The assessment of an individual’s degree of acclimatization to altitude is difficult. This is particularly applicable to military operations that have to be performed at altitude.

This study describes a new and simple test that allows for the determination of an individual’s risk for high-altitude illness at higher altitudes. The prediction is based on the lowest oxygen saturation (SaO(2)) found during an uphill run at high altitude (11,060 ft [3,371 m]), combined with the time needed to complete the run. The test results were compared against the severity of high-altitude symptomatology on the summit of Mont Blanc (15,762 ft [4,808 m]).

The main outcome was the significant correlation between time as well as SaO(2) and the severity of high-altitude symptomatology on the summit of Mont Blanc. The newly developed performance test allows, at a “safe” altitude, the prediction of an individual’s risk of developing high altitude illness if they continue to ascend. It allows the determination of the best acclimatized subjects within a group, for example, before a military mission at greater altitude#

Tannheimer, M., Albertini, N., Hans-V, U., Thomas, A., Engelhardt, M., Roland, S. (2009). Military Medicine. 174, 4, 363-369.

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