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Yu Y, Li D, Lu Y, Mi J. Relationship between methods of monitoring training load and physiological indicators changes during 4 weeks cross-country skiing altitude training. PLoS One 2023; 18:e0295960. [PMID: 38100499 PMCID: PMC10723660 DOI: 10.1371/journal.pone.0295960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 12/02/2023] [Indexed: 12/17/2023] Open
Abstract
This study aimed to: (i) analyze the load characteristics of 4 weeks cross-country skiing altitude training; (ii) analyze the relationships between methods of monitoring training load and physiological indicators changes of elite male Chinese cross-country skiers during this period. Practitioners collected load data during 4 weeks of altitude training camp. Participants performed maximal oxygen uptake, lactate threshold, body composition, and skierg power test before and after the training camp to investigate the changes in physiological performance. Edwards TRIMP, Lucia TRIMP, and session rating of perceived exertion were collected as internal load. Training distance, time recorded by the Catapult module were collected as external load. The result revealed a " pyramid " pattern in the load characteristics during the altitude training camp. The correlation between luTRIMP and percent change in physiological indicators was highest. Percentage changes in lactate threshold velocity (r = .78 [95% CI -.01 to .98]), percentage changes in lactate threshold HR (r = .71 [95% CI .14- .99]), percentage changes in maximum HR (r = .83 [95% CI .19-1.00]), percentage changes in skierg power-to-weight ratio (r = .75 [95% CI -.28 to .98]) had very large relationships with luTRIMP. In cross-country skiing altitude training, training loads should be reasonably controlled to ensure that athletes do not become overly fatigued. Methods of training load monitoring that combine with athletes' physiological characteristics and program characteristics have the highest dose-response relationships, it is an important aspect of cross-country ski training load monitoring. The luTRIMP could be a good monitoring tool in cross-country skiing altitude training.
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Affiliation(s)
- Yichao Yu
- The School of Sports Coaching, Beijing Sports University, Beijing, China
- Laboratory of Sports Stress and Adaptation of General Administration of Sport, Beijing Sport University, Beijing, China
| | - Dongye Li
- The School of Sports Medicine and Rehabilitation, Beijing Sports University, Beijing, China
- Laboratory of Sports Stress and Adaptation of General Administration of Sport, Beijing Sport University, Beijing, China
| | - Yifan Lu
- The School of Sports Medicine and Rehabilitation, Beijing Sports University, Beijing, China
- Laboratory of Sports Stress and Adaptation of General Administration of Sport, Beijing Sport University, Beijing, China
| | - Jing Mi
- The School of Sports Coaching, Beijing Sports University, Beijing, China
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Bonato G, Goodman S, Tjh L. Physiological and performance effects of live high train low altitude training for elite endurance athletes: A narrative review. Curr Res Physiol 2023; 6:100113. [PMID: 38107789 PMCID: PMC10724230 DOI: 10.1016/j.crphys.2023.100113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 11/10/2023] [Accepted: 11/21/2023] [Indexed: 12/19/2023] Open
Abstract
Altitude training has become an important training application for athletes due its potential for altering physiology and enhancing performance. This practice is commonly used by athletes, with a popular choice being the live high - train low approach. This model recommends that athletes live at high altitude (1250-3000 m), but train at low altitude or sea-level (0-1200 m). Exposure to altitude often leads to hypoxic stress and in turn stimulates changes in total haemoglobin mass, erythropoietin, and soluble transferrin receptors, which alter further underlying physiology. Through enhanced physiology, improved exercise performance may arise through enhancement of the oxygen transport system which is important for endurance events. Previous investigations into the effects of altitude training on exercise performance have been completed in a range of contexts, including running, cycling, swimming, and triathlon. Often following a LHTL altitude intervention, athletes realise improvements in maximal oxygen consumption capacity, time trial performance and peak power outputs. Although heterogeneity exists among LHTL methodologies, i.e., exposure durations and altitude ranges, we synthesised this data into kilometre hours, and found that the most common hypoxic doses used in LHTL interventions ranged from ∼578-687 km h. As this narrative review demonstrates, there are potential advantages to using altitude training to enhance physiology and improve performance for endurance athletes.
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Affiliation(s)
- G. Bonato
- Exercise and Sports Science, School of Science and Technology, The University of New England, Armidale, 2350, Australia
- College of Arts, Society and Education, James Cook University, Townsville, 4811, Australia
| | - S.P.J Goodman
- Exercise and Sports Science, School of Science and Technology, The University of New England, Armidale, 2350, Australia
| | - Lathlean Tjh
- Exercise and Sports Science, School of Science and Technology, The University of New England, Armidale, 2350, Australia
- The Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, 5000, Australia
- South Australian Health and Medical Research Institute (SAHMRI), Adelaide, 5000, Australia
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3
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Yu Q, Kong Z, Zou L, Chapman R, Shi Q, Nie J. Comparative efficacy of various hypoxic training paradigms on maximal oxygen consumption: A systematic review and network meta-analysis. J Exerc Sci Fit 2023; 21:366-375. [PMID: 37854170 PMCID: PMC10580050 DOI: 10.1016/j.jesf.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 09/09/2023] [Accepted: 09/16/2023] [Indexed: 10/20/2023] Open
Abstract
Background Enhancement in maximal oxygen consumption (VO2max) induced by hypoxic training is important for both athletes and non-athletes. However, the lack of comparison of multiple paradigms and the exploration of related modulating factors leads to the inability to recommend the optimal regimen in different situations. This study aimed to investigate the efficacy of seven common hypoxic training paradigms on VO2max and associated moderators. Methods Electronic (i.e., five databases) and manual searches were performed, and 42 studies involving 1246 healthy adults were included. Pairwise meta-analyses were conducted to compare different hypoxic training paradigms and hypoxic training and control conditions. The Bayesian network meta-analysis model was applied to calculate the standardised mean differences (SMDs) of pre-post VO2max alteration among hypoxic training paradigms in overall, athlete, and non-athlete populations, while meta-regression analyses were employed to explore the relationships between covariates and SMDs. Results All seven hypoxic training paradigms were effective to varying degrees, with SMDs ranging from 1.45 to 7.10. Intermittent hypoxia interval training (IHIT) had the highest probability of being the most efficient hypoxic training paradigm in the overall population and athlete subgroup (42%, 44%), whereas intermittent hypoxic training (IHT) was the most promising hypoxic training paradigm among non-athletes (66%). Meta-regression analysis revealed that saturation hours (coefficient, 0.004; P = 0.038; 95% CI [0.0002, 0.0085]) accounted for variations of VO2max improvement induced by IHT. Conclusion Efficient hypoxic training paradigms for VO2max gains differed between athletes and non-athletes, with IHIT ranking best for athletes and IHT for non-athletes. The practicability of saturation hours is confirmed with respect to dose-response issues in the future hypoxic training and associated scientific research. Registration This study was registered in the PROSPERO international prospective register of systematic reviews (CRD42022333548).
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Affiliation(s)
- Qian Yu
- Faculty of Education, University of Macau, Macao, China
| | - Zhaowei Kong
- Faculty of Education, University of Macau, Macao, China
| | - Liye Zou
- Exercise Psychophysiology Laboratory, Institute of KEEP Collaborative Innovation, School of Psychology, Shenzhen University, Shenzhen, 518060, China
| | - Robert Chapman
- Department of Kinesiology, School of Public Health, Indiana University, Bloomington, IN, USA
| | - Qingde Shi
- Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China
| | - Jinlei Nie
- Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China
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Herrero-Molleda A, Álvarez-Álvarez MJ, Floría P, García-López J. Training Characteristics and Competitive Demands in Women Road Cyclists: A Systematic Review. Int J Sports Physiol Perform 2023:1-11. [PMID: 37369364 DOI: 10.1123/ijspp.2023-0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 05/24/2023] [Accepted: 06/04/2023] [Indexed: 06/29/2023]
Abstract
PURPOSE To identify the main training characteristics and competitive demands in women's road cycling. METHODS A systematic search was conducted on 5 databases according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. The articles had to be primary studies, written after 1990 with a sample of competitive women between the ages of 15 and 50. The Quality Assessment Tool for Quantitative Studies and the Oxford Levels of Evidence scales were used. RESULTS The search yielded 1713 articles, of which 20 were included. Studies on training and competitive demands (n = 5) found that both external and internal loads are higher in women than in men. Studies on strength and endurance training (n = 5) showed that both velocity-based and heavy-load strength training programs performed at least 2 days per week and including 3 to 4 lower-body exercises improved performance. Altitude-training studies (n = 3) found that "Live High-Train Low" was effective to increase performance during the first 9 days after the training camp. The 7 remaining studies focused on a range of topics. The methodological quality was strong for 12 studies and moderate for 8. In contrast, the level of evidence was high in 7 and low in the other 13. CONCLUSIONS Endurance training and competitive demands in women's road cycling are higher than those of men. Strength training is effective in women when the frequency, intensity, and number of exercises are appropriate, while altitude training should be completed a few days before competing. Further studies are warranted to better define the participants' competitive level, using a methodological design with a higher level of evidence.
