The analgesic efficiency of combined pregabalin and ketamine for total hip arthroplasty: a randomised, double-blind, controlled study.

Ketamine and pregabalin each provide postoperative analgesia, although the combination has yet to be evaluated. One hundred and forty-two patients undergoing total hip arthroplasty were randomly assigned to receive ketamine alone, pregabalin alone, ketamine and pregabalin combined, or placebo. Pain scores at rest and on movement, morphine consumption, side-effects, pressure pain thresholds and secondary hyperalgesia were evaluated. Mean (SD) total 48-h morphine use was reduced in patients given ketamine alone (52 (22) mg) and pregabalin alone (44 (20) mg) compared with placebo (77 (36) mg) p < 0.001. Morphine use was further reduced in patients given both ketamine and pregabalin (38 (19) mg) with an interaction between ketamine and pregabalin (ANOVA factorial; p = 0.028). Secondary hyperalgesia was reduced by ketamine. There were no differences between groups in pain scores after surgery, pressure pain thresholds or side-effects. The combination of pregabalin and ketamine has a small, beneficial clinical effect.

Bioindication capacity of metal pollution of native and transplanted Pleurozium schreberi under various levels of pollution.

During a period of 90d assays were carried out with the moss Pleurozium schreberi transplanted from an uncontaminated control site to 27 sites selected in one of the most polluted regions of Upper Silesia (Poland). The native mosses of this species were collected from the polluted sites. Concentrations of Cd, Cr, Cu, Pb and Zn were determined in P. schreberi and in the soil of all of the sites. The sites were divided into more and less polluted ones. The obtained results indicate that the native P. schreberi from the more polluted sites accumulated significantly more Cd, Cr, Cu, Pb and Zn than the transplanted moss from the same sites. The transplanted P. schreberi from the less polluted sites accumulated significantly more Cr, Pb, Zn, significantly less Cu and comparable amounts of Cd, as compared to the native moss. The selection of native versus transplant P. schreberi as a bioindicator depends on the level of pollution.

Self-organizing feature map (neural networks) as a tool to select the best indicator of road traffic pollution (soil, leaves or bark of Robinia pseudoacacia L.).

Concentrations of the elements Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb and Zn were measured in the leaves and bark of Robinia pseudoacacia and the soil in which it grew, in the town of Olesnica (SW Poland) and at a control site. We selected this town because emission from motor vehicles is practically the only source of air pollution, and it seemed interesting to evaluate its influence on soil and plants. The self-organizing feature map (SOFM) yielded distinct groups of soils and R. pseudoacacia leaves and bark, depending on traffic intensity. Only the map classifying bark samples identified an additional group of highly polluted sites along the main highway from Wroclaw to Warszawa. The bark of R. pseudoacacia seems to be a better bioindicator of long-term cumulative traffic pollution in the investigated area, while leaves are good indicators of short-term seasonal accumulation trends.

Bioindication of trace metals in Brachythecium rutabulum around a copper smelter in Legnica (Southwest Poland): Use of a new form of data presentation in the form of a self-organizing feature map.

Concentrations of the elements Al, Be, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn were measured in the terrestrial moss Brachythecium rutabulum and the soil on which it grew. Soil and moss plants were sampled at sites situated 1.5, 3, 6, 9 and 15 km to the north, south, east and west of the Legnica copper smelter (SW Poland). The self-organizing feature map (SOFM) or Kohonen network was used to classify the soil and moss samples according to the concentrations of the elements. The self-organizing map yielded distinct groups of B. rutabulum and soil samples, depending on the distance from and direction to the source of pollution. When the map-identified groups of sites with similar soil metal concentrations were combined with the map-identified groups of sites with similar metal concentrations in B. rutabulum, these maps were found to correspond closely. The SOFMs accurately represented the least polluted, moderately polluted and severely polluted sites, reflecting the distribution of metals that is typical of the smelter area, caused by the prevailing westerly and northerly winds.

