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In aviation, hot and high is a condition of low air density due to high ambient temperature and high airport elevation. Air density decreases with increasing temperature and altitude. The lower air density reduces the power output from an aircraft's engine and also requires a higher true airspeed before the aircraft can become airborne. Aviators gauge air density by calculating the density altitude.[1]
An airport may be especially hot or high, without the other condition being present. Temperature and pressure altitude can change from one hour to the next. The fact that temperature generally decreases as altitude increases mitigates the "hot and high" effect to a small extent.