Mar 28

ScienceDaily (Mar. 26, 2011) — Researchers at the University of Colorado School of Medicine in partnership with the Harvard School of Global Health have found that people living at higher altitudes have a lower chance of dying from ischemic heart disease and tend to live longer than others. One of the most comprehensive studies of its kind.

“Lower oxygen levels turn on certain genes and we think those genes may change the way heart muscles function. They may also produce new blood vessels that create new highways for blood flow into the heart.”

“If living in a lower oxygen environment such as in our Colorado mountains helps reduce the risk of dying from heart disease it could help us develop new clinical treatments for those conditions,” said Benjamin Honigman, MD, professor of Emergency Medicine at the CU School of Medicine and director of the Altitude Medicine Clinic.

Another explanation, he said, could be that increased solar radiation at altitude helps the body better synthesize vitamin D which has also been shown to have beneficial effects on the heart and some kinds of cancer.

At the same time, the research showed that altitudes above 4,900 feet were detrimental to those suffering from chronic obstructive pulmonary disease.

Honigman, senior author of the study, along with researchers that included Robert Roach, PhD, director of the School of Medicine’s Altitude Research Center, Deborah Thomas, PhD, a geographer at the University of Colorado Denver and Majid Ezzati of the Harvard School of Global Health, spent four years analyzing death certificates from every county in the U.S. They examined cause-of-death, socio-economic factors and other issues in their research.

“Even modestly lower oxygen levels in people with already impaired breathing and gas exchange may exacerbate hypoxia and pulmonary hypertension [leading to death],” the study said.

Compared to those living near sea-level, the men lived 1.2 to 3.6 years longer and women 0.5 to 2.5 years more.

They found that of the top 20 counties with the highest life expectancy, eleven for men and five for women were located in Colorado and Utah. And each county was at a mean elevation of 5,967 feet above sea level. The men lived between 75.8 and 78.2 years, while women ranged from 80.5 to 82.5 years.

Despite these numbers, the study showed that when socio-economic factors, solar radiation, smoking and pulmonary disease were taken into account, the net effect of altitude on overall life expectancy was negligible.

Still, Honigman said, altitude seems to offer protection against heart disease deaths and may also play a role in cancer development.

“We want to now look at these diseases in a more focused way so we can see the mechanisms behind hypoxia and why they affect the body the way they do,” Honigman said. “This is a public health issue in Colorado and the mountain West. We have more than 700,000 people living at over 7,000 feet above sea level. Does living at altitude change the way a disease progresses? Does it have health effects that we should be investigating? Ultimately, we hope this research will help people lead healthier lives.”

Colorado, the highest state in the nation, is also the leanest state, the fittest state, has the fewest deaths from heart disease and a lower incidence of colon and lung cancer compared to others.

* Heart Disease
* Diseases and Conditions

* Chronic Illness    * Coronary heart disease
* Gas exchange
* Oily fish
* Emphysema    * Cholesterol
* Stroke Prevention
* Lung Disease

Mar 10
Hypoxia 2011: Registration Extended
icon1 admin | icon2 Sports | icon4 03 10th, 2011| icon3Comments Off

Hypoxia/Mountain Medicine Scientist/Clinician:

You have previously been to the International Hypoxia Symposia or one of our sister meetings regarding mountain medicine. As a fellow scientist/clinician interested in the effects of hypoxia, we want to inform you of the latest developments regarding the upcoming Hypoxia and Cancer 2011 meeting.

If you interest is in all aspects of Hypoxia, then we think you will find fascinating talks and posters throughout the meeting. If you interests are more in Mountain Medicine, then the Hot Topics in Mountain Medicine and Hot Topics in Hypoxia, plus the many posters on mountain medicine will be important for you.

If you have never been to Hypoxia,  ask someone who has. Most will tell you that it is one of the best meetings in the world for making new collaborations, renewing old collaborations, and learning new, intriguing and stimulating ideas to push your research and clinical work ahead. The meeting will be held at the stunning Fairmont Chateau Lake Louise in Alberta, Canada.

