Physiological and psychological factors associated with onset of high-altitude headache in Chinese men upon acute high-altitude exposure at 3700 m

Aim We aimed to identify clinical characteristics and risk factors associated with onset of high-altitude headache (HAH) after acute exposure at 3700 m. Method In two hours, 163 individuals ascended by plane to 3700 m. Demographic information, physiological and psychological measurements, cognitive...

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Veröffentlicht in:Cephalalgia 2017-04, Vol.37 (4), p.336-347
Hauptverfasser: Guo, Wen-Yun, Bian, Shi-Zhu, Zhang, Ji-Hang, Li, Qian-ning, Yu, Jie, Chen, Jian-Fei, Tang, Cai-Fa, Rao, Rong-Sheng, Yu, Shi-Yong, Jin, Jun, Huang, Lan
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container_issue 4
container_start_page 336
container_title Cephalalgia
container_volume 37
creator Guo, Wen-Yun
Bian, Shi-Zhu
Zhang, Ji-Hang
Li, Qian-ning
Yu, Jie
Chen, Jian-Fei
Tang, Cai-Fa
Rao, Rong-Sheng
Yu, Shi-Yong
Jin, Jun
Huang, Lan
description Aim We aimed to identify clinical characteristics and risk factors associated with onset of high-altitude headache (HAH) after acute exposure at 3700 m. Method In two hours, 163 individuals ascended by plane to 3700 m. Demographic information, physiological and psychological measurements, cognitive function, physical work capacity tests and profile of mood states within one week prior to the departure and within 24 hours after arrival were examined. Results HAH patients featured significantly higher vertebral artery diastolic velocity (Vd), heart rate (HR) and pulmonary artery diameter. HAH was also associated with a more negative mood state, including scores for tension anxiety, depression, hostility, fatigue and confusion, as well as lower vigor (all p values
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Method In two hours, 163 individuals ascended by plane to 3700 m. Demographic information, physiological and psychological measurements, cognitive function, physical work capacity tests and profile of mood states within one week prior to the departure and within 24 hours after arrival were examined. Results HAH patients featured significantly higher vertebral artery diastolic velocity (Vd), heart rate (HR) and pulmonary artery diameter. HAH was also associated with a more negative mood state, including scores for tension anxiety, depression, hostility, fatigue and confusion, as well as lower vigor (all p values &lt;0.05). Furthermore, negative emotions were positively related to HAH severity. HAH slightly decreased cognitive functioning. HR, Vd, lack of vigor, confusion and self-reported anxiety (all p values &lt;0.05) were independent risk factors for HAH. We have identified three independent baseline predictors for HAH including internal diameter of the left ventricle (LVD), Athens Insomnia Scale (AIS) and confusion score. Conclusions Higher HR, Vd, confusion and self-reported anxiety and insufficient vigor were independent risk factors for HAH. Furthermore, higher baseline LVD, AIS and confusion score are independent predictors of HAH.</description><identifier>ISSN: 0333-1024</identifier><identifier>EISSN: 1468-2982</identifier><identifier>DOI: 10.1177/0333102416646761</identifier><identifier>PMID: 27152016</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Altitude Sickness - physiopathology ; Altitude Sickness - psychology ; Asian Continental Ancestry Group ; Headache - etiology ; Heart Ventricles - anatomy &amp; histology ; Hemodynamics - physiology ; Humans ; Male ; Risk Factors</subject><ispartof>Cephalalgia, 2017-04, Vol.37 (4), p.336-347</ispartof><rights>International Headache Society 