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Affiliation(s)
- Alba Herrero-Molleda
- Faculty of Physical Activity and Sports Sciences, Universidad de León, León,Spain
| | | | - Pablo Floría
- Physical Performance and Sports Research, Universidad Pablo de Olavide, Sevilla,Spain
| | - Juan García-López
- Faculty of Physical Activity and Sports Sciences, Universidad de León, León,Spain
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Kettunen O, Leppävuori A, Mikkonen R, Peltonen JE, Nummela A, Wikström B, Linnamo V. Hemoglobin mass and performance responses during 4 weeks of normobaric "live high-train low and high". Scand J Med Sci Sports 2023. [PMID: 37114394 DOI: 10.1111/sms.14378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 04/05/2023] [Accepted: 04/12/2023] [Indexed: 04/29/2023]
Abstract
PURPOSE To investigate whether 4 weeks of normobaric "live high-train low and high" (LHTLH) causes different hematological, cardiorespiratory, and sea-level performance changes compared to living and training in normoxia during a preparation season. METHODS Nineteen (13 women, 6 men) cross-country skiers competing at the national or international level completed a 28-day period (∼18 h day-1 ) of LHTLH in normobaric hypoxia of ∼2400 m (LHTLH group) including two 1 h low-intensity training sessions per week in normobaric hypoxia of 2500 m while continuing their normal training program in normoxia. Hemoglobin mass (Hbmass ) was assessed using a carbon monoxide rebreathing method. Time to exhaustion (TTE) and maximal oxygen uptake (VO2max ) were measured using an incremental treadmill test. Measurements were completed at baseline and within 3 days after LHTLH. The control group skiers (CON) (seven women, eight men) performed the same tests while living and training in normoxia with ∼4 weeks between the tests. RESULTS Hbmass in LHTLH increased 4.2 ± 1.7% from 772 ± 213 g (11.7 ± 1.4 g kg-1 ) to 805 ± 226 g (12.5 ± 1.6 g kg-1 ) (p < 0.001) while it was unchanged in CON (p = 0.21). TTE improved during the study regardless of the group (3.3 ± 3.4% in LHTLH; 4.3 ± 4.8% in CON, p < 0.001). VO2max did not increase in LHTLH (61.2 ± 8.7 mL kg-1 min-1 vs. 62.1 ± 7.6 mL kg-1 min-1 , p = 0.36) while a significant increase was detected in CON (61.3 ± 8.0-64.0 ± 8.1 mL kg-1 min-1 , p < 0.001). CONCLUSIONS Four-week normobaric LHTLH was beneficial for increasing Hbmass but did not support the short-term development of maximal endurance performance and VO2max when compared to the athletes who lived and trained in normoxia.
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Affiliation(s)
- Oona Kettunen
- Sports Technology Unit, Faculty of Sport and Health Sciences, University of Jyväskylä, Vuokatti, Finland
| | - Antti Leppävuori
- Sports Technology Unit, Faculty of Sport and Health Sciences, University of Jyväskylä, Vuokatti, Finland
| | - Ritva Mikkonen
- Sports Technology Unit, Faculty of Sport and Health Sciences, University of Jyväskylä, Vuokatti, Finland
| | - Juha E Peltonen
- Helsinki Sports and Exercise Medicine Clinic (HULA), Foundation for Sports and Exercise Medicine, Helsinki, Finland
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland
| | - Ari Nummela
- Finnish Institute of High Performance Sport KIHU, Jyväskylä, Finland
| | - Bettina Wikström
- Sports Technology Unit, Faculty of Sport and Health Sciences, University of Jyväskylä, Vuokatti, Finland
| | - Vesa Linnamo
- Sports Technology Unit, Faculty of Sport and Health Sciences, University of Jyväskylä, Vuokatti, Finland
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Philp CP, Pitchford NW, Fell JW, Kitic CM, Buchheit M, Petersen AC, Minson CT, Visentin DC, Watson G. Hot water immersion; potential to improve intermittent running performance and perception of in-game running ability in semi-professional Australian Rules Footballers? PLoS One 2022; 17:e0263752. [PMID: 35171968 PMCID: PMC8849500 DOI: 10.1371/journal.pone.0263752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 01/25/2022] [Indexed: 11/18/2022] Open
Abstract
This study investigated whether hot water immersion (HWI) could heat acclimate athletes and improve intermittent running performance and perception of in-game running ability, during a competitive Australian Rules Football (ARF) season. Fifteen male semi-professional ARF athletes (Mean (SD); age: 22 (3) years, height: 182.3 (6.5) cm, mass: 80.5 (5.1) kg) completed either HWI (HEAT, N = 8, 13 (2) sessions, 322 (69) min exposure, 39.5 (0.3) °C) or acted as a control (CON, N = 7, no water immersion) over 6-weeks. Athletes completed a 30–15 Intermittent Fitness Test pre and post-intervention to assess intermittent running performance (VIFT), with perception of in-game running ability measured. Heat acclimation was determined via change in resting plasma volume, as well as physiological and perceptual responses during HWI. HEAT elicited large PV expansion (mean ± 90% CI: d = 1.03 ± 0.73), large decreases in heart rate (d = -0.89 ± 0.70), thermal sensation (d = -2.30 ± 1.15) and tympanic temperature (d = -1.18 ± 0.77). Large improvements in VIFT were seen in HEAT (d = 1.67 ± 0.93), with HEAT showing a greater improvement in VIFT when compared to CON (d = 0.81 ± 0.88). HEAT also showed greater belief that in-game running ability improved post-intervention (d = 2.15 ± 1.09) compared to CON. A 6-week HWI intervention can elicit heat acclimation, improve perception of in-game running ability, and potentially improve VIFT in semi-professional ARF athletes.
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Affiliation(s)
- Calvin P. Philp
- Sport Performance Optimisation Research Team, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
- Western Bulldogs Football Club, Footscray, Victoria
- * E-mail:
| | - Nathan W. Pitchford
- Sport Performance Optimisation Research Team, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - James W. Fell
- Sport Performance Optimisation Research Team, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - Cecilia M. Kitic
- School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, Queensland, Australia
| | - Martin Buchheit
- French National Institute of Sport (INSEP), Laboratory of Sport, Expertise and Performance (EA 7370), Paris, France
- Institute for Health & Sport, Victoria University, Melbourne, Victoria, Australia
- HIITScience, Revelstoke, British Columbia, Canada
- Kitman Labs, Performance Research Intelligence Initiative, Dublin, Ireland
| | - Aaron C. Petersen
- Institute for Health & Sport, Victoria University, Melbourne, Victoria, Australia
| | - Christopher T. Minson
- Department of Human Physiology, University of Oregon, Eugene, Oregon, United States of America
| | - Denis C. Visentin
- Sport Performance Optimisation Research Team, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - Greig Watson
- Sport Performance Optimisation Research Team, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
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Astolfi T, Crettaz von Roten F, Kayser B, Saugy M, Faiss R. The Influence of Training Load on Hematological Athlete Biological Passport Variables in Elite Cyclists. Front Sports Act Living 2021; 3:618285. [PMID: 33817634 PMCID: PMC8012815 DOI: 10.3389/fspor.2021.618285] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 02/22/2021] [Indexed: 11/13/2022] Open
Abstract
The hematological module of the Athlete Biological Passport (ABP) is used in elite sport for antidoping purposes. Its aim is to better target athletes for testing and to indirectly detect blood doping. The ABP allows to monitor hematological variations in athletes using selected primary blood biomarkers [hemoglobin concentration (Hb) and reticulocyte percentage (Ret%)] with an adaptive Bayesian model to set individual upper and lower limits. If values fall outside the individual limits, an athlete may be further targeted and ultimately sanctioned. Since (Hb) varies with plasma volume (PV) fluctuations, possibly caused by training load changes, we investigated the putative influence of acute and chronic training load changes on the ABP variables. Monthly blood samples were collected over one year in 10 male elite cyclists (25.6 ± 3.4 years, 181 ± 4 cm, 71.3 ± 4.9 kg, 6.7 ± 0.8 W.kg-1 5-min maximal power output) to calculate individual ABP profiles and monitor hematological variables. Total hemoglobin mass (Hbmass) and PV were additionally measured by carbon monoxide rebreathing. Acute and chronic training loads-respectively 5 and 42 days before sampling-were calculated considering duration and intensity (training stress score, TSSTM). (Hb) averaged 14.2 ± 0.0 (mean ± SD) g.dL-1 (range: 13.3-15.5 g·dl-1) over the study with significant changes over time (P = 0.004). Hbmass was 1030 ± 87 g (range: 842-1116 g) with no significant variations over time (P = 0.118), whereas PV was 4309 ± 350 mL (range: 3,688-4,751 mL) with a time-effect observed over the study time (P = 0.014). Higher acute-but not chronic-training loads were associated with significantly decreased (Hb) (P <0.001). Although individual hematological variations were observed, all ABP variables remained within the individually calculated limits. Our results support that acute training load variations significantly affect (Hb), likely due to short-term PV fluctuations, underlining the importance of considering training load when interpreting individual ABP variations for anti-doping purposes.
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Affiliation(s)
- Tiffany Astolfi
- REDs, Research and Expertise in Anti-Doping Sciences, University of Lausanne, Lausanne, Switzerland.,ISSUL, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | | | - Bengt Kayser
- ISSUL, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Martial Saugy
- REDs, Research and Expertise in Anti-Doping Sciences, University of Lausanne, Lausanne, Switzerland.,ISSUL, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Raphael Faiss
- REDs, Research and Expertise in Anti-Doping Sciences, University of Lausanne, Lausanne, Switzerland.,ISSUL, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
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8
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Baranauskas MN, Constantini K, Paris HL, Wiggins CC, Schlader ZJ, Chapman RF. Heat Versus Altitude Training for Endurance Performance at Sea Level. Exerc Sport Sci Rev 2021; 49:50-58. [PMID: 33044330 DOI: 10.1249/jes.0000000000000238] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Environmental stressors, such as heat or altitude, elicit dissimilar physiological adaptations to endurance training programs. Whether these differences (i.e., increased hemoglobin mass vs plasma volume) differentially influence performance is debated. We review data in support of our novel hypothesis, which proposes altitude as the preferred environmental training stimulus for elite endurance athletes preparing to compete in temperate, sea-level climates (5°C-18°C).
