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Physical Activity at

Medium & High Altitude

Exercise Physiology
Nutrition, Energy, and Human Performance
McArdle, Katch & Katch
8th Edition
Physical Activity at
Medium & High Altitude
SEA LEVEL

O2
O2
O2
HIGH ALTITUDE

O2
molecules
EPO
More RBC

O2
Why Hypoxia Occurs at High Altitudes?
“Death Zone”

Hypoxia Symptoms

Requires ACCLIMATIZATION
Immediate Responses
to Altitude Exposure
HYPERVENTILATION

Happens within seconds of exposure


Immediate Responses
to Altitude Exposure
ELEVATED HEART RATE

Happens within seconds and remains few weeks or longer during


prolonged stay
Immediate Responses
to Altitude Exposure
Fluid Loss / Dehydration

First Few hours


Immediate Responses
to Altitude Exposure
Catecholamine Response
Immediate Responses
to Altitude Exposure
Loss of Appetite

Leptin –
s u p p re s s e s
hunger
Within 7 days
Longer-Term
Adjustments to Altitude

Acid-Base Readjustment

Hyperventilation – Low C02 - High pH (Alkalosis)

Kidneys help = NORMAL Blood pH


Longer-Term
Adjustments to Altitude

Hematologic Changes
Dec. Plasma Volume – Plasma Shift Inc. Hematocrit – More RBC in every drop

15 days post exposure and remains


Longer-Term
Adjustments to Altitude

Cellular Adaptations
More capillaries in the muscle
Longer-Term
Adjustments to Altitude

Body Mass + Body Composition


Fat to Lean
“sana all”

Leptin = No Appetite
Dec. Intestinal Absorption
Inc. Metabolism
Multiply 11.4 Days per 1000m
in elevation gain. 

= 2,956 m x 11.4 days


-------------
1000 m

= 33.6 days

How long to adjust?


ALTITUDE SICKNESS
• Acute Mountain Sickness

• High Altitude Pulmonary Edema

• High Altitude Cerebral Edema


1. Climb slowly

2. Eat carbs

3. Drink water

4. Get enough Sleep


EXERCISE PERFORMANCE
at altitude

• Increased Aerobic capacity (V02 max)

• Better lactic acid capacity

• Better Oxygenation
Are all athletes helped by
altitude training?

NOT ALL.

Who can benefit?


Endurance Athletes
who are in aerobic competitions
“Live High – Train Low”

Athletes LIVE in high altitude and TRAIN in Low Altitude
HIGH ALTITUDE

O2
molecules
EPO
More RBC

O2
ACCLIMATIZATION
uh·klai·muh·tuh·zay·shn

Adaptive responses in physiological and


metabolism that improve tolerance to
altitude hypoxia
EFFECT LASTS
15 DAYS
ONLY
Athletes begin intense
training immediately
during acclimatization.

Note: Adaptations
dissipate within 2 or 3
weeks after returning to
sea level.

How long to adjust or acclimatize?


DAGHANG SALAMAT
&
MERRY CHRISTMAS

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