1990
DOI: 10.1055/s-2007-1024846
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II. Morphological Adaptations of Human Skeletal Muscle to Chronic Hypoxia*

Abstract: Muscle structural changes during typical mountaineering expeditions to the Himalayas were assessed by taking muscle biopsies from 14 mountaineers before and after their sojourn at high altitude (greater than 5000 m for over 8 weeks). M. vastus lateralis samples were analyzed morphometrically from electron micrographs. A significant reduction (-10%) of muscle cross-sectional area was found on CT scans of the thigh. Morphologically this loss in muscle mass appeared as a decrease in muscle fiber size mainly due t… Show more

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Cited by 258 publications
(240 citation statements)
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“…For the high-altitude dwellers such as Tibetans and Quechuas who have been living at Ն3,500 m for thousands of generations, the capillary density in skeletal muscle is within the normal range and the mitochondrial content of skeletal muscle is also close to that of the lowland population, yet they develop muscle fibers with smaller cross-sectional areas (29). Prolonged exposure to high-altitude hypoxia (24) or simulated hypoxia in a chamber (33) can also cause a reduction of muscle fiber size and loss of skeletal muscle mass, despite a decrease in the perfusion area per capillary (24). These observations strongly suggest that the decrease in skeletal muscle mass and myofiber size directly results from hypoxia.…”
Section: Discussionmentioning
confidence: 99%
“…For the high-altitude dwellers such as Tibetans and Quechuas who have been living at Ն3,500 m for thousands of generations, the capillary density in skeletal muscle is within the normal range and the mitochondrial content of skeletal muscle is also close to that of the lowland population, yet they develop muscle fibers with smaller cross-sectional areas (29). Prolonged exposure to high-altitude hypoxia (24) or simulated hypoxia in a chamber (33) can also cause a reduction of muscle fiber size and loss of skeletal muscle mass, despite a decrease in the perfusion area per capillary (24). These observations strongly suggest that the decrease in skeletal muscle mass and myofiber size directly results from hypoxia.…”
Section: Discussionmentioning
confidence: 99%
“…Hypoxia can be caused by a generalized reduction in oxygen delivery, such as altitude and pulmonary diseases, or by disruption in the local blood supply, such as an ischemic disorder. It is known that chronic exposure to high-altitude hypoxia (Hoppeler et al, 1990;Howald and Hoppeler, 2003;MacDougall et al, 1991) can cause a reduction of muscle fibre size and loss of skeletal muscle mass in mountaineers. Similar findings have been reported in healthy people who live at high altitude for generations and in rats chronically exposed to a simulated hypobaric altitude (Sillau and Banchero, 1977).…”
Section: Version Postprintmentioning
confidence: 99%
“…Our finding is also contrary to the classic expectations for muscle structure adjustments based on constraints associated with apneustic or hypoxic exercise. Hypoxic tissue environments, similar to the chronic hypoxia of mountaineering, are generally associated with CSA declines to improve tissue oxygen handling (Hoppeler et al, 1990). The regular apneustic exercise in diving, air breathing vertebrates should result in chronic submergence hypoxia (Guyton et al, 1985;Qvist et al, 1986;Davis and Kanatous, 1999;Ponganis et al, 2007).…”
Section: Muscle Morphologymentioning
confidence: 99%