Wilso122 wrote: Really there should be a follow up / summary note & links on how to spot signs and deal with it as that is probably far more relevant and saves lives.
Thanks for the suggestion. However, if you read my post properly, you will find a link to a very good and
free book on travelling at high altitude written by medical experts. It contains all sorts of information on how to spot signs and deal with AMS.
With regards to aerobic training (one of my areas of expertise), I will publish several articles about it in the future (check them out
here). I have just started this blog, give me a chance.
Although it is obvious to anybody who has done an uphill walk at high altitude that hypoxia reduces your fitness, only by careful scientific experimentation this effect can be quantified.
These quantitative data can then be used to determine how much aerobic training a person needs for the trip (four times a week for 16 weeks, three times a week for six weeks, nothing at all?). This depends on the altitude he/she will be travelling at, and his/her starting level of aerobic fitness. This is why it is important to test aerobic fitness before commencing a training program, and this is why my first posts on the subject are about
VO2max and
how to measure it. I dont think you can tell "Joe Brown" how much training he needs to do based on your personal experience of riding at high altitude and by looking at him. This is where Exercise Physiology can be hepful.
One last thing, there seems to be some confusion between acute mountain sickness (AMS) and the reduction in aerobic fitness caused by altitude. They are two different things. Every "lowlander" will have a reduction in aerobic fitness which seems to start already at 500-700m. Fortunately, only few people will get severe AMS when travelling at high altitude. Furthermore, it is "easy" to compensate for the negative effect of altitude on aerobic fitness: train before departure and maintain a good level of fitness during the trip. Although there are strategies to reduces the risk of AMS (gradual ascent, some drugs, etc. all in the book), AMS can struck anyway.