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Affiliation(s)
- Marissa N Baranauskas
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN
| | - Keren Constantini
- School of Public Health, Sackler Faculty of Medicine and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel
| | - Hunter L Paris
- Division of Natural Sciences, Pepperdine University, Malibu, CA
| | - Chad C Wiggins
- Department of Anaesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN
| | - Zachary J Schlader
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN
| | - Robert F Chapman
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN
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Pedlar CR, Newell J, Lewis NA. Blood Biomarker Profiling and Monitoring for High-Performance Physiology and Nutrition: Current Perspectives, Limitations and Recommendations. Sports Med 2020; 49:185-198. [PMID: 31691931 PMCID: PMC6901403 DOI: 10.1007/s40279-019-01158-x] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Blood test data were traditionally confined to the clinic for diagnostic purposes, but are now becoming more routinely used in many professional and elite high-performance settings as a physiological profiling and monitoring tool. A wealth of information based on robust research evidence can be gleaned from blood tests, including: the identification of iron, vitamin or energy deficiency; the identification of oxidative stress and inflammation; and the status of red blood cell populations. Serial blood test data can be used to monitor athletes and make inferences about the efficacy of training interventions, nutritional strategies or indeed the capacity to tolerate training load. Via a profiling and monitoring approach, blood biomarker measurement combined with contextual data has the potential to help athletes avoid injury and illness via adjustments to diet, training load and recovery strategies. Since wide inter-individual variability exists in many biomarkers, clinical population-based reference data can be of limited value in athletes, and statistical methods for longitudinal data are required to identify meaningful changes within an athlete. Data quality is often compromised by poor pre-analytic controls in sport settings. The biotechnology industry is rapidly evolving, providing new technologies and methods, some of which may be well suited to athlete applications in the future. This review provides current perspectives, limitations and recommendations for sports science and sports medicine practitioners using blood profiling and monitoring for nutrition and performance purposes.
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Affiliation(s)
- Charles R Pedlar
- Faculty of Sport, Health and Applied Science, St Mary's University, Twickenham, UK. .,Orreco, Business Innovation Unit, National University of Ireland, Galway, Ireland. .,Division of Surgery and Interventional Science, University College London (UCL), London, UK.
| | - John Newell
- Insight Centre for Data Analytics, National University of Ireland, Galway, Ireland.,School of Mathematics, Statistics and Applied Mathematics, National University of Ireland, Galway, Ireland
| | - Nathan A Lewis
- Faculty of Sport, Health and Applied Science, St Mary's University, Twickenham, UK.,Orreco, Business Innovation Unit, National University of Ireland, Galway, Ireland.,English Institute of Sport, Bath, UK
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SCHMIDT WALTERFJ, HOFFMEISTER TORBEN, HAUPT SANDRA, SCHWENKE DIRK, WACHSMUTH NADINEB, BYRNES WILLIAMC. Chronic Exposure to Low-Dose Carbon Monoxide Alters Hemoglobin Mass and V˙O2max. Med Sci Sports Exerc 2020; 52:1879-1887. [DOI: 10.1249/mss.0000000000002330] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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11
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Okazaki K, Stray-Gundersen J, Chapman RF, Levine BD. Iron insufficiency diminishes the erythropoietic response to moderate altitude exposure. J Appl Physiol (1985) 2019; 127:1569-1578. [DOI: 10.1152/japplphysiol.00115.2018] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
The effects of iron stores and supplementation on erythropoietic responses to moderate altitude in endurance athletes were examined. In a retrospective study, red cell compartment volume (RCV) responses to 4 wk at 2,500 m were assessed in athletes with low ( n = 9, ≤20 and ≤30 ng/mL for women and men, respectively) and normal ( n = 10) serum ferritin levels ([Ferritin]) without iron supplementation. In a subsequent prospective study, the same responses were assessed in athletes ( n = 26) with a protocol designed to provide sufficient iron before and during identical altitude exposure. The responses to a 4-wk training camp at sea level were assessed in another group of athletes ( n = 13) as controls. RCV and maximal oxygen uptake (V̇o2max) were determined at sea level before and after intervention. In the retrospective study, athletes with low [Ferritin] did not increase RCV (27.0 ± 2.9 to 27.5 ± 3.8 mL/kg, mean ± SD, P = 0.65) or V̇o2max (60.2 ± 7.2 to 62.2 ± 7.5 mL·kg−1·min−1, P = 0.23) after 4 wk at altitude, whereas athletes with normal [Ferritin] increased both (RCV: 27.3 ± 3.1 to 29.8 ± 2.4 mL/kg, P = 0.002; V̇o2max: 62.0 ± 3.1 to 66.2 ± 3.7 mL·kg−1·min−1, P = 0.003). In the prospective study, iron supplementation normalized low [Ferritin] observed in athletes exposed to altitude ( n = 14) and sea level ( n = 6) before the altitude/sea-level camp and maintained [Ferritin] within normal range in all athletes during the camp. RCV and V̇o2max increased in the altitude group but remained unchanged in the sea-level group. Finally, the increase in RCV correlated with the increase in V̇o2max [( r = 0.368, 95% confidence interval (CI): 0.059–0.612, P = 0.022]. Thus, iron deficiency in athletes restrains erythropoiesis to altitude exposure and may preclude improvement in sea-level athletic performance. NEW & NOTEWORTHY Hypoxic exposure increases iron requirements and utilization for erythropoiesis in athletes. This study clearly demonstrates that iron deficiency in athletes inhibits accelerated erythropoiesis to a sojourn to moderate high altitude and may preclude a potential improvement in sea-level athletic performance with altitude training. Iron replacement therapy before and during altitude exposure is important to maximize performance gains after altitude training in endurance athletes.
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Affiliation(s)
- Kazunobu Okazaki
- Research Center for Urban Health and Sports, Osaka City University, Osaka, Japan
- Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, Texas
| | | | | | - Benjamin D. Levine
- Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, Texas
- University of Texas Southwestern Medical Center at Dallas, Dallas, Texas
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Ahlgrim C, Birkner P, Seiler F, Wrobel N, Grundmann S, Bode C, Pottgiesser T. Increased Red Cell Volume Is a Relevant Contributing Factor to an Expanded Blood Volume in Compensated Systolic Chronic Heart Failure. J Card Fail 2019; 26:420-428. [PMID: 31790816 DOI: 10.1016/j.cardfail.2019.11.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 11/11/2019] [Accepted: 11/26/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND In patients with chronic heart failure (CHF), volume overload is usually described as an expansion of plasma volume. Additional red cell volume (RCV) expansion is less commonly recognized. So far, little is known about quantitative differences in blood volume status and its different components in patients with stable CHF compared to healthy controls. METHODS This study aimed to quantify blood volume and its constituents, RCV and plasma volume, by using an abbreviated carbon monoxide rebreathing method with particular focus on its primary measure total hemoglobin mass in 47 patients (10 women) with systolic CHF and a left ventricular ejection fraction of 29.0 ± 9.4%. These were compared to an age-matched control group of 84 healthy subjects (44 women) using the same method. RESULTS In both absolute and body-surface-area-corrected analysis, hemoglobin mass (446 ± 81 vs 353 ± 64 g/m2) as well as RCV (1293 ± 231 vs 1033 ± 176 mL/m2) were significantly increased in CHF. In addition, significant plasma volume expansion was observed in CHF (2069 ± 400 vs 1750 ± 231 mL/m2) and, in conjunction with RCV, constituted a significantly increased blood volume (3361 ± 574 vs 2783 ± 369 mL/m2). In 66% of patients with compensated CHF, RCV was excessive compared to 14% in the control group. CONCLUSIONS An increased RCV is a relevant contributing factor to hypervolemia in stable CHF. This is associated with an increased oxygen-carrying capacity, so it may be regarded as a possible compensatory mechanism for a reduced ejection fraction.
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Affiliation(s)
- Christoph Ahlgrim
- Center for Medicine, Institute for Exercise- and Occupational Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Germany
| | - Philipp Birkner
- Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany
| | - Florian Seiler
- Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany
| | - Nina Wrobel
- Center for Medicine, Institute for Exercise- and Occupational Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Germany
| | - Sebastian Grundmann
- Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany
| | - Christoph Bode
- Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany
| | - Torben Pottgiesser
- Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany.
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SHARMA AVISHP, SAUNDERS PHILOU, GARVICAN-LEWIS LAURAA, CLARK BRAD, GORE CHRISTOPHERJ, THOMPSON KEVING, PÉRIARD JULIEND. Normobaric Hypoxia Reduces V˙O2 at Different Intensities in Highly Trained Runners. Med Sci Sports Exerc 2019; 51:174-182. [DOI: 10.1249/mss.0000000000001745] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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14
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Impact of Energy Availability, Health, and Sex on Hemoglobin-Mass Responses Following Live-High-Train-High Altitude Training in Elite Female and Male Distance Athletes. Int J Sports Physiol Perform 2018; 13:1090-1096. [PMID: 29431548 DOI: 10.1123/ijspp.2017-0547] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE The authors investigated the effects of sex, energy availability (EA), and health status on the change in hemoglobin mass (ΔHbmass) in elite endurance athletes over ∼3-4 wk of live-high-train-high altitude training in Flagstaff, AZ (2135 m; n = 27 women; n = 21 men; 27% 2016 Olympians). METHODS Precamp and postcamp Hbmass (optimized carbon monoxide rebreathing method) and iron status were measured, EA was estimated via food and training logs, and a Low Energy Availability in Females Questionnaire (LEAFQ) and a general injury/illness questionnaire were completed. Hypoxic exposure (h) was calculated with low (<500 h), moderate (500-600 h), and high (>600 h) groupings. RESULTS Absolute and relative percentage ΔHbmass was significantly greater in women (6.2% [4.0%], P < .001) than men (3.2% [3.3%], P = .008). %ΔHbmass showed a dose-response with hypoxic exposure (3.1% [3.8%] vs 4.9% [3.8%] vs 6.8% [3.7%], P = .013). Hbmasspre was significantly higher in eumenorrheic vs amenorrheic women (12.2 [1.0] vs 11.3 [0.5] g/kg, P = .004). Although statistically underpowered, %ΔHbmass was significantly less in sick (n = 4, -0.5% [0.4%]) vs healthy (n = 44, 5.4% [3.8%], P < .001) athletes. There were no significant correlations between self-reported iron intake, sex hormones, or EA on Hbmass outcomes. However, there was a trend for a negative correlation between LEAFQ score and %ΔHbmass (r = -.353, P = .07). CONCLUSIONS The findings confirm the importance of baseline Hbmass and exposure to hypoxia on increases in Hbmass during altitude training, while emphasizing the importance of athlete health and indices of EA on an optimal baseline Hbmass and hematological response to hypoxia.
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Effect of Intensified Endurance Training on Pacing and Performance in 4000-m Cycling Time Trials. Int J Sports Physiol Perform 2018; 13:735-741. [PMID: 29035591 DOI: 10.1123/ijspp.2017-0287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Studies examining pacing strategies during 4000-m cycling time trials (TTs) typically ensure that participants are not prefatigued; however, competitive cyclists often undertake TTs when already fatigued. This study aimed to determine how TT pacing strategies and sprint characteristics of cyclists change during an intensified training period (mesocycle). Thirteen cyclists regularly competing in A- and B-grade cycling races and consistently training (>10 h/wk for 4 [1] y) completed a 6-wk training mesocycle. Participants undertook individually prescribed training, using training stress scores (TrainingPeaks, Boulder, CO), partitioned into a baseline week, a build week, 2 loading weeks (designed to elicit an overreached state), and 2 recovery weeks. Laboratory-based tests (15-s sprint and TT) and Recovery-Stress Questionnaire (RESTQ-52) responses were repeatedly undertaken over the mesocycle. TT power output increased during recovery compared with baseline and loading weeks (P = .001) with >6-W increases in mean power output (MPO) detected for 400-m sections (10% bins) from 1200 to 4000 m in recovery weeks. Decreases in peak heart rate (P < .001) during loading weeks and postexercise blood lactate (P = .005) during loading week 2 and recovery week 1 were detected. Compared with baseline, 15-s sprint MPO declined during loading and recovery weeks (P < .001). An interaction was observed between RESTQ-52 total stress score with a 15-s sprint (P = .003) and with a TT MPO (P = .04), indicating that participants who experienced greater stress during loading weeks exhibited reduced performance. To conclude, intensified endurance training diminished sprint performance but improved 4000-m TT performance, with a subtle change in MPO evident over the last 70% of TTs.
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Bejder J, Nordsborg NB. Specificity of “Live High-Train Low” Altitude Training on Exercise Performance. Exerc Sport Sci Rev 2018; 46:129-136. [DOI: 10.1249/jes.0000000000000144] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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17
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Woods AL, Rice AJ, Garvican-Lewis LA, Wallett AM, Lundy B, Rogers MA, Welvaert M, Halson S, McKune A, Thompson KG. The effects of intensified training on resting metabolic rate (RMR), body composition and performance in trained cyclists. PLoS One 2018; 13:e0191644. [PMID: 29444097 PMCID: PMC5812577 DOI: 10.1371/journal.pone.0191644] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Accepted: 01/09/2018] [Indexed: 11/26/2022] Open
Abstract
Background Recent research has demonstrated decreases in resting metabolic rate (RMR), body composition and performance following a period of intensified training in elite athletes, however the underlying mechanisms of change remain unclear. Therefore, the aim of the present study was to investigate how an intensified training period, designed to elicit overreaching, affects RMR, body composition, and performance in trained endurance athletes, and to elucidate underlying mechanisms. Method Thirteen (n = 13) trained male cyclists completed a six-week training program consisting of a “Baseline” week (100% of regular training load), a “Build” week (~120% of Baseline load), two “Loading” weeks (~140, 150% of Baseline load, respectively) and two “Recovery” weeks (~80% of Baseline load). Training comprised of a combination of laboratory based interval sessions and on-road cycling. RMR, body composition, energy intake, appetite, heart rate variability (HRV), cycling performance, biochemical markers and mood responses were assessed at multiple time points throughout the six-week period. Data were analysed using a linear mixed modeling approach. Results The intensified training period elicited significant decreases in RMR (F(5,123.36) = 12.0947, p = <0.001), body mass (F(2,19.242) = 4.3362, p = 0.03), fat mass (F(2,20.35) = 56.2494, p = <0.001) and HRV (F(2,22.608) = 6.5212, p = 0.005); all of which improved following a period of recovery. A state of overreaching was induced, as identified by a reduction in anaerobic performance (F(5,121.87) = 8.2622, p = <0.001), aerobic performance (F(5,118.26) = 2.766, p = 0.02) and increase in total mood disturbance (F(5, 110.61) = 8.1159, p = <0.001). Conclusion Intensified training periods elicit greater energy demands in trained cyclists, which, if not sufficiently compensated with increased dietary intake, appears to provoke a cascade of metabolic, hormonal and neural responses in an attempt to restore homeostasis and conserve energy. The proactive monitoring of energy intake, power output, mood state, body mass and HRV during intensified training periods may alleviate fatigue and attenuate the observed decrease in RMR, providing more optimal conditions for a positive training adaptation.
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Affiliation(s)
- Amy L Woods
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia.,Department of Physiology, Australian Institute of Sport, Bruce ACT, Australia
| | - Anthony J Rice
- Department of Physiology, Australian Institute of Sport, Bruce ACT, Australia
| | - Laura A Garvican-Lewis
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia.,Department of Physiology, Australian Institute of Sport, Bruce ACT, Australia.,Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - Alice M Wallett
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia.,Department of Physiology, Australian Institute of Sport, Bruce ACT, Australia
| | - Bronwen Lundy
- Department of Nutrition, Australian Institute of Sport, Bruce ACT, Australia
| | - Margot A Rogers
- Department of Nutrition, Australian Institute of Sport, Bruce ACT, Australia
| | - Marijke Welvaert
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
| | - Shona Halson
- Department of Physiology, Australian Institute of Sport, Bruce ACT, Australia
| | - Andrew McKune
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia.,Discipline of Biokinetics, Exercise and Leisure Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Kevin G Thompson
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
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Lobigs LM, Sharpe K, Garvican-Lewis LA, Gore CJ, Peeling P, Dawson B, Schumacher YO. The athlete's hematological response to hypoxia: A meta-analysis on the influence of altitude exposure on key biomarkers of erythropoiesis. Am J Hematol 2018; 93:74-83. [PMID: 29027252 DOI: 10.1002/ajh.24941] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 10/04/2017] [Accepted: 10/10/2017] [Indexed: 11/11/2022]
Abstract
Altitude training is associated with changes in blood markers, which can confound results of the Athlete?s Biological Passport (ABP). This meta-analysis aims to describe the fluctuations during- and post-altitude in key ABP variables; hemoglobin concentration ([Hb]), square-root transformed reticulocyte percentage (sqrt(retic%)) and the OFF-score. Individual de-identified raw data were provided from 17 studies. Separate linear mixed effects analyses were performed for delta values from baseline for [Hb], sqrt(retic%) and OFF-score, by altitude phase (during and post). Mixed models were fitted with the hierarchical structure: study and subject within study as random effects. Delta values as response variables and altitude dose (in kilometer hours; km.hr = altitude (m) / 1000 x hours), sex, age, protocol and baseline values as fixed effects. Allowances were made for potential autocorrelation. Within two days at natural altitude [Hb] rapidly increased. Subsequent delta [Hb] values increased with altitude dose, reaching a plateau of 0.94 g/dL [95%CI (0.69, 1.20)] at ~1000 km.hr. Delta sqrt(retic%) and OFF-score were the first to identify an erythrocyte response, with respective increases and decreases observed within 100 to 200 km.hr. Post-altitude, [Hb] remained elevated for two weeks. Delta sqrt(retic%) declined below baseline, the magnitude of change was dependent on altitude dose. Baseline values were a significant covariate (p<0.05). The response to altitude is complex resulting in a wide range of individual responses, influenced primarily by altitude dose and baseline values. Improved knowledge of the plausible hematological variations during- and post-altitude provides fundamental information for both the ABP expert and sports physician.
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Affiliation(s)
- Louisa M. Lobigs
- School of Human Sciences (Exercise and Sports Science); University of Western Australia; Perth WA 6009 Australia
- Aspetar Sports Medicine Hospital, PO Box 29222; Doha Qatar
| | - Ken Sharpe
- Statistical Consulting Centre, School of Mathematics and Statistics; University of Melbourne; Vic 3010 Australia
| | - Laura A. Garvican-Lewis
- Australian Institute of Sport; Canberra 2617 Australia
- Mary Mackillop Institute for Health Research, Australian Catholic University; Melbourne Australia
| | | | - Peter Peeling
- School of Human Sciences (Exercise and Sports Science); University of Western Australia; Perth WA 6009 Australia
- Western Australian Institute of Sport, Mt Claremont; WA 6010 Australia
| | - Brian Dawson
- School of Human Sciences (Exercise and Sports Science); University of Western Australia; Perth WA 6009 Australia
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Millet GP, Chapman RF, Girard O, Brocherie F. Is live high -train low altitude training relevant for elite athletes? Flawed analysis from inaccurate data. Br J Sports Med 2017; 53:923-925. [PMID: 29247024 DOI: 10.1136/bjsports-2017-098083] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2017] [Indexed: 11/04/2022]
Affiliation(s)
- Gregoire P Millet
- Institute of Sport Sciences, Faculty of Biology and Medicine, ISSUL, University of Lausanne, Lausanne, Switzerland
| | - Robert F Chapman
- Department of Kinesiology, HH Morris Human Performance Laboratory, Indiana University, Bloomington, Indiana, USA
| | - Olivier Girard
- Aspetar Orthopaedic and Sports Medicine Hospital, Athlete Health and Performance Research Centre, Doha, Qatar
| | - Franck Brocherie
- Research Department, Laboratory Sport, Expertise and Performance, French Institute of Sport (INSEP), Paris, France
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Wonnabussapawich P, Hamlin MJ, Lizamore CA, Manimmanakorn N, Leelayuwat N, Tunkamnerdthai O, Thuwakum W, Manimmanakorn A. Living and Training at 825 m for 8 Weeks Supplemented With Intermittent Hypoxic Training at 3,000 m Improves Blood Parameters and Running Performance. J Strength Cond Res 2017; 31:3287-3294. [DOI: 10.1519/jsc.0000000000002227] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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21
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Lizamore CA, Hamlin MJ. The Use of Simulated Altitude Techniques for Beneficial Cardiovascular Health Outcomes in Nonathletic, Sedentary, and Clinical Populations: A Literature Review. High Alt Med Biol 2017; 18:305-321. [PMID: 28846046 DOI: 10.1089/ham.2017.0050] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Lizamore, Catherine A., and Michael J. Hamlin. The use of simulated altitude techniques for beneficial cardiovascular health outcomes in nonathletic, sedentary, and clinical populations: A literature review. High Alt Med Biol 18:305-321, 2017. BACKGROUND The reportedly beneficial improvements in an athlete's physical performance following altitude training may have merit for individuals struggling to meet physical activity guidelines. AIM To review the effectiveness of simulated altitude training methodologies at improving cardiovascular health in sedentary and clinical cohorts. METHODS Articles were selected from Science Direct, PubMed, and Google Scholar databases using a combination of the following search terms anywhere in the article: "intermittent hypoxia," "intermittent hypoxic," "normobaric hypoxia," or "altitude," and a participant descriptor including the following: "sedentary," "untrained," or "inactive." RESULTS 1015 articles were returned, of which 26 studies were accepted (4 clinical cohorts, 22 studies used sedentary participants). Simulated altitude methodologies included prolonged hypoxic exposure (PHE: continuous hypoxic interval), intermittent hypoxic exposure (IHE: 5-10 minutes hypoxic:normoxic intervals), and intermittent hypoxic training (IHT: exercising in hypoxia). CONCLUSIONS In a clinical cohort, PHE for 3-4 hours at 2700-4200 m for 2-3 weeks may improve blood lipid profile, myocardial perfusion, and exercise capacity, while 3 weeks of IHE treatment may improve baroreflex sensitivity and heart rate variability. In the sedentary population, IHE was most likely to improve submaximal exercise tolerance, time to exhaustion, and heart rate variability. Hematological adaptations were unclear. Typically, a 4-week intervention of 1-hour-long PHE intervals 5 days a week, at a fraction of inspired oxygen (FIO2) of 0.15, was beneficial for pulmonary ventilation, submaximal exercise, and maximum oxygen consumption ([Formula: see text]O2max), but an FIO2 of 0.12 reduced hyperemic response and antioxidative capacity. While IHT may be beneficial for increased lipid metabolism in the short term, it is unlikely to confer any additional advantage over normoxic exercise over the long term. IHT may improve vascular health and autonomic balance.
