Monday, October 14, 2019

Effects of Altitude on Anxiety


Over the years, there have been extensive amounts of research done surrounding the impact of altitude on humans in a relatively short-term context, particularly as it related to athletic training at higher altitudes. While the symptoms of "altitude sickness" might be familiar, including nausea, lightheadedness, dizziness, headache, and fatigue, it is not as well known that increased anxiety can also occur. While a number of investigations of the effects of altitude on anxiety have been conducted in humans (Gertsch et al. 2011; Fagenholz et al. 2007), fewer have been conducted using animal models.
         During undergrad, I was fortunate enough to be brought on board to help with a study attempting to fill these gaps in research by looking at the effects of different altitude acclimation periods on anxiety in rats. In what my PI liked to refer to as the "mother of all studies", we looked at 320 rats, which included both male and female animals, as well as two different animal strains, and five different weeks of acclimation. These rats participated in three different behavioral tests, two of which looked at indications of depression and one that focused on indicators of anxiety; my role in the study focused more on the anxiety aspect. For our control, half of these animals underwent behavioral testing at sea level in La Jolla, CA. The other half of the animals were tested at altitude in Boulder, CO.
         While the design of this study is complicated to explain in a short amount of text with so many moving parts, the potential implication and importance of this project aren’t as difficult. First, there is little research on the physiological and behavioral effects of changes in altitude on rats, which is surprising considering that most laboratory rat vendors are located near sea level. Understanding the effects of these changes should be of particular interest to minimize confounding variables and maximize reproducibility in studies. Research has been done on a short-term scale to set controls for shipping-induced stress of laboratory animals, indicating a minimum 48-hour stabilization period upon arrival (Landi et al. 1982), but altitude has not been considered a factor when considering this stabilization period thus far. Second, female rats were chosen to be included in this study since they are often underrepresented in research; many researchers opt to use male animals only to rule out the potential hormonal effects that can be a confounding factor in behavioral studies. Two of the most commonly used rat strains were also included to observe any differences.
         In this study, we hypothesized that higher altitude would increase the levels of anxiety and depression. With the extremely large set of data that we collected, analysis has proven to be an incredibly long process, so we are still awaiting clear-cut results.




Gertsch J, Virre E, Sracic M, Pate A, Thomas D (2011) Acute Anxiety Among Marines
After Recent Arrival at High Altitude: High Altitude Anxiety as a Distinct Diagnostic
Entity. Wilderness & Environmental Medicine, 22(4): 356-357.

Fagenholz P, Murray A, Gutman J, Findley J,  Harris N (2007) New-Onset Anxiety Disorders at High Altitude. Wilderness & Environmental Medicine, 18(4): 312-316.

Landi MS, Kreider JW, Lang CM, Bullock LP (1982) Effects of shipping on the immune
function in mice. Amer. J Vet Res, 43(9):1654-1657.

2 comments:

  1. That’s really interesting, Chloe! Even though analysis is ongoing, did you notice anything in particular about the rats and their behavior? I know someone who moved here from sea level where she lived in a pretty stressful situation to an arguably more stable situation but continued to have really bad anxiety for about 6 more months. I wonder if this had anything to do with it or if it was just leftover stress from before. I hadn’t heard about this at all, I’m really glad you shared.
    I read a bit about the stress of transportation that you mentioned and it looks like the effects can last for up to a few weeks. This is probably really hard to control for in a study like this. I assume you had the California rats transported the same way? Did they spend the same amount of time in “transport”? I like animals so much that I have a hard time with animal models in research even though I understand how important it is so I’m probably undereducated in this area.

    Johanna W. M. Arts, Klaas Kramer, Saskia S. Arndt, Frauke Ohl, The Impact of Transportation on Physiological and Behavioral Parameters in Wistar Rats: Implications for Acclimatization Periods, ILAR Journal, Volume 53, Issue 1, March 2012, Pages E82–E98, https://doi.org/10.1093/ilar.53.1.82

    ReplyDelete
  2. Wow this is a really interesting study. From my own knowledge from background as well as research, I know that altitude training helps athletes perform at higher levels due to them training with lower levels and access to oxygen in higher altitudes, which is why it is desirable to train at higher elevations (Tannheimer, 2013). Along with altitude training, some amounts of stress (in this study via a shock or psychological stress factor) are important for improved performance (Manley, 2018) but I'm not necessarily sure if those amounts of stress really benefit a person in their day to day activities and life. Possibly for short term stress, it is positive due to adaptive responses that the body undergoes to respond to certain situations, but obviously long term stress leads to chronic diseases and disorders which does not result in a positive effect on the body. I wonder if this stress that is gained when going from low altitudes to higher, then after returning to lower altitudes is lost which allows for health and performance benefits?

    References:
    Manley, H., Beattie, S., Roberts, R., Lawrence, G. P., & Hardy, L. (2018). The benefit of punishment sensitivity on motor performance under pressure. Journal of Personality, 86(3), 339–352. https://doi-org.dml.regis.edu/10.1111/jopy.12318
    Tannheimer, M., Buzzelli, M. D., Albertini, N., Lechner, R., Ulmer, H.-V., & Engelhardt, M. (2013). Improvement in Altitude Performance Test After Further Acclimatization in Pre-Acclimatized Soldiers. Military Medicine, 178(5), 507–510. https://doi-org.dml.regis.edu/10.7205/MILMED-D-12-00410

    ReplyDelete