Evidence map›Paper›PMID 34555237›Full record

ArticleExperimental physiology2021

Sub-maximal aerobic exercise training reduces haematocrit and ameliorates symptoms in Andean highlanders with chronic mountain sickness.

José Luis Macarlupú, Gustavo Vizcardo-Galindo, Rómulo Figueroa-Mujíca, Nicolas Voituron, Jean-Paul Richalet, Francisco C Villafuerte

Open access · hybridAbstract read
In one paragraph

Article in Experimental physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. High-altitude polycythemia: State-of-the-art review.Therapeutic advances in hematology · 2026
    Review
  4. Article
  5. Article
  6. Altitude illnesses.Nature reviews. Disease primers · 2024
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

José Luis MacarlupúLaboratorio de Fisiología Comparada, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0001-9764-1020
Gustavo Vizcardo-GalindoLaboratorio de Fisiología Comparada, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0002-8131-8808
Rómulo Figueroa-MujícaLaboratorio de Fisiología Comparada, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0003-1364-350X
Nicolas VoituronLaboratoire Hypoxie et Poumon, UMR INSERM U1272, Université Sorbonne Paris Nord, Bobigny, France.ORCID 0000-0002-2092-4900
Jean-Paul RichaletLaboratoire Hypoxie et Poumon, UMR INSERM U1272, Université Sorbonne Paris Nord, Bobigny, France.ORCID 0000-0002-7110-008X
Francisco C VillafuerteLaboratorio de Fisiología Comparada, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0003-0731-8911
Universidad Peruana Cayetano Heredia · PEInserm · FR

Funding

Wellcome TrustWellcome Trust 107544/Z/15/Z
6 · The paper itself

Abstract

NEW

findingsWhat is the central question of this study? What is the effect of sub-maximal aerobic exercise training on signs and symptoms of chronic mountain sickness (CMS) in Andean highlanders? What is the main finding and its importance? Aerobic exercise training (ET) effectively reduces haematocrit, ameliorates symptoms and improves aerobic capacity in CMS patients, suggesting that a regular aerobic ET programme might be used as a low-cost non-invasive/non-pharmacological management strategy of this syndrome. ABSTRACT: Excessive erythrocytosis is the hallmark sign of chronic mountain sickness (CMS), a debilitating syndrome associated with neurological symptoms and increased cardiovascular risk. We have shown that unlike sedentary residents at the same altitude, trained individuals maintain haematocrit within sea-level range, and thus we hypothesise that aerobic exercise training (ET) might reduce excessive haematocrit and ameliorate CMS signs and symptoms. Eight highlander men (38 ± 12 years) with CMS (haematocrit: 70.6 ± 1.9%, CMS score: 8.8 ± 1.4) from Cerro de Pasco, Peru (4340 m) participated in the study. Baseline assessment included haematocrit, CMS score, pulse oximetry, maximal cardiopulmonary exercise testing and in-office plus 24 h ambulatory blood pressure (BP) monitoring. Blood samples were collected to assess cardiometabolic, erythropoietic, and haemolysis markers. ET consisted of pedalling exercise in a cycloergometer at 60% of

Indexed as

Altitude SicknessAltitudeBlood Pressure Monitoring, AmbulatoryChronic DiseaseExerciseHematocritHumansMaleAndean highlanderschronic mountain sicknessexcessive erythrocytosisexercise traininghigh altitudeMonge´s disease

Identifiers

PMID34555237
PMCPMC9293431
OpenAlexW3201204195

What OpenQuestion holds

Textmetadata
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.