Sleep quality alterations in healthy workers at high altitude in Yushu area

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During the period of reconstruction after Yushu Earthquake,a large number of sea-level or low land workers ascended there and worked at altitudes between 3 750 m and 4 878 m which is a hypoxic environment. To investigate the sleep quality at that altitude,we performed two full polysomnographies (PSGs) in 10 volunteers,who were healthy male workers,aged 31±6.6,born and living at sea level,without experience of pre-altitude exposure. The assessment of subjective sleep quality was performed twice in each volunteer. The first investigations were carried out at sea level in Jinan city (p B =760 torr,1 torr=133.322 4 Pa). The second studies were performed at an altitude of 3 750 m (p B =416 torr) in Yushu Jiegu in the same 10 workers after they lived and worked at that altitude for 5 months. At sea level,workers presented a normal sleep structure and a higher oxygenation during sleep. However,as compared to sea-level sleep,at 3 750 m,workers had a shorter total sleep time (TST) (p<0.001),a longer stage 1 non-rapid eye movement (nREM) sleep (p<0.05) and a shorter 3+4 nREM and rapid eye movement (REM) sleep (p<0.05) with a severe sleep hypoxemia (p<0.01). Our data suggested that sea-level workers revealed a disturbed sleep and a bad sleep quality with a significant sleep hypoxemia at altitude of 3 750 m. Strengthening the prevention and treatment are thereby sorely necessary. During the period of reconstruction after Yushu Earthquake, a large number of sea-level or low land workers ascended there and worked at altitudes between 3 750 m and 4 878 m which is a hypoxic environment. To investigate the sleep quality at that altitude, we performed two full polysomnographies (PSGs) in 10 volunteers, who were healthy male workers, aged 31 ± 6.6, born and living at sea level, without experience of pre-altitude exposure. The assessment of subjective sleep quality was performed twice in each volunteer. The first investigations were carried out at sea level in Jinan city (p B = 760 torr, 1 torr = 133.322 4 Pa). The second studies were performed at an altitude of 3 750 m (p B = 416 torr) in Yushu Jiegu in the same 10 workers after they lived and worked at that altitude for 5 months. At sea level, workers presented a normal sleep structure and a higher oxygenation during sleep. However, as compared to sea-level sleep, at 3 750 m, workers had a shorter total sleep time (TST) (p <0.001), a longer stage 1 non-rapid eye movement (nREM) sleep (p <0.05) and shorter 3 + 4 nREM and rapid eye movement (REM) sleep (p <0.05) with a severe sleep hypoxemia suggested that sea-level workers revealed a disturbed sleep and a bad sleep quality with a significant sleep hypoxemia at altitude of 3 750 m. Strengthening the prevention and treatment are thereby sorely necessary.
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