EEG as a neural measure of hypoxia-related impairment

Ambient oxygen decreases with increasing altitude, which poses a primary threat to aviators known as hypoxic hypoxia. Decades of research have shown that hypoxia impairs cognition, but the neurophysiological bases for these effects remain poorly understood. Recent advances in neuroscience have permi...

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Main Authors: Stephanie R. Otto, Cammi K. Borden, Daniel G. McHail, Kara J. Blacker
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Cognition
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Online Access:https://www.frontiersin.org/articles/10.3389/fcogn.2025.1503028/full
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author Stephanie R. Otto
Stephanie R. Otto
Cammi K. Borden
Cammi K. Borden
Daniel G. McHail
Kara J. Blacker
author_facet Stephanie R. Otto
Stephanie R. Otto
Cammi K. Borden
Cammi K. Borden
Daniel G. McHail
Kara J. Blacker
author_sort Stephanie R. Otto
collection DOAJ
description Ambient oxygen decreases with increasing altitude, which poses a primary threat to aviators known as hypoxic hypoxia. Decades of research have shown that hypoxia impairs cognition, but the neurophysiological bases for these effects remain poorly understood. Recent advances in neuroscience have permitted non-invasive observation of neural activity under controlled hypoxia exposures and have begun to uncover how the brain responds to hypoxia. Electroencephalography (EEG) in particular has been used to explore how electrical activity produced by networks of cortical neurons changes under hypoxia. Here we review studies that have explored how hypoxia affects prominent EEG brain rhythms as well as responses to specific events or stimuli in the time and frequency domains. Experimental conditions have varied widely, including whether hypoxia exposures were normobaric or hypobaric and the range of equivalent altitudes and durations of exposures. Collectively, these studies have accumulated support for a variety of candidate neural markers of hypoxia impairment spanning sensory and cognitive domains. Continued research will build on these findings to leverage emerging technologies in neuroscience and further our understanding of how hypoxia affects cognition and associated neural activity.
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spelling doaj-art-c439dcab9e294ec0b37ebb0fd3a3c30f2025-02-06T07:09:49ZengFrontiers Media S.A.Frontiers in Cognition2813-45322025-02-01410.3389/fcogn.2025.15030281503028EEG as a neural measure of hypoxia-related impairmentStephanie R. Otto0Stephanie R. Otto1Cammi K. Borden2Cammi K. Borden3Daniel G. McHail4Kara J. Blacker5Naval Medical Research Unit-Dayton, Wright-Patterson AFB, Dayton, OH, United StatesApplied Cognitive Neuroscience, Oak Ridge Institute of Science and Education (ORISE), Oak Ridge, TN, United StatesNaval Medical Research Unit-Dayton, Wright-Patterson AFB, Dayton, OH, United StatesLeidos Inc., Reston, VA, United StatesNaval Medical Research Unit-Dayton, Wright-Patterson AFB, Dayton, OH, United StatesNaval Medical Research Unit-Dayton, Wright-Patterson AFB, Dayton, OH, United StatesAmbient oxygen decreases with increasing altitude, which poses a primary threat to aviators known as hypoxic hypoxia. Decades of research have shown that hypoxia impairs cognition, but the neurophysiological bases for these effects remain poorly understood. Recent advances in neuroscience have permitted non-invasive observation of neural activity under controlled hypoxia exposures and have begun to uncover how the brain responds to hypoxia. Electroencephalography (EEG) in particular has been used to explore how electrical activity produced by networks of cortical neurons changes under hypoxia. Here we review studies that have explored how hypoxia affects prominent EEG brain rhythms as well as responses to specific events or stimuli in the time and frequency domains. Experimental conditions have varied widely, including whether hypoxia exposures were normobaric or hypobaric and the range of equivalent altitudes and durations of exposures. Collectively, these studies have accumulated support for a variety of candidate neural markers of hypoxia impairment spanning sensory and cognitive domains. Continued research will build on these findings to leverage emerging technologies in neuroscience and further our understanding of how hypoxia affects cognition and associated neural activity.https://www.frontiersin.org/articles/10.3389/fcogn.2025.1503028/fullhypoxiaEEGevent-related potentialsmilitary aviationphysiological monitoring
spellingShingle Stephanie R. Otto
Stephanie R. Otto
Cammi K. Borden
Cammi K. Borden
Daniel G. McHail
Kara J. Blacker
EEG as a neural measure of hypoxia-related impairment
Frontiers in Cognition
hypoxia
EEG
event-related potentials
military aviation
physiological monitoring
title EEG as a neural measure of hypoxia-related impairment
title_full EEG as a neural measure of hypoxia-related impairment
title_fullStr EEG as a neural measure of hypoxia-related impairment
title_full_unstemmed EEG as a neural measure of hypoxia-related impairment
title_short EEG as a neural measure of hypoxia-related impairment
title_sort eeg as a neural measure of hypoxia related impairment
topic hypoxia
EEG
event-related potentials
military aviation
physiological monitoring
url https://www.frontiersin.org/articles/10.3389/fcogn.2025.1503028/full
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