Upright posture increases oxyhemoglobin saturation in Peruvian highlanders.

Abstract:

:At high altitude, hypoxia amplifies oxyhemoglobin saturation (SPO2) swings with changes in respiratory mechanics. Our objective was to examine the effects of posture on SPO2 and determine predictors of postural SPO2 changes in highlanders. 50 native highlanders from Puno, Peru (3825 m) assumed supine and upright-seated postures, in rotating sequence, while undergoing continuous pulse-oximetry. We compared mean SpO2 in each posture with a paired t-test. We examined associations of BMI, age, sex and spirometry with postural SpO2 changes with mixed-effects linear regression. In highlanders, SpO2 was 84% in the supine posture and was 1.0% ± 1.1 (p < 0.0001) greater in the upright-seated posture. Greater postural changes in SpO2 were associated with older age (p = 0.01 for interaction) but not with sex, BMI, FVC or FEV1. In highlanders, SpO2 is higher in the upright-seated compared to supine posture, especially with older age. Because we generally sleep flat, posture may contribute significantly to highlanders' hypoxemic burden during sleep. Postural intervention during sleep may mitigate nocturnal hypoxemia.

authors

Arias RS,Etienne B,Polotsky VY,Checkley W,Schwartz AR,Pham LV

doi

10.1016/j.resp.2019.04.015

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

138-143

eissn

1569-9048

issn

1878-1519

pii

S1569-9048(18)30360-4

journal_volume

266

pub_type

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