitalo-Universitaire de Rouen, Hôpital Charles Nicolle, CIC-CRB 1404, Unité de physiologie respiratoire et de l'exercice, Rouen, FRANCE
| | - Guy Duperrex
- Hôpitaux du Pays du Mont Blanc, Consultation de Médecine et Traumatologie du Sport, Montagne, Sallanches, FRANCE
| | - François Lecoq
- Hôpitaux du Pays du Mont Blanc, Consultation de Médecine et Traumatologie du Sport, Montagne, Sallanches, FRANCE
| | - Christophe Hédon
- UMR INSERM U1046-CNRS 9214-PhyMedExp, Université de Montpellier, CHU Arnaud de Villeneuve, Montpellier, FRANCE
| | - Maurice Hayot
- UMR INSERM U1046-CNRS 9214-PhyMedExp, Université de Montpellier, CHU Arnaud de Villeneuve, Montpellier, FRANCE
| | - Guido Giardini
- Ospedale U. Parini-Azienda USL della Valle d'Aosta, Centro di Medicina e Neurologia di Montagna, Aosta, ITALY
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9
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High-altitude illnesses: Old stories and new insights into the pathophysiology, treatment and prevention. SPORTS MEDICINE AND HEALTH SCIENCE 2021; 3:59-69. [PMID: 35782163 PMCID: PMC9219347 DOI: 10.1016/j.smhs.2021.04.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/11/2021] [Accepted: 04/11/2021] [Indexed: 01/19/2023] Open
Abstract
Areas at high-altitude, annually attract millions of tourists, skiers, trekkers, and climbers. If not adequately prepared and not considering certain ascent rules, a considerable proportion of those people will suffer from acute mountain sickness (AMS) or even from life-threatening high-altitude cerebral (HACE) or/and pulmonary edema (HAPE). Reduced inspired oxygen partial pressure with gain in altitude and consequently reduced oxygen availability is primarily responsible for getting sick in this setting. Appropriate acclimatization by slowly raising the hypoxic stimulus (e.g., slow ascent to high altitude) and/or repeated exposures to altitude or artificial, normobaric hypoxia will largely prevent those illnesses. Understanding physiological mechanisms of acclimatization and pathophysiological mechanisms of high-altitude diseases, knowledge of symptoms and signs, treatment and prevention strategies will largely contribute to the risk reduction and increased safety, success and enjoyment at high altitude. Thus, this review is intended to provide a sound basis for both physicians counseling high-altitude visitors and high-altitude visitors themselves.
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10
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Ghaleb AM, Ramadan MZ, Badwelan A, Mansour L, Al-Tamimi J, Aljaloud KS. Determining the time needed for workers to acclimatize to hypoxia. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2020; 64:1995-2005. [PMID: 32794023 DOI: 10.1007/s00484-020-01989-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 07/27/2020] [Accepted: 08/05/2020] [Indexed: 06/11/2023]
Abstract
This study aimed to determine the influence of intermittent hypoxia and the days required for a worker to be acclimatized in high-altitude countries. We conducted an experimental study. Ten nonsmoking male students were randomly recruited from King Saud University. Fourteen days of exposure to intermittent normobaric hypoxia (15%) was the independent variable. Heart rate (HR), respiratory frequency (RF), minute ventilation (VE), respiratory exchange ratio (RER), tidal volume (VT), oxygen uptake (VO2),VO2/kg, VO2/HR, VE/VO2, and VE/VCO2 were the dependent variables. Our results showed that 12 days of exposure to intermittent hypoxia were sufficient for workers to acclimatize to hypoxia based on their respiratory responses (i.e., HR, RF, VE). This type of acclimatization session is very important for workers who are suddenly required to work in such an environment, because prolonged exposure to high altitude without acclimatization leads to cell death due to a lack of oxygen, and this, in turn, puts workers' lives at risk.
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Affiliation(s)
- Atef M Ghaleb
- Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh, Saudi Arabia.
