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exabrial · 3 months ago
I lived at 10,600 feet for 6.5 weeks last summer, coming from essentially sea level.

I felt like I was adjusted 90% adjusted about 2 weeks in, like I could walk at a normal speed. My Garmin watch agreed with this adaption. However, trying to mountain bike with the locals was hilarious... even at week 6 I barely started to be able to keep up on climbs. I rode my mountain bike nearly every day, or at minimum took a several mile hike

Near the end I had a bender with some coworkers. I started developing a persistent "altitude" cough after that that never really went away until I got back down to sea level. The cough disappeared in 36 hours. And wow, did I feel like superman when I got back racing my peers.

Did you catch the important point in my story though? I live an active life style at sea level, but man, people living in small towns in the mountains _love_ the outdoors. We were active every day of the week: riding, hiking, climbing, etc. I could definitely see how altitude helps with cardiovascular health, but it's already been proven that leading an active lifestyle is one of the most amazing things you can do for your health and happiness.

dismalaf · 3 months ago
> people living in small towns in the mountains _love_ the outdoors

You have to. There's no activities besides outdoor activity and drinking and almost every other aspect of living in the mountains is more difficult (versus a normal, big city in a more hospitable terrain and climate).

When I lived in the mountains everyone was either there for the activities, or was a drug addicted hospitality worker there because they couldn't find jobs in cities.

kelnos · 3 months ago
> And wow, did I feel like superman when I got back racing my peers.

Huh, interesting. A friend of mine moved from sea level to ~6000 ft a few years ago. She said it took her a bit of time to get used to running at the new altitude, but eventually felt as comfortable with it as she had down here at sea level. I asked her if running feels easier to her at sea level now, when she comes down the mountain to visit, and she said it doesn't; it's basically the same as it used to be when she lived here.

Maybe the extra 4600ft you went up to made a difference in that, and of course everyone is different, but that's still interesting to me.

kulahan · 3 months ago
Your friend is the exception, I think. I’ve not lived below 5000 ft for over a decade, and every time I get to sea level, I feel like I can run FOREVER. My personal records are all from those types of trips.
jajko · 3 months ago
Mountains are objectively aesthetically pleasing to humans. They also retain the most wild and specific nature around, especially in western world where in the past mostly agriculture changed environment forever. You can find entire states in Europe where 'wilderness' is basically a well curated park that was a field some time ago. Air is much cleaner, you see far and you feel utterly insignificant up there.

Mountains also allow tons of various sports most of the year as you mention and attract such crowds.

Overall, people go in droves to mountains every year, summer and winter, to recharge. And its a different recharge compared to some beach holiday, much more active and I dare to say a more effective one (active vacations simply recharge better mental tiredness of modern living and working).

I live near Geneva, Switzerland and after moving here basically became mountain sports addict. Hiking, ferratas, climbing, a bit of alpinism in non-winter, and skiing / ski touring in winter. For exotic places there is diving to keep a bit of balance. Did also some paragliding too but had a nasty accident last year that almost killed me so stopped that. Rest I continue, and will do till the last moment I can still do them, they make me properly happy like a toddler. I live in best possible place in the world for people like me, 1h drive from home and I am right below Mont Blanc, towering almost 4km higher than Chamonix valley.

One drawback as you mention - higher mountains are basically high altitude deserts, snow and ice everywhere but humidity easily below 5% ie in Himalaya. Many folks trying ie Everest didnt get higher than base camp simply due to being often sick up there, amateurs and pros alike.

lukan · 3 months ago
"And its a different recharge compared to some beach holiday, much more active and I dare to say a more effective one"

That depends on the type of person I think. Plenty of stuff to do at the beach or in the water as well. Surfers (with ambitions) are pretty active people for instance. But sure, on average most people are way more active in the mountains than on the beach and personally I do prefer the mountains.

(And I tried hard moved moving also into the alps, but it did not work out so far, I will rather now move from semi mountain area to a flat area, but not for too long I hope)

mykowebhn · 3 months ago
> Mountains are objectively aesthetically pleasing to humans

Not sure about that. I find them aesthetically pleasing, and probably most people do, but I know at least one person who remains unmoved when looking at mountain scenery. Of course I find that strange, but there it is.

So not sure about the "objectively". Maybe "Mountains are aesthetically pleasing to MOST humans"

tim333 · 3 months ago
I was thinking there's probably a correlation between high altitude living and getting exercise which may explain the lack of hear attacks. My main high living experience was the Everest area like Namche Bazaar and there are no roads or cars so everyone walks.
xarope · 3 months ago
I had that exact feeling when I visited denver, many years ago when I was doing triathlons. I woke up the next morning, went to the gym to do a 1 hour bike threshold session, and started panting for breath within the first 10 minutes of warmup. I was like, what-the-heck?

