Acute Mountain Sickness
Conditions
Keywords
Women, Hypoxia, Prevention, Acetazolamide, Altitude
Brief summary
Prospective cohort study investigating the menstrual cycle phase (MCP)-dependent incidence of acute mountain sickness (AMS) in women travelling to 3600 m.
Interventions
Participants will travel to and stay for 2 days at an altitude of 3600 m.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy, non-smoking women, age 18-44 years, without any disease and need of regular medication (including oral contraceptives). * BMI \>18 kg/m2 and \<30 kg/m2 * Born, raised and currently living at altitudes \<1000 m * Written informed consent * Premenopausal, eumenorrheic cycle
Exclusion criteria
* Other types of contraceptives (hormonal intrauterine device, vaginal ring, subcutaneous injections or implants, among others) * Pregnancy or nursing * Anaemic (haemoglobin concentration \<10g/dl) * Any altitude trip \<4 weks before the study * Allergy to acetazolamide and other sulfonamides
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute Mountain Sickness (AMS) Incidence, LLS 2018 | Day 1 to 3 at 3600 m | MCP-related difference in the AMS incidence. AMS incidence will be defined as a Lake Louise Questionnaire version 2018 score of ≥3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute Mountain Sickness (AMS) Incidence, LLS 1993 | Day 1 to 3 at 3600 m | MCP-related difference in the AMS incidence. AMS incidence will be defined as a Lake Louise Questionnaire version 1993 score of ≥3. |
| Acute Mountain Sickness (AMS) Severity, LLS 2018 | Day 1 to 3 at 3600 m | MCP-related difference on the AMS severity assessed by the Lake Louise Questionnaire version 2018. |
| Acute Mountain Sickness (AMS) Severity, LLS 1993 | Day 1 to 3 at 3600 m | MCP-related difference on the AMS severity assessed by the Lake Louise Questionnaire version 1993. |
| Arterial blood gases | Day 2 at 760 m and day 2 at 3600 m | MCP-related difference on the arterial blood gases (pH, PaO2, PaCO2, SaO2). |
| Hypoxic ventilatory response | Day 2 at 760 m | MCP-related difference in the hypoxic ventilatory response assessed under FiO2 of 0.115 and while cycling on a bicycle at 30% of predicted maximal work capacity. |
| Perceived pain visualization | Day 1 to 3 at 3600 m | MCP-related difference on perceived pain sensations, visualized by the SMaRT tablet app |
Countries
Kyrgyzstan
Contacts
University of Zurich
National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan