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Return to activity at altitude after high-altitude illness
1Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Sports Health
|September 28, 2012
Summary
Preventing recurrent high-altitude illness (HAI) in athletes involves careful planning. Gradual acclimatization and prophylactic medications are key strategies to manage risks associated with athletic activities at high altitudes.
Area of Science:
- Sports Medicine
- Altitude Physiology
- Environmental Health
Background:
- High-altitude activities carry risks of high-altitude illness (HAI).
- Athletes recovering from HAI often wish to return to high-altitude activities.
Purpose of the Study:
- To review the pathophysiology and general treatment principles of HAI.
- To outline considerations for athletes returning to play after HAI.
Main Methods:
- Literature review of key references and peer-reviewed articles from Medline.
- Analysis of factors influencing return-to-play decisions post-HAI.
Main Results:
- Return-to-play plans must consider HAI type, recovery status, activity demands, schedule flexibility, and medical resources.
- Prudent acclimatization protocols (e.g., gradual ascent, rest days) are highly effective for prevention.
- Prophylactic medications may be used when acclimatization is impractical.
- Continuing activity before full recovery can impair performance and risk HAI progression.
Conclusions:
- Most recurrent high-altitude illness in athletes can be prevented with a well-considered plan.
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