1983
DOI: 10.1002/ajpa.1330610310
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Lack of prominent compensatory polycythemia in traditional native andeans living at 4,200 meters

Abstract: Red blood cell count (RBC), hemoglobin concentration ([Hb]) and hematocrit (Hct) were measured in 303 male Quechua children and adults, aged 6 to 57 years, living a lifestyle as traditional pastoralists and horticulturalists at a mean altitude of 4,200 m in the Southern Peruvian Andes. Values for RBC, [Hb], and Hct increased with age from middle childhood to young adulthood. However, among adults there was no significant association between age and any of these three parameters. Overall, there was approximatel… Show more

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Cited by 31 publications
(19 citation statements)
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References 24 publications
(23 reference statements)
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“…This finding is not surprising, since an increase of hemoglobin concentration, erythrocytes, and hematocrit with altitude is very well documented (Arnaud et al, 1981;Ballew et al, 1989;Beall et al, 1987Beall et al, , 1992Beall and Reichsman, 1984;Garruto and Dutt, 1983;Tarazona-Santos et al, 2000;Winslow and Monge, 1987). However, other studies have discussed the possibility that Himalayan highlanders may not exhibit as large an increase in hemoglobin concentration as is found in the Andes, and that they have only a slight increase in Hb with respect to their lowland counterparts (Beall et al, 1983Beall, 1993;Frisancho, 1988).…”
Section: Hematological Variablesmentioning
confidence: 58%
“…This finding is not surprising, since an increase of hemoglobin concentration, erythrocytes, and hematocrit with altitude is very well documented (Arnaud et al, 1981;Ballew et al, 1989;Beall et al, 1987Beall et al, , 1992Beall and Reichsman, 1984;Garruto and Dutt, 1983;Tarazona-Santos et al, 2000;Winslow and Monge, 1987). However, other studies have discussed the possibility that Himalayan highlanders may not exhibit as large an increase in hemoglobin concentration as is found in the Andes, and that they have only a slight increase in Hb with respect to their lowland counterparts (Beall et al, 1983Beall, 1993;Frisancho, 1988).…”
Section: Hematological Variablesmentioning
confidence: 58%
“…In contrast, virtually all the available Andean data are based on samples of miners and urban workers (see, e.g., Arnaud et al, 1981;Cosio, 1972;Hurtado et al, 1945;Torrance et al, 1971;Tufts et al, 1985;Winslow et al, 1981). These people are likely to have a variety of genetic backgrounds, distinctive diseases, activity patterns, and histories of exposure to altitude, some or all of which may contribute to the elevation of hemoglobin concentration (Garruto and Dutt, 1983). In this context, it is noteworthy that a rural Andean adult male sample following a traditional life-style at 4,000 m has a mean of 17.5 gm/dl, lower than all other Andean samples and insignificantly higher than a Himalayan value of 17 gm/dl at the same altitude (Adams and Strang, 1975;Garruto, 1976; t = 1.4; p < 0.05).…”
Section: Discussionmentioning
confidence: 99%
“…Individuals whose values were lower than the 5th percentile or greater than the 95th percentile for WBC or for any of the differential counts were excluded from the analysis. The application of U.S. standards to Qinghai populations appears justified in light of reports of similar peripheral leukocyte and differential counts in different groups (Bain et al, 1984;Garruto and Dutt, 1983). Since EP was the only measure of iron status, the NHANES II sex and age-specific 90th percentile values were used as a conservative indicator of impaired iron status.…”
Section: Measurements and Methodsmentioning
confidence: 99%