RECENT STUDIES CLAIM that the incidence of sports-related concussions may be reduced (16, 25) at "higher altitudes." The proposed mechanism of protection is rooted in the "tighter fit" theory, such that altitude exposure causes the brain to swell, which leaves less room for it to "slosh" within the skull (16,25). However, another study reported decreased incidence of concussion at "higher altitudes," ( 14), and meta-analysis indicates no effect (32). Despite the underlying weakness of this idea, the idea has received considerable mainstream media attention and inspired protective equipment designed to mimic the supposed protective effects of altitude. As this weakly supported idea persists and drives intervention strategies, physiologists must enter the discussion to clarify the numerous inaccuracies in "tighter fit" hypothesis. This is especially important in an era where politics and conflicts of interest influence concussion research (2, 23).