Then I remember Denver was the mile-high city.

WalterBright · 3 months ago
Thanks for the marvelous story!
wnc3141 · 3 months ago
out of curiosity, Leadville?
wkat4242 · 3 months ago
> it's already been proven that leading an active lifestyle is one of the most amazing things you can do for your health and happiness.

For your health sure. But for happiness, only if you actually like sporty activities. I don't, and it feels like a chore. Having to do chores all the time makes me unhappy. I've always hated anything to do with sports.

In think some people get an endorfin hit from it but for me that doesn't do much either. I just feel empty and exhausted after it.

sparrish · 3 months ago
I wonder if they're confusing the cause and effect.

Do people who live above 8k feet not die of heart disease or do people with heart disease find it too difficult to live above 8k feet so only people without heart disease live above 8k feet?

I live at 7200 feet and I know several people who have moved to lower altitudes because it's "too hard to breath" here.

leetrout · 3 months ago
I visited Mexico City a couple weeks ago and it is at 7200 feet. As I got off the plane I was gasping a bit and I woke up 3 or 4 times the first night gasping for air. I didn't have any problems visiting Denver at 5000 feet in years past but I was absolutely feeling it at 7200. I didn't stay long enough to see if I would acclimate as I continued to feel bad and returned home early.
WalterBright · 3 months ago
My dad visited Machu Picchu. He was doing poorly and the guides put him on oxygen. They were well prepared for it, as it happens a lot and is not very predictable.

It's at 8,000 feet.

I remember staying overnight at Estes Park, 7500 feet. I got a headache. I didn't try anything strenuous.

I recall reading about Mt Everest climbs. Even on supplemental oxygen, your brain measurably dies a little. No thanks. People who climb it repeatedly are, in my not-so-humble opinion, idiots.

petesergeant · 3 months ago
I’ve spent quite a bit of time in Mexico City and SMA, and the first time was definitely the worst; lots of shortness of breath and walking seemed much harder there than other places. My 75 year-old mother had no issues at all when she came to visit tho
CGMthrowaway · 3 months ago
There are reasons to be gasping for air in Mexico City that don't have to do with the altitude.. has terrible air quality
akshitgaur2005 · 3 months ago
I am originally from the Himalayas (Garhwal specifically), although not quite as high as in the article, my village is at 5000 ft and damn did I have a shock when I took my desi friends up there (desi means people from the Indo-Gangetic plains, I unfortunately had to come to New Delhi for college and you can imagine the contrast!). While in Delhi, I am one of the more unathletic nerds, but as soon as we were in the mountains, these guys were no match for me! Roads are still very few and far in between in my region so you have to walk a lot, and these guys were getting tired on paths even small children and 80 year olds have no problem completing!
fy20 · 3 months ago
I visited the region around Dharamshala last year which is the same altitude (1500m) and was somewhat surprised I did not notice any effects of the altitude. My whole life (nearly 40) I've been living at sea level, except for trips.

I've lived mostly outside cities though so no major pollution. I'd imagine for Delhi folks the pollution must have a big effect on their lungs - but you'd think it would translate to working well for high altitude.

sirtaj · 3 months ago
Ask a Himachali person how far something is and it's always "just around the next hill." Another couple of hours of walking and you"ll still get the same answer.
akshitgaur2005 · 3 months ago
I really do wonder how big of that is a genetic factor and how big just being more acclimated to the altitude and the region?
mixmastamyk · 3 months ago
It sounds like you didn’t lose your acclimation while away at school?
seanmcdirmid · 3 months ago
When I did a 2 week road trip from Chengdu to lijiang a couple of decades ago, we spent the first two days of the trip just acclimating on the Tibetan plateau at 3000 meters or at the town near siguniang. Then we hit places like daocheng (3500 meters), we drive through passes at 5000 meters, Litang town at 4000 meters (about the height of mt rainier). The biggest problem I had was the lack of vegetables that high, my teeth really got tired of eating judt meat and potatoes. The places were all populated though with Tibetans, they just lived up there as if it was the most normal thing in the world (heck, litang had 60k people living at 4k meters, that seemed crazy to me).
pcrh · 3 months ago
8,000 ft (2,400 meters) isn't particularly high. Millions of people live at that altitude. It's extremely common for people to go on a skiing vacation at that altitude or above, up to maybe 4,000 meters, and not need to take any particular precautions.

