Evidence map›Paper›PMID 40976994›Full record

SynthesisBrain and behavior2025

A Meta-Analysis of Multidimensional Cognitive Functions Changes in Different Intensities of High-Altitude Hypoxia.

Yan Jiang, Ke-Er Cai, Ling-Ling Zhu, Ming Fan, Yong-Qi Zhao, Du-Ming Wang

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Brain and behavior, 2025. 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
–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.

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.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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

6 authors.

Yan JiangDepartment of Psychology, Zhejiang Sci-Tech University, Hangzhou, China.
Ke-Er CaiDepartment of Psychology, Zhejiang Sci-Tech University, Hangzhou, China.
Ling-Ling ZhuBeijing Institute of Basic Medical Sciences, Beijing, China.
Ming FanBeijing Institute of Basic Medical Sciences, Beijing, China.
Yong-Qi ZhaoDepartment of Psychology, Zhejiang Sci-Tech University, Hangzhou, China.
Du-Ming WangDepartment of Psychology, Zhejiang Sci-Tech University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis meta-analysis aims to comprehensively evaluate the impact of high-altitude hypoxia on multidimensional cognitive functions, considering moderating variables such as altitude, exposure time, cognitive domain, and experimental design.

methodsA three-level meta-analysis was conducted on 59 studies (1966-2024) comprising 739 effect sizes. Studies were screened and coded according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Cognitive tasks were categorized into seven domains: executive control, working memory, long-term memory, perceptual ability, psychomotor skill, attention, and others. Hedges' g was used as the effect size measure, and multilevel modeling was applied to account for dependent effect sizes.

findingsHigh-altitude hypoxia significantly impaired overall cognitive function (g = -0.424, p < 0.001). Long-term memory and perceptual functions were most affected, followed by executive control, attention, and psychomotor skills; working memory was least impacted. Cognitive impairment was significant at altitudes above 2500 m. Acute (< 3 days) and chronic (> 30 days) exposure significantly affected cognition, while intermediate exposures (3-30 days) did not. Subgroup analyses revealed varying sensitivity across cognitive domains to altitude and exposure duration.

conclusionHigh-altitude hypoxia adversely affects cognitive function, with severity varying by cognitive domain, altitude, and exposure duration. These findings highlight the need for tailored interventions and further research into acclimatization and de-acclimatization processes.

Indexed as

Altitude SicknessCognitionCognitive DysfunctionHypoxiaAltitudeAttentionExecutive FunctionHumansMemory, Short-TermPsychomotor Performancecognition functionhigh‐altitudehigh‐altitude acclimationhypoxiameta‐analysis

Identifiers

PMID40976994
PMCPMC12451029

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.