Candace Cooley, MD
Snow dusted peaks of the Tenmile Range above forested slopes in the White River National F, a Wikimedia Commons photograph in the encyclopedia of Candace Cooley
Photo: JasonC photography, Creative Commons Attribution ShareAlike 4.0 International, file page on Wikimedia Commons
Subject index, five entries

Mountain and Active Life

What thin air and hard exercise ask of the body, from the first night at elevation to the ski slope.

Candace Cooley’s own pastimes are running, skiing and cycling, and from 2011 to 2014 she practiced in Breckenridge, Colorado; the entries in this index cover what high country asks of an active body. The first effect is often an illness. MedlinePlus describes acute mountain sickness as an illness of climbers, hikers, skiers and travelers at high altitude, usually above about 8,000 feet, caused by lower air pressure and oxygen levels, and says the best prevention is to ascend gradually.1 The body then adapts. As The Aspen Times explained, the share of oxygen in mountain air is unchanged but lower pressure means less oxygen with each breath, and the extra red blood cells the body makes in response take two to three weeks to build.2

Sport has its own pattern of injury. The American Academy of Orthopaedic Surgeons reports more than 76,000 snow skiing injuries treated in 2018, with knee injuries, especially to the anterior cruciate ligament, among the most common.3 Pregnancy has guidance of its own: the American College of Obstetricians and Gynecologists states that in a healthy, normal pregnancy it is safe to continue or start regular physical activity, ideally at least 150 minutes of moderate aerobic activity a week.4

The five entries are Acute Mountain Sickness, Altitude Acclimatization, Sleep at Altitude, Sports Medicine and the Woman Athlete and Exercise During Pregnancy. Her interests themselves are described on the interests page.

  1. MedlinePlus, US National Library of Medicine, Acute mountain sickness
  2. The Aspen Times, What to know about running at altitude
  3. OrthoInfo, American Academy of Orthopaedic Surgeons, Skiing Injury Prevention
  4. American College of Obstetricians and Gynecologists, Exercise During Pregnancy