Evidence map›Paper›PMID 25723529›Full record

ArticlePloS one2015

Impaired postural control in healthy men at moderate altitude (1630 m and 2590 m): data from a randomized trial.

Katrin Stadelmann, Tsogyal D Latshang, Christian M Lo Cascio, Ross A Clark, Reto Huber, Malcolm Kohler, Peter Achermann, Konrad E Bloch

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01130948 (Sleep, Breathing and Psychomotor Performance at Altitude), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01130948 nacompletednot on this map

Sleep, Breathing and Psychomotor Performance at Altitude: A Physiologic Study in Healthy Subjects

TypeinterventionalSponsorUniversity of ZurichRan2010 to 2010Enrolled51ConditionsHealthy MenArmsaltitude exposure
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Hypoxia and standing balance.European journal of applied physiology · 2021
    Pooled it
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  15. Motor-cognitive dual-tasking under hypoxia.Experimental brain research · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katrin StadelmannInstitute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland.
Tsogyal D LatshangPulmonary Division, University Hospital Zurich, Zurich, Switzerland.
Christian M Lo CascioPulmonary Division, University Hospital Zurich, Zurich, Switzerland.
Ross A ClarkDepartment of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
Reto HuberZurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland; University Children's Hospital Zurich, Zurich, Switzerland.
Malcolm KohlerZurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland; Pulmonary Division, University Hospital Zurich, Zurich, Switzerland.
Peter AchermannInstitute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland.
Konrad E BlochZurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland; Pulmonary Division, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntact postural control is essential for safe performance of mountain sports, operation of machinery at altitude, and for piloting airplanes. We tested whether exposure to hypobaric hypoxia at moderate altitude impairs the static postural control of healthy subjects.

methodsIn 51 healthy men, median age 24 y (quartiles 20;28), static control was evaluated on a balance platform in Zurich, 490 m, and during a 4-day sojourn in Swiss mountain villages at 1630 m and 2590 m, 2 days each. The order of altitude exposure was randomized. Total center of pressure path length (COPL) and sway amplitude measured in two directions by a balance platform, and pulse oximetry were recorded. Data were compared between altitudes.

resultsMedian (quartiles) COPL during standing on both legs with eyes open at 490 m and in the evenings on the first and second days at 1630 and 2590 m, respectively were: 50 (45;57), 55 (48;62), 56 (49;61), 53 (47;59), 54 (48;60) cm, P<0.001 ANOVA. Corresponding arterial oxygen saturation was 97% (96;97), 95% (94;96), 95%(94;96), 92%(90;93), 93%(91;93), P<0.001. Anterior-posterior sway amplitudes were larger at 1630 and 2590 m compared to 490 m, P<0.001. Multiple logistic regression analysis confirmed that higher altitudes (1630 and 2590m) were independently associated with increased COPL when controlled for the order of altitude exposure and age (P=0.001).

conclusionsExposure to 1630 and 2590m was associated with impaired static postural control even when visual references were available.

trial registrationClinicalTrials.gov NCT01130948.

Indexed as

AltitudePostureAdultAgedAtmospheric PressureHealthy VolunteersHumansHypoxiaMaleMiddle AgedOxygenOxygen ConsumptionYoung AdultOxygen

Identifiers

PMID25723529
PMCPMC4344242

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.