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Affiliation(s)
- Catherine A Lizamore
- Department of Tourism, Sport and Society, Lincoln University , Lincoln, New Zealand
| | - Michael J Hamlin
- Department of Tourism, Sport and Society, Lincoln University , Lincoln, New Zealand
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22
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Hauser A, Troesch S, Saugy JJ, Schmitt L, Cejuela-Anta R, Faiss R, Steiner T, Robinson N, Millet GP, Wehrlin JP. Individual hemoglobin mass response to normobaric and hypobaric "live high-train low": A one-year crossover study. J Appl Physiol (1985) 2017; 123:387-393. [PMID: 28522767 DOI: 10.1152/japplphysiol.00932.2016] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 05/12/2017] [Accepted: 05/12/2017] [Indexed: 11/22/2022] Open
Abstract
The purpose of this research was to compare individual hemoglobin mass (Hbmass) changes following a live high-train low (LHTL) altitude training camp under either normobaric hypoxia (NH) or hypobaric hypoxia (HH) conditions in endurance athletes. In a crossover design with a one-year washout, 15 male triathletes randomly performed two 18-day LHTL training camps in either HH or NH. All athletes slept at 2,250 meters and trained at altitudes <1,200 meters. Hbmass was measured in duplicate with the optimized carbon monoxide rebreathing method before (pre) and immediately after (post) each 18-day training camp. Hbmass increased similarly in HH (916-957 g, 4.5 ± 2.2%, P < 0.001) and in NH (918-953 g, 3.8 ± 2.6%, P < 0.001). Hbmass changes did not differ between HH and NH (P = 0.42). There was substantial interindividual variability among subjects to both interventions (i.e., individual responsiveness or the individual variation in the response to an intervention free of technical noise): 0.9% in HH and 1.7% in NH. However, a correlation between intraindividual ΔHbmass changes (%) in HH and in NH (r = 0.52, P = 0.048) was observed. HH and NH evoked similar mean Hbmass increases following LHTL. Among the mean Hbmass changes, there was a notable variation in individual Hbmass response that tended to be reproducible.NEW & NOTEWORTHY This is the first study to compare individual hemoglobin mass (Hbmass) response to normobaric and hypobaric live high-train low using a same-subject crossover design. The main findings indicate that hypobaric and normobaric hypoxia evoked a similar mean increase in Hbmass following 18 days of live high-train low. Notable variability and reproducibility in individual Hbmass responses between athletes was observed, indicating the importance of evaluating individual Hbmass response to altitude training.
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Affiliation(s)
- Anna Hauser
- Swiss Federal Institute of Sport, Section for Elite Sport, Magglingen, Switzerland; .,Faculty of Biology and Medicine, Department of Physiology, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Severin Troesch
- Swiss Federal Institute of Sport, Section for Elite Sport, Magglingen, Switzerland
| | - Jonas J Saugy
- Faculty of Biology and Medicine, Department of Physiology, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Laurent Schmitt
- National School of Mountain Sports/National Ski-Nordic Centre, Prémanon, France
| | - Roberto Cejuela-Anta
- Departmental Section of Physical Education and Sports, University of Alicante, Alicante, Spain; and
| | - Raphael Faiss
- Faculty of Biology and Medicine, Department of Physiology, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Thomas Steiner
- Swiss Federal Institute of Sport, Section for Elite Sport, Magglingen, Switzerland
| | - Neil Robinson
- Swiss Laboratory for Doping Analyses, University Center of Legal Medicine, Geneva & Lausanne, Center Hospitalier Universitaire Vaudois & University of Lausanne, Lausanne, Switzerland
| | - Grégoire P Millet
- Faculty of Biology and Medicine, Department of Physiology, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Jon P Wehrlin
- Swiss Federal Institute of Sport, Section for Elite Sport, Magglingen, Switzerland
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Park HY, Kim S, Nam SS. Four-week "living high training low" program enhances 3000-m and 5000-m time trials by improving energy metabolism during submaximal exercise in athletes. J Exerc Nutrition Biochem 2017; 21:1-6. [PMID: 28712259 PMCID: PMC5508059 DOI: 10.20463/jenb.2017.0060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 02/18/2017] [Indexed: 11/22/2022] Open
Abstract
[Purpose] This study aimed to determine the effect of a 4-week living high training low (LHTL) versus a living low training low (LLTL) program on energy metabolism during submaximal exercise and 3000-m and 5000-m time trial (TT) in athletes. [Methods] Male athletes (n = 20) were randomly assigned to the LLTL (n = 10, living at 1000 m and training at 700–1330 m) and LHTL (n = 10, living at simulated 3000 m and training at 700–1330 m) groups. We compared energy metabolisms during submaximal exercise on a treadmill and aerobic exercise performance (3000 m and 5000 m TT) before and after 4 weeks of training. [Results] As expected, the LHTL group demonstrated enhanced energy metabolism during submaximal exercise via significant interaction (time × group) in heart rate, oxygen consumption, and carbon dioxide excretion; these variables were significantly decreased in the LHTL group compared with the LLTL group. Additionally, both training groups revealed significantly decreased blood lactate levels during submaximal exercise, 3000 m TT, and 5000 m TT but significant interactions (time × group) in the 3000 m and 5000 m TT. Thus, the LHTL group demonstrated greater improvements in 3000 m and 5000 m TT than the LLTL group via significant interactions. [Conclusion] Our results suggest that 4-week LHTL intervention enhances 3000 m and 5000 m TT by improving energy metabolism during submaximal exercise. The proposed LHTL intervention in this study is a novel and effective method for improving aerobic exercise performance in male athletes.
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Affiliation(s)
- Hun-Young Park
- Performance Activity and Performance Institute, Konkuk University, Seoul, Republic of Korea
| | - Sungho Kim
- Department of Sports Medicine, Kyung Hee University, Yongin-si, Republic of Korea
| | - Sang-Seok Nam
- Department of Sports Medicine, Kyung Hee University, Yongin-si, Republic of Korea
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Endurance, aerobic high-intensity, and repeated sprint cycling performance is unaffected by normobaric “Live High-Train Low”: a double-blind placebo-controlled cross-over study. Eur J Appl Physiol 2017; 117:979-988. [DOI: 10.1007/s00421-017-3586-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2016] [Accepted: 03/08/2017] [Indexed: 10/19/2022]
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25
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Hauser A, Schmitt L, Troesch S, Saugy JJ, Cejuela-Anta R, Faiss R, Robinson N, Wehrlin JP, Millet GP. Similar Hemoglobin Mass Response in Hypobaric and Normobaric Hypoxia in Athletes. Med Sci Sports Exerc 2016; 48:734-41. [PMID: 26540262 DOI: 10.1249/mss.0000000000000808] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE To compare hemoglobin mass (Hb(mass)) changes during an 18-d live high-train low (LHTL) altitude training camp in normobaric hypoxia (NH) and hypobaric hypoxia (HH). METHODS Twenty-eight well-trained male triathletes were split into three groups (NH: n = 10, HH: n = 11, control [CON]: n = 7) and participated in an 18-d LHTL camp. NH and HH slept at 2250 m, whereas CON slept, and all groups trained at altitudes <1200 m. Hb(mass) was measured in duplicate with the optimized carbon monoxide rebreathing method before (pre-), immediately after (post-) (hypoxic dose: 316 vs 238 h for HH and NH), and at day 13 in HH (230 h, hypoxic dose matched to 18-d NH). Running (3-km run) and cycling (incremental cycling test) performances were measured pre and post. RESULTS Hb(mass) increased similar in HH (+4.4%, P < 0.001 at day 13; +4.5%, P < 0.001 at day 18) and NH (+4.1%, P < 0.001) compared with CON (+1.9%, P = 0.08). There was a wide variability in individual Hb(mass) responses in HH (-0.1% to +10.6%) and NH (-1.4% to +7.7%). Postrunning time decreased in HH (-3.9%, P < 0.001), NH (-3.3%, P < 0.001), and CON (-2.1%, P = 0.03), whereas cycling performance changed nonsignificantly in HH and NH (+2.4%, P > 0.08) and remained unchanged in CON (+0.2%, P = 0.89). CONCLUSION HH and NH evoked similar Hb(mass) increases for the same hypoxic dose and after 18-d LHTL. The wide variability in individual Hb(mass) responses in HH and NH emphasizes the importance of individual Hb(mass) evaluation of altitude training.
