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IBFMNational Research Council and Department of Sciences and Biomedical Technologies, University of Milan, Milan, Italy
Tibetan highlanders develop at altitude peak aerobic power levels
close to those of Caucasians at sea level. In order to establish whether this feature is genetic and, as a consequence, retained by Tibetan lowlanders, altitude-induced changes of peak aerobic performance
were assessed in four groups of volunteers with different ethnic, altitude exposure and fitness characteristics, i.e. eight untrained second-generation Tibetans (Tib 2) born and living at 1300 m; seven altitude Sherpas living at
28003500 m; and 10 untrained and five trained Caucasians. Measurements were carried out at sea level or at Kathmandu (1300 m, Nepal) (PRE), and after 24 (ALT1), 1416 (ALT2), and 2628 (ALT3) days at 5050 m. At ALT3,
of untrained and trained Caucasians was 31% and 46%, respectively. By contrast,
of Tib 2 and Sherpas was 8% and 15%, respectively. At ALT3, peak heart rate (HRpeak) of untrained and trained Caucasians was 148 ± 11 and 149 ± 7 beats min1, respectively; blood oxygen saturation at peak exercise
was 76 ± 6% and 73 ± 6%, and haemoglobin concentration ([Hb]) was 19.4 ± 1.0 and 18.6 ± 1.2 g dl1, respectively. Compared to Caucasians, Tib 2 and Sherpas exhibited at ALT3 higher HRpeak (179 ± 9 and 171 ± 4 beats min1, P < 0.001), lower [Hb] (16.6 ± 0.6 and 17.4 ± 0.9 g dl1, respectively, P < 0.001), and slightly but non-significantly greater average
values (82 ± 6 and 80 ± 7%). The above findings and the time course of adjustment of the investigated variables suggest that Tibetan lowlanders acclimatize to chronic hypoxia more quickly than Caucasians, independent of the degree of fitness of the latter.
(Received 3 December 2003;
accepted after revision 5 February 2004;
first published online 6 February 2004)
Corresponding author C. Marconi: I.B.F.M.-Consiglio Nazionale delle Ricerche, L.I.T.A, Via Fratelli Cervi 93, I-20090 SEGRATE (Milan), Italy. Email: claudio.marconi{at}ibfm.cnr.it
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