Heavy metals in aquatic macrophytes from two small rivers polluted by urban, agricultural and textile industry sewages SW Poland.

This article presents the results from a study of the comparison of 2 lowland rivers: the Olobok and the Pilawa in southwest Poland polluted by urban, agricultural, and textile industry sewages. pH and concentrations of Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, Ni, Pb, Zn, nitrate, nitrite, ammonia, phosphate, and sulfate were measured in water samples and concentrations of Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, N, Na, Ni, P, Pb, S, and Zn were measured in stream bottom sediments and in the aquatic macrophytes Elodea canadensis, Callitriche verna, Potamogeton crispus, Potamogeton natans, and Ceratophyllum demersum from the river Olobok and Elodea canadensis, Polygonum amphibium, Potamogeton crispus, and Veronica beccabunga from the river Pilawa. The matrix of concentrations of 16 elements in 27 plant samples of 7 species from 15 sampling sites of 2 rivers and concentrations of 15 elements and pH in water samples and 16 elements and pH in bottom sediment samples of these sites was submitted to numerical classification, which revealed that sampling sites from the rivers were differentiated by the value of factor 1 of principal component analysis (PCA), which was related to the pH of water, Ca, Cu, Mg, Mn, and Ni in water and Cd, Cr, Cu, Fe, K, Mg, Na, Ni, P, and S in bottom sediments. More polluted parts of both rivers were differentiated from less polluted parts by the value of factor 2 of PCA, which was related to Pb, Zn, and sulfates in water and Ca and Zn in bottom sediments. Macrophytes from the Olobok and Pilawa rivers were differentiated by the value of factor 1, which was related to Ca, Co, Cr, Cu, Fe, Mg, Ni, N, Na, Pb, and S. Groups of macrophytes of more and less polluted parts of both rivers differed by the value of factor 2, which was related to P, K, and Mn. Downstream of the sewage outputs in both rivers, a significantly increased level of pollution occurs with elements correlated with factor 1: Among others were Cu and Cr, typical for the textile industry along the river Pilawa, and among others were Mn and Ni, typical for the urban and agricultural activities in the river Olobok.

Carbohydrate supplementation and endurance performance of moderate altitude residents at 4300 m.

Recent work from our laboratory demonstrated that carbohydrate supplementation (CHOS) during exercise improved prolonged time-trial (TT) performance of sea-level residents (SLR) living at 4300 m while they were in daily negative energy balance (- 1250 kcal x day (-1); [ ]). The purposes of the current study were to determine during initial exposure to 4300 m:1) whether CHOS also improves TT performance of moderate altitude residents (MAR) who are in energy balance and 2) if acclimatization to moderate elevations benefits TT performance. Fifteen Air Force Academy (AFA) active duty members (age: 30 +/- 1 yrs; mean +/- SE), who had been living at approximately 2000 m for 21 +/- 3 months performed a maximal-effort 720-kJ cycle TT at the AFA and at Pikes Peak (PP), CO, (4300 m) on days 1 (PP1) and 3 (PP3). Daily energy intake and expenditure were maintained similarly at the AFA and PP. At the start of the TTs at PP, and then every 15 min thereafter, 9 subjects drank a 10 % CHO solution (0.175 g x kg (-1) body weight) and 6 subjects drank a placebo (PLA) solution. All subjects were allowed to freely adjust the power output of the cycle ergometer and drank water AD LIBITUM. Performance time did not differ between groups on PP1 (CHOS vs. PLA; 101 +/- 8 vs. 116 +/- 10 min) or PP3 (95 +/- 8 vs. 107 +/- 12 min). For both groups, cycle times on PP1 and PP3 were longer compared to the AFA (p<0.01) and were improved from PP1 to PP3 (p<0.05). Exercise intensity (i.e., % peak oxygen uptake) was maintained similarly at approximately 62 % during the TTs at the AFA and PP. Blood glucose was 1.5 to 2.0 mmol x L (-1) higher for CHOS vs. PLA (p<0.01). It was concluded that CHOS provided no TT performance benefit for MAR at 4300 m when energy balance was maintained. However, the decrements in TT performance and exercise intensity were attenuated at 4300 m in MAR compared to those of SLR as a result of acclimatization attained while living for nearly 2 years at approximately 2000 m.

