Respiratory function at different altitudes
- PMID: 9383816
- DOI: 10.1159/000196717
Respiratory function at different altitudes
Abstract
For the evaluation of a respiratory test at high altitude, several factors must be taken into account: the decreased barometric pressure, the decreased density of air and the degree of acclimatization which is related to the altitude and to the length of exposure. Several studies have shown a reduction in forced vital capacity (FVC) at high altitude and using simulated conditions, mainly related to an increase in pulmonary blood volume and development of interstitial edema. To assess the daily spirometric patterns during ascending to high altitudes we studied 17 healthy subjects at both Capanna Regina Margherita on the Italian Alps (4,559 m) and the Pyramid Laboratory in Nepal (5,050 m). Respiratory function tests were performed every day. Peak expiratory flow values significantly increased. The mean percent increase was 15% at 3,200 and 3,600 m and 26% at 4,559 m. FVC and MEF25 values showed a significant decrease (p < 0.005) during the first days above 3,500 m and improved only after several days spent above this altitude. For each subject the maximal reductions in FVC and maximal expiratory flow (MEF) at 25% of FVC however were found on different days. In our opinion, these data support the hypothesis that at high altitude the respiratory function can be affected by the presence of an increased pulmonary blood volume and/or the development of interstitial edema. The observed changes in forced expiration curves at high altitude seem to reflect the degree of acclimatization that is related to the individual susceptibility, to the altitude reached and to the duration of the exposure. These changes are transient and resolve after returning to sea level.
Similar articles
-
Spirometry and respiratory muscle function during ascent to higher altitudes.Lung. 2007 Mar-Apr;185(2):113-21. doi: 10.1007/s00408-006-0108-y. Epub 2007 Mar 28. Lung. 2007. PMID: 17393241 Review.
-
General introduction to altitude adaptation and mountain sickness.Scand J Med Sci Sports. 2008 Aug;18 Suppl 1:1-10. doi: 10.1111/j.1600-0838.2008.00827.x. Scand J Med Sci Sports. 2008. PMID: 18665947 Review.
-
Acclimatization to high altitude in the Tien Shan: a comparative study of Indians and Kyrgyzis.Wilderness Environ Med. 2007 Summer;18(2):106-10. doi: 10.1580/06-WEME-OR-025R1.1. Wilderness Environ Med. 2007. PMID: 17590069
-
Effect of altitude on spirometric parameters and the performance of peak flow meters.Thorax. 1996 Feb;51(2):175-8. doi: 10.1136/thx.51.2.175. Thorax. 1996. PMID: 8711651 Free PMC article.
-
Operation Everest. II: Spirometric and radiographic changes in acclimatized humans at simulated high altitudes.Am Rev Respir Dis. 1993 May;147(5):1239-44. doi: 10.1164/ajrccm/147.5.1239. Am Rev Respir Dis. 1993. PMID: 8484637
Cited by
-
Expiratory Peak Flow and Minute Ventilation Are Significantly Increased at High Altitude versus Simulated Altitude in Normobaria.Life (Basel). 2022 Feb 17;12(2):306. doi: 10.3390/life12020306. Life (Basel). 2022. PMID: 35207593 Free PMC article.
-
The influence of thoracic gas compression and airflow density dependence on the assessment of pulmonary function at high altitude.Physiol Rep. 2018 Mar;6(6):e13576. doi: 10.14814/phy2.13576. Physiol Rep. 2018. PMID: 29595881 Free PMC article.
-
The physiological basis and clinical significance of lung volume measurements.Multidiscip Respir Med. 2017 Feb 9;12:3. doi: 10.1186/s40248-017-0084-5. eCollection 2017. Multidiscip Respir Med. 2017. PMID: 28194273 Free PMC article. Review.
-
Variability in pulmonary function following rapid altitude ascent to the Amundsen-Scott South Pole station.Eur J Appl Physiol. 2011 Sep;111(9):2221-8. doi: 10.1007/s00421-011-1864-9. Epub 2011 Feb 16. Eur J Appl Physiol. 2011. PMID: 21327792 Clinical Trial.
-
Spirometry and respiratory muscle function during ascent to higher altitudes.Lung. 2007 Mar-Apr;185(2):113-21. doi: 10.1007/s00408-006-0108-y. Epub 2007 Mar 28. Lung. 2007. PMID: 17393241 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources