Health
Living at high altitudes could reduce risk of common disease, study suggests
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Living at high altitudes may lower the risk of diabetes, and scientists believe they have finally figured out why.
A new study from the Gladstone Institutes in San Francisco examined how red blood cells behave in low-oxygen environments. The findings, published in the journal Cell Metabolism, reveal that at high elevations, red blood cells begin absorbing large amounts of glucose from the bloodstream, acting as a “sponge” for sugar.
When oxygen levels drop, these cells then alter their metabolism to deliver oxygen more efficiently.
This shift also lowers circulating blood sugar, which researchers say explains the lower diabetes risk seen in mountain-dwelling populations.
A previous study of over 285,000 adults in the United States found that people living at high altitudes (1,500-3,500 meters) were significantly less likely to have diabetes than those living at sea level, even after adjusting for factors like diet, age and ethnicity.
A new study finds that living at high altitudes explains the lower diabetes risk seen in mountain-dwelling populations. (iStock)
“Red blood cells represent a hidden compartment of glucose metabolism that has not been appreciated until now,” said senior author Isha Jain, a Gladstone investigator and professor of biochemistry at UC San Francisco, in the press release. “This discovery could open up entirely new ways to think about controlling blood sugar.”
Previously, Jain’s team conducted experiments on mice to better understand hypoxia, or reduced oxygen levels in the blood.
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Mice exposed to thin air cleared sugar from their bloodstream almost instantly after eating, a trait typically linked to a lower risk of diabetes. Initially, however, researchers couldn’t figure out where the sugar was going.
When oxygen levels drop, these cells then alter their metabolism to deliver oxygen more efficiently. (iStock)
“We looked at muscle, brain, liver — all the usual suspects — but nothing in these organs could explain what was happening,” said Yolanda Martí-Mateos, a postdoctoral scholar in Jain’s lab and the study’s first author.
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The team discovered the answer using an alternative imaging method: the red blood cells themselves were the missing “glucose sink.”
By using a different type of imaging, the team found that the red blood cells were holding onto the glucose.
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Under hypoxic conditions, the mice produced more red blood cells, and each cell absorbed significantly more glucose than they did in normal conditions.
Red blood cells act as glucose “sponges” at high elevations, absorbing sugar from the bloodstream. (iStock)
The researchers even developed a drug, HypoxyStat, that mimics this high-altitude effect. In laboratory tests, the drug completely reversed high blood sugar in diabetic mice.
Study limitations
The researchers acknowledged some limitations with the study. The research focused on one specific mouse strain known for its sensitivity to blood sugar. While humans show similar results, testing other strains would confirm that the findings are universal.
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To ensure consistent results, the team only studied young male mice. Because age and sex significantly impact how red blood cells are produced, more research is needed to determine whether these findings hold true for females and older populations.
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“This is just the beginning,” Jain said.
“There’s still so much to learn about how the whole body adapts to changes in oxygen, and how we could leverage these mechanisms to treat a range of conditions.”
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More than 59% of women may have high blood pressure by 2050, according to a new report from the American Heart Association.
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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.
The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.
More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.
The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.
As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.
The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)
Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.
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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”
“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.
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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”
Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)
Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”
The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.
The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.
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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”
Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.
Moving more is one part of protecting a healthy heart, according to experts. (iStock)
Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.
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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.
The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.
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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”
“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”
The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.
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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.
“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”
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