Abstract
The purpose of our study was to evaluate hematologic acclimatization
during 2 weeks of intensive normoxic training with regeneration at moderate
altitude (living high-training low, LHTL) and its effects on sea-level
performance in well trained athletes compared to another group of equally
trained athletes under control conditions (living low - training low,
CONTROL). Twenty-one triathletes were ascribed either to LHTL
(n = 11; age: 23.0 ± 4.3 yrs;
V˙O2max: 62.5 ± 9.7
[ml × min-1 × kg-1])
living at 1956 m of altitude or to CONTROL (n = 10;
age: 18.7 ± 5.6 yrs; V˙O2max:
60.5 ± 6.7 ml × min-1 × kg-1)
living at 800 m. Both groups perfomed an equal training schedule at
800 m. V˙O2max, endurance performance, erythropoietin in
serum, hemoglobin mass (Hbtot, CO-rebreathing method) and
hematological quantities were measured. A tendency to improved performance in
LHTL after the camp was not significant (p < 0.07).
Erythropoietin concentration increased temporarily in LHTL
(Δ 14.3 ± 8.7 mU × ml-1;
p < 0.012). Hbtot remained unchanged in LHTL
whereas was slightly decreased from 12.5 ± 1.3 to
11.9 ± 1.3g × kg-1 in
CONTROL (p < 0.01). As the reticulocyte number tended to
higher values in LHTL than in CONTROL, it seems that a moderate stimulation of
erythropoiesis during regeneration at altitude served as a compensation for an
exercise-induced destruction of red cells.
Key words
Blood volume - endurance performance - erythropoietin - intermittent hypoxia - reticulocytes
References
-
1
Alexander J K, Hartley L H, Modelski M, Grover R F.
Reduction of stroke volume during exercise in man following
ascent to 3100 m altitude.
J Appl Physiol.
1967;
23
849-858
-
2
Ashenden M J, Gore C J, Dobson G P, Boston T T, Parisotto R, Emslie K R, Trout G J, Hahn A G.
Simulated moderate altitude elevates serum erythropoietin but
does not increase reticulocyte production in well-trained runners.
Eur J Appl Physiol.
2000;
81
428-435
-
3
Ashenden M J, Gore C J, Dobson G P, Hahn A G.
“Live high, train low” does not change the total
haemoglobin mass of male endurance athletes sleeping at a simulated altitude of
3000 m for 23 nights.
Eur J Appl Physiol.
1999;
80
479-484
-
4
Ashenden M J, Gore C J, Martin D T, Dobson G P, Hahn A G.
Effects of a 12-day “live high, train low” camp
on reticulocyte production and haemoglobin mass in elite female road
cyclists.
Eur J Appl Physiol.
1999;
80
472-478
-
5
Bailey D M, Davies B.
Physiological implications of altitude training for endurance
performance at sea level: a review.
Br J Sports Med.
1997;
31
183-190
-
6
Beaver W L, Wasserman K, Whipp B J.
A new method for detecting anaerobic threshold by gas
exchange.
J Appl Physiol.
1986;
60
2020-2027
-
7
Berglund B.
High-altitude training. Aspects of haematological
adaption.
Sports Med.
1992;
14
289-303
-
8
Bigard A X, Brunet A, Guezennec C Y, Monod H.
Skeletal muscle changes after endurance training at high
altitude.
J Appl Physiol.
1991;
71
2114-2121
-
9
Böning D.
Altitude and hypoxia training - a short review.
Int J Sports Med.
1997;
18
565-570
-
10
Burge C M, Skinner S L.
Determination of hemoglobin mass and blood volume with CO:
evaluation and application of a method.
J Appl Physiol.
1995;
79
623-631
-
11
Chapman R F, Stray-Gundersen J, Levine B D.
Individual variation in response to altