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Physiological changes induced by pre-adaptation to high altitude

G Savourey1, N Garcia, Y Besnard

  • 1Unité de Thermophysiologie, Centre de Recherches du Service de Santé des Armées, La Tronche, France.

European Journal of Applied Physiology and Occupational Physiology
|January 1, 1994
PubMed
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Pre-adapting to high altitude improves physiological responses to hypoxia, enhancing ventilation and oxygen saturation. This study shows benefits of acclimatization and acclimation for high-altitude expeditions.

Area of Science:

  • Physiology
  • Altitude Medicine
  • Exercise Physiology

Background:

  • Understanding physiological adaptations to high altitude is crucial for preventing altitude sickness and optimizing performance.
  • Pre-adaptation strategies may enhance the body's response to severe hypoxic conditions encountered during expeditions.

Purpose of the Study:

  • To investigate the physiological effects of pre-adaptation, including acclimatization and intermittent acclimation, on ventilatory and cardiac responses to hypoxia.
  • To assess changes in hematological parameters and key biomarkers like erythropoietin (EPO) and 2,3-diphosphoglycerate (2,3-DPG) following high-altitude exposure.

Main Methods:

  • Seven subjects underwent acclimatization at 4350 m and intermittent acclimation in a hypobaric chamber (5000–8500 m).
  • Physiological tests (ventilatory, cardiac) were performed at rest and during exercise in normoxia and hypoxia (4500 m).

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  • Blood samples were analyzed for hemoglobin, erythrocytes, reticulocytes, packed cell volume, 2,3-DPG, and EPO at various stages.
  • Main Results:

    • Increased tidal volume and improved arterial oxygen saturation were observed in hypoxia after acclimation.
    • Systolic blood pressure increased during exercise in hypoxia post-acclimation.
    • Significant increases in reticulocytes, erythropoietin (EPO), and 2,3-diphosphoglycerate (2,3-DPG) were noted after the acclimation period.

    Conclusions:

    • Pre-adaptation, particularly intermittent acclimation, significantly enhances ventilatory and oxygenation responses to hypoxia.
    • The observed hematological and biochemical changes suggest improved oxygen transport and utilization capabilities at high altitudes.
    • These findings support the efficacy of pre-adaptation protocols for individuals undertaking high-altitude expeditions.