| | - Mohamed Z Ramadan
- Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh, Saudi Arabia
| | - Ahmed Badwelan
- Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh, Saudi Arabia
| | - Lamjed Mansour
- Department of Zoology , College of Science, King Saud University, P.O. Box 2455, Riyadh, 11451, Saudi Arabia
| | - Jameel Al-Tamimi
- Department of Zoology , College of Science, King Saud University, P.O. Box 2455, Riyadh, 11451, Saudi Arabia
| | - Khalid Saad Aljaloud
- Department of Exercise Physiology, College of Sport Sciences & Physical Activity, King Saud University, Riyadh, Saudi Arabia
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11
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Shah N, Bye K, Marshall A, Woods DR, O'Hara J, Barlow M, Rimmer J, Boos CJ. The Effects of Apnea Training, Using Voluntary Breath Holds, on High Altitude Acclimation: Breathe-High Altitude Study. High Alt Med Biol 2020; 21:152-159. [DOI: 10.1089/ham.2019.0087] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Affiliation(s)
- Nishma Shah
- Department of Surgical Sciences, Institute of Sports and Exercise Health, University College, London, United Kingdom
| | - Kyo Bye
- Defence Medical Services, Lichfield, United Kingdom
| | - Anna Marshall
- Department of Surgical Sciences, Institute of Sports and Exercise Health, University College, London, United Kingdom
| | - David R. Woods
- Defence Medical Services, Lichfield, United Kingdom
- Research Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, United Kingdom
- Northumbria and Newcastle NHS Trusts, Wansbeck General and Royal Victoria Infirmary, Newcastle, United Kingdom
| | - John O'Hara
- Research Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, United Kingdom
| | - Matthew Barlow
- Research Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, United Kingdom
| | - Jo Rimmer
- Defence Medical Services, Lichfield, United Kingdom
| | - Christopher John Boos
- Research Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, United Kingdom
- Department of Cardiology, Poole Hospital NHS Foundation Trust, Poole, United Kingdom
- Department of Postgraduate Medical Education, Bournemouth University, Bournemouth, United Kingdom
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12
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Treml B, Kleinsasser A, Hell T, Knotzer H, Wille M, Burtscher M. Carry-Over Quality of Pre-acclimatization to Altitude Elicited by Intermittent Hypoxia: A Participant-Blinded, Randomized Controlled Trial on Antedated Acclimatization to Altitude. Front Physiol 2020; 11:531. [PMID: 32547414 PMCID: PMC7272681 DOI: 10.3389/fphys.2020.00531] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 04/29/2020] [Indexed: 11/13/2022] Open
Abstract
Intermittent normobaric hypoxia (IH) is increasingly used to pre-acclimatize for a sojourn to high altitude. There is a number of hypoxia - protocols observing the hypoxic ventilatory response (HVR), but little is known about the carry - over quality of the Lake Louise Score (LLS). We thus studied a week - long, 1 h per day poikilocapnic hypoxia protocol on whether acclimatization could be carried over for one week. Rationale for this was that it usually takes one week to get from Europe, Britain or the United States to the base camp of a major mountain. Forty-nine healthy volunteers of both sexes were exposed to daily bouts of 1 h at an inspiratory fraction of oxygen (FiO2) of 0.11 or 0.21 (control) for 7 consecutive days. Seven days after cessation of IH or sham exposures participants were again subjected to hypoxia (FiO2 = 0.11) for 6 h and measurements of isocapnic HVR and blood gases out of the arterialized earlobe were taken and LLS was assessed. In those with IH exposures LLS was reduced which was not the case in those with sham exposure (87 vs. 50%). Changes in HVR or the arterial hemoglobin saturation were not observed. Gender neither affected LLS nor HVR nor blood gases or carry -over quality. We found that our week - long, hypoxia protocol grants a reduction in LLS that can be carried over the time span of one week. In this way, antedated acclimatization may improve safety and comfort on the mountain.
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Affiliation(s)
- Benedikt Treml
- Department of General and Surgical Intensive Care Medicine, Medical University Innsbruck, Innsbruck, Austria
| | - Axel Kleinsasser
- Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
| | - Tobias Hell
- Department of Mathematics, Leopold – Franzens University Innsbruck, Innsbruck, Austria
| | - Hans Knotzer
- Department of Anesthesiology and Critical Care Medicine, Klinikum Wels – Grieskirchen, Wels, Austria
| | - Maria Wille
- Department of Sport Science, Medical Section, University Innsbruck, Innsbruck, Austria
| | - Martin Burtscher
- Department of Sport Science, Medical Section, University Innsbruck, Innsbruck, Austria
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13
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Hilty MP, Hefti U, Brugger H, Bouzat P. Letter to the Editor: Preacclimatization for Expeditions to Extreme Altitude: An Opinion Position from the Union Internationale des Associations d'Alpinisme Medical Commission. High Alt Med Biol 2020; 21:303-304. [PMID: 32302495 DOI: 10.1089/ham.2020.0029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Matthias P Hilty
- For the UIAA Medical Commission, University Hospital of Zurich, Zurich, Switzerland.,Institute of Intensive Care Medicine, University Hospital of Zurich, Zurich, Switzerland
| | - Urs Hefti
- For the UIAA Medical Commission, University Hospital of Zurich, Zurich, Switzerland.,Swiss Sportclinic, Bern, Switzerland
| | - Hermann Brugger
- For the UIAA Medical Commission, University Hospital of Zurich, Zurich, Switzerland.,Institute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy
| | - Pierre Bouzat
- For the UIAA Medical Commission, University Hospital of Zurich, Zurich, Switzerland.,Department of Anaesthesia and Intensive Care, Grenoble Alps Trauma Centre, Grenoble-Alpes University Hospital, Grenoble, France
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14
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Luks AM, Auerbach PS, Freer L, Grissom CK, Keyes LE, McIntosh SE, Rodway GW, Schoene RB, Zafren K, Hackett PH. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update. Wilderness Environ Med 2019; 30:S3-S18. [PMID: 31248818 DOI: 10.1016/j.wem.2019.04.006] [Citation(s) in RCA: 99] [Impact Index Per Article: 19.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 04/12/2019] [Accepted: 04/19/2019] [Indexed: 12/16/2022]
Abstract
To provide guidance to clinicians about best preventive and therapeutic practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to prevention and management of each form of acute altitude illness that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2010 and subsequently updated as the WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness in 2014.
