Anthropometric and body composition changes during expeditions at high altitude.

The purpose of this study is to investigate separately in the two sexes the physical adaptations associated to exposure to high altitude in a sample of 18 nonacclimatized Caucasian subjects (10 males and 8 females, 22-59 years) who participated to scientific expeditions to Himalaya up to the Pyramid Laboratory (5050 m, Nepal) or Everest North Base Camp (5300 m, Tibet). Anthropometric traits (body height and weight, eight girths and six skinfolds) were collected according to standard procedures, before departure at sea level, during ascent (at altitude > 4000 m above sea level), and after return to low altitude. Body composition was assessed by means of the skinfold method. Both sexes lost on average 4.0% of initial body mass, corresponding to 7.6% of fat mass and 3.5% of fat free mass in males, and to 5.0% of fat mass and 3.6% of fat free mass in females. Average fat mass loss was greater in males than in females. Initial fat mass percentage was positively correlated to fat mass loss and negatively to FFM loss in males only, thus at HA leanest subjects lost more FFM and less FM than the fattest ones. Adaptations were faster in males than in females. In conclusion, the present research describes significant adaptations to high altitude, in terms of body weight reduction, regardless of the amount of performed physical activity.