Recommendations for mountain travel and altitude acclimation in pediatric populations: a French Delphi study
C. Rascle, P. Connan, C. Tanné
Objective : To develop recommendations for mountain travel and altitude acclimation for children under 3 years old by convening a committee of experts.
Methods : Using the DELPHI method, we collected proposals via email from professionals specializing in altitude and related pathologies. Experts were asked about the maximum suggested altitude and specific recommendations.
Results : Sixteen experts participated in the study. The main recommendations included a maximum altitude of 2000 meters for children under 1 year old and 2500 meters for children under 3 years old, a gradual ascent with stops every 500 meters, and careful monitoring of the child's reactions. Absolute contraindications were noted for cable car ascents in children under 1 year old, with relative contraindications for those under 3 years old. It was also recommended to consult a doctor before traveling to high altitudes if the child has a risk-related pathology and to limite winter outdoor activities to short durations with appropriate clothing.
Conclusion : This study revealed a consensus on the recommended maximum travel altitude for children and provided various guidelines to mitigate the effects of altitude.