When you are sitting on the couch watching tv it doesn’t matter if you are at sea level 20.9% oxygen or at 9000 ft and only 16% O2. You aren’t doing much work so it won’t matter.
Your vehicle will run on 87 octane under minimal load just fine.
Now try and play tennis, basketball, push start a motorcycle etc with low O2 and this is how your vehicle will feel with 87 octane when under a load, the lower the altitude the worse.
It will re tard (wow got censored for re-tard) the timing and you make less torque/power/fuel mileage.
This is an RV forum and most are towing or pushing motor homes so the vehicle is working hard, I would use premium unleaded On a turbo vehicle for sure.