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Affiliation(s)
- Andrew M Luks
- Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA.
| | - Paul S Auerbach
- Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA
| | - Luanne Freer
- Yellowstone National Park, WY; Midway Atoll National Wildlife Refuge, Honolulu, HI; Everest ER, Himalayan Rescue Association, Kathmandu, Nepal
| | - Colin K Grissom
- Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT
| | - Linda E Keyes
- Department of Emergency Medicine, University of Colorado, Denver, CO; Boulder Community Health, Boulder, CO
| | - Scott E McIntosh
- Division of Emergency Medicine, University of Utah, Salt Lake City, UT
| | - George W Rodway
- University of California, Davis School of Nursing, Sacramento, CA
| | - Robert B Schoene
- Division of Pulmonary and Critical Care Medicine, Sound Physicians, St. Mary's Medical Center, San Francisco, CA
| | - Ken Zafren
- Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA; Himalayan Rescue Association, Kathmandu, Nepal
| | - Peter H Hackett
- Altitude Research Center, Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
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15
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Viscor G, Torrella JR, Corral L, Ricart A, Javierre C, Pages T, Ventura JL. Physiological and Biological Responses to Short-Term Intermittent Hypobaric Hypoxia Exposure: From Sports and Mountain Medicine to New Biomedical Applications. Front Physiol 2018; 9:814. [PMID: 30038574 PMCID: PMC6046402 DOI: 10.3389/fphys.2018.00814] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 06/11/2018] [Indexed: 12/14/2022] Open
Abstract
In recent years, the altitude acclimatization responses elicited by short-term intermittent exposure to hypoxia have been subject to renewed attention. The main goal of short-term intermittent hypobaric hypoxia exposure programs was originally to improve the aerobic capacity of athletes or to accelerate the altitude acclimatization response in alpinists, since such programs induce an increase in erythrocyte mass. Several model programs of intermittent exposure to hypoxia have presented efficiency with respect to this goal, without any of the inconveniences or negative consequences associated with permanent stays at moderate or high altitudes. Artificial intermittent exposure to normobaric hypoxia systems have seen a rapid rise in popularity among recreational and professional athletes, not only due to their unbeatable cost/efficiency ratio, but also because they help prevent common inconveniences associated with high-altitude stays such as social isolation, nutritional limitations, and other minor health and comfort-related annoyances. Today, intermittent exposure to hypobaric hypoxia is known to elicit other physiological response types in several organs and body systems. These responses range from alterations in the ventilatory pattern to modulation of the mitochondrial function. The central role played by hypoxia-inducible factor (HIF) in activating a signaling molecular cascade after hypoxia exposure is well known. Among these targets, several growth factors that upregulate the capillary bed by inducing angiogenesis and promoting oxidative metabolism merit special attention. Applying intermittent hypobaric hypoxia to promote the action of some molecules, such as angiogenic factors, could improve repair and recovery in many tissue types. This article uses a comprehensive approach to examine data obtained in recent years. We consider evidence collected from different tissues, including myocardial capillarization, skeletal muscle fiber types and fiber size changes induced by intermittent hypoxia exposure, and discuss the evidence that points to beneficial interventions in applied fields such as sport science. Short-term intermittent hypoxia may not only be useful for healthy people, but could also be considered a promising tool to be applied, with due caution, to some pathophysiological states.
