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The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis. / Horiuchi, Masahiro; Okazaki, Kazunobu; Asano, Katsumi et al.
In: European Journal of Applied Physiology, Vol. 121, No. 11, 11.2021, p. 3095-3102.

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HarvardHarvard

Horiuchi, M, Okazaki, K, Asano, K, Friend, A, Rossetti, G & Oliver, S 2021, 'The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis', European Journal of Applied Physiology, vol. 121, no. 11, pp. 3095-3102. https://doi.org/10.1007/s00421-021-04765-7

APA

Horiuchi, M., Okazaki, K., Asano, K., Friend, A., Rossetti, G., & Oliver, S. (2021). The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis. European Journal of Applied Physiology, 121(11), 3095-3102. https://doi.org/10.1007/s00421-021-04765-7

CBE

Horiuchi M, Okazaki K, Asano K, Friend A, Rossetti G, Oliver S. 2021. The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis. European Journal of Applied Physiology. 121(11):3095-3102. https://doi.org/10.1007/s00421-021-04765-7

MLA

VancouverVancouver

Horiuchi M, Okazaki K, Asano K, Friend A, Rossetti G, Oliver S. The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis. European Journal of Applied Physiology. 2021 Nov;121(11):3095-3102. Epub 2021 Jul 28. doi: 10.1007/s00421-021-04765-7

Author

Horiuchi, Masahiro ; Okazaki, Kazunobu ; Asano, Katsumi et al. / The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis. In: European Journal of Applied Physiology. 2021 ; Vol. 121, No. 11. pp. 3095-3102.

RIS

TY - JOUR

T1 - The influence of short-term high-altitude acclimatization on cerebral and leg tissue oxygenation post orthostasis

AU - Horiuchi, Masahiro

AU - Okazaki, Kazunobu

AU - Asano, Katsumi

AU - Friend, Alex

AU - Rossetti, Gabriella

AU - Oliver, Sam

PY - 2021/11

Y1 - 2021/11

N2 - Purpose: Orthostasis at sea level decreases brain tissue oxygenation and increases risk of syncope. High altitude reduces brain and peripheral muscle tissue oxygenation. This study determined the effect of short-term altitude acclimatization on cerebral and peripheral leg tissue oxygenation index (TOI) post-orthostasis. Method: Seven lowlanders completed a supine-to-stand maneuver at sea level (450 m) and for 3 consecutive days at high altitude (3,776 m). Cardiorespiratory measurements and near-infrared spectroscopy-derived oxygenation of the frontal lobe (cerebral TOI) and vastus lateralis (leg TOI) were measured at supine and 5 min post-orthostasis. Results: After orthostasis at sea level, cerebral TOI decreased (mean Δ% [95% CI]: -4.5%, [-7.5, -1.5], P < 0.001) whilst leg TOI was unchanged (-4.6%, [-10.9, 1.7], P = 0.42). High altitude had no effect on cerebral TOI following orthostasis (day 1 to 3: -2.3%, [-5.3, 0.7]; -2.4%, [-5.4, 0.6]; -2.1%, [-5.1, 0.9], respectively, all P > 0.05) whereas leg TOI decreased (day 1 to 3: -12.0%, [-18.3, -5.7]; -12.1%, [-18.4, -5.8]; -10.2%, [-16.5, -3.9], respectively, all P < 0.001). This response did not differ with days spent at high altitude, despite evidence of cardiorespiratory acclimatization (increased peripheral oxygen saturation [supine: P = 0.01; stand: P = 0.02] and decreased end-tidal carbon dioxide [supine: P = 0.003; stand: P = 0.01]). Conclusion: Cerebral oxygenation is preferentially maintained over leg oxygenation post-orthostasis at high altitude, suggesting different vascular regulation between cerebral and peripheral circulations. Short-term acclimatization to high altitude did not alter cerebral and leg oxygenation responses to orthostasis.

AB - Purpose: Orthostasis at sea level decreases brain tissue oxygenation and increases risk of syncope. High altitude reduces brain and peripheral muscle tissue oxygenation. This study determined the effect of short-term altitude acclimatization on cerebral and peripheral leg tissue oxygenation index (TOI) post-orthostasis. Method: Seven lowlanders completed a supine-to-stand maneuver at sea level (450 m) and for 3 consecutive days at high altitude (3,776 m). Cardiorespiratory measurements and near-infrared spectroscopy-derived oxygenation of the frontal lobe (cerebral TOI) and vastus lateralis (leg TOI) were measured at supine and 5 min post-orthostasis. Results: After orthostasis at sea level, cerebral TOI decreased (mean Δ% [95% CI]: -4.5%, [-7.5, -1.5], P < 0.001) whilst leg TOI was unchanged (-4.6%, [-10.9, 1.7], P = 0.42). High altitude had no effect on cerebral TOI following orthostasis (day 1 to 3: -2.3%, [-5.3, 0.7]; -2.4%, [-5.4, 0.6]; -2.1%, [-5.1, 0.9], respectively, all P > 0.05) whereas leg TOI decreased (day 1 to 3: -12.0%, [-18.3, -5.7]; -12.1%, [-18.4, -5.8]; -10.2%, [-16.5, -3.9], respectively, all P < 0.001). This response did not differ with days spent at high altitude, despite evidence of cardiorespiratory acclimatization (increased peripheral oxygen saturation [supine: P = 0.01; stand: P = 0.02] and decreased end-tidal carbon dioxide [supine: P = 0.003; stand: P = 0.01]). Conclusion: Cerebral oxygenation is preferentially maintained over leg oxygenation post-orthostasis at high altitude, suggesting different vascular regulation between cerebral and peripheral circulations. Short-term acclimatization to high altitude did not alter cerebral and leg oxygenation responses to orthostasis.

KW - Altitude

KW - Blood pressure

KW - Heart rate

KW - Hypoperfusion

KW - Hypoxia

KW - Tissue oxygenation

U2 - 10.1007/s00421-021-04765-7

DO - 10.1007/s00421-021-04765-7

M3 - Article

VL - 121

SP - 3095

EP - 3102

JO - European Journal of Applied Physiology

JF - European Journal of Applied Physiology

SN - 1439-6319

IS - 11

ER -