Self-organizing feature map (neural networks) as a tool in classification of the relations between chemical composition of aquatic bryophytes and types of streambeds in the Tatra national park in Poland.

Concentrations of the elements Al, Be, Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, Ni, Pb and Zn were measured in the aquatic bryophytes Fontinalis antipyretica, Platyhypnidium riparioides and Scapania undulata. These bryophytes were sampled from streams flowing through granites/gneisses, limestones/dolomites and sandstones in the Tatra national park in Poland. The Self-organizing feature map (SOFM) or Kohonen network was used to classify the bryophytes according to the concentrations of the elements. This method was verified using principal component analysis (PCA) to check whether this well-known technique would give similar results. Both the self-organizing map and ordination by PCA yielded distinct groups of aquatic bryophytes growing in streams flowing through different types of rock, groups which differed significantly in the concentrations of certain elements. Bryophytes from granites/gneisses were distinguished by higher concentrations of Cd and Pb, while those from sandstones had a higher concentration of Cr and those from limestones/dolomites had higher concentrations of Ca and Mg. The SOFM and PCA ordinations thus yield identical classifications of bryophytes from the Tatra mountains streams.

Comparison of the moss Pleurozium schreberi with needles and bark of Pinus sylvestris as biomonitors of pollution by industry in Stalowa Wola (southeast Poland).

Concentrations of heavy metals were determined in the terrestrial bryophyte Pleurozium schreberi and in samples of bark and current and previous year needles of Pinus sylvestris collected along transects around the Stalowa Wola industry center (southeast Poland) and compared with material of the same species from a control site. The suitability of bark and pine needles for use in monitoring of serious heavy metal pollution was investigated. In the examined area current and previous year pine needles can be considered suitable biomonitors for atmospheric pollution for Cu and Zn and bark for only Cu. Bioaccumulation abilities of Cd and Cu in P. schreberi and P. sylvestris current and previous year needles were similar. Current and previous year needles were better accumulators of Mn, Ni, and Zn compared to the moss P. schreberi. Bark was a better accumulator of Cd, Cu, and Ni and an inferior accumulator of Mn compared to P. schreberi in the examined area.

Differences in concentration of heavy metals between native and transplanted Plagiothecium denticulatum: a case study of soils contaminated by oil well exudates in South East Poland.

For a period of 60 days, the terrestrial moss Plagiothecium denticulatum was transplanted from a clean control site to a soil contaminated with crude oil exudates (Krosno, South East Poland). Native P. denticulatum growing on this contaminated soil was collected during the same period. Concentrations of the metals Al, Ba, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn as well as the macroelements N, P, K, Ca, Mg, and S were determined in P. denticulatum and in soils from the contaminated and control sites. Contaminated soil was the main contributor of Ba, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn to native and transplanted P. denticulatum. Other sources of contamination apart from the soil existed for Cd and Cu. Transplanted P. denticulatum accumulated significantly more Al, Cr, Cu, Ni, Pb, and Zn, and native P. denticulatum accumulated significantly more N, P, K, and Ca. Higher levels of N, P, K, and Ca in native P. denticulatum indicates a possible mechanism to prevent the loss of these elements as observed in the transplanted P. denticulatum.

Carbohydrate supplementation improves time-trial cycle performance during energy deficit at 4,300-m altitude.