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Affiliation(s)
- Ginés Viscor
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, Barcelona, Spain
| | - Joan R. Torrella
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, Barcelona, Spain
| | - Luisa Corral
- Exercise Physiology Unit, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Antoni Ricart
- Exercise Physiology Unit, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Casimiro Javierre
- Exercise Physiology Unit, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Teresa Pages
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, Barcelona, Spain
| | - Josep L. Ventura
- Exercise Physiology Unit, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
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16
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Treml B, Kleinsasser A, Stadlbauer KH, Steiner I, Pajk W, Pilch M, Burtscher M, Knotzer H. Cutaneous Microvascular Blood Flow and Reactivity in Hypoxia. Front Physiol 2018; 9:160. [PMID: 29559919 PMCID: PMC5845666 DOI: 10.3389/fphys.2018.00160] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Accepted: 02/19/2018] [Indexed: 01/04/2023] Open
Abstract
As is known, hypoxia leads to an increase in microcirculatory blood flow of the skin in healthy volunteers. In this pilot study, we investigated microcirculatory blood flow and reactive hyperemia of the skin in healthy subjects in normobaric hypoxia. Furthermore, we examined differences in microcirculation between hypoxic subjects with and without short-term acclimatization, whether or not skin microvasculature can acclimatize. Fourty-six healthy persons were randomly allocated to either short-term acclimatization using intermittent hypoxia for 1 h over 7 days at an FiO2 0.126 (treatment, n = 23) or sham short-term acclimatization for 1 h over 7 days at an FiO2 0.209 (control, n = 23). Measurements were taken in normoxia and at 360 and 720 min during hypoxia (FiO2 0.126). Microcirculatory cutaneous blood flow was assessed with a laser Doppler flowmeter on the forearm. Reactive hyperemia was induced by an ischemic stimulus. Measurements included furthermore hemodynamics, blood gas analyses and blood lactate. Microcirculatory blood flow increased progressively during hypoxia (12.3 ± 7.1–19.0 ± 8.1 perfusion units; p = 0.0002) in all subjects. The magnitude of the reactive hyperemia was diminished during hypoxia (58.2 ± 14.5–40.3 ± 27.4 perfusion units; p = 0.0003). Short-term acclimatization had no effect on microcirculatory blood flow. When testing for a hyperemic response of the skin's microcirculation we found a diminished signal in hypoxia, indicative for a compromised auto-regulative circulatory capacity. Furthermore, hypoxic short-term acclimatization did not affect cutaneous microcirculatory blood flow. Seemingly, circulation of the skin was unable to acclimatize using a week-long short-term acclimatization protocol. A potential limitation of our study may be the 7 days between acclimatization and the experimental test run. However, there is evidence that the hypoxic ventilatory response, an indicator of acclimatization, is increased for 1 week after short-term acclimatization. Then again, 1 week is what one needs to get from home to a location at significant altitude.
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Affiliation(s)
- Benedikt Treml
- Department of General and Surgical Intensive Care, Medical University Innsbruck, Innsbruck, Austria
| | - Axel Kleinsasser
- Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
| | - Karl-Heinz Stadlbauer
- Department of Anesthesiology and Critical Care Medicine, Klinikum Vöcklabruck, Vöcklabruck, Austria
| | - Iris Steiner
- Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
| | - Werner Pajk
- Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
| | - Michael Pilch
- Department of Pediatrics, County Hospital Kufstein, Kufstein, Austria
| | - Martin Burtscher
- Department of Sport Science, Medical Section, University Innsbruck, Innsbruck, Austria
| | - Hans Knotzer
- Department of Anesthesiology and Critical Care Medicine II, Klinikum Wels-Grieskirchen, Wels, Austria
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17
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Faulhaber M, Pocecco E, Gatterer H, Niedermeier M, Huth M, Dünnwald T, Menz V, Bernardi L, Burtscher M. Seven Passive 1-h Hypoxia Exposures Do Not Prevent AMS in Susceptible Individuals. Med Sci Sports Exerc 2017; 48:2563-2570. [PMID: 27414687 DOI: 10.1249/mss.0000000000001036] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE The present study evaluated the effects of a preacclimatization program comprising seven passive 1-h exposures to 4500-m normobaric hypoxia on the prevalence and severity of acute mountain sickness (AMS) during a subsequent exposure to real high altitude in persons susceptible to AMS. METHODS The project was designed as a randomized controlled trial including 32 healthy female and male participants with known susceptibility to AMS symptoms. After baseline measurements, participants were randomly assigned to the hypoxia or the control group to receive the preacclimatization program (seven passive 1-h exposures within 7 d to normobaric hypoxia or sham hypoxia). After completing preacclimatization, participants were transported (bus, cog railway) to real high altitude (3650 m, Mönchsjoch Hut, Switzerland) and stayed there for 45 h (two nights). Symptoms of AMS and physiological responses were determined repeatedly. RESULTS AMS incidence and severity did not significantly differ between groups during the high-altitude exposure. In total, 59% of the hypoxia and 67% of the control group suffered from AMS at one or more time points during the high-altitude exposure. Hypoxic and hypercapnic ventilatory responses were not affected by the preacclimatization program. Resting ventilation at high altitude tended to be higher (P = 0.06) in the hypoxia group compared with the control group. No significant between-group differences were detected for heart rate variability, arterial oxygen saturation, and hematological and ventilatory parameters during the high-altitude exposure. CONCLUSION Preacclimatization using seven passive 1-h exposures to normobaric hypoxia corresponding to 4500 m did not prevent AMS development during a subsequent high-altitude exposure in AMS-susceptible persons.
