Appetite, Hypoxia, and Acute Mountain Sickness: A 10-Hour Normobaric Hypoxic Chamber Study.

Barclay, Holly, Saptarshi Mukerji, Bengt Kayser, and Jui-Lin Fan. Appetite, hypoxia and acute mountain sickness: A 10-hour normobaric hypoxic chamber study. 24:000-000, 2023. The effects of hypoxia and acute mountain sickness (AMS) on appetite and food preferences are moot, especially during the early phase of hypoxic exposure. We examined the effects of a 10-hour hypoxic exposure on appetite and food preference. We assessed appetite (hunger, satisfaction, fullness, perceived appetite, and lost appetite), food preferences (sweet, salty, savory, and fatty), and AMS (Lake Louise score) with questionnaires in 27 healthy individuals (13 women) across 10-hour exposures to normobaric normoxia (fraction of inspired O [FiO]: 0.21) and normobaric hypoxia (FO: 0.12, equivalent of 5,000 m) in a randomized, single-blinded manner. Compared with normoxia, hypoxia decreased hunger and appetite ( = 0.040 and <0.001, respectively), which was mediated by a decreased desire for sweet, salty, and fatty foods ( < 0.05 for all). AMS was associated with a decreased desire for sweet ( = -0.438,  = 0.032) and salty foods ( = -0.460,  = 0.024) and greater loss of appetite ( = -0.619,  = 0.018). Our findings suggest that acute hypoxia rapidly suppresses appetite and that AMS development further amplifies anorexia. Clinical Trial Registration Number: ACTRN12618000548235.