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1821-b3dd8c0735b076efe9fc9620dd6629f6e84f2264f3399590b3b4fe3a4418740f3</citedby><cites>FETCH-LOGICAL-c1821-b3dd8c0735b076efe9fc9620dd6629f6e84f2264f3399590b3b4fe3a4418740f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0333102416646761$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0333102416646761$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21947,27834,27905,27906,44926,45314</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/0333102416646761?utm_source=summon&amp;utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27152016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guo, Wen-Yun</creatorcontrib><creatorcontrib>Bian, Shi-Zhu</creatorcontrib><creatorcontrib>Zhang, Ji-Hang</creatorcontrib><creatorcontrib>Li, Qian-ning</creatorcontrib><creatorcontrib>Yu, Jie</creatorcontrib><creatorcontrib>Chen, Jian-Fei</creatorcontrib><creatorcontrib>Tang, Cai-Fa</creatorcontrib><creatorcontrib>Rao, Rong-Sheng</creatorcontrib><creatorcontrib>Yu, Shi-Yong</creatorcontrib><creatorcontrib>Jin, Jun</creatorcontrib><creatorcontrib>Huang, Lan</creatorcontrib><title>Physiological and psychological factors associated with onset of high-altitude headache in Chinese men upon acute high-altitude exposure at 3700 m</title><title>Cephalalgia</title><addtitle>Cephalalgia</addtitle><description>Aim We aimed to identify clinical characteristics and risk factors associated with onset of high-altitude headache (HAH) after acute exposure at 3700 m. Method In two hours, 163 individuals ascended by plane to 3700 m. Demographic information, physiological and psychological measurements, cognitive function, physical work capacity tests and profile of mood states within one week prior to the departure and within 24 hours after arrival were examined. Results HAH patients featured significantly higher vertebral artery diastolic velocity (Vd), heart rate (HR) and pulmonary artery diameter. HAH was also associated with a more negative mood state, including scores for tension anxiety, depression, hostility, fatigue and confusion, as well as lower vigor (all p values &lt;0.05). Furthermore, negative emotions were positively related to HAH severity. HAH slightly decreased cognitive functioning. HR, Vd, lack of vigor, confusion and self-reported anxiety (all p values &lt;0.05) were independent risk factors for HAH. We have identified three independent baseline predictors for HAH including internal diameter of the left ventricle (LVD), Athens Insomnia Scale (AIS) and confusion score. Conclusions Higher HR, Vd, confusion and self-reported anxiety and insufficient vigor were independent risk factors for HAH. Furthermore, higher baseline LVD, AIS and confusion score are independent predictors of HAH.</description><subject>Adolescent</subject><subject>Altitude Sickness - physiopathology</subject><subject>Altitude Sickness - psychology</subject><subject>Asian Continental Ancestry Group</subject><subject>Headache - etiology</subject><subject>Heart Ventricles - anatomy &amp; histology</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Factors</subject><issn>0333-1024</issn><issn>1468-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1Ublu3DAQJYIY8froUwUs08geHktKZbBIbAMG4iKuBYocrmhIoiJSSLZzmz5f6C-JFuu4MOBqgHnHYN4j5CODC8a0vgQhBAMumVJSacXekRWTqix4VfL3ZLWHiz1-TE5SegCAtQL1gRxzzdYcmFqRv3ftLoXYxW2wpqNmcHRMO9u-bLyxOU6JmpSiDSajo79CbmkcEmYaPW3Dti1Ml0OeHdIWjTO2RRoGumnDgAlpjwOdxzhQY-eMrwT4e4xpnpCaTIUGeHr805-RI2-6hOfP85Tcf_v6Y3Nd3H6_utl8uS0sKzkrGuFcaUGLdQNaocfK20pxcE4pXnmFpfScK-mFqKp1BY1opEdhpGSlluDFKfl88B2n-HPGlOs-JItdZwaMc6qXK0rpcgltocKBaqeY0oS-HqfQm2lXM6j3XdSvu1gkn57d56ZH9yL4H_5CKA6EZLZYP8R5GpZv3zb8B9ijkx4</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Guo, Wen-Yun</creator><creator>Bian, Shi-Zhu</creator><creator>Zhang, Ji-Hang</creator><creator>Li, Qian-ning</creator><creator>Yu, Jie</creator><creator>Chen, Jian-Fei</creator><creator>Tang, Cai-Fa</creator><creator>Rao, Rong-Sheng</creator><creator>Yu, Shi-Yong</creator><creator>Jin, Jun</creator><creator>Huang, Lan</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Physiological and psychological factors associated with onset of high-altitude headache in Chinese men