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Affiliation(s)
- Martin Faulhaber
- 1Department of Sport Science, University of Innsbruck, Innsbruck, AUSTRIA; 2Austrian Society of Alpine and High Altitude Medicine, Innsbruck, AUSTRIA; 3Department for Medical Sciences and Health System Management, Institute for Sports Medicine, Alpine Medicine and Health Tourism, Hall in Tirol, Tyrol, AUSTRIA; 4Department of Internal Medicine, University of Pavia, Pavia, ITALY; and 5Folkhälsan Institute of Genetics, Folkhälsan Research Center, University of Helsinki, Helsinki, FINLAND
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18
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Beidleman BA, Fulco CS, Cadarette BS, Cymerman A, Buller MJ, Salgado RM, Posch AM, Staab JE, Sils IV, Yurkevicius BR, Luippold AJ, Welles AP, Muza SR. Is normobaric hypoxia an effective treatment for sustaining previously acquired altitude acclimatization? J Appl Physiol (1985) 2017; 123:1214-1227. [PMID: 28705998 DOI: 10.1152/japplphysiol.00344.2017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 07/06/2017] [Accepted: 07/06/2017] [Indexed: 12/25/2022] Open
Abstract
This study examined whether normobaric hypoxia (NH) treatment is more efficacious for sustaining high-altitude (HA) acclimatization-induced improvements in ventilatory and hematologic responses, acute mountain sickness (AMS), and cognitive function during reintroduction to altitude (RA) than no treatment at all. Seventeen sea-level (SL) residents (age = 23 ± 6 yr; means ± SE) completed in the following order: 1) 4 days of SL testing; 2) 12 days of HA acclimatization at 4,300 m; 3) 12 days at SL post-HA acclimatization (Post) where each received either NH (n = 9, [Formula: see text] = 0.122) or Sham (n = 8; [Formula: see text] = 0.207) treatment; and 4) 24-h reintroduction to 4,300-m altitude (RA) in a hypobaric chamber (460 Torr). End-tidal carbon dioxide pressure ([Formula: see text]), hematocrit (Hct), and AMS cerebral factor score were assessed at SL, on HA2 and HA11, and after 20 h of RA. Cognitive function was assessed using the SynWin multitask performance test at SL, on HA1 and HA11, and after 4 h of RA. There was no difference between NH and Sham treatment, so data were combined. [Formula: see text] (mmHg) decreased from SL (37.2 ± 0.5) to HA2 (32.2 ± 0.6), decreased further by HA11 (27.1 ± 0.4), and then increased from HA11 during RA (29.3 ± 0.6). Hct (%) increased from SL (42.3 ± 1.1) to HA2 (45.9 ± 1.0), increased again from HA2 to HA11 (48.5 ± 0.8), and then decreased from HA11 during RA (46.4 ± 1.2). AMS prevalence (%) increased from SL (0 ± 0) to HA2 (76 ± 11) and then decreased at HA11 (0 ± 0) and remained depressed during RA (17 ± 10). SynWin scores decreased from SL (1,615 ± 62) to HA1 (1,306 ± 94), improved from HA1 to HA11 (1,770 ± 82), and remained increased during RA (1,707 ± 75). These results demonstrate that HA acclimatization-induced improvements in ventilatory and hematologic responses, AMS, and cognitive function are partially retained during RA after 12 days at SL whether or not NH treatment is utilized.NEW & NOTEWORTHY This study demonstrates that normobaric hypoxia treatment over a 12-day period at sea level was not more effective for sustaining high-altitude (HA) acclimatization during reintroduction to HA than no treatment at all. The noteworthy aspect is that athletes, mountaineers, and military personnel do not have to go to extraordinary means to retain HA acclimatization to an easily accessible and relevant altitude if reexposure occurs within a 2-wk time period.
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Affiliation(s)
- Beth A Beidleman
- Biophysics and Biomedical Modeling Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts;
| | - Charles S Fulco
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Bruce S Cadarette
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Allen Cymerman
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Mark J Buller
- Biophysics and Biomedical Modeling Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Roy M Salgado
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Alexander M Posch
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Janet E Staab
- Military Performance Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts; and
| | - Ingrid V Sils
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Beau R Yurkevicius
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | | | - Alexander P Welles
- Biophysics and Biomedical Modeling Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | - Stephen R Muza
- Scientifc Strategic Management Office, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts
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19
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Woods DR, O'Hara JP, Boos CJ, Hodkinson PD, Tsakirides C, Hill NE, Jose D, Hawkins A, Phillipson K, Hazlerigg A, Arjomandkhah N, Gallagher L, Holdsworth D, Cooke M, Green NDC, Mellor A. Markers of physiological stress during exercise under conditions of normoxia, normobaric hypoxia, hypobaric hypoxia, and genuine high altitude. Eur J Appl Physiol 2017; 117:893-900. [PMID: 28299447 PMCID: PMC5388721 DOI: 10.1007/s00421-017-3573-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Accepted: 02/13/2017] [Indexed: 11/29/2022]
Abstract
Purpose To investigate whether there is a differential response at rest and following exercise to conditions of genuine high altitude (GHA), normobaric hypoxia (NH), hypobaric hypoxia (HH), and normobaric normoxia (NN). Method Markers of sympathoadrenal and adrenocortical function [plasma normetanephrine (PNORMET), metanephrine (PMET), cortisol], myocardial injury [highly sensitive cardiac troponin T (hscTnT)], and function [N-terminal brain natriuretic peptide (NT-proBNP)] were evaluated at rest and with exercise under NN, at 3375 m in the Alps (GHA) and at equivalent simulated altitude under NH and HH. Participants cycled for 2 h [15-min warm-up, 105 min at 55% Wmax (maximal workload)] with venous blood samples taken prior (T0), immediately following (T120) and 2-h post-exercise (T240). Results Exercise in the three hypoxic environments produced a similar pattern of response with the only difference between environments being in relation to PNORMET. Exercise in NN only induced a rise in PNORMET and PMET. Conclusion Biochemical markers that reflect sympathoadrenal, adrenocortical, and myocardial responses to physiological stress demonstrate significant differences in the response to exercise under conditions of normoxia versus hypoxia, while NH and HH appear to induce broadly similar responses to GHA and may, therefore, be reasonable surrogates.
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Affiliation(s)
- David Richard Woods
- Royal Centre for Defence Medicine, Birmingham, UK. .,Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK. .,University of Newcastle, Newcastle upon Tyne, UK. .,Northumbria and Newcastle NHS Trusts, Wansbeck General and Royal Victoria Infirmary, Newcastle, UK.
| | - John Paul O'Hara
- Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK
| | - Christopher John Boos
- Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK.,Department of Cardiology, Poole Hospital NHS Foundation Trust, Poole, UK.,Department of Postgraduate Medical Education, Bournemouth University, Poole, UK
| | | | - Costas Tsakirides
- Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK
| | - Neil Edward Hill
- Royal Centre for Defence Medicine, Birmingham, UK.,Imperial College London, London, UK.,Charing Cross Hospital, London, UK
| | - Darren Jose
- Pathology, Poole Hospital NHS Foundation Trust, Poole, UK
| | - Amanda Hawkins
- Pathology, Poole Hospital NHS Foundation Trust, Poole, UK
| | - Kelly Phillipson
- Department of Biochemistry, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK
| | | | | | - Liam Gallagher
- Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK
| | | | - Mark Cooke
- Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK
| | | | - Adrian Mellor
- Royal Centre for Defence Medicine, Birmingham, UK.,Research Institute, for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK.,James Cook University Hospital, Middlesbrough, TS4 3BW, UK
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20
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Niedermeier M, Weisleitner A, Lamm C, Ledochowski L, Frühauf A, Wille M, Burtscher M, Kopp M. Is decision making in hypoxia affected by pre-acclimatisation? A randomized controlled trial. Physiol Behav 2017; 173:236-242. [PMID: 28232209 DOI: 10.1016/j.physbeh.2017.02.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Revised: 02/09/2017] [Accepted: 02/16/2017] [Indexed: 01/04/2023]
Abstract
INTRODUCTION Decision making is impaired in hypoxic environments, which may have serious or even lethal consequences for mountaineers. An acclimatisation period prior to high altitude exposures may help to overcome adverse effects of hypoxia. Thus, we investigated possible effects of short-term pre-acclimatisation on decision making in hypoxia. METHODS In a randomized controlled study design, 52 healthy participants were allocated to a hypoxia group (HG: short-term pre-acclimatisation by the use of intermittent hypoxia 7×1h at FiO2=12.6%, equivalent to 4500m) or a control group (CG: sham pre-acclimatisation 7×1h at FiO2=20.9%, equivalent to 600m). The number of risky decisions was assessed using the Game of Dice Task at four time points during a 12-hours stay in hypoxia (FiO2=12.6%). RESULTS 42 (HG: 27, CG: 25) participants completed the study. The number of risky decisions was significantly (p=0.048 as determined by 4×2 ANCOVA) reduced in the hypoxia group compared to the control group, partial η2=0.11, when the age-effect on decision making was controlled. Self-reported positive affective valence prior to decision making was negatively related to the number of risky decisions, r<-0.38. CONCLUSION Short-term pre-acclimatisation might influence decision making in hypoxia in a positive way and might be considered as a risk-reducing preparation method prior to exposures to hypoxic environments. Positive affective states seem to have a medium-sized protective effect against risky decision making.
