Acute and Chronic Altitude-Induced Cognitive Dysfunction in Children and Adolescents

Autor: Carlos Salinas, Emrush Rexhaj, Yves Allemann, Stefano F. Rimoldi, Hervé Duplain, Alejandro Ayaviri, Mercedes Villena, Claudio Sartori, Sébastien Urben, Urs Scherrer, Catherine Romero, Joël Billieux
Přispěvatelé: UCL - SSH/IPSY - Psychological Sciences Research Institute
Rok vydání: 2015
Předmět:
Male
Cognition Disorders/diagnosis
medicine.medical_specialty
Cognition Disorders/etiology
Adolescent
Trail Making Test
Cognition Disorders/physiopathology
Altitude Sickness
Neuropsychological Tests
Audiology
Spatial memory
050105 experimental psychology
03 medical and health sciences
Cognition
0302 clinical medicine
Altitude
Humans
Medicine
0501 psychology and cognitive sciences
Altitude Sickness/complications
610 Medicine & health
Child
Hypoxia
Episodic memory
Altitude sickness
Cognition/physiology
Memory Disorders
business.industry
Working memory
05 social sciences
Effects of high altitude on humans
Hypoxia (medical)
medicine.disease
Acute Disease
Chronic Disease
Pediatrics
Perinatology and Child Health

Physical therapy
Anoxia/complications
570 Life sciences
biology
Female
medicine.symptom
Cognition Disorders
business
030217 neurology & neurosurgery
Zdroj: The Journal of Pediatrics, Vol. 169, p. 238-243 (2016)
The Journal of Pediatrics, vol. 169, pp. 238-243
Popis: Objective To assess whether exposure to high altitude induces cognitive dysfunction in young healthy European children and adolescents during acute, short-term exposure to an altitude of 3450 m and in an age-matched European population permanently living at this altitude. Study design We tested executive function (inhibition, shifting, and working memory), memory (verbal, short-term visuospatial, and verbal episodic memory), and speed processing ability in: (1) 48 healthy nonacclimatized European children and adolescents, 24 hours after arrival at high altitude and 3 months after return to low altitude; (2) 21 matched European subjects permanently living at high altitude; and (3) a matched control group tested twice at low altitude. Results Short-term hypoxia significantly impaired all but 2 (visuospatial memory and processing speed) of the neuropsychological abilities that were tested. These impairments were even more severe in the children permanently living at high altitude. Three months after return to low altitude, the neuropsychological performances significantly improved and were comparable with those observed in the control group tested only at low altitude. Conclusions Acute short-term exposure to an altitude at which major tourist destinations are located induces marked executive and memory deficits in healthy children. These deficits are equally marked or more severe in children permanently living at high altitude and are expected to impair their learning abilities.
Databáze: OpenAIRE