Carbohydrate supplementation (CHOS) typically improves prolonged time-trial (TT) performance at sea level (SL). This study determined whether CHOS also improves TT performance at high altitude (ALT; 4,300 M) despite increased hypoxemia and while in negative energy balance (approximately 1,250 kcal/day). Two groups of fasting, fitness-matched men performed a 720-kJ cycle TT at SL and while living at ALT on days 3 (ALT3) and 10 (ALT10). Eight men drank a 10% carbohydrate solution (0.175 g/kg body wt) and eight drank a placebo (PLA; double blind) at the start of and every 15 min of the TT. Blood glucose during each TT was higher (P < 0.05) for CHOS than for PLA. At SL, TT duration (approximately 59 min) and watts (approximately 218 or approximately 61% of peak watts; %SL Wpeak) were similar for both groups. At ALT, the TT was longer for both groups (P < 0.01) but was shorter for CHOS than for PLA on ALT3 (means +/- SE: 80 +/- 7 vs. 105 +/- 9 min; P < 0.01) and ALT10 (77 +/- 7 vs. 90 +/- 5 min; P < 0.01). At ALT, %SL Wpeak was reduced (P < 0.01) with the reduction on ALT3 being larger for PLA (to 33 +/- 3%) than for CHOS (to 43 +/- 2%; P < 0.05). On ALT3, O2 saturation fell similarly from 84 +/- 2% at rest to 73 +/- 1% during the TT for both groups (P < 0.05), and on ALT10 O2 saturation fell more (P < 0.02) for CHOS (91 +/- 1 to 76 +/- 2%) than for PLA (90 +/- 1 to 81 +/- 1%). %SL Wpeak and O2 saturation were inversely related during the TT for both groups at ALT (r > or = -0.76; P < or = 0.03). It was concluded that, despite hypoxemia exacerbated by exercise, CHOS greatly improved TT performance at ALT in which there was a negative energy balance.

A comparison of native and transplanted Fontinalis antipyretica Hedw. as biomonitors of water polluted with heavy metals.

Native and transplanted mosses of the species Fontinalis antipyretica were studied to assess their capacity as biomonitors of heavy metals. Assays were carried out with transplanted mosses (sampled from an unpolluted control stream) exposed for 60 days to five streams polluted with heavy metals. At the same time, native mosses were collected from the exposure sites. Concentrations of N, P, K, Ca, Mg, S, Fe, Al, Ba, Cd, Co, Cr, Cu, Mn, Ni, Pb, V, and Zn were determined in the mosses (native and transplants), stream waters, and sediments of both exposure and control sites. The results showed that the transplanted mosses accumulated significantly more Al, Cr, Cu, Pb, V, and Zn than the native mosses. The concentrations of Co and Mn in all streams were significantly higher in the native mosses.

Toxic metals in aquatic plants surviving in surface water polluted by copper mining industry.

Concentrations of the metals Al, Ba, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn, as well as the macronutrients N, P, K, Ca, Mg, and S were measured in water, sediments, and the aquatic macrophytes Potamogeton pectinatus and Myriophyllum spicatum, growing in surface water receiving sewages and solid wastes from a copper smelter and a copper ore processing factory located in the Legnica-Glogow copper district in Southwest Poland. The deposition of mineral wastes in this area belong to the largest repository in Europe. The plants were able to survive at heavily contaminated sites. The concentrations of Cd (up to 0.6-1.7 microg/L in water and up to 10.1-12.9 mg/kg in sediments), Cu (up to 29-48 microg/L in water and up to 4.6-5.6g/kg in sediments), Pb (up to 1.5-2.2 g/kg in sediments), and Zn (up to 167-200 microg/L in water and up to 1.4-1.8 g/kg in sediments) seriously exceeded background values. P. pectinatus was able to survive tissue concentrations (in mg/kg) of up to 920 Cu, 6240 Mn, 98 Co, and 59 Ni, while M. spicatum survived tissue concentrations up to 1040 Cu, 6660 Mn, and 57 Co for. Enrichment ratios of elements in plant tissue and in water were much higher than those between plant tissue and sediments.

