“…Although performance decrements in either reaction time, psychomotor skills or mental efficiency have been detected at altitudes as low as 2,100-3,000 m [8,14,25,28], there is no clear evidence that such relatively low altitudes have any effect on the performance of well-learned tasks [11,30]; the most clear-cut effect induced by altitudes of up to 3,000 m being an increased learning time [9]. At higher altitudes (4,300-6,100 m), decrements in reaction time [27], psychomotor ability [5,21,22,32,34] and mental efficiency [5,10,16,21,22,32] are clear. However, timedependent adaptive processes may occur as the duration of exposure to high altitude increases, so that repeated testing under hypobaric hypoxic conditions may induce learning effects and thus improve performance [5,25,32].…”