Lecture 20 Flashcards

Exercise at Altitude

1
Q

what are the stressors of a high altitude environment

A
  • Decrease PO2 (due to decerease PB)
  • Decrease Temperature (1°C/150 m)
  • Decrease Humidity
  • Decrease liquid Water
  • Increase Wind
  • Increase UV Radiation
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2
Q

what are the physiological effects of a high altitude environment

A
  • Increased Ventilation
  • decreased fluid & energy in
  • increased Glycolysis & energy use
  • decreased gut absorption
  • increased catabolism
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3
Q

what is physiological stress at altitude mainly due to

A

limited PO2 diffusion gradient

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4
Q

how is aerobic power affected with increased altitude

A

non linearly

  • more effect as you go to higher altitudes
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5
Q

why are you able to jump and throw further in higher altitude conditions

A

reduced air resistance

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6
Q

what is the degree of response to altitude generally proportional to

A

the level of altitude

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7
Q

what are the acute responses to altitude

A

increased heart rate and ventilation at rest and submaximal exercise

then begin to increase haematocrit as fluid is lost

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8
Q

what do adaptive responses to altitude also include

A

peripheral changes

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9
Q

what is variability in acute and adaptive responses to altitude not related to and what does this mean the variability is related to

A

not related to sex, fitness, age etc

large inter-individual variability

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10
Q

why is the first response of acute cardiorespiratory responses to altitude hyperventilation

A

due to low partial pressure of inspired oxygen

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11
Q

what does hyperventilation in response to altitude cause

A

to become more alkaline

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12
Q

what are the long term effects of high altitude on muscle

A
  • increased mitochondrial density
  • capillaries may become more dense
  • increased aerobic enzymes
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13
Q

when is acute mountain sickness common

A

during the first several hours to days >3000m

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14
Q

what is acute mountain sickness directly related to

A

speed of ascent and final altitude

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15
Q

does acute mountain sickness have anything to do with genetics

A

partly related (cardiorespiratory control)

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16
Q

what gender is acute mountain sickness less common in

A

less common in females

17
Q

what are the symptoms of acute mountain sickness (4)

A
  • severe headache
  • dizziness and dim vision
  • nausea, vomiting and constipation
  • insomnia and weakness
18
Q

how can you prevent acute mountain sickness

A
  • gradual ascent (1 day rest @2500m, ascend ~600m/day after that)
  • high CHO diet and well hydrated
  • drugs
19
Q

how common is high altitude cerebral oedema and what can happen is untreated

A

not common (1%) but readily fatal if untreated

20
Q

what are the symptoms of high altitude cerebral oedema

A

more severe version of acute mountain sickness

  • also loss of motor control, poor reflexes and confusion
21
Q

what is the treatment for acute mountain sickness

A
  • time
  • drugs
  • oxygen or descent if severe
22
Q

how common is high altitude pulmonary oedema

A

not common (2% males)

23
Q

symptoms of high altitude pulmonary oedema (5)

A

fatigue

low saturation of O2

chest pain and tightness

dry cough

very bad symptoms

24
Q

what are causes of high altitude pulmonary oedema

A
  • pulmonary hypertension
  • reactive oxygen species in the lung
25
Q

what is the treatment of high altitude pulmonary oedema

A

assisted / stretchered descent

26
Q

what improvement is seen in sea level performance from altitude training

A

slight improvement, 1-4% on average

27
Q

what method of altitude training seems to be most effective

A

live high, train high + low

28
Q

at a given intensity during submaximal exercise in high altitude conditions will heart rate be higher or lower than at sea level

A

heart rate will be higher at high altitude