upon acute high-altitude exposure at 3700 m</title><author>Guo, Wen-Yun ; Bian, Shi-Zhu ; Zhang, Ji-Hang ; Li, Qian-ning ; Yu, Jie ; Chen, Jian-Fei ; Tang, Cai-Fa ; Rao, Rong-Sheng ; Yu, Shi-Yong ; Jin, Jun ; Huang, Lan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1821-b3dd8c0735b076efe9fc9620dd6629f6e84f2264f3399590b3b4fe3a4418740f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Altitude Sickness - physiopathology</topic><topic>Altitude Sickness - psychology</topic><topic>Asian Continental Ancestry Group</topic><topic>Headache - etiology</topic><topic>Heart Ventricles - anatomy &amp; histology</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Wen-Yun</creatorcontrib><creatorcontrib>Bian, Shi-Zhu</creatorcontrib><creatorcontrib>Zhang, Ji-Hang</creatorcontrib><creatorcontrib>Li, Qian-ning</creatorcontrib><creatorcontrib>Yu, Jie</creatorcontrib><creatorcontrib>Chen, Jian-Fei</creatorcontrib><creatorcontrib>Tang, Cai-Fa</creatorcontrib><creatorcontrib>Rao, Rong-Sheng</creatorcontrib><creatorcontrib>Yu, Shi-Yong</creatorcontrib><creatorcontrib>Jin, Jun</creatorcontrib><creatorcontrib>Huang, Lan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cephalalgia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Guo, Wen-Yun</au><au>Bian, Shi-Zhu</au><au>Zhang, Ji-Hang</au><au>Li, Qian-ning</au><au>Yu, Jie</au><au>Chen, Jian-Fei</au><au>Tang, Cai-Fa</au><au>Rao, Rong-Sheng</au><au>Yu, Shi-Yong</au><au>Jin, Jun</au><au>Huang, Lan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physiological and psychological factors associated with onset of high-altitude headache in Chinese men upon acute high-altitude exposure at 3700 m</atitle><jtitle>Cephalalgia</jtitle><addtitle>Cephalalgia</addtitle><date>2017-04</date><risdate>2017</risdate><volume>37</volume><issue>4</issue><spage>336</spage><epage>347</epage><pages>336-347</pages><issn>0333-1024</issn><eissn>1468-2982</eissn><abstract>Aim We aimed to identify clinical characteristics and risk factors associated with onset of high-altitude headache (HAH) after acute exposure at 3700 m. Method In two hours, 163 individuals ascended by plane to 3700 m. Demographic information, physiological and psychological measurements, cognitive function, physical work capacity tests and profile of mood states within one week prior to the departure and within 24 hours after arrival were examined. Results HAH patients featured significantly higher vertebral artery diastolic velocity (Vd), heart rate (HR) and pulmonary artery diameter. HAH was also associated with a more negative mood state, including scores for tension anxiety, depression, hostility, fatigue and confusion, as well as lower vigor (all p values &lt;0.05). Furthermore, negative emotions were positively related to HAH severity. HAH slightly decreased cognitive functioning. HR, Vd, lack of vigor, confusion and self-reported anxiety (all p values &lt;0.05) were independent risk factors for HAH. We have identified three independent baseline predictors for HAH including internal diameter of the left ventricle (LVD), Athens Insomnia Scale (AIS) and confusion score. Conclusions Higher HR, Vd, confusion and self-reported anxiety and insufficient vigor were independent risk factors for HAH. Furthermore, higher baseline LVD, AIS and confusion score are independent predictors of HAH.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27152016</pmid><doi>10.1177/0333102416646761</doi><tpages>12</tpages></addata></record>
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subjects Adolescent
Altitude Sickness - physiopathology
Altitude Sickness - psychology
Asian Continental Ancestry Group
Headache - etiology
Heart Ventricles - anatomy & histology
Hemodynamics - physiology
Humans
Male
Risk Factors
title Physiological and psychological factors associated with onset of high-altitude headache in Chinese men upon acute high-altitude exposure at 3700 m
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