1. Upright posture increases oxyhemoglobin saturation in Peruvian highlanders.
- Author
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Arias, Rafael S., Etienne, Branden, Polotsky, Vsevolod Y., Checkley, William, Schwartz, Alan R., and Pham, Luu V.
- Subjects
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POSTURE , *RESPIRATORY mechanics , *REGRESSION analysis , *OLD age , *HYPOXEMIA - Abstract
• In native highlanders, S P O 2 was greater in the upright-seated than in the flat posture. • Changes in oxyhemoglobin saturation were greatest in older subjects. • Flat posture may be a significant contributor to hypoxemia during sleep. • Postural maneuvers may mitigate nocturnal hypoxemia and its sequelae in highlanders. At high altitude, hypoxia amplifies oxyhemoglobin saturation (S P O 2) swings with changes in respiratory mechanics. Our objective was to examine the effects of posture on S P O 2 and determine predictors of postural S P O 2 changes in highlanders. 50 native highlanders from Puno, Peru (3825 m) assumed supine and upright-seated postures, in rotating sequence, while undergoing continuous pulse-oximetry. We compared mean S p O 2 in each posture with a paired t -test. We examined associations of BMI, age, sex and spirometry with postural S p O 2 changes with mixed-effects linear regression. In highlanders, S p O 2 was 84% in the supine posture and was 1.0% ± 1.1 (p < 0.0001) greater in the upright-seated posture. Greater postural changes in S p O 2 were associated with older age (p = 0.01 for interaction) but not with sex, BMI, FVC or FEV 1. In highlanders, S p O 2 is higher in the upright-seated compared to supine posture, especially with older age. Because we generally sleep flat, posture may contribute significantly to highlanders' hypoxemic burden during sleep. Postural intervention during sleep may mitigate nocturnal hypoxemia. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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