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Updated: Jun 24, 2026

A Model to Simulate Clinically Relevant Hypoxia in Humans
Published on: December 22, 2016
The effect of hypoxia on the critical flicker fusion threshold in pilots
Olaf Truszczyński1, Mieczysław Wojtkowiak, Marcin Biernacki
1Military Institute of Aviation Medicine, Warszawa, Poland. otruszcz@wiml.waw.pl
Objectives:
Human reactions to environmental changes have been the subject of numerous investigations related to pathophysiology, aviation psychology, aviation, and sports. The present study aimed at evaluating the perception of light stimulus via the Critical Flicker Fusion threshold (CFF) measurements among aviation pilots.
Materials And Methods:
The study was carried out under hypoxic conditions corresponding to 5000 m altitude, for a period of 30 min, without the use of supplemental oxygen. Fourteen volunteer pilots, 23-30 years of age, were examined in the hypobaric chamber (HC). The measurements were performed at normobaria and at the initial and final phase of hypoxia. Heart rate (HR) and blood oxygen saturation (SaO2) were monitored.
Results:
The high altitude hypoxia was found to produce a decrease in the CFF threshold F(3.39) = 3.207, p < 0.05, and SaO2 F(3.39) = 52.651, p < 0.001, as well as HR increase F(3.39) = 7.356, p < 0.001. The results indicate that the higher the decrease in SaO2 under hypoxic conditions, the higher the decrease in CFF r = .567 p < 0.05. Likewise, the higher the increase in HR, the higher the decrease in CFF r = -0.491 p < 0.05.
Conclusions:
Under hypoxic conditions, the perceptual ability of the pilots is gradually decreasing. This has been confirmed by the findings of the physiological examinations. The authors express an opinion that it would be advisable to introduce CFF measurement into the hypobaric chamber tests as it allows individual assessment of the pilot's perceptual ability under conditions of incomplete physiological compensation of the high altitude hypoxia.
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