Evidence map›Paper›PMID 42440620›Full record

ArticleFrontiers in physiology2026

A theoretical framework for predicting altitude effects on physical employment standard evaluation performance.

Matthew Belgiorgio, Martin P Poirier, Rachel Blacklock

Abstract read
In one paragraph

Article in Frontiers in physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Matthew BelgiorgioHuman Performance Research and Development, Personnel Support Programs, Directorate of Programs, Canadian Forces Morale and Welfare Services, Ottawa, ON, Canada.
Martin P PoirierHuman Performance Research and Development, Personnel Support Programs, Directorate of Programs, Canadian Forces Morale and Welfare Services, Ottawa, ON, Canada.
Rachel BlacklockHuman Performance Research and Development, Personnel Support Programs, Directorate of Programs, Canadian Forces Morale and Welfare Services, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physical employment standard (PES) evaluations assess whether personnel meet an occupation's minimum physical requirements, supporting operational readiness. Because altitude lowers aerobic capacity, comparability across testing sites at different elevations may require altitude-specific scoring adjustments for aerobic-dominant components. To encourage future efforts to address this, the purpose of this paper is to propose a framework that uses altitude effects observed in existing empirical research to predict altitude effects on PES evaluation performance. No new empirical data are presented; the framework draws on existing altitude-performance literature. We translate altitude effects to PES evaluation performance using four determinants: duration, intensity relative to critical power (CP), work-recovery structure and expected aerobic contribution. The predictions from the framework are expressed as additional completion time at altitude (Δt) and as altitude-specific equivalent cut-scores for a representative aerobic-dominant component with a 360 s sea-level reference, with 7-10% per 1,000 m sensitivity bands above ~1,500 m provided as continuous options. Because aerobic metabolism takes time to dominate an effort, predicted altitude effects scale with task duration: minimal for efforts under 2 min, moderate at 2.5-5 min, and largest at 7.5-10 min. Intermittent work is incorporated using CP and finite work capacity above CP (W'), with W' reconstitution slowed at altitude so that short bouts with incomplete recovery accumulate fatigue more rapidly than at sea level; full parameter values are reported in the methods. A validation roadmap is outlined that includes within-participant estimation of CP, W', and recovery kinetics at altitude, translation to PES component demands, and prospective comparison of altitude-specific versus fixed cut-scores under defined exposure timeframes. Such a framework is essential to preserve comparability of PES evaluation outcomes across locations, support defensible decisions based on PES evaluation results, and maintain operational readiness when critical tasks must be performed in hypoxic environments.

Indexed as

critical powerhypoxiaintermittent exercisejob task simulationoccupational fitness standardsstandard settingwork capacity

Identifiers

PMID42440620
PMCPMC13333417

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.