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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Main Authors: Jorge G Farias, Daniel Jimenez, Jorge Osorio, Andrea B Zepeda, Carolina A Figueroa, Victor M Pulgar
Format: Article
Language:English
Published: BMC 2013-01-01
Series:Biological Research
Subjects:
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009
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author Jorge G Farias
Daniel Jimenez
Jorge Osorio
Andrea B Zepeda
Carolina A Figueroa
Victor M Pulgar
author_facet Jorge G Farias
Daniel Jimenez
Jorge Osorio
Andrea B Zepeda
Carolina A Figueroa
Victor M Pulgar
author_sort Jorge G Farias
collection DOAJ
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.
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spelling doaj.art-91a39bf4637b4304829b09d3502ff1162022-12-22T00:13:59ZengBMCBiological Research0716-97600717-62872013-01-014615967Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in ChileJorge G FariasDaniel JimenezJorge OsorioAndrea B ZepedaCarolina A FigueroaVictor M PulgarIn 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.http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009High AltitudeMine WorkersIntermittent HypoxiaAcclimatizationChilean Model
spellingShingle Jorge G Farias
Daniel Jimenez
Jorge Osorio
Andrea B Zepeda
Carolina A Figueroa
Victor M Pulgar
Acclimatization to chronic intermittent hypoxia in mine workers: a challenge to mountain medicine in Chile
Biological Research
High Altitude
Mine Workers
Intermittent Hypoxia
Acclimatization
Chilean Model
title 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_short 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
topic High Altitude
Mine Workers
Intermittent Hypoxia
Acclimatization
Chilean Model
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000100009
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