Hypoxia 2011 presents you with a great opportunity to network with clinicians and basic scientists with a strong interest and decades of experience studying hypoxia. World experts in hypoxia research don’t miss the International Hypoxia Symposia.

Plenary sessions will include: Hypoxia And Its Role In Cancer Biology; Epigenetics And Cancer; The Impact Of Hypoxia In Cancer Biology And Treatment; Cerebrovascular Regulation In Hypoxia ; Causes, Consequences And Treatment Of Sleep-Induced Periodic Breathing; Hypoxia And The Adrenergic Nervous System; Oxygen And Evolution; Future Directions: Hypoxia.

Invited Speakers will include: Till Acker; Stephen Archer; Keith Burgess; Jerry Dempsey; Joachim Fandrey; Amato Giaccia; Grant Gordon; Alexander  Gourine; Jeffrey Graham; Jon Harrison; Zdenko Herceg; Shahrokh Javaheri; Mike Milosevic; Tomasz  Owerkowicz; Marc Poulin; Jacques Pouyssegur; Sudarshan Rajagopal; Jean Paul Richalet; Stefano Rimoldi; Mikael Sander; Claudio Sartori; Jay Storz; Erik Swenson; John West

Early registration and abstract submission are open for Hypoxia 2011 through this coming Friday, January 7th 2011.

Free communications will be selected by an international jury from submitted abstracts.

Program
We are very excited to be offering a completely new program on Hypoxia and Cancer for the 2011 meeting. The theme of Hypoxia and Cancer will be presented with our signature approach to integrative and translational medicine and physiology. Many other additional topics will be covered throughout the 5 days in Lake Louise.
See the program highlights here (http://bit.ly/gLuBJP).

Mar 9

The aim of the present study was to evaluate the efficacy of
intermittent hypoxic training (IHT) with 95 % of lactate threshold
workload (WRLT) on aerobic capacity and endurance performance
in well-trained cyclists. Twenty male elite cyclists,
randomly divided into a hypoxia (H) group (n=10; age 22 ±
2.7years; VO2max 67.8 ± 2.5 ml·kg-1·min-1; body height (BH)
1.78 ± 0.05 m; body mass (BM) 66.7 ± 5.4kg; fat free mass
(FFM) 59.3 ± 5.1kg; fat content (FAT%) 11.3 ± 2.1%), and a
control (C) group (n = 10; age 23.5 ± 3.5years; VO2max 67.7 ±
2.0 ml·kg-1·min-1; BH 1.79 ± 3.2 m; BM 69.2 ± 5.5 kg; FFM
63.6 ± 4.8 kg; FAT% 7.9 ± 1.94 %) took part in the research
project. The training program used during the experiment was
the same for the both groups. For three weeks, the subjects in H
group performed 3 training sessions per week in normobaric
hypoxia environment (IHT - O2 = 15.2%). During the elemental
core of the IHT session, the intensity was set at 95% WRLT for
30-min in 1st microcycle, 35-min in 2nd microcycle and 40-min
in 3rd microcycle. The same training procedure was provided in
C group, yet the intensity of the main sessions were set at 100%
WRLT in the normoxia environment. The results indicate a significant
(p < 0.05) increase in VO2max,VO2LT, WRmax, WRLT and
change in lactate concentration (ΔLA) during incremental test in
H group. Also a significant (p < 0.05) decrease in time of the
time trial was seen, associated with a significant increase (p <
0.05) in average generated power (Pavg) and average speed (Vavg)
during the time trial. The intermittent hypoxic training (IHT)
applied in this research did not significantly affect the hematological
variables considered: number of erythrocytes (RBC),
hemoglobin concentration (HGB) and haematocrit value (HCT).
Significant blood value increases (p < 0.05) were only observed
in MCV in H group. This data suggests that intermittent hypoxic
training at lactate threshold intensity and medium duration (30-
40min) is an effective training means for improving aerobic
capacity and endurance performance at sea level.
http://www.jssm.org/vol10/n1/24/v10n1-24abst.php

Mar 2

“Failure is not having the courage to try”

On 30 March 2011 I arrive in Nepal for the privileged opportunity of an attempt to climb to the summit of the planet at 8848m.