Efficiency in removing pollutants by constructed wetland purification systems in Poland.

The aim of this study was to compare the efficiency between Phragmites communis, Salix viminalis, and Populus canadensis in removing the heavy metals Al, Ba, Mn, Ni, Sr, V, Zn, Cd, Cu, and Pb and the eutrophying macroelements phosphate, nitrate, nitrite, ammonia, chloride, sulfate, Ca, Mg, K, and Fe from sewage in subsurface flow constructed wetlands in Poland. The effectiveness of the sewage treatment system was higher in summer compared to winter for the removal of (1) all heavy metals, phosphate (P) and mineral nitrogen (N) for all of species, (2) sulfates (S) for Phragmites and Salix, (3) iron (Fe) for Salix, and (4) chloride (Cl) for Salix and Populus. Analysis of variance indicated that there was no significant difference between the purifications systems in phytoremediation of Mn; so all species were equally effective (99%, prob. level 0.001). The Salix wetland system was most effective in purification of water and removal of macroelements (24-82% in summer, 10-80% in winter with Fe 97%), Cd (58-71%), V (100%), and Zn (84-92%). The Phragmites system was most effective in purification and removal of Al (81-97%), Ba (70-95%), Pb (64-81%), and Sr (24-51%), while in the case of Cu (49-60%) and Ni (55-67%) the Populus wetland system proved most effective. The outflowing water of the wetlands contained elements in amounts exceeding the admissible levels as established for unpolluted water both in winter and summer. Therefore the effectiveness of the observed phytoremediation systems in this study was not sufficient alone to remove these elements and can be considered as a supplemental tool in purification of sewage.

Effects of high altitude and water deprivation on arginine vasopressin release in men.

High-altitude exposure changes the distribution of body water and electrolytes. Arginine vasopressin (AVP) may influence these alterations. The purpose of this study was to examine the effect of a 24-h water deprivation trial (WDT) on AVP release after differing altitude exposures. Seven healthy males (age 22 +/- 1 yr, height 176 +/- 2 cm, mass 75.3 +/- 1.8 kg) completed three WDTs: at sea level (SL), after acute altitude exposure (2 days) to 4,300 m (AA), and after prolonged altitude exposure (20 days) to 4,300 m (PA). Body mass, standing and supine blood pressures, plasma osmolality (Posm), and plasma AVP (PAVP) were measured at 0, 12, 16, and 24 h of each WDT. Urine volume was measured at each void throughout testing. Baseline Posm increased from SL to altitude (SL 291.7 +/- 0.8 mosmol/kgH2O, AA 299.6 +/- 2.2 mosmol/kgH2O, PA 302.3 +/- 1.5 mosmol/kgH2O, P < 0.05); however, baseline PAVP measurements were similar. Despite similar Posm values, the maximal PAVP response during the WDT (at 16 h) was greater at altitude than at SL (SL 1.7 +/- 0.5 pg/ml, AA 6.4 +/- 0.7 pg/ml, PA 8.7 +/- 0.9 pg/ml, P < 0.05). In conclusion, hypoxia appeared to alter AVP regulation by raising the osmotic threshold and increasing AVP responsiveness above that threshold.

Heavy metals in aquatic bryophytes from the Ore mountains (Germany).

Concentration of the metals Ni, Cr, Co, Zn, Mn, Pb, Cd, Cu, Ba, Al, and V as well as the macronutrients Ca, Mg, and K were measured in water and in the aquatic bryophytes Platyhypnidium riparioides, Scapania sp., and Fontinalis antipyretica sampled from streams in the Erzgebirge (Ore Mountains, eastern Germany). These plants, as used to evaluate the spatial distribution of elements in the examined streams, contained elevated levels of all the investigated metals except Sr. The highest levels of Cd (195 mg/kg), Cu (233 mg/kg), Zn (22500 mg/kg), Pb (595 mg/kg), and Co (140 mg/kg) seriously exceed background values. In recent years input of pollutants has decreased in the Erzgebirge area and the deposition can now be addressed as being comparable to that of rural areas without major local or regional influences. This investigation indicates that the studied aquatic mosses reflect part of the pollutant loadings released in the past in the Erzgebirge area of which remnants are still present in the environment. Two models describing the con-centrations of Fe and Zn in aquatic bryophytes in relation to concentrations of some elements in water are presented.

