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Objective To explore the relationship between high altitude de-adaptation syndrome and training burnout of plateau-garrisoned soldiers after returning to the plain.Methods A total of 140 plateau-garrisoned soldiers who had returned to the plain were chosen by random cluster sampling and measured with the Training Burnout Test.They were divided into two groups according to the occurrence of acute mountain sickness.We compared the differences in training burnout between the two groups and analyzed the relationship between acute mountain sickness and training burnout. Results ①The incidence of high altitude de-adaptation syndrome of plateau-garrisoned soldiers was 80.00% after returning to the plain.There was statistically significant difference between plateau soldiers after returning to the plain,the plateau stability-keeping forces that returned to the plain (78.36%) (χ2 =0.188, P=0.664) and plateau migrants who returned to the plain (75.10%) (χ2 =1.279, P=0.258).Main symptoms of high altitude de-adaptation were fatigue (12.86%), dizziness (11.43%) and meakness (10.00%).②Compared with soldiers who had no high altitude de-adaptation syndrome, victims of de-adaptation syndrome had higher scores of training burnout, physical and psychological exhaustion and training-alienation (P<0.01).Compared with soldiers who had normal body mass indexes, those who were overweight had higher incidence of altitude de-adaptation (P<0.05).③The regression equation between plateau de-adaptation syndrome and training burnout of plateau soldiers after returning to the plain (P<0.01) is:Training burnout =0.498 ×plateau de-adaptation syndrome -0.126 ×age+0.038 ×length of military service +0.069 ×educational degree+0.029 ×body mass index.Conclusion There exist correlations between high altitude de-adaptation syndrome and training burnout of plateau soldiers after returning to the plain.Reducing the occurrence of high altitude de-adaptation syndrome can help reduce the degree of training burnout.
RESUMO
Objective To assess the effects of physical labor on cardiac function of laborers at high altitude and changes in cardiac function after returning to lower altitude. Methods According to symptomatic scores on Chinese acute high altitude reaction (AHAR), 96 male officers and soldiers, who rapidly entered high altitude areas (3700m altitude),and engaged in heavy physical work for 50 days, were be scored and graded. Levels of creatine kinase isoenzymes -MB (CK-MB) and lactic dehydrogenase isoenzyme -1 (LDH-1) in the serum, Tei index, left ventricular ejection fraction (LVEF), and left ventricular fractional shortening (LVFS) were measured in the 96 servicemen at the 50th day of residing at high altitude, and the 2nd and 15th day after returning to lower altitude (1500m altitude), and the results were compared with that of 50 healthy controls residing at 1500m. Results Among the 96 male servicemen, 71 developed AHAR, and 24 of them had severe AHAR, 47 mild to moderate AHAR, and the rest 25 had no AHAR. Levels of serum CK-MB, LDH-1 and Tei index were higher in the severe AHAR group than in the mild to moderate AHAR group, higher in the mild to moderate AHAR group than in the no AHAR group and higher in the no AHAR group than in the healthy group. As far as the values of LVEF and LVFS were concerned, the severe AHAR group 0.05). Conclusion Heavy physical work at high altitude could obviously impair human cardiac function. The impairment may aggravate along with increase in severity of AHAR. However, cardiac function may be improved significantly after returning to low altitude for 2 days, and recover to normal status 15 days later.
RESUMO
Objective To assess the effects of physical labor on cardiac function of laborers at high altitude and changes in cardiac function after returning to lower altitude. Methods According to symptomatic scores on Chinese acute high altitude reaction (AHAR), 96 male officers and soldiers, who rapidly entered high altitude areas (3700m altitude),and engaged in heavy physical work for 50 days, were be scored and graded. Levels of creatine kinase isoenzymes -MB (CK-MB) and lactic dehydrogenase isoenzyme -1 (LDH-1) in the serum, Tei index, left ventricular ejection fraction (LVEF), and left ventricular fractional shortening (LVFS) were measured in the 96 servicemen at the 50th day of residing at high altitude, and the 2nd and 15th day after returning to lower altitude (1500m altitude), and the results were compared with that of 50 healthy controls residing at 1500m. Results Among the 96 male servicemen, 71 developed AHAR, and 24 of them had severe AHAR, 47 mild to moderate AHAR, and the rest 25 had no AHAR. Levels of serum CK-MB, LDH-1 and Tei index were higher in the severe AHAR group than in the mild to moderate AHAR group, higher in the mild to moderate AHAR group than in the no AHAR group and higher in the no AHAR group than in the healthy group. As far as the values of LVEF and LVFS were concerned, the severe AHAR group 0.05). Conclusion Heavy physical work at high altitude could obviously impair human cardiac function. The impairment may aggravate along with increase in severity of AHAR. However, cardiac function may be improved significantly after returning to low altitude for 2 days, and recover to normal status 15 days later.