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Affiliation(s)
| | | | - Claus Lamm
- Department of Basic Psychological Research and Research Methods, Faculty of Psychology, University of Vienna, Austria
| | | | - Anika Frühauf
- Department of Sport Science, University of Innsbruck, Austria
| | - Maria Wille
- Department of Sport Science, University of Innsbruck, Austria
| | | | - Martin Kopp
- Department of Sport Science, University of Innsbruck, Austria
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21
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Luks AM, Swenson ER, Bärtsch P. Acute high-altitude sickness. Eur Respir Rev 2017; 26:26/143/160096. [PMID: 28143879 PMCID: PMC9488514 DOI: 10.1183/16000617.0096-2016] [Citation(s) in RCA: 238] [Impact Index Per Article: 34.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 10/23/2016] [Indexed: 12/28/2022] Open
Abstract
At any point 1–5 days following ascent to altitudes ≥2500 m, individuals are at risk of developing one of three forms of acute altitude illness: acute mountain sickness, a syndrome of nonspecific symptoms including headache, lassitude, dizziness and nausea; high-altitude cerebral oedema, a potentially fatal illness characterised by ataxia, decreased consciousness and characteristic changes on magnetic resonance imaging; and high-altitude pulmonary oedema, a noncardiogenic form of pulmonary oedema resulting from excessive hypoxic pulmonary vasoconstriction which can be fatal if not recognised and treated promptly. This review provides detailed information about each of these important clinical entities. After reviewing the clinical features, epidemiology and current understanding of the pathophysiology of each disorder, we describe the current pharmacological and nonpharmacological approaches to the prevention and treatment of these diseases. Lack of acclimatisation is the main risk factor for acute altitude illness; descent is the optimal treatmenthttp://ow.ly/45d2305JyZ0
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Affiliation(s)
- Andrew M Luks
- Dept of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA
| | - Erik R Swenson
- Dept of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA.,Medical Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
| | - Peter Bärtsch
- Dept of Internal Medicine, University Clinic Heidelberg, Heidelberg, Germany
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22
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Abstract
CONTEXT Athletes at different skill levels perform strenuous physical activity at high altitude for a variety of reasons. Multiple team and endurance events are held at high altitude and may place athletes at increased risk for developing acute high altitude illness (AHAI). Training at high altitude has been a routine part of preparation for some of the high level athletes for a long time. There is a general belief that altitude training improves athletic performance for competitive and recreational athletes. EVIDENCE ACQUISITION A review of relevant publications between 1980 and 2015 was completed using PubMed and Google Scholar. STUDY DESIGN Clinical review. LEVEL OF EVIDENCE Level 3. RESULTS AHAI is a relatively uncommon and potentially serious condition among travelers to altitudes above 2500 m. The broad term AHAI includes several syndromes such as acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema (HACE). Athletes may be at higher risk for developing AHAI due to faster ascent and more vigorous exertion compared with nonathletes. Evidence regarding the effects of altitude training on athletic performance is weak. The natural live high, train low altitude training strategy may provide the best protocol for enhancing endurance performance in elite and subelite athletes. High altitude sports are generally safe for recreational athletes, but they should be aware of their individual risks. CONCLUSION Individualized and appropriate acclimatization is an essential component of injury and illness prevention.