As to comments here about days resting while progressing to higher altitudes, such as in the Himalayas. A day or two will mostly result in adjustments in the water balance of your blood. It takes about 10 days to two weeks for your bone marrow to start producing additional red blood cells to compensate for the lower level of oxygen in the air.

High level altitude sickness is more complex and relates to multiple factors, including fluid balance, the health of one's vasculature and lungs, etc.

It is certainly the case that populations that have lived at high altitudes in the Himalayas or Andes for thousands of years have evolved adaptations that make such living easier.

kelnos · 3 months ago
Yeah, I spend a decent amount of time during the year at 6500-7000 feet (and live at sea level for the rest of the year). There's always an acclimation period when I first get there, but it's nowhere near as severe as the article suggests. I'm fine going right to the gym or whatever when I get there; I don't need a few days of rest first. In the winter I'll spend hours of the day up at 8000-9000 feet, and yes, I get winded easier, but I'm otherwise fine. I'm in my 40s, so while I'm not old, I'm not young either.

I think the highest up I've ever been for any solid amount of time was 10,500 feet, and sure, I could tell the difference, but it wasn't debilitating or anything remotely like that, and I could do moderate-plus physical activity without anything bad happening.

I've also been up to 15,000 feet (Salkantay Pass in Peru) for a very short time, and definitely felt it. A few people in my hiking group had to take some medicine, and one or two availed themselves of camels. But I would also consider this hike a high-exertion activity; they were fine when we took a break for a while and relaxed.

But I'm just not convinced that most (generally healthy!) people need that much acclimation before doing day-to-day tasks, including regular levels of exercise.

wkat4242 · 3 months ago
15k feet is already in danger territory for unpressurized aircraft. Above 14000 ft a pilot must use oxygen immediately. And that's not even strenuous work (though decision making and spatial awareness is also very affected)
bdangubic · 3 months ago
> Millions of people live at that altitude

Millions isn’t that many people :)

jslakro · 3 months ago
Tens of millions (Bogotá, Quito, La Paz), to be specific
nojs · 3 months ago
On the other hand, if it’s too high it’ll just kill your brain cells: https://www.scientificamerican.com/article/brain-cells-into-...
daemonologist · 3 months ago
Potentially not even so high as that. You often see 2,500 m (8,500 ft) used as the beginning of "high altitude" - at that point some studies have detected cognitive effects from long-term exposure. (10.1007/s11065-004-8159-4) A lot of research is focused more on ~4,000+ meters though due to the existence of the Tibetan Plateau.
purpleflame1257 · 3 months ago
One other fun thing about living at altitude is that the recipes you use need to be redesigned because the boiling point of water is lower.
addaon · 3 months ago
Very asymmetrically, too. There's a (relatively) small impact on cooking grains and pasta and stuff, but even at 5000 ft where I live beans can easily take 2x as long to cook. It's a challenge.
eichin · 3 months ago
Hmm, is coffee a problem? (some of the extraction depends on temperature, but if water boils before reaching that temperature then the extraction wouldn't work...)
LargoLasskhyfv · 3 months ago
Have you tried baking bread? Pizza dough? Some surprises wait :)
mch17 · 3 months ago
It's not just the boiling point. Food tastes less salty as well.

I once cooked a stew for friends at 8000 ft. I thought I had made a mistake because it tasted so bland. After the trip I had the leftovers at sea level and realized it tasted just fine. It gave me an appreciation for the fragile relationship between location and following recipes. (Humidity also changes taste)

sharadov · 3 months ago
Probably why airplane food is made extra salty to compensate for the rise in altitude
dalf · 3 months ago
I remember the kettle took forever at ~ 9000 ft (near Huanglong, Sichuan Province).
hdgvhicv · 3 months ago
Kettle should boil sooner as it will boil at a lower temperature
kaonwarb · 3 months ago
As a child I lived for two years at ~11k ft (La Paz, Bolivia). I can vouch for the impact of both Acute Mountain Sickness and the sun at that elevation.
Rendello · 3 months ago
I first learned about La Paz and its even higher-elevation sibling city El Alto from this video [1] about their new cable car transportation network [1][2]. I then spent a few hours on Google Maps and Youtube looking at El Alto up close, what a fascinating and different world up there.

https://www.youtube.com/watch?v=a5126u88E7E

https://en.wikipedia.org/wiki/Mi_Telef%C3%A9rico