Centre for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, University of British Columbia - Okanagan, Kelowna, British Columbia, Canada.
Cardiff Centre for Exercise and Health, Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, United Kingdom.
PLoS One. 2018 Oct 31;13(10):e0204660. doi: 10.1371/journal.pone.0204660. eCollection 2018.
The University of British Columbia Nepal Expedition took place over several months in the fall of 2016 and was comprised of an international team of 37 researchers. This paper describes the objectives, study characteristics, organization and management of this expedition, and presents novel blood gas data during acclimatization in both lowlanders and Sherpa. An overview and framework for the forthcoming publications is provided. The expedition conducted 17 major studies with two principal goals-to identify physiological differences in: 1) acclimatization; and 2) responses to sustained high-altitude exposure between lowland natives and people of Tibetan descent. We performed observational cohort studies of human responses to progressive hypobaric hypoxia (during ascent), and to sustained exposure to 5050 m over 3 weeks comparing lowlander adults (n = 30) with Sherpa adults (n = 24). Sherpa were tested both with (n = 12) and without (n = 12) descent to Kathmandu. Data collected from lowlander children (n = 30) in Canada were compared with those collected from Sherpa children (n = 57; 3400-3900m). Studies were conducted in Canada (344m) and the following locations in Nepal: Kathmandu (1400m), Namche Bazaar (3440m), Kunde Hospital (3480m), Pheriche (4371m) and the Ev-K2-CNR Research Pyramid Laboratory (5050m). The core studies focused on the mechanisms of cerebral blood flow regulation, the role of iron in cardiopulmonary regulation, pulmonary pressures, intra-ocular pressures, cardiac function, neuromuscular fatigue and function, blood volume regulation, autonomic control, and micro and macro vascular function. A total of 335 study sessions were conducted over three weeks at 5050m. In addition to an overview of this expedition and arterial blood gas data from Sherpa, suggestions for scientists aiming to perform field-based altitude research are also presented. Together, these findings will contribute to our understanding of human acclimatization and adaptation to the stress of residence at high-altitude.
不列颠哥伦比亚大学尼泊尔考察队于 2016 年秋季进行了数月的考察,由 37 名国际研究人员组成。本文介绍了此次考察的目的、研究特点、组织和管理情况,并提供了低地居民和夏尔巴人在适应过程中的新型血气数据。本文还提供了即将发表的论文的概述和框架。考察队进行了 17 项主要研究,主要目的是确定:1)适应过程中的生理差异;2)低地居民和藏人后裔对长期高海拔暴露的反应差异。我们进行了人类对渐进性低氧(上升过程中)和 3 周内持续暴露于 5050 米海拔的反应的观察性队列研究,比较了低地成年人(n = 30)和夏尔巴成年人(n = 24)。还对无(n = 12)和有(n = 12)下降到加德满都的夏尔巴人进行了测试。从加拿大的低地儿童(n = 30)收集的数据与从尼泊尔的夏尔巴儿童(n = 57;3400-3900 米)收集的数据进行了比较。研究在加拿大(344 米)和尼泊尔的以下地点进行:加德满都(1400 米)、那姆奇(3440 米)、昆德医院(3480 米)、普里切(4371 米)和埃-克 2-CNR 研究金字塔实验室(5050 米)。核心研究侧重于脑血流调节机制、铁在心肺调节中的作用、肺动脉压、眼内压、心功能、神经肌肉疲劳和功能、血容量调节、自主控制以及微血管和大血管功能。在 5050 米高度进行了为期三周的 335 次研究。本文除了概述此次考察和夏尔巴人的动脉血气数据外,还为希望进行基于实地的高海拔研究的科学家提供了建议。这些发现将有助于我们理解人类适应和适应高海拔环境的压力。