Perioperative medicine & outcomes

Potential for using simulated altitude as a means of prehabilitation: a physiology study

AnaesthesiaPublished Randomised crossover physiology study

Authors' conclusion

This study has established the concept and feasibility of 'altitude prehabilitation' and demonstrated specific potential for improving haematological fitness.

Study context

Population
Older sedentary volunteers (mean age 64 y, unfit)
Participants
8 volunteers
Comparison
One week of simulated altitude vs normoxia
Primary endpoint
Physiological effects on cardiorespiratory fitness (anaerobic threshold, peak V̇O2) by repeated cardiopulmonary exercise tests
Follow-up
One week
Methodological detailsdouble-blind, sham-controlled, counterbalanced
  • Double-blind
  • Sham-controlled
  • Counterbalanced

Primary result

As reported in the abstract

Anaerobic threshold and peak V̇O2
  • No effect of simulated altitude on anaerobic threshold or peak V̇O2 overall (some indication of greater peak exercise capacity after hypoxia)

Further findings

OutcomeValues
Haemoglobin increase with hypoxiaHypoxia mean 1.5 (SD 2.7) g.dl-1 · relative increase 13%
SpO2 during hypoxiaHypoxia mean 93 (SD 2) %
  • Haemoglobin increase with hypoxia: p = 0.028
  • SpO2 during hypoxia: p < 0.001

Safety

Tolerability

Hypoxia was mild and well-tolerated

Original publication

Potential for using simulated altitude as a means of prehabilitation: a physiology study. Anaesthesia. Published 25 October 2023. doi:10.1111/anae.16158

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