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Affiliation(s)
- Anna Hauser
- 1Section for Elite Sport, Swiss Federal Institute of Sport, Magglingen, SWITZERLAND; 2Department of Physiology, Faculty of Biology and Medicine, ISSUL, Institute of Sport Sciences, University of Lausanne, SWITZERLAND; 3National School of Mountain Sports/National Ski-Nordic Centre, Prémanon, FRANCE; 4Departmental Section of Physical Education and Sports, University of Alicante, SPAIN; and 5Swiss Laboratory for Doping Analyses, University Center of Legal Medicine, Geneva & Lausanne, Center Hospitalier Universitaire Vaudois & University of Lausanne, SWITZERLAND
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Rodríguez FA, Iglesias X, Feriche B, Calderón-Soto C, Chaverri D, Wachsmuth NB, Schmidt W, Levine BD. Altitude Training in Elite Swimmers for Sea Level Performance (Altitude Project). Med Sci Sports Exerc 2016; 47:1965-78. [PMID: 25628173 DOI: 10.1249/mss.0000000000000626] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION This controlled, nonrandomized, parallel-groups trial investigated the effects on performance, V˙O2 and hemoglobin mass (tHbmass) of four preparatory in-season training interventions: living and training at moderate altitude for 3 and 4 wk (Hi-Hi3, Hi-Hi), living high and training high and low (Hi-HiLo, 4 wk), and living and training at sea level (SL) (Lo-Lo, 4 wk). METHODS From 61 elite swimmers, 54 met all inclusion criteria and completed time trials over 50- and 400-m crawl (TT50, TT400), and 100 (sprinters) or 200 m (nonsprinters) at best stroke (TT100/TT200). Maximal oxygen uptake (V˙O2max) and HR were measured with an incremental 4 × 200 m test. Training load was estimated using cumulative training impulse method and session RPE. Initial measures (PRE) were repeated immediately (POST) and once weekly on return to SL (PostW1 to PostW4). tHbmass was measured in duplicate at PRE and once weekly during the camp with CO rebreathing. Effects were analyzed using mixed linear modeling. RESULTS TT100 or TT200 was worse or unchanged immediately at POST, but improved by approximately 3.5% regardless of living or training at SL or altitude after at least 1 wk of SL recovery. Hi-HiLo achieved greater improvement 2 (5.3%) and 4 wk (6.3%) after the camp. Hi-HiLo also improved more in TT400 and TT50 2 (4.2% and 5.2%, respectively) and 4 wk (4.7% and 5.5%) from return. This performance improvement was not linked linearly to changes in V˙O2max or tHbmass. CONCLUSIONS A well-implemented 3- or 4-wk training camp may impair performance immediately but clearly improves performance even in elite swimmers after a period of SL recovery. Hi-HiLo for 4 wk improves performance in swimming above and beyond altitude and SL controls through complex mechanisms involving altitude living and SL training effects.
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Affiliation(s)
- Ferran A Rodríguez
- 1INEFC-Barcelona Sport Sciences Research Group, National Institute of Physical Education of Catalonia, University of Barcelona, Barcelona, SPAIN; 2Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN; 3Altitude Training Center of Sierra Nevada, Consejo Superior de Deportes, Granada, SPAIN; 4Department of Sports Medicine and Physiology, University of Bayreuth, Bayreuth, GERMANY; and 5Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, and University of Texas Southwestern Medical Center at Dallas, Dallas, TX
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Saugy JJ, Schmitt L, Hauser A, Constantin G, Cejuela R, Faiss R, Wehrlin JP, Rosset J, Robinson N, Millet GP. Same Performance Changes after Live High-Train Low in Normobaric vs. Hypobaric Hypoxia. Front Physiol 2016; 7:138. [PMID: 27148076 PMCID: PMC4835493 DOI: 10.3389/fphys.2016.00138] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 03/30/2016] [Indexed: 01/28/2023] Open
Abstract
PURPOSE We investigated the changes in physiological and performance parameters after a Live High-Train Low (LHTL) altitude camp in normobaric (NH) or hypobaric hypoxia (HH) to reproduce the actual training practices of endurance athletes using a crossover-designed study. METHODS Well-trained triathletes (n = 16) were split into two groups and completed two 18-day LTHL camps during which they trained at 1100-1200 m and lived at 2250 m (P i O2 = 111.9 ± 0.6 vs. 111.6 ± 0.6 mmHg) under NH (hypoxic chamber; FiO2 18.05 ± 0.03%) or HH (real altitude; barometric pressure 580.2 ± 2.9 mmHg) conditions. The subjects completed the NH and HH camps with a 1-year washout period. Measurements and protocol were identical for both phases of the crossover study. Oxygen saturation (S p O2) was constantly recorded nightly. P i O2 and training loads were matched daily. Blood samples and VO2max were measured before (Pre-) and 1 day after (Post-1) LHTL. A 3-km running-test was performed near sea level before and 1, 7, and 21 days after training camps. RESULTS Total hypoxic exposure was lower for NH than for HH during LHTL (230 vs. 310 h; P < 0.001). Nocturnal S p O2 was higher in NH than in HH (92.4 ± 1.2 vs. 91.3 ± 1.0%, P < 0.001). VO2max increased to the same extent for NH and HH (4.9 ± 5.6 vs. 3.2 ± 5.1%). No difference was found in hematological parameters. The 3-km run time was significantly faster in both conditions 21 days after LHTL (4.5 ± 5.0 vs. 6.2 ± 6.4% for NH and HH), and no difference between conditions was found at any time. CONCLUSION Increases in VO2max and performance enhancement were similar between NH and HH conditions.
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Affiliation(s)
- Jonas J Saugy
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of LausanneLausanne, Switzerland; Department of Physiology, Faculty of Biology and Medicine, University of LausanneLausanne, Switzerland
| | - Laurent Schmitt
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of LausanneLausanne, Switzerland; National School of Mountain Sports/National Ski-Nordic CentrePrémanon, France
| | - Anna Hauser
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of LausanneLausanne, Switzerland; Section for Elite Sport, Swiss Federal Institute of SportMagglingen, Switzerland
| | - Guillaume Constantin
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of Lausanne Lausanne, Switzerland
| | - Roberto Cejuela
- Departmental Section of Physical Education and Sports, University of Alicante Alicante, Spain
| | - Raphael Faiss
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of LausanneLausanne, Switzerland; Section for Elite Sport, Swiss Federal Institute of SportMagglingen, Switzerland
| | - Jon P Wehrlin
- Section for Elite Sport, Swiss Federal Institute of Sport Magglingen, Switzerland
| | - Jérémie Rosset
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of Lausanne Lausanne, Switzerland
| | - Neil Robinson
- Swiss Laboratory for Doping Analyses, University of Lausanne Lausanne, Switzerland
| | - Grégoire P Millet
- Faculty of Biology and Medicine, Institute of Sport Sciences, University of LausanneLausanne, Switzerland; Department of Physiology, Faculty of Biology and Medicine, University of LausanneLausanne, Switzerland
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Live-high train-low improves repeated time-trial and Yo-Yo IR2 performance in sub-elite team-sport athletes. J Sci Med Sport 2016; 20:190-195. [PMID: 27142233 DOI: 10.1016/j.jsams.2015.12.518] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 12/14/2015] [Accepted: 12/18/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To determine the efficacy of live-high train-low on team-sport athlete physical capacity and the time-course for adaptation. DESIGN Pre-post parallel-groups. METHODS Fifteen Australian footballers were matched for Yo-Yo Intermittent recovery test level 2 (Yo-YoIR2) performance and assigned to LHTL (n=7) or control (Con; n=8). LHTL spent 19 nights (3×5 nights, 1×4 nights, each block separated by 2 nights at sea level) at 3000-m simulated altitude (FIO2: 0.142). Yo-Yo IR2 was performed pre and post 5, 15, and 19 nights. A 2- and 1-km time-trial (TT) was performed pre and post intervention. Haemoglobin mass (Hbmass) was measured in LHTL after 5, 10, 15, and 19 nights. A contemporary statistical approach using effect size, confidence limits, and magnitude-based inferences was used to measure changes between groups. RESULTS Compared to pre, Hbmass was possibly higher after 15 (3.8%, effect size (ES) 0.19, 90% confidence limits 0.05-0.33) and very likely higher after 19 nights (6.7%, 0.35, 0.10; 0.52). For Yo-Yo IR2, LHTL group change was not meaningfully different to Con after 5 nights, possibly greater after 15 (10.2%, 0.37, -0.29; 1.04), and likely greater after 19 nights (13.5%, 0.49, -0.16; 1.14). Both groups improved 2-km TT, with LHTL improvement possibly higher than CON (1.9%, 0.22, -0.18; 0.62). Only LHTL improved 1-km TT, with LHTL improvement likely greater than CON (4.6%, 0.56, -0.08; 1.04). CONCLUSIONS Fifteen nights of LHTL was possibly effective, while 19 nights was effective at increasing Hbmass, Yo-Yo IR2 and repeated TT performance more than sea-level training.