Energy intake deficit and physical performance at altitude.

BACKGROUND: Physical performance of sea-level (SL) residents acutely exposed to altitude (ALT) is diminished and may improve somewhat with ALT acclimatization. HYPOTHESIS: A large reduction in lean body mass (LBM), due to severe energy intake deficit during the first 21 d of ALT (4300 m) acclimatization, will adversely affect performance. METHODS: At ALT, 10 men received a deficit (DEF) of 1500 kcal x d(-1) below body weight (BW) maintenance requirements and 7 men received adequate (ADQ) kcal x d(-1) to maintain BW. Performance was assessed by: 1) maximal oxygen uptake (VO2max); 2) time to complete 50 cycles of a lift and carry task (L+C); 3) number of one-arm elbow flexions (10% BW at 22 flexions x min(-1); and 4) adductor pollicis (AP) muscle strength and endurance time (repeated 5-s static contractions at 50% of maximal force followed by 5-s rest, to exhaustion). Performance and body composition (using BW and circumference measures) were determined at SL and at ALT on days 2 through 21. RESULTS: At SL, there were no between-group differences (p > 0.05) for any of the performance measures. From SL to day 21 at ALT, BW and LBM declined by 6.6 +/- 3 kg and 4.6 kg, respectively, for the DEF group (both p < 0.01), but did not change (both p > 0.05) for the ADQ group. Performance changes from day 2 or 3 to day 20 or 21 at ALT were as follows (values are means +/- SD): VO2max (ml x min(-1)): DEF = +97 +/- 237, ADQ = +159 +/- 156; L + C (s): DEF = -62 +/- 35*, ADQ = -35 +/- 20* (*p < 0.05; improved from day 3); arm flex (reps): DEF = -2 +/- 7, ADQ = +2 +/- 8; AP endurance (min): DEF = +1.4 +/- 2, ADQ = + 1.9 +/- 2; AP strength (kg): DEF = -0.7 +/- 4, ADQ = -1.2 +/- 2. There were no differences in performance between groups. CONCLUSIONS: A significant BW and LBM loss due to underfeeding during the first 21 d of ALT acclimatization does not impair physical performance at ALT.

Subjective symptoms and postural control during a disabled submarine simulation.

To simulate conditions aboard a disabled submarine, 7 submariners were confined for 5 d to a normobaric environment of 16.75% O2, 2.5% CO2, 4 degrees C, and 85% relative humidity (RH). After 2 control days and 1 d of hypoxia, the remaining environmental conditions were imposed for the next 5 d, followed by 1 additional day of just hypoxia. Daily morning symptoms were assessed using the Environmental Symptoms Questionnaire (ESQ). Postural stability was determined on 4 occasions using a computerized balance system: control period, after 2.7 and 4.7 d of steady-state test conditions, and after 5.7 d (with return to normal ambient temp, RH, and CO2). Three balance tests were performed: eyes open, eyes closed, and a dynamic test. Postural stability deteriorated after 2.7 d (87% eyes open, P < 0.001 and 26% eyes closed, P = 0.01). ESQ symptom subsets for acute mountain sickness, exertion, fatigue, alertness, and ear/nose/throat were not significantly different. Cold symptom subsets were increased after 3-7 d (P < 0.001); distress and muscle discomfort subsets after 7 d (P = 0.02). Continued exposure to the combination of cold and hypoxia elicited subjective symptom changes and disturbances in postural stability that are statistically significant. These observations may be of practical importance when tasks aboard a disabled submarine involve balance and mobility.

