Hypoxia is
generally defined as the condition that occurs when the human body is exposed
to a hypobaric environment, where the decrease in atmospheric pressure entails
a reduction in oxygen partial pressure from its sea level value. Although
the gaseous components of air and their percentages are exactly the same than
at sea level (78.09% nitrogen, 20.95% oxygen, 0.039% carbon dioxide, 0.93% argon
and 1% water vapour), at high altitudes, the same volume of air contains a
lower amount of gaseous molecules, a fact which translates in a decreased partial
pressure of the gases and therefore in a variation in the oxygen diffusion
gradient.
After the 1968 Summer Olympic, held in Mexico City at an altitude
of 2.240 m on sea level, the effects of hypoxia on human performance drew the interest
of many exercise physiologists. Indeed, as it is well known that the ability of
the cardio-respiratory system to deliver oxygen to the exercising muscles is
one of the limiting factors of performance, particularly in endurance sports, investigating
the physiological responses of endurance athletes to a short or long term
exposure to hypoxia was considered essential to elucidate the effects of such
exposure on sea level and altitude performance. Particularly, it was considered
the possibility to use hypoxia as a training stimulus to enhance endurance
performance.
To date, the scientific literature reports findings which are still
equivocal about the efficacy of hypoxia as a training method, especially when it
was used to improve sea level performance. Possibly, the reasons of some of the
incongruences currently reported might relate to the difficulties in controlling
the wide range of variables involved when investigating the effects of such environmental
stressor on performance. Indeed, the degree of hypoxia, the duration of the exposure
to hypoxic conditions, the exercise intensity (absolute vs. relative workloads),
the inter-individual variability in adapting to hypoxic environments
(‘responders’ vs. ‘non-responders’) are all parameters that can significantly vary
the outcomes of any investigation.
However, despite the difficulties in drawing any conclusion about
the real potential of hypoxia as training stimulus for endurance performance,
many endurance sport teams frequently introduce an exposure to altitude in
their annual training plan, even when a clear understanding of the mechanisms
behind this training stimulus is sometimes limited or missing.
Davide Filingeri
MPhil
Researcher
Environmental
Ergonomics Research Centre
Loughborough
University
References
Bassett DR Jr, Howley ET (2000)
Limiting factors for maximum oxygen uptake and determinants of endurance
performance. Med Sci Sports Exerc 32: 70-84
Bonetti DL, Hopkins WG (2009)
Sea-level exercise performance following adaptation to hypoxia: a meta-analysis.
Sports Med 39: 107-127
Filingeri D, Mancuso EP, Paoli A,
Bianco A, Palma A (2011) Is hypoxia a training stimulus for endurance athletes’
performance? A brief review. Italian Journal of Sport Sciences and Law 4 (4),
153-162
Rusko HK, Tikkanen HO, Peltonen JE
(2004) Altitude and endurance training. J Sports Sci 22: 928-944
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