Effect of a Prolonged Altitude Expedition on Glucose Tolerance and Abdominal Fatness

摘要

In the present study, we investigated the effect of a long-term mountain expedition on glucose tolerance and insulin action. Twelve registered mountaineers ages 31 years (SD = 1.1) participated in a 25-day expedition at a 2,200-3,800-m altitude with an average duration of 8 hrper day. Arterial oxygen saturation (SaO_2) was substantially reduced during hiking. Glucose tolerance and insulin responses were measured prior to and twice during the expedition period. Maximal oxygen consumption increased from 43.0 ? 2.7 to 49.1 ?2 mL/kg/min. Percentage of body fat decreased from 19.4 ?8% to 16.9 ?9%. The area under the curves for insulin and glucose during the oral glucose tolerance test were also reduced in Days 3 and 25. The present study demonstrated that altitude hiking activity is an effective lifestyle intervention to improve insulin action.