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Hypoxic Exercise Exacerbates Hypoxemia and Acute Mountain Sickness in Obesity

A Case Analysis

Bibliographic Data

ID15466188
AuthorsJing Xu (0000-0001-7414-9383, Hangzhou Normal University), Jinshu Zeng (0000-0001-7477-7988, Hangzhou Normal University), Yelei Yan (Hangzhou Normal University), Fei Xu (0000-0001-8989-9603, Hangzhou Normal University, corresponding author)
Year2021
Volume18
Issue17
Pages9078-9078
Publication date2021-08-28
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18179078
PMID34501667
OpenAlexW3197927321
LanguageEN
References cited41

Acute mountain sickness (AMS) is a common syndrome characterized by headache, dizziness, loss of appetite, weakness, and nausea. As a major public health issue, obesity has increased in high altitude urban residents and intermittent commuters to high altitudes. The present study investigated acute hypoxic exposure and hypoxic exercise on hypoxemia severity and AMS symptoms in a physically active obese man. In this case analysis, peripheral oxygen saturation (SpO 2 ) was used to evaluate hypoxemia, heart rate (HR) and blood pressure (BP) were used to reflect the function of autonomic nervous system (ANS), and Lake Louise scoring (LLS) was used to assess AMS. The results showed that acute hypoxic exposure led to severe hypoxemia (SpO 2 = 72%) and tachycardia (HRrest = 97 bpm), and acute hypoxic exercise exacerbated severe hypoxemia (SpO 2 = 59%) and ANS dysfunction (HRpeak = 167 bpm, SBP/DBP = 210/97 mmHg). At the end of the 6-h acute hypoxic exposure, the case developed severe AMS (LLS = 10) symptoms of headache, gastrointestinal distress, cyanosis, vomiting, poor appetite, and fatigue. The findings of the case study suggest that high physical activity level appears did not show a reliable protective effect against severe hypoxemia, ANS dysfunction, and severe AMS symptoms in acute hypoxia exposure and hypoxia exercise

Anesthesia · Blood pressure · Cardiology · Effects of high altitude on humans · Heart rate · Hypoxemia · Hypoxia (environmental · Nausea · Oxygen · Heart Rate Variability and Autonomic Control · High Altitude and Hypoxia · Medicine · Neuroscience of respiration and sleep · Internal Medicine

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