Developmental functional adaptation to high altitude: review.

Various approaches have been used to understand the origins of the functional traits that characterize the Andean high-altitude native. Based on the conceptual framework of developmental functional adaptation which postulates that environmental influences during the period of growth and development have long lasting effects that may be expressed during adulthood, we initiated a series of studies addressed at determining the pattern of physical growth and the contribution of growth and development to the attainment of full functional adaptation to high-altitude of low and high altitude natives living under rural and urban conditions. Current research indicate that: (a) the pattern of growth at high altitude due to limited nutritional resources, physical growth in body size is delayed but growth in lung volumes is accelerated because of hypoxic stress); (b) low-altitude male and female urban natives can attain a full functional adaptation to high altitude by exposure to high-altitude hypoxia during the period of growth and development; (c) both experimental studies on animals and comparative human studies indicate that exposure to high altitude during the period of growth and development results in the attainment of a large residual lung volume; (d) this developmentally acquired enlarged residual lung volume and its associated increase in alveolar area when combined with the increased tissue capillarization and moderate increase in red blood cells and hemoglobin concentration contributes to the successful functional adaptation of the Andean high-altitude native to hypoxia; and (e) any specific genetic traits that are related to the successful functional adaptation of Andean high-altitude natives have yet to be identified.

Developmental adaptation: where we go from here.

The concept of developmental adaptation is a powerful framework that can be used for understanding the origin of population differences in phenotypic and genotypic biological traits. There is great deal of information describing how developmental responses can shape adult biological outcomes. Specifically, current research suggest that individuals developing in stressful environments such as high altitude will attain an adult enlarged residual lung volume that contribute to the successful cardiovascular adaptation of the high-altitude Andean native.

Relative leg length as a biological marker to trace the developmental history of individuals and populations: growth delay and increased body fat.

The purpose of this study was to determine whether differences in leg length index are related to differences in body fat. The study included a cross-sectional sample of 21,021 subjects ranging in age from 2 to 90 years who had anthropometric information and poverty income ratio that participated in the third National Health and Nutrition Survey (NHANES III) of the United Stated conducted during 1988-1994. Of the total 21,021 participants, 7,810 were non-Hispanic white (3,900 men and 3,910, women), 8,134 were African-American black (3,127 men and 2,889 women) and 6,237 were Mexican-American (3,221 and 3,016 women).

Behavioral, environmental, metabolic and intergenerational components of early life undernutrition leading to later obesity in developing nations and in minority groups in the U.S.A.

Nutritional transition, urbanization, and physical inactivity are primary factors responsible for the worldwide epidemic of overweight/obesity (OW/OB). However, these factors fail to explain the epidemic of OW/OB in developing countries and in recent-migrants to developed countries. Among these, OW/OB is associated with short/stunted stature and coexists with undernutrition at much higher rates than is statistically expected.

Reduced rate of fat oxidation: a metabolic pathway to obesity in the developing nations.

The purpose of this article is to document the metabolic and environmental factors associated with the increased frequency of obesity in the developing nations. While the prevalence of obesity in the developed countries is caused by the increased consumption of calorie-dense foods, in the developing nations, because obesity coexists with undernutrition, additional factors are necessary to account for it. The evidence suggests that an important contributing factor for obesity in the developing nations is a reduced fat oxidation and increased metabolism of carbohydrate that has been brought about by the chronic undernutrition experienced during prenatal and postnatal growth.

Role of genetic and environmental factors in the increased blood pressures of Bolivian blacks.

The tendency toward hypertension or higher blood pressure is more common in blacks than whites. The factors that account for these differences are attributed to both environmental and genetic factors. To clarify this issue, an anthropological study of black and nonblack populations in the lowland village of Chicaloma, northeastern Bolivia at a midaltitude of 1,800 m was conducted.

Coca chewing among high altitude natives: Work and muscular efficiencies of nonhabitual chewers.

The leaves of the coca plant (Erythroxylum sp.) have long been chewed by natives of the highland Andes. Folk belief is that the mild stimulant effect is indispensable as an ergogenic aid for strenuous work activities in a high altitude environment.

Small for gestational age associated with short stature during adolescence.

This study examined the relationship between intrauterine growth retardation and adolescent stature in a sample of 1510 White subjects (754 males and 756 females) who were evaluated at birth and at the ages of 15, 16, and 17 years. The subjects were classified into two groups based on birthweight, small for gestational age (SGA) and appropriate for gestational age (AGA), corresponding respectively to values below the 10th, and between the 11th and 99th, percentiles of gestational age and sex. Results showed that boys and girls born prematurely (gestational age < 37 weeks of gestation) attained the same stature as those born at full term (>37 weeks of gestation).

Relationship of serum cholesterol and truncal body fat distribution among Mexican Americans is accentuated by obesity.

The relationship of body fat distribution to serum cholesterol levels was evaluated in a sample of 3,040 Mexican Americans 18-74 years of age from the Hispanic Health and Nutrition Examination Survey (HHANES) conducted from 1982-1984. Fat distribution was determined by the ratio of trunk to extremity skinfold thicknesses, while the sum of skinfold thicknesses was used as an indicator of total body fat. Results of this study indicate that: 1) Mexican Americans are significantly fatter and have a higher trunk/extremity skinfold ratio than U.

Reduction in birth weight associated with smoking among young and older-age women.

This study examined the combined effects of maternal smoking and maternal age on birth weight. A sample of 1,851 white, full-term infants (37 to 42 weeks) born to primiparous mothers ranging in age from 18 to 41 years was derived from the database of the Child Health and Development Studies (CHDS), available through the National Technical Information Service (NTIS) of the U.S.

Introduction.

A basic premise of studies conducted in the 1950s and 1960s was that humans exhibited a uniform set of biological responses to the high altitude environment. Since then, investigations have been carried out in the North American Rockies, South American Andes, and the Himalayas by researchers from a variety of disciplines-biological anthropology, respiratory physiology, cardiology, hematology, and nutrition. These studies have contributed important insights for understanding the mechanisms involved in adaptation to high altitude and have revealed possible differences in the strategies of adaptation exhibited by the world's various high altitude populations.