Dataset Information

Associations between arterial oxygen saturation, body size and limb measurements among high-altitude Andean children.

ABSTRACT:

Objectives

The relative influences of hypoxia and other environmental stressors on growth at altitude remain unclear. Previous work demonstrated an association between peripheral arterial oxygen saturation (Sp O2 ) and anthropometry (especially tibia length) among Tibetan and Han children at altitude. We investigated whether similar associations exist among Andeans, and the patterning of associations between Sp O2 and anthropometry.

Methods

Stature, head-trunk height, total upper and lower limb lengths, zeugopod (ulna and tibia) and autopod (hand and foot) lengths were measured in Peruvian children (0.5-14 years) living at >3000 m altitude. Sp O2 was measured by pulse oximetry. Anthropometry was converted to internal z scores. Correlation and multiple regression were used to examine associations between anthropometry z scores and Sp O2 , altitude, or Sp O2 adjusted for altitude since altitude is a major determinant of variation in Sp O2 .

Results

Sp O2 and altitude show weak, significant correlations with zeugopod length z scores and still weaker significant correlations with total upper and lower limb length z scores. Correlations with z scores for stature, head-trunk height, or autopod lengths are not significant. Adjusted for altitude, there is no significant association between anthropometry and Sp O2 .

Conclusions

Associations between Sp O2 or altitude and total limb and zeugopod length z scores exist among Andean children. However, the relationships are relatively weak, and while the relationship between anthropometry and altitude may be partly mediated by Sp O2, other factors that covary with altitude (e.g., socioeconomic status, health) are likely to influence anthropometry. The results support suggestions that zeugopod lengths are particularly sensitive to environmental stressors.

SUBMITTER: Pomeroy E

PROVIDER: S-EPMC3793237 | biostudies-literature | 2013 Sep-Oct

REPOSITORIES: biostudies-literature

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Publications

Associations between arterial oxygen saturation, body size and limb measurements among high-altitude Andean children.

Pomeroy Emma E Stock Jay T JT Stanojevic Sanja S Miranda J Jaime JJ Cole Tim J TJ Wells Jonathan C K JC

American journal of human biology : the official journal of the Human Biology Council 20130801 5

<h4>Objectives</h4>The relative influences of hypoxia and other environmental stressors on growth at altitude remain unclear. Previous work demonstrated an association between peripheral arterial oxygen saturation (Sp O2 ) and anthropometry (especially tibia length) among Tibetan and Han children at altitude. We investigated whether similar associations exist among Andeans, and the patterning of associations between Sp O2 and anthropometry.<h4>Methods</h4>Stature, head-trunk height, total upper ...[more]

PMID: 23904412

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Project description:ObjectiveThe aim of the current study was to investigate how cerebral and splanchnic oxygen saturation (rSO2-C and rSO2-A) in critically ill children transported in air ambulance was affected by flight with cabin pressurization corresponding to ≥ 5000 feet. A second aim was to investigate any differences between cyanotic and non-cyanotic children in relation to cerebral and splanchnic oxygen saturation during flight ≥ 5000 feet. The variability of the cerebral and splanchnic Near Infrared Spectroscopy (NIRS) sensors was evaluated.DesignNIRS was used to measure rSO2-C and rSO2-A during transport of critically ill children in air ambulance. rSO2 data was collected and stored by the NIRS monitor and extracted and analyzed off-line after the transport. Prior to evaluation of the NIRS signals all zero and floor-effect values were removed.SettingThe Pediatric Intensive Care Unit (PICU) at Astrid Lindgren Children's Hospital, Karolinska University Hospital in Stockholm, Sweden.PatientsIn total, 44 critically ill children scheduled for inter-hospital transport by a specialized pediatric transport team were included in the study between January 2014 and January 2019 (convenience sampling).InterventionNo interventions were conducted.MeasurementsAll study patients were monitored with a cerebral NIRS-sensor placed over the forehead and an abdominal NIRS-sensor placed in the infra-umbilical area for cerebral and splanchnic regional oxygen saturation monitoring, rSO2-C and rSO2-A, respectively.Main resultsComplete rSO2-C and rSO2-A data was obtained in 39 patients. Median age was 12 days. Cyanotic congenital heart malformations were present in 9 patients (23%). In 22 patients (56%) rSO2-C decreased at altitude ≥ 5000 feet and in 24 patients (61%) rSO2-A decreased at altitude ≥ 5000 feet compared to baseline (p<0.0001). In 25 patients (64%) the rSO2-C/rSO2-A ratio was greater at altitude ≥ 5000 feet than at baseline. A ratio ≥ 1 was seen in 77% of patients at altitude ≥ 5000 feet compared to in 67% of patients at baseline.ConclusionBoth cerebral and splanchnic oxygen saturation decreased at altitude ≥ 5000 feet compared to baseline. In most patients, both cyanotic and non-cyanotic, cerebral oxygen saturation was preserved more than splanchnic oxygen saturation.

Dataset Information

Associations between arterial oxygen saturation, body size and limb measurements among high-altitude Andean children.

Objectives

Methods

Results

Conclusions

Publications

Associations between arterial oxygen saturation, body size and limb measurements among high-altitude Andean children.

Similar Datasets

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