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Updated: May 10, 2025

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Published on: August 3, 2021
Improved oxygen saturation and acclimatization with bacteriotherapy at high altitude
James J Yu1, Esteban A Moya1, Hunter Cheng1
1Division of Pulmonary, Critical Care, Sleep Medicine, and Physiology, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Probiotics may improve high-altitude acclimatization. A study found that participants taking probiotics had better oxygen saturation and fewer symptoms of acute mountain sickness at high altitude.
Area of Science:
- Physiology
- Microbiology
- Altitude Medicine
Background:
- High altitude presents physiological challenges due to reduced oxygen availability.
- Effective strategies for improving acclimatization to high altitude are limited.
- Probiotics, beneficial microorganisms, are being explored for various health benefits.
Purpose of the Study:
- To investigate the efficacy of a multi-strain probiotic in enhancing acclimatization to high altitude.
- To assess the impact of probiotics on key physiological markers of altitude exposure.
Main Methods:
- A randomized, double-blinded, placebo-controlled study involving 17 participants at 3,800 m.
- Primary outcome: oxygen saturation (SpO2) during day and night.
- Secondary outcomes: acute mountain sickness (AMS) scores, sleep, ventilation, heart rate, blood pressure, heart rate variability, and glucose levels.
Main Results:
- The probiotic group demonstrated significantly higher daytime and nighttime SpO2 compared to the placebo group.
- Participants receiving probiotics reported lower AMS scores, indicating reduced sickness severity.
- Enhanced acclimatization was observed in the probiotic group, evidenced by improved SpO2 and reduced AMS.
Conclusions:
- Multi-strain probiotics may serve as a novel, non-invasive intervention to improve high-altitude acclimatization.
- Bacteriotherapy offers a potential new avenue for mitigating the physiological stress of high altitude.
- Further research is warranted to explore the mechanisms and long-term effects of probiotics in altitude adaptation.
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