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Wilber RL. Pro: Live high+train low does improve sea level performance beyond that achieved with the equivalent living and training at sea level. High Alt Med Biol 2014; 14:325-7. [PMID: 24377335 DOI: 10.1089/ham.2013.1047] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Affiliation(s)
- Randall L Wilber
- Athlete Performance Laboratory , United States Olympic Committee, Colorado Springs, Colorado
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Jacobs RA. Con: Live high-train low does not improve sea-level performance beyond that achieved with the equivalent living and training at sea level. High Alt Med Biol 2014; 14:328-30. [PMID: 24377336 DOI: 10.1089/ham.2013.1040] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Robert A Jacobs
- 1 Zurich Center for Integrative Human Physiology (ZIHP), University of Zurich , Zurich, Switzerland
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He L, Fu M, Chen X, Liu H, Chen X, Peng X, Liu F, Peng Y. Effect of dialysis dose and membrane flux on hemoglobin cycling in hemodialysis patients. Hemodial Int 2014; 19:263-9. [PMID: 25215434 DOI: 10.1111/hdi.12215] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Many studies found that hemoglobin (Hb) fluctuation was closely related to the prognosis of the maintenance hemodialysis patients. We investigated the association of factors relating dialysis dose and dialyzer membrane with Hb levels. We undertook a randomized clinical trial in 140 patients undergoing thrice-weekly dialysis and assigned patients randomly to a standard or high dose of dialysis; Hb level was measured every month for 12 months. In the standard-dose group, the mean (±SD) urea reduction ratio was 65.1% ± 7.3%, the single-pool Kt/V was 1.26 ± 0.11, and the equilibrated Kt/V was 1.05 ± 0.09; in the high-dose group, the values were 73.5% ± 8.7%, 1.68 ± 0.15, and 1.47 ± 0.11, respectively. The standard deviation (SD) and residual SD (liner regression of Hb) values of Hb were significantly higher in the standard-dose group and low-flux group. The percentage achievement of target Hb in the high-dose dialysis group and high-flux dialyzer group was significantly higher than the standard-dose group and low-flux group, respectively. Patients undergoing hemodialysis thrice weekly appear to have benefit from a higher dialysis dose than that recommended by current KDQQI (Kidney Disease Qutcome Quality Initiative) guidelines or from the use of a high-flux membrane, which is in favor of maintaining stable Hb levels.
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Affiliation(s)
- Liyu He
- Key Laboratory of Kidney Disease and Blood Purification in Hunan, Nephrology Department, 2nd Xiangya Hospital, Central South University, Changsha, Hunan, China
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Buchheit M, Racinais S, Bilsborough J, Hocking J, Mendez-Villanueva A, Bourdon PC, Voss S, Livingston S, Christian R, Périard J, Cordy J, Coutts AJ. Adding heat to the live-high train-low altitude model: a practical insight from professional football. Br J Sports Med 2014; 47 Suppl 1:i59-69. [PMID: 24282209 PMCID: PMC3903152 DOI: 10.1136/bjsports-2013-092559] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Objectives To examine with a parallel group study design the performance and physiological responses to a 14-day off-season ‘live high-train low in the heat’ training camp in elite football players. Methods Seventeen professional Australian Rules Football players participated in outdoor football-specific skills (32±1°C, 11.5 h) and indoor strength (23±1°C, 9.3 h) sessions and slept (12 nights) and cycled indoors (4.3 h) in either normal air (NORM, n=8) or normobaric hypoxia (14±1 h/day, FiO2 15.2–14.3%, corresponding to a simulated altitude of 2500–3000 m, hypoxic (HYP), n=9). They completed the Yo-Yo Intermittent Recovery level 2 (Yo-YoIR2) in temperate conditions (23±1°C, normal air) precamp (Pre) and postcamp (Post). Plasma volume (PV) and haemoglobin mass (Hbmass) were measured at similar times and 4 weeks postcamp (4WPost). Sweat sodium concentration ((Na+)sweat) was measured Pre and Post during a heat-response test (44°C). Results Both groups showed very large improvements in Yo-YoIR2 at Post (+44%; 90% CL 38, 50), with no between-group differences in the changes (−1%; −9, 9). Postcamp, large changes in PV (+5.6%; −1.8, 5.6) and (Na+)sweat (−29%; −37, −19) were observed in both groups, while Hbmass only moderately increased in HYP (+2.6%; 0.5, 4.5). At 4WPost, there was a likely slightly greater increase in Hbmass (+4.6%; 0.0, 9.3) and PV (+6%; −5, 18, unclear) in HYP than in NORM. Conclusions The combination of heat and hypoxic exposure during sleep/training might offer a promising ‘conditioning cocktail’ in team sports.
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Affiliation(s)
- M Buchheit
- Physiology Unit, Football Performance and Science Department, ASPIRE, Academy for Sports Excellence, , Doha, Qatar
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Saunders PU, Garvican-Lewis LA, Schmidt WF, Gore CJ. Relationship between changes in haemoglobin mass and maximal oxygen uptake after hypoxic exposure. Br J Sports Med 2014; 47 Suppl 1:i26-30. [PMID: 24282203 PMCID: PMC3903146 DOI: 10.1136/bjsports-2013-092841] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Endurance athletes have been using altitude training for decades to improve near sea-level performance. The predominant mechanism is thought to be accelerated erythropoiesis increasing haemoglobin mass (Hbmass) resulting in a greater maximal oxygen uptake (). Not all studies have shown a proportionate increase in as a result of increased Hbmass. The aim of this study was to determine the relationship between the two parameters in a large group of endurance athletes after altitude training. Methods 145 elite endurance athletes (94 male and 51 female) who participated in various altitude studies as altitude or control participants were used for the analysis. Participants performed Hbmass and testing before and after intervention. Results For the pooled data, the correlation between per cent change in Hbmass and per cent change in was significant (p<0.0001, r2=0.15), with a slope (95% CI) of 0.48 (0.30 to 0.67) intercept free to vary and 0.62 (0.46 to 0.77) when constrained through the origin. When separated, the correlations were significant for the altitude and control groups, with the correlation being stronger for the altitude group (slope of 0.57 to 0.72). Conclusions With high statistical power, we conclude that altitude training of endurance athletes will result in an increase in of more than half the magnitude of the increase in Hbmass, which supports the use of altitude training by athletes. But race performance is not perfectly related to relative , and other non-haematological factors altered from altitude training, such as running economy and lactate threshold, may also be beneficial to performance.
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Affiliation(s)
- Philo U Saunders
- Department of Physiology, Australian Institute of Sport, , Canberra, Australian Capital Territory, Australia
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Chapman RF, Karlsen T, Resaland GK, Ge RL, Harber MP, Witkowski S, Stray-Gundersen J, Levine BD. Defining the “dose” of altitude training: how high to live for optimal sea level performance enhancement. J Appl Physiol (1985) 2014; 116:595-603. [DOI: 10.1152/japplphysiol.00634.2013] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Chronic living at altitudes of ∼2,500 m causes consistent hematological acclimatization in most, but not all, groups of athletes; however, responses of erythropoietin (EPO) and red cell mass to a given altitude show substantial individual variability. We hypothesized that athletes living at higher altitudes would experience greater improvements in sea level performance, secondary to greater hematological acclimatization, compared with athletes living at lower altitudes. After 4 wk of group sea level training and testing, 48 collegiate distance runners (32 men, 16 women) were randomly assigned to one of four living altitudes (1,780, 2,085, 2,454, or 2,800 m). All athletes trained together daily at a common altitude from 1,250–3,000 m following a modified live high-train low model. Subjects completed hematological, metabolic, and performance measures at sea level, before and after altitude training; EPO was assessed at various time points while at altitude. On return from altitude, 3,000-m time trial performance was significantly improved in groups living at the middle two altitudes (2,085 and 2,454 m), but not in groups living at 1,780 and 2,800 m. EPO was significantly higher in all groups at 24 and 48 h, but returned to sea level baseline after 72 h in the 1,780-m group. Erythrocyte volume was significantly higher within all groups after return from altitude and was not different between groups. These data suggest that, when completing a 4-wk altitude camp following the live high-train low model, there is a target altitude between 2,000 and 2,500 m that produces an optimal acclimatization response for sea level performance.
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Affiliation(s)
| | - Trine Karlsen
- Norwegian University of Sport and Physical Education, Oslo, Norway
| | - Geir K. Resaland
- Norwegian University of Sport and Physical Education, Oslo, Norway
| | - R.-L. Ge
- Research Center for High Altitude Medicine, Qinghai University, Xining, Qinghai, China; and
| | - Matthew P. Harber
- Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, The University of Texas Southwestern Medical Center, Dallas, Texas
| | - Sarah Witkowski
- Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, The University of Texas Southwestern Medical Center, Dallas, Texas
| | | | - Benjamin D. Levine
- Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, The University of Texas Southwestern Medical Center, Dallas, Texas
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GARVICAN LAURAA, SAUNDERS PHILOU, CARDOSO TANUSHA, MACDOUGALL IAINC, LOBIGS LOUISAM, FAZAKERLEY RUTH, FALLON KIERANE, ANDERSON BEV, ANSON JUDITHM, THOMPSON KEVING, GORE CHRISTOPHERJ. Intravenous Iron Supplementation in Distance Runners with Low or Suboptimal Ferritin. Med Sci Sports Exerc 2014; 46:376-85. [DOI: 10.1249/mss.0b013e3182a53594] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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36
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Wilber RL. Rebuttal to the con statement. High Alt Med Biol 2014; 14:331-2. [PMID: 24377337 DOI: 10.1089/ham.2013.1080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Randall L Wilber
- Athletic Performance Laboratory, United States Olympic Committee , Colorado Springs, Colorado
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Aughey RJ, Buchheit M, Garvican-Lewis LA, Roach GD, Sargent C, Billaut F, Varley MC, Bourdon PC, Gore CJ. Yin and yang, or peas in a pod? Individual-sport versus team-sport athletes and altitude training. Br J Sports Med 2013; 47:1150-4. [PMID: 24255910 PMCID: PMC3841751 DOI: 10.1136/bjsports-2013-092764] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2013] [Indexed: 11/04/2022]
Abstract
The question of whether altitude training can enhance subsequent sea-level performance has been well investigated over many decades. However, research on this topic has focused on athletes from individual or endurance sports, with scant number of studies on team-sport athletes. Questions that need to be answered include whether this type of training may enhance team-sport athlete performance, when success in team-sport is often more based on technical and tactical ability rather than physical capacity per se. This review will contrast and compare athletes from two sports representative of endurance (cycling) and team-sports (soccer). Specifically, we draw on the respective competition schedules, physiological capacities, activity profiles and energetics of each sport to compare the similarities between athletes from these sports and discuss the relative merits of altitude training for these athletes. The application of conventional live-high, train-high; live-high, train-low; and intermittent hypoxic training for team-sport athletes in the context of the above will be presented. When the above points are considered, we will conclude that dependent on resources and training objectives, altitude training can be seen as an attractive proposition to enhance the physical performance of team-sport athletes without the need for an obvious increase in training load.