Tibetans call her “Chomolungma”, Mother Goddess of the Universe and to the Sherpa people of Nepal it is “Sagarmatha”, The Churning Stick in the Sea of Existence. Westerners call her “Mt Everest’ (after the British surveyor Sir George Everest).

A small window to reach the summit generally presents itself for one week each year (when the jet stream winds at the summit drop just before the onset of Monsoon season) typically somewhere between mid to late May. Depending on when the mountain offers passage, I will be on the mountain for a total of 2 to 2.5 months.

Most of this time will be spent acclimatizing moving up/down to/from progressively higher altitudes, but when the summit weather window is forecast (not always with certainty), we will make a 6 day push from Base Camp to the summit, with summit day generally lasting 18 hours (mostly in the so-called “Death Zone”) on the back of 5 days of little sleep or food.

I have never trained as hard as I have in the last 6 months and never wish to again. Aside from the lofty goal of life-peak aerobic fitness I have also managed to increase my weight from my usual 72.5kg to almost 80kg, mostly in muscle, knowing that on Everest, climbers typically lose 20% of their body weight and I am keen to start summit day with some skin on my bones.

Aside from leaving my wife as a single mum for the period I will be away climbing, she has suffered without complaint through my absence as a husband and father as I have prepared for this trip and for her unquestioning support in chasing this dream, I thank her with all my heart and I know she will be with me every step of the way.

I would ask that, should you feel so inclined, you show your support for my trip by donating to an educational Scholarship Program for around 70 underprivileged Nepalese children based in Kathmandu. The Program is run by Australian charity Sunrise Children’s Association Incorporated (SCAI) and their local partners Sunrise Orphanage Nepal. Refer www.scai.org.au.  All donations are tax deductible in Australia.

Sadly, thousands of children in Nepal are sent from their homes to orphanages in Kathmandu by their parents in the hope of a better future for their children. Primary motivations are a desire for their children to have better food, medical care and education.

In order for children to be accepted by some orphanages, parents may bribe relevant authorities to sign false paperwork stating that they are dead, whereabouts unknown or are too ill to care for their children. This often then tragically means that the parents cannot or do not see their children again.

The Scholarship Program supports local families, in particular single mothers who face great hardship, with education for the children at a local school and some basic needs for the family to encourage the parent/s to keep the children at home rather than abandoning them.

The scholarship program has been running for two years and its funding expired at the end of 2010. The total cost of the scholarship program budget for 2011 is $17,000pa and my wife and I will underwrite whatever shortfall exists after all your donations have been received to ensure none of the kids miss out in 2011. If we exceed our target the excess will go towards funding the program in 2012.

You can donate online at www.givenow.com.au.  Simply type “Sunrise Children’s Association Inc” in the Keywords search on the home page, click on the link called “Sunrise Children’s Association Inc Community Development Appeal” (Givenow Ref 566) and follow the prompts. Please be sure to type in “Paul/Everest” under “Special Messages” so we can identify your donation.  If you do not wish to pay via credit card, please contact Bec Stafford at Hamton (03 9522 8426) to arrange for donations by cheque and for corresponding receipts.

All good karma produced via your donations will be greatly appreciated.

I am climbing as part of a private expedition with Adventure Consultants (AC). I have my own western guide and Sherpa support and whilst at times we may shadow the main AC expedition of around 7 climbers, we can and will move independently on the mountain, particularly at the “business end” of proceedings.

If you are interested, you will be able to stay in touch with our progress via regular dispatches on the AC website at www.adventureconsultants.com.

Thanks in advance for everyone’s support.

Below are some pictures of some of the kids which the Scholarship Program ensures avoid the risk of abandonment and receive an education (and hopefully a bright future).

Noteworthy facts:

Amidst the postcard perfect smiles and colourful celebrations of the Nepalese people lurks the following statistics:

· Average annual income of US$240

· 49% of the 26.3m population live in absolute poverty

· 47% are unemployed

· Literacy is generously estimated at 29%

· Over 2.6m child labourers

· Infant mortality rate of children under 5 years is 10.4%


Paul Hameister

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