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Cited by 469

The DOI matches its Crossref record; 218 of the 218 references it cites were found in a registry or an index.

Therapeutic potential of intermittent hypoxia: a matter of dose

Open access
Navarrete-Opazo, Angela, Mitchell, Gordon S.·2014·American Journal of Physiology-Regulatory, Integrative and Comparative Physiology

Abstract

Intermittent hypoxia (IH) has been the subject of considerable research in recent years, and triggers a bewildering array of both detrimental and beneficial effects in multiple physiological systems. Here, we review the extensive literature concerning IH and its impact on the respiratory, cardiovascular, immune, metabolic, bone, and nervous systems. One major goal is to define relevant IH characteristics leading to safe, protective, and/or therapeutic effects vs. pathogenesis. To understand the impact of IH, it is essential to define critical characteristics of the IH protocol under investigation, including potentially the severity of hypoxia within episodes, the duration of hypoxic episodes, the number of hypoxic episodes per day, the pattern of presentation across time (e.g., within vs. consecutive vs. alternating days), and the cumulative time of exposure. Not surprisingly, severe/chronic IH protocols tend to be pathogenic, whereas any beneficial effects are more likely to arise from modest/acute IH exposures. Features of the IH protocol most highly associated with beneficial vs. pathogenic outcomes include the level of hypoxemia within episodes and the number of episodes per day. Modest hypoxia (9–16% inspired O 2 ) and low cycle numbers (3–15 episodes per day) most often lead to beneficial effects without pathology, whereas severe hypoxia (2–8% inspired O 2 ) and more episodes per day (48–2,400 episodes/day) elicit progressively greater pathology. Accumulating evidence suggests that “low dose” IH (modest hypoxia, few episodes) may be a simple, safe, and effective treatment with considerable therapeutic potential for multiple clinical disorders.

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Crossref · 10.1152/ajpregu.00208.2014

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Metadata

Authors
Navarrete-Opazo, A., & Mitchell, G. S.
Venue
American Journal of Physiology-Regulatory, Integrative and Comparative Physiology
Published
2014-11-15
Volume
307
Issue
10
Pages
R1181-R1197
ISSN
  • 0363-6119 (ISSN-L)
  • 1522-1490
OpenAlex
W2033337525
Cited by
469
References
218
FWCI
13.22
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Therapeutic potential of intermittent hypoxia: a matter of dose. https://app.cochat.ai/papers/10.1152/ajpregu.00208.2014
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Navarrete-Opazo, A., & Mitchell, G. S. (2014). Therapeutic potential of intermittent hypoxia: a matter of dose. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. https://doi.org/10.1152/ajpregu.00208.2014

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.