Acid-base balance at high altitude in lowlanders and indigenous highlanders
| Autor: | Michael M. Tymko, Christopher K. Willie, Connor A. Howe, Ryan L. Hoiland, Rachel M. Stone, Kaitlyn Tymko, Courtney Tymko, David MacLeod, James D. Anholm, Christopher Gasho, Francisco Villafuerte, Gustavo Vizcardo-Galindo, Romulo Figueroa-Mujica, Trevor A. Day, Jordan D. Bird, Glen E. Foster, Craig D. Steinback, Julien V. Brugniaux, Benoit Champigneulle, Emeric Stauffer, Stephane Doutreleau, Samuel Verges, Erik R. Swenson, Philip N. Ainslie |
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| Přispěvatelé: | University of British Columbia (UBC), University of Alberta, Vancouver General Hospital [Vancouver, British Columbia, Canada] (VGH), University of Windsor [Ca], University of Manitoba [Winnipeg], Duke University Medical Center, Loma Linda University, Universidad Peruana Cayetano Heredia (UPCH), Université Mount Royal/Mount Royal University [Calgary, AB, Canada] (MRU), Hypoxie et PhysioPathologie (HP2), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Grenoble Alpes (UGA), CHU Grenoble, Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM ), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Université Savoie Mont Blanc (USMB [Université de Savoie] [Université de Chambéry]), University of Washington [Seattle], SALAS, Danielle |
| Rok vydání: | 2022 |
| Předmět: |
Renal compensation
Acid-Base Equilibrium Acid-base balance hypoxia renal compensation Physiology [SDV]Life Sciences [q-bio] Acclimatization Altitude Indigenous highlanders acid-base balance Altitude Sickness indigenous highlanders [SDV] Life Sciences [q-bio] Physiology (medical) high altitude parasitic diseases High altitude Expeditions Humans Hypoxia |
| Zdroj: | Journal of Applied Physiology Journal of Applied Physiology, 2022, 132 (2), pp.575-580. ⟨10.1152/japplphysiol.00757.2021⟩ |
| ISSN: | 1522-1601 8750-7587 |
| DOI: | 10.1152/japplphysiol.00757.2021 |
| Popis: | International audience; High-altitude exposure results in a hyperventilatory-induced respiratory alkalosis followed by renal compensation (bicarbonaturia) to return arterial blood pH (pHa) toward sea-level values. However, acid-base balance has not been comprehensively examined in both lowlanders and indigenous populations-where the latter are thought to be fully adapted to high altitude. The purpose of this investigation was to compare acid-base balance between acclimatizing lowlanders and Andean and Sherpa highlanders at various altitudes (∼3,800, ∼4,300, and ∼5,000 m). We compiled data collected across five independent high-altitude expeditions and report the following novel findings: 1) at 3,800 m, Andeans (n = 7) had elevated pHa compared with Sherpas (n = 12; P < 0.01), but not to lowlanders (n = 16; 9 days acclimatized; P = 0.09); 2) at 4,300 m, lowlanders (n = 16; 21 days acclimatized) had elevated pHa compared with Andeans (n = 32) and Sherpas (n = 11; both P < 0.01), and Andeans had elevated pHa compared with Sherpas (P = 0.01); and 3) at 5,000 m, lowlanders (n = 16; 14 days acclimatized) had higher pHa compared with both Andeans (n = 66) and Sherpas (n = 18; P < 0.01, and P = 0.03, respectively), and Andean and Sherpa highlanders had similar blood pHa (P = 0.65). These novel data characterize acid-base balance acclimatization and adaptation to various altitudes in lowlanders and indigenous highlanders.NEW & NOTEWORTHY Lowlander, Andean, and Sherpa arterial blood data were combined across five independent high-altitude expeditions in the United States, Nepal, and Peru to assess acid-base status at ∼3,800, ∼4,300, and ∼5,000 m. The main finding was that Andean and Sherpa highlander populations have more acidic arterial blood, due to elevated arterial carbon dioxide and similar arterial bicarbonate compared with acclimatizing lowlanders at altitudes ≥4,300 m. |
| Databáze: | OpenAIRE |
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