PMID- 25040466 OWN - NLM STAT- MEDLINE DCOM- 20160601 LR - 20181202 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 22 IP - 10 DP - 2015 Oct TI - Psychological and cognitive impairment of long-term migrators to high altitudes and the relationship to physiological and biochemical changes. PG - 1363-9 LID - 10.1111/ene.12507 [doi] AB - BACKGROUND AND PURPOSE: The present study aimed to examine how long-term migration to high-altitude regions affects mentality and cognition, and the correlation with various physiological and biochemical changes. METHODS: The WHO Neurobehavioral Core Test Battery, Raven's Standard Progressive Matrices (RSPM) and Pittsburgh Sleep Quality Index questionnaire were used to assess 141 young male subjects who lived in plain regions and 217 young male subjects who had migrated to a 4500 m high-altitude region and lived there for 1-5 years. Arterial oxyhemoglobin saturation, cerebral tissue oxygenation indices (TOIs), serum S100B and brain-derived neurotrophic factor (BDNF) were also measured. RESULTS: Long-term migrators to a high-altitude region exhibited exacerbated mood disorders, retarded color discrimination ability, decreased visual memory capacity, and impaired perceptual motor skill and motion stability. In addition, the migrators exhibited lower RSPM scores and lower sleep quality. Further analyses revealed significant correlations between sleep quality and cerebral TOIs, mood and sleep quality, mood and certain cognitive functions, mood and serum BDNF levels, and RSPM scores and serum S100B levels. CONCLUSIONS: Long-term living at high altitudes causes significant impairment of psychological and cognitive function. Cerebral hypoxic extent, sleep quality and biochemical dysfunction are major influencing factors. CI - (c) 2014 EAN. FAU - Gao, Y-X AU - Gao YX AD - Department of Neurobiology, College of Basic Medical Science, Third Military Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Neurobiology, Third Military Medical University, Chongqing, China. FAU - Li, P AU - Li P AD - Department of High Altitude Hygiene, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. FAU - Jiang, C-H AU - Jiang CH AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. AD - Department of Pathophysiology and High Altitude Physiology, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. FAU - Liu, C AU - Liu C AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. AD - Department of Pathophysiology and High Altitude Physiology, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. FAU - Chen, Y AU - Chen Y AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. AD - Department of Pathophysiology and High Altitude Physiology, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. FAU - Chen, L AU - Chen L AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. AD - Department of Pathophysiology and High Altitude Physiology, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. FAU - Ruan, H-Z AU - Ruan HZ AD - Department of Neurobiology, College of Basic Medical Science, Third Military Medical University, Chongqing, China. AD - Chongqing Key Laboratory of Neurobiology, Third Military Medical University, Chongqing, China. FAU - Gao, Y-Q AU - Gao YQ AD - Key Laboratory of High Altitude Medicine, Ministry of Education, Chongqing, China. AD - Department of Pathophysiology and High Altitude Physiology, College of High Altitude Medicine, Third Military Medical University, Chongqing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140707 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 SB - IM MH - Adult MH - *Altitude MH - *Cognition Disorders/blood/etiology/physiopathology MH - Humans MH - *Hypoxia/blood/etiology/physiopathology MH - Male MH - Neuropsychological Tests MH - Tibet MH - *Transients and Migrants/psychology MH - Young Adult OTO - NOTNLM OT - chronic hypoxia OT - cognitive ability OT - high-altitude migrants OT - psychological change EDAT- 2014/07/22 06:00 MHDA- 2016/06/02 06:00 CRDT- 2014/07/22 06:00 PHST- 2014/02/09 00:00 [received] PHST- 2014/05/26 00:00 [accepted] PHST- 2014/07/22 06:00 [entrez] PHST- 2014/07/22 06:00 [pubmed] PHST- 2016/06/02 06:00 [medline] AID - 10.1111/ene.12507 [doi] PST - ppublish SO - Eur J Neurol. 2015 Oct;22(10):1363-9. doi: 10.1111/ene.12507. Epub 2014 Jul 7.