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Affiliation(s)
- Robert J Aughey
- Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Victoria, Australia
- Western Bulldogs Football Club, Melbourne, Victoria, Australia
| | - Martin Buchheit
- Sport Science Department, Physiology Unit, ASPIRE Academy for Sports Excellence, Doha, Qatar
| | - Laura A Garvican-Lewis
- Department of Physiology, Australian Institute of Sport, Canberra, Australian Capital Territory, Australia
- National Institute of Sports Studies, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Gregory D Roach
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, South Australia, Australia
| | - Charli Sargent
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, South Australia, Australia
| | | | - Matthew C Varley
- Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Victoria, Australia
| | - Pitre C Bourdon
- Sport Science Department, Physiology Unit, ASPIRE Academy for Sports Excellence, Doha, Qatar
| | - Christopher J Gore
- Department of Physiology, Australian Institute of Sport, Canberra, Australian Capital Territory, Australia
- Exercise Physiology Laboratory, Flinders University, Adelaide, South Australia, Australia
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Girard O, Amann M, Aughey R, Billaut F, Bishop DJ, Bourdon P, Buchheit M, Chapman R, D'Hooghe M, Garvican-Lewis LA, Gore CJ, Millet GP, Roach GD, Sargent C, Saunders PU, Schmidt W, Schumacher YO. Position statement--altitude training for improving team-sport players' performance: current knowledge and unresolved issues. Br J Sports Med 2013; 47 Suppl 1:i8-16. [PMID: 24282213 PMCID: PMC3903313 DOI: 10.1136/bjsports-2013-093109] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2013] [Indexed: 01/09/2023]
Abstract
Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports.
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Affiliation(s)
- Olivier Girard
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Markus Amann
- Department of Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Robert Aughey
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
- Western Bulldogs Football Club, Melbourne, Australia
| | | | - David J Bishop
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
| | | | | | - Robert Chapman
- Department of Kinesiology, Indiana University, High Performance Department, USA Track & Field, Indianapolis, Indiana, USA
| | - Michel D'Hooghe
- Fédération Internationale de Football Association (FIFA) Medical Commission and FIFA Medical Assessment and Research Centre (F-MARC), Langerei, 71, 8000 Brugge, Belgium
| | - Laura A Garvican-Lewis
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Christopher J Gore
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- Exercise Physiology Laboratory, Flinders University, Adelaide, Australia
| | - Grégoire P Millet
- Department of Physiology—Faculty of Biology and Medicine, ISSUL—Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Gregory D Roach
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Charli Sargent
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Philo U Saunders
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Walter Schmidt
- Department of Sports Medicine/Sports Physiology, University of Bayreuth, Bayreuth, Germany
| | - Yorck O Schumacher
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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Gore CJ, Sharpe K, Garvican-Lewis LA, Saunders PU, Humberstone CE, Robertson EY, Wachsmuth NB, Clark SA, McLean BD, Friedmann-Bette B, Neya M, Pottgiesser T, Schumacher YO, Schmidt WF. Altitude training and haemoglobin mass from the optimised carbon monoxide rebreathing method determined by a meta-analysis. Br J Sports Med 2013; 47 Suppl 1:i31-9. [PMID: 24282204 PMCID: PMC3903147 DOI: 10.1136/bjsports-2013-092840] [Citation(s) in RCA: 110] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2013] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To characterise the time course of changes in haemoglobin mass (Hbmass) in response to altitude exposure. METHODS This meta-analysis uses raw data from 17 studies that used carbon monoxide rebreathing to determine Hbmass prealtitude, during altitude and postaltitude. Seven studies were classic altitude training, eight were live high train low (LHTL) and two mixed classic and LHTL. Separate linear-mixed models were fitted to the data from the 17 studies and the resultant estimates of the effects of altitude used in a random effects meta-analysis to obtain an overall estimate of the effect of altitude, with separate analyses during altitude and postaltitude. In addition, within-subject differences from the prealtitude phase for altitude participant and all the data on control participants were used to estimate the analytical SD. The 'true' between-subject response to altitude was estimated from the within-subject differences on altitude participants, between the prealtitude and during-altitude phases, together with the estimated analytical SD. RESULTS During-altitude Hbmass was estimated to increase by ∼1.1%/100 h for LHTL and classic altitude. Postaltitude Hbmass was estimated to be 3.3% higher than prealtitude values for up to 20 days. The within-subject SD was constant at ∼2% for up to 7 days between observations, indicative of analytical error. A 95% prediction interval for the 'true' response of an athlete exposed to 300 h of altitude was estimated to be 1.1-6%. CONCLUSIONS Camps as short as 2 weeks of classic and LHTL altitude will quite likely increase Hbmass and most athletes can expect benefit.
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Affiliation(s)
- Christopher J Gore
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- Exercise Physiology Laboratory, Flinders University, Adelaide, Australia
- University of Canberra, Canberra, Australia
| | - Ken Sharpe
- Department of Mathematics and Statistics, The University of Melbourne, Melbourne, Australia
| | - Laura A Garvican-Lewis
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Philo U Saunders
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Clare E Humberstone
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
| | | | - Nadine B Wachsmuth
- Department of Sports Medicine/Sports Physiology, University of Bayreuth, Bayreuth, Germany
| | - Sally A Clark
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
| | - Blake D McLean
- School of Exercise Science, Australian Catholic University, Melbourne, Australia
| | | | - Mitsuo Neya
- Singapore Sports Institute, Singapore Sports Council, Singapore, Singapore
| | | | | | - Walter F Schmidt
- Department of Sports Medicine/Sports Physiology, University of Bayreuth, Bayreuth, Germany
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Robach P, Lundby C. Is live high-train low altitude training relevant for elite athletes with already high total hemoglobin mass? Scand J Med Sci Sports 2012; 22:303-5. [PMID: 22612361 DOI: 10.1111/j.1600-0838.2012.01457.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Garvican LA, Saunders PU, Pyne DB, Martin DT, Robertson EY, Gore CJ. Hemoglobin mass response to simulated hypoxia "blinded" by noisy measurement? J Appl Physiol (1985) 2012; 112:1797-8; author reply 1799. [PMID: 22589495 DOI: 10.1152/japplphysiol.00212.2012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Nordsborg NB, Siebenmann C, Jacobs RA, Rasmussen P, Diaz V, Robach P, Lundby C. Four weeks of normobaric "live high-train low" do not alter muscular or systemic capacity for maintaining pH and K⁺ homeostasis during intense exercise. J Appl Physiol (1985) 2012; 112:2027-36. [PMID: 22461443 DOI: 10.1152/japplphysiol.01353.2011] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
It was investigated if athletes subjected to 4 wk of living in normobaric hypoxia (3,000 m; 16 h/day) while training at 800-1,300 m ["live high-train low" (LHTL)] increase muscular and systemic capacity for maintaining pH and K(+) homeostasis as well as intense exercise performance. The design was double-blind and placebo controlled. Mean power during 30-s all-out cycling was similar before and immediately after LHTL (650 ± 31 vs. 628 ± 32 W; n = 10) and placebo exposure (658 ± 22 vs. 660 ± 23 W; n = 6). Supporting the performance data, arterial plasma pH, lactate, and K(+) during submaximal and maximal exercise were also unaffected by the intervention in both groups. In addition, muscle buffer capacity (in mmol H(+)·kg dry wt(-1)·pH(-1)) was similar before and after in both the LHTL (140 ± 12 vs. 140 ± 16) and placebo group (145 ± 2 vs. 140 ± 3). The expression of sarcolemmal H(+) transporters (Na(+)/H(+) exchanger 1, monocarboxylate transporters 1 and 4), as well as expression of Na(+)-K(+) pump subunits-α(1), -α(2), and -β(1) was also similar before and after the intervention. In conclusion, muscular and systemic capacity for maintaining pH and K(+) balance during exercise is similar before and after 4 wk of placebo-controlled normobaric LHTL. In accordance, 30-s all-out sprint ability was similar before and after LHTL.
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Affiliation(s)
- N B Nordsborg
- Center for Integrative Human Physiology (ZIHP) University of Zurich, Zurich, Switzerland
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Short-Term Hematological Effects Upon Completion of a Four-Week Simulated Altitude Camp. Int J Sports Physiol Perform 2012; 7:79-83. [DOI: 10.1123/ijspp.7.1.79] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Hemoglobin mass (tHb) is considered to be a main factor for sea-level performance after “live high–train low” (LHTL) altitude training, but little research has focused on the persistence of tHb following cessation of altitude exposure. The aim of the case study was to investigate short-term effects of various hematological measures including tHb upon completion of a simulated altitude camp. Five female cyclists spent 26 nights at simulated altitude (LHTL, 16.6 ± 0.4 h/d, 3000 m in an altitude house) where tHb was measured at baseline, at cessation of the camp, and 9 d thereafter. Venous blood measures (hemoglobin concentration, hematocrit, %reticulocytes, serum erythropoietin, ferritin, lactate dehydrogenase, and haptoglobin) were determined at baseline; on day 21 during LHTL; and at days 2, 5, and 9 after LHTL. Hemoglobin mass increased by 5.5% (90% confidence limits [CL] 2.5 to 8.5%, very likely) after the LHTL training camp. At day 9 after simulated LHTL, tHb decreased by 3.0% (90%CL −5.1 to −1.0%, likely). There was a substantial decrease in serum EPO (−34%, 90%CL −50 to −12%) at 2 d after return to sea level and a rise in ferritin (23%, 90%CL 3 to 46%) coupled with a decrease in %reticulocytes (−23%, 90%CL −34 to −9%) between day 5 and 9 after LHTL. Our findings show that following a hypoxic intervention with a beneficial tHb outcome, there may be a high probability of a rapid tHb decrease upon return to normoxic conditions. This highlights a rapid component in red-cell control and may have implications for the appropriate timing of altitude training in relation to competition.
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