Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile

In the past two decades, Chile has developed intense mining activity in the Andes mountain range, whose altitude is over 4,000 meters above sea level. It is estimated that a workforce population of over 55,000 is exposed to high altitude hypobaric hypoxia. The miners work under shift systems which v...

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Autores principales: Farias,Jorge G, Jimenez,Daniel, Osorio,Jorge, Zepeda,Andrea B, Figueroa,Carolina A, Pulgar,Victor M
Lenguaje:English
Publicado: Sociedad de Biología de Chile 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009
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spelling oai:scielo:S0716-976020130001000092014-09-08Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in ChileFarias,Jorge GJimenez,DanielOsorio,JorgeZepeda,Andrea BFigueroa,Carolina APulgar,Victor M High Altitude Mine Workers Intermittent Hypoxia Acclimatization Chilean Model In the past two decades, Chile has developed intense mining activity in the Andes mountain range, whose altitude is over 4,000 meters above sea level. It is estimated that a workforce population of over 55,000 is exposed to high altitude hypobaric hypoxia. The miners work under shift systems which vary from 4 to 20 days at the worksite followed by rest days at sea level, in a cycle repeated for several years. This Chronic Intermittent Hypoxia (CIH) constitutes an unusual condition for workers involving a series of changes at the physiological, cellular and molecular levels attempting to compensate for the decrease in the environmental partial pressure of oxygen (PO2). The mine worker must become acclimatized to CIH, and consequently undergoes an acute acclimatization process when he reaches the worksite and an acute reverse process when he reaches sea level. We have observed that after a period of 3 to 8 years of CIH exposure workers acclimatize well, and evidence from our studies and those of others indicates that CIH induces acute and chronic multisystem adjustments which are effective in offsetting the reduced availability of oxygen at high altitudes. The aims of this review are to summarize findings of the physiological responses to CIH exposure, highlighting outstanding issues in the field.info:eu-repo/semantics/openAccessSociedad de Biología de ChileBiological Research v.46 n.1 20132013-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009en10.4067/S0716-97602013000100009
institution Scielo Chile
collection Scielo Chile
language English
topic High Altitude
Mine Workers
Intermittent Hypoxia
Acclimatization
Chilean Model
spellingShingle High Altitude
Mine Workers
Intermittent Hypoxia
Acclimatization
Chilean Model
Farias,Jorge G
Jimenez,Daniel
Osorio,Jorge
Zepeda,Andrea B
Figueroa,Carolina A
Pulgar,Victor M
Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
description In the past two decades, Chile has developed intense mining activity in the Andes mountain range, whose altitude is over 4,000 meters above sea level. It is estimated that a workforce population of over 55,000 is exposed to high altitude hypobaric hypoxia. The miners work under shift systems which vary from 4 to 20 days at the worksite followed by rest days at sea level, in a cycle repeated for several years. This Chronic Intermittent Hypoxia (CIH) constitutes an unusual condition for workers involving a series of changes at the physiological, cellular and molecular levels attempting to compensate for the decrease in the environmental partial pressure of oxygen (PO2). The mine worker must become acclimatized to CIH, and consequently undergoes an acute acclimatization process when he reaches the worksite and an acute reverse process when he reaches sea level. We have observed that after a period of 3 to 8 years of CIH exposure workers acclimatize well, and evidence from our studies and those of others indicates that CIH induces acute and chronic multisystem adjustments which are effective in offsetting the reduced availability of oxygen at high altitudes. The aims of this review are to summarize findings of the physiological responses to CIH exposure, highlighting outstanding issues in the field.
author Farias,Jorge G
Jimenez,Daniel
Osorio,Jorge
Zepeda,Andrea B
Figueroa,Carolina A
Pulgar,Victor M
author_facet Farias,Jorge G
Jimenez,Daniel
Osorio,Jorge
Zepeda,Andrea B
Figueroa,Carolina A
Pulgar,Victor M
author_sort Farias,Jorge G
title Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
title_short Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
title_full Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
title_fullStr Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
title_full_unstemmed Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
title_sort acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in chile
publisher Sociedad de Biología de Chile
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009
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