Women at altitude: ventilatory acclimatization at 4,300 m.

Women living at low altitudes or acclimatized to high altitudes have greater effective ventilation in the luteal (L) compared with follicular (F) menstrual cycle phase and compared with men. We hypothesized that ventilatory acclimatization to high altitude would occur more quickly and to a greater degree in 1) women in their L compared with women in their F menstrual cycle phase, and 2) in women compared with men. Studies were conducted on 22 eumenorrheic, unacclimatized, sea-level (SL) residents. Indexes of ventilatory acclimatization [resting ventilatory parameters, hypoxic ventilatory response, hypercapnic ventilatory response (HCVR)] were measured in 14 women in the F phase and in 8 other women in the L phase of their menstrual cycle, both at SL and again during a 12-day residence at 4,300 m. At SL only, ventilatory studies were also completed in both menstrual cycle phases in 12 subjects (i.e., within-subject comparison). In these subjects, SL alveolar ventilation (expressed as end-tidal PCO(2)) was greater in the L vs. F phase. Yet the comparison between L- and F-phase groups found similar levels of resting end-tidal PCO(2), hypoxic ventilatory response parameter A, HCVR slope, and HCVR parameter B, both at SL and 4,300 m. Moreover, these indexes of ventilatory acclimatization were not significantly different from those previously measured in men. Thus female lowlanders rapidly ascending to 4,300 m in either the L or F menstrual cycle phase have similar levels of alveolar ventilation and a time course for ventilatory acclimatization that is nearly identical to that reported in male lowlanders.

Gender alters impact of hypobaric hypoxia on adductor pollicis muscle performance.

Recently, we reported that, at similar voluntary force development during static submaximal intermittent contractions of the adductor pollicis muscle, fatigue developed more slowly in women than in men under conditions of normobaric normoxia (NN) (Acta Physiol Scand 167: 233-239, 1999). We postulated that the slower fatigue of women was due, in part, to a greater capacity for muscle oxidative phosphorylation. The present study examined whether a gender difference in adductor pollicis muscle performance also exists during acute exposure to hypobaric hypoxia (HH; 4,300-m altitude). Healthy young men (n = 12) and women (n = 21) performed repeated static contractions at 50% of maximal voluntary contraction (MVC) force of rested muscle for 5 s followed by 5 s of rest until exhaustion. MVC force was measured before and at the end of each minute of exercise and at exhaustion. Exhaustion was defined as an MVC force decline to 50% of that of rested muscle. For each gender, MVC force of rested muscle in HH was not significantly different from that in NN. MVC force tended to decline at a faster rate in HH than in NN for men but not for women. In both environments, MVC force declined faster (P < 0.01) for men than for women. For men, endurance time to exhaustion was shorter (P < 0.01) in HH than in NN [6.08 +/- 0.7 vs. 8.00 +/- 0.7 (SE) min]. However, for women, endurance time to exhaustion was similar (not significant) in HH (12.86 +/- 1.2 min) and NN (13.95 +/- 1.0 min). In both environments, endurance time to exhaustion was longer for women than for men (P < 0.01). Gender differences in the impact of HH on adductor pollicis muscle endurance persisted in a smaller number of men and women matched (n = 4 pairs) for MVC force of rested muscle and thus on submaximal absolute force and, by inference, ATP demand in both environments. In contrast to gender differences in the impact of HH on small-muscle (adductor pollicis) exercise performance, peak O(2) uptake during large-muscle exercise was lower in HH than in NN by a similar (P > 0.05) percentage for men and women (-27.6 +/- 2 and -25.1 +/- 2%, respectively). Our findings are consistent with the postulate of a higher adductor pollicis muscle oxidative capacity in women than in men and imply that isolated performance of muscle with a higher oxidative capacity may be less impaired when the muscle is exposed to HH.