Acute mountain sickness and obesity.

نویسندگان

  • G Sikri
  • A B Srinivasa
  • A Chawla
چکیده

We read with interest the article titled ‘Obesity is a risk factor for acute mountain sickness: a prospective study in Tibet railway construction workers on Tibetan plateau’1. Role of obesity, as acknowledged by the authors, has been debatable in acute mountain sickness (AMS). Authors of this study have reported increasing Lake Louise (LL) score both at 12h and 24h of exposure to high altitude (HA) but the incidence of AMS in two groups has not been mentioned. It would have been nice to know the incidence of AMS after acute ascent and overnight stay at HA in both obese and non-obese groups rather than increasing LL score. Also, comparison of SO2%, PaO2 and PaCO2 of AMS patients from both the groups would have given a more comprehensive perspective to the role of obesity in the development of AMS. Higher SO2% in non-obese subjects after 24h exposure (indicating better ventilatory compensation compared to obese) intrigued us to know their resting respiratory rate (if it was recorded) at sea-level and at HA. The same would have provided physiological co-relates for the arterial blood gas analysis of the subjects. It would also be nice to know the basis on which the authors calculated the sample size for their study. It is our humble opinion that in the absence of the above information, the data presented does not allow for the conclusion that the authors have arrived at, i.e. obesity is an important risk factor in the development of acute mountain sickness.

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منابع مشابه

Obesity is a risk factor for acute mountain sickness: a prospective study in Tibet railway construction workers on Tibetan plateau.

OBJECTIVE Although few retrospective studies of high altitude have reported that obesity might be associated with the development of acute mountain sickness (AMS), this association has not been fully studied prospectively. The aim of this study was to investigate the effect of obesity on subjects with acute high-altitude exposure. PATIENTS AND METHODS Totally 262 male subjects aged 25-43 (mea...

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عنوان ژورنال:
  • European review for medical and pharmacological sciences

دوره 19 21  شماره 

صفحات  -

تاریخ انتشار 2015