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Affiliation(s)
- Morteza Khodaee
- Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado
- Morteza Khodaee, MD, MPH, Department of Family Medicine, University of Colorado School of Medicine, AFW Clinic, 3055 Roslyn Street, Denver, CO 80238 ()
| | - Heather L. Grothe
- Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado
| | - Jonathan H. Seyfert
- Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado
| | - Karin VanBaak
- Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado
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Costalat G, Pichon A, Coquart J, Bauer F, Lemaître F. Cardio-ventilatory responses to poikilocapnic hypoxia and hypercapnia in trained breath-hold divers. Respir Physiol Neurobiol 2014; 192:48-54. [DOI: 10.1016/j.resp.2013.12.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2013] [Revised: 11/15/2013] [Accepted: 12/06/2013] [Indexed: 01/01/2023]
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Faulhaber M, Wille M, Gatterer H, Heinrich D, Burtscher M. Resting arterial oxygen saturation and breathing frequency as predictors for acute mountain sickness development: a prospective cohort study. Sleep Breath 2014; 18:669-74. [PMID: 24436093 DOI: 10.1007/s11325-013-0932-2] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Revised: 11/25/2013] [Accepted: 12/18/2013] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The study evaluated the predictive value of arterial oxygen saturation (SaO2) after 30-min hypoxic exposure on subsequent development of acute mountain sickness (AMS) and tested if additional resting cardio-respiratory measurements improve AMS prognosis. METHODS Fifty-five persons were exposed to a simulated altitude of 4,500 m (normobaric hypoxia, FiO2 = 12.5%). Cardio-respiratory parameters, SaO2, blood lactate, and blood pressure were measured after 30 min of exposure. AMS symptoms were recorded after 3, 6, 9, and 12 h (Lake-Louise Score). Three models, based on previously published regression equations for altitude-dependent SaO2 values of AMS-susceptible (SaO2-suscept = 98.34 - 2.72 ∗ alt - 0.35 ∗ alt(2)) and AMS-resistant (SaO2-resist = 96.51 + 0.68 ∗ alt - 0.80 ∗ alt(2)) persons, were applied to predict AMS. Additionally, multivariate logistic regression analyses were conducted to test if additional resting measurements improve AMS prediction. RESULTS The three models correctly predicted AMS development in 62%, 67%, and 69% of the cases. No model showed combined sensitivity and specificity >80%. Sequential logistic regression revealed that the inclusion of tidal volume or breathing frequency in addition to SaO2 improved overall AMS prediction, resulting in 78% and 80% correct AMS prediction, respectively. CONCLUSION Non-invasive measurements of SaO2 after 30-min hypoxic exposure are easy to perform and have the potential to detect AMS-susceptible individuals with a sufficient sensitivity. The additional determination of breathing frequency can improve success in AMS prediction.
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Affiliation(s)
- Martin Faulhaber
- Department of Sport Science, University Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria,
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25
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Girard O, Amann M, Aughey R, Billaut F, Bishop DJ, Bourdon P, Buchheit M, Chapman R, D'Hooghe M, Garvican-Lewis LA, Gore CJ, Millet GP, Roach GD, Sargent C, Saunders PU, Schmidt W, Schumacher YO. Position statement--altitude training for improving team-sport players' performance: current knowledge and unresolved issues. Br J Sports Med 2013; 47 Suppl 1:i8-16. [PMID: 24282213 PMCID: PMC3903313 DOI: 10.1136/bjsports-2013-093109] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2013] [Indexed: 01/09/2023]
Abstract
Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports.
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Affiliation(s)
- Olivier Girard
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Markus Amann
- Department of Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Robert Aughey
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
- Western Bulldogs Football Club, Melbourne, Australia
| | | | - David J Bishop
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
| | | | | | - Robert Chapman
- Department of Kinesiology, Indiana University, High Performance Department, USA Track & Field, Indianapolis, Indiana, USA
| | - Michel D'Hooghe
- Fédération Internationale de Football Association (FIFA) Medical Commission and FIFA Medical Assessment and Research Centre (F-MARC), Langerei, 71, 8000 Brugge, Belgium
| | - Laura A Garvican-Lewis
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Christopher J Gore
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- Exercise Physiology Laboratory, Flinders University, Adelaide, Australia
| | - Grégoire P Millet
- Department of Physiology—Faculty of Biology and Medicine, ISSUL—Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Gregory D Roach
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Charli Sargent
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Philo U Saunders
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Walter Schmidt
- Department of Sports Medicine/Sports Physiology, University of Bayreuth, Bayreuth, Germany
| | - Yorck O Schumacher
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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26
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Abstract
A 45-year-old healthy man wishes to climb Mount Kilimanjaro (5895 m) in a 5-day period, starting at 1800 m. The results of a recent exercise stress test were normal; he runs 10 km 4 or 5 times per week and finished a marathon in less than 4 hours last year. He wants to know how he can prevent becoming ill at high altitude and whether training or sleeping under normobaric hypoxic conditions in the weeks before the ascent would be helpful. What would you advise?
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Affiliation(s)
- Peter Bärtsch
- University Clinic, Department of Internal Medicine, Division VII Sports Medicine, Heidelberg, Germany.
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