Evidence map›Paper›PMID 33124686›Full record

ArticleThe Journal of physiology2021

Regulation of plasma volume in male lowlanders during 4 days of exposure to hypobaric hypoxia equivalent to 3500 m altitude.

Maja Schlittler, Hannes Gatterer, Rachel Turner, Ivo B Regli, Simon Woyke, Giacomo Strapazzon, Peter Rasmussen, Michael Kob, Thomas Mueller, Jens P Goetze and 4 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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  9. Elevated Hemoglobin Levels and Risk of ST-Segment Elevation Myocardial Infarction in High-Altitude Acute Coronary Syndrome: A Retrospective Analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
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  18. Hypoxia briefly increases diuresis but reduces plasma volume by fluid redistribution in women.American journal of physiology. Heart and circulatory physiology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 5 countries.

Maja SchlittlerInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.ORCID 0000-0002-3886-9612
Hannes GattererInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.
Rachel TurnerInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.ORCID 0000-0003-4371-580X
Ivo B RegliInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.ORCID 0000-0002-0697-803X
Simon WoykeInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.
Giacomo StrapazzonInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.ORCID 0000-0002-4402-8633
Peter RasmussenH. Lundbeck A/S, Valby, Denmark.
Michael KobDivision of Clinical Nutrition, Bolzano Regional Hospital, Bolzano, Italy.
Thomas MuellerDepartment of Clinical Pathology, Hospital of Bolzano, Bolzano, Italy.
Jens P GoetzeDepartment of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Marc MaillardService of Nephrology, University Hospital of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-6428-0046
Gerrit van HallDepartment of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-2519-8127
Eric FerailleNational Center of Competence in Research Kidney Control of Homeostasis (Kidney.CH), Zurich, Switzerland.ORCID 0000-0003-1656-8365
Christoph SiebenmannInstitute of Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.ORCID 0000-0002-0315-3761
Eurac Research · ITOspedale di Bolzano · ITUniversity of Copenhagen · DKLundbeck (Denmark) · DKUniversity Hospital of Lausanne · CHUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

key pointsAcclimatization to hypoxia leads to a reduction in plasma volume (PV) that restores arterial O ABSTRACT: Extended hypoxic exposure reduces plasma volume (PV). The mechanisms underlying this effect are controversial, possibly as previous studies have been confounded by inconsistent experimental conditions. Here, we investigated the effect of hypobaric hypoxia (HH) on PV in a cross-over study that strictly controlled for diet, water intake, physical activity and temperature. Eleven males completed two 4-day sojourns in a hypobaric chamber, one in normoxia (NX) and one in HH equivalent to 3500 m altitude. PV, urine output, volume-regulating hormones and plasma protein concentration were determined daily. Total body water (TBW) was determined at the end of both sojourns by deuterium dilution. Although PV was 8.1 ± 5.8% lower in HH than in NX after 24 h and remained ∼10% lower thereafter (all P < 0.002), no differences were detected in TBW (P = 0.17) or in 24 h urine volumes (all P > 0.23). Plasma renin activity and circulating aldosterone were suppressed in HH during the first half of the sojourn (all P < 0.05) but thereafter similar to NX, whereas no differences were detected for copeptin between sojourns (all P > 0.05). Markers for atrial natriuretic peptide were higher in HH than NX after 30 min (P = 0.001) but lower during the last 2 days (P < 0.001). While plasma protein concentration was similar between sojourns, total circulating protein mass (TCP) was reduced in HH at the same time points as PV (all P < 0.03). Despite transient hormonal changes favouring increased diuresis, HH did not enhance urine output. Instead, the maintained TBW and reduced TCP support an oncotically driven fluid redistribution into the extravascular compartment as the mechanism underlying PV contraction.

Indexed as

AltitudeAltitude SicknessCross-Over StudiesHumansHypoxiaMalePlasma Volumediuresisfluid balancehigh altitudehormonestotal body water

Identifiers

PMID33124686
PMCPMC7894546
OpenAlexW3096504362

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.