“Week 4”: Explaining (probably) All Project Variables and Terminology

Eugene j -

Hey everyone! Next week, I hope to post twice because something very cool will happen in my internship on Friday unless something gets in the way. I want to keep what it is a secret for the next post. So look forward to it!

In this one, I’ll explain all the variables my project will consider and analyze. So, this will be technical and very comprehensive, and I will try my best to explain everything clearly.


Atmospheric Pressure: As altitude increases, atmospheric pressure is reduced exponentially. The oxygen concentration of the earth’s atmosphere is about 21% at all altitudes. The reason breathing gets more difficult at high altitudes is that the density of the atmosphere is reduced, so deeper breaths are needed to get the same amount of oxygen at shallower breaths at a lower elevation. The volume of air you breathe into your lungs contains fewer oxygen molecules in each breath.

Atmospheric pressure at sea level is 760 mmHg, and at Flagstaff’s elevation of 7,000 ft, it is 600 mmHg. Breathing in Flagstaff is the equivalent of breathing air with only 16.6% oxygen at sea level instead of 21%. The net result is 21% less oxygen than at sea level.

Acclimatization or Acclimation: The body adapts to the change in atmospheric pressure after a few weeks of living at high elevations. Many physiological changes occur, but the main related factors are the lungs increasing volume, you doing deeper breaths, more red blood cells being produced, and more vessels made throughout the muscles.

There is one significant uncertainty I am focusing on. The heart rate will initially increase, but there are differing opinions on whether an increased heart rate remains after acclimation. There is a lower mortality from cardiovascular diseases and problems for people living at high elevations. Still, it is uncertain whether this is because of some other part of acclimation or increased heart stress, causing improvements after long periods.

METs (Metabolic Equivalent): This unit measures the intensity of physical activity. This should roughly be the amount of oxygen the body consumes while sitting quietly. This is different for every person. 1 MET = 3.5 ml of O2/kg body weight/minute. There are other methods and equations to get a MET, but I am using this one because it is in relation to O2. MET is not directly connected to heart rate but to physical activity in the same way heart rate is.

While you sit in place, for every minute that passes, every kilogram of your body requires about 3.5 ml of O2 to survive. However, this assumes you are sitting around sea level. Sitting down at a high elevation would talk more than just 1 MET because there is less O2 in the same volume. Using the Ideal Gas Law, I approximated the number of METs that the body uses at Flagstaff’s elevation. You technically can skip this, but I want to show my work.

PV = nRT        P=pressure in Atmospheres (atm), at sea level, pressure equals 1atm.   V=volume in Liters   n=moles of gas (mol), which is the unknown   R=Ideal Gas Constant=0.0821 L*atm/mol*Kelvin   T=temperature in Kelvin, room temperature is on average 295 K or 71.33°F.

1 * 3.5= n * 0.0821 * 295  —>  n = 3.5 / (0.0821 * 295)  —>  n = 0.144512

Then convert to Flagstaff’s atmospheric pressure of 600 mmHg= 0.789474 atm, looking for volume

PV = nRT

0.789474 * V = 0.144512 * 0.0821 * 295  —>  V = (0.144512 * 0.0821 * 295) / 0.789474  —>  V = 4.433… ml of O2

4.433… / 3.5 = 1.266… METs

Physical activity at Flagstaff’s elevation is approximately 1.266… times harder/more intense than at sea level. This improved MET value is also more specifically why athletes would work out at Flagstaff compared to somewhere with a lower elevation. Exercise intensity is rated based on the MET value of the actions, with light exercises being less than 3 METs, moderate exercise being 3-5.9 METs, and vigorous exercise being 6 METs and above. So, walking at 4 mph is considered 5 METs and a moderate exercise, but at Flagstaff’s elevation, walking at 4 mph would be 6.33… METs and a vigorous exercise.

VO2 Max (Maximal Oxygen Consumption): This is closely connected to METs as it has the same units as METs (ml of O2/kg body weight/min). VO2 Max is the maximum rate at which the body can take in oxygen during physical activity. This depends on age, sex, and fitness. For example, someone with a VO2 Max of 35 would be capable of doing an activity with a MET value of 10 as long as they maximize their breathing. VO2 Max can be approximated with VO2 Max = 15 * (Max Heart Rate / Resting Heart Rate). Due to VO2 Max’s relation to heart rate and an inconsistency in calculation, I don’t believe that elevation affects VO2 Max in the same way as METs.

Following my previous METs calculation, the VO2 Max of 35 at sea level would be the equivalent to a VO2 Max of 27.63 at Flagstaff. However, other sources state that VO2 Max decreases 1-2% every 390 feet (120 meters) above 4900 feet (1500 meters), resulting in a VO2 Max from 33.12 to 30.91. I accept the other sources for VO2 Max’s change with elevation, but since there are no sources on METs changing with elevation, I will follow my ratio of 1.266… for Flagstaff.

Heart Rate (HR) is already widely understood.

Resting Heart Rate (RHR) is your HR when not doing any physical activity. RHR is not HR during sleep, as HR decreases even more.

Maximum Heart Rate (MHR) is the highest your HR can safely go. HR can go even higher, but at that point, there is not enough time for blood to flow fully into the heart, meaning the heart is no longer working correctly. MHR = 220 – Age.

Heart Rate Variability (HRV) is the variable time between heartbeats. HRV is controlled by the sympathetic nervous system, fight-or-flight, and the parasympathetic nervous system, rest and relax. A higher HRV is correlated to a well-functioning nervous system and shows. A healthy HRV is around 19 to 75 milliseconds, but athletes often have it even higher. A variable HR shows the body’s ability to adapt to changes and is most apparent at rest. HRV is measured from RHR because measuring the variable time with an elevated HR becomes difficult.

Heart Rate Recovery (HRR) is how much HR decreases from an elevated state during exercise one minute after stopping. The more HR decreases, the better the heart functions, reducing the risk of heart problems and diseases. A normal HRR is around 18 beats per minute.


Thank you for reading this extra-long post! I hope it isn’t too confusing.

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    maleea_m
    I had no idea about a possible heart size increase at higher elevations! This is a very hypothetical question that might not have an answer, but if someone has a family history of cardiovascular issues or has experienced heart problems in the past, would it be beneficial for them to move to places with higher elevation?
      eugene_j
      There are many physiological changes that occur at higher elevations, but for the vast majority of cases, it is not advised to go to higher elevations. The main reason is that it will be an additional stressor on the body. In a sense, it is like exercise. If you have cardiovascular issues, you may want to do some exercise, but do it very gently. You will then slowly increase the intensity as your health improves. This is likely the same with elevation. However, it is just unrealistic to slowly increase the elevation at which you live.
    mason_t
    Excited for this week's post! I think people becoming acclimatized for higher elevations after a certain period of time at those elevations is very interesting. Does that mean that slight, constant stressors on cardiovascular and respiratory activity are what eventually cause the human body to adapt to these altitudes? Thanks!
      eugene_j
      Yes! The slight stressors cause the body to adapt and improve. It is somewhat like exercise, as the stressors of exercise force the body to adapt and reduce stress. However, for exercise, you presumably increase the stressor to keep improving, but you likely don't increase the elevation. Even then, there is a limit to elevation, as above 26,000 feet or 8,000 meters, there is not enough oxygen to sustain human life for extended periods. Mount Everest is 29,000 feet high, so near the peak, you need to move quickly because you are physically starting to die.
    samantha_g
    I didn't know it took a few weeks to acclimatized to higher elevations. I'm not sure if this is very related but do you know if using technology to measure things like heartrate allows people to get better workouts? Assuming they know what everything means and they know how to track it.
      eugene_j
      Yes! There has been a lot of research to improve workouts for athletes. Honestly, this probably started with the modern Olympics and the desire to outdo other countries. For heart health, one thing I didn't mention is Heart Rate Zones. Zone 1 is at 50-60% of your Max Heart Rate (MHR) and is good for warm-ups. Zone 2 is at 60-70% MHR and is good for building endurance and promoting weight loss. Zone 3 is at 70-80% MHR and improves aerobic fitness. Zone 4 is at 80-90% MHR and improves maximum performance capacity in short sessions. Zone 5 is at 90-100% MHR and improves maximum speed and power, but should only be done in short bursts.
    mae_b
    Hi Eugene, wow, that's a lot of terms! How much can a person increase their "initial" VO2 max by exercising - is it something controlled mostly by lifestyle or mostly by genetics?
      eugene_j
      VO2 Max is typically around 35 for males and 30 for females when around 30 years old. However, a person's base VO2 Max is determined by genetics and can vary by up to 50% (+/-17.5 % for males, +/-15 % for females at 30 years old), but it is rarely at these extremes. The maximum improvement in VO2 Max from exercise is around 25% above base VO2 Max. It is also necessary to acknowledge the elevation's effect on VO2 Max. At Flagstaff's elevation, any measured VO2 Max should be roughly 5-10% higher. Also, VO2 Max is correlated with lifespan, but this correlation is based on VO2 Max at sea level. Therefore, the reduction in VO2 Max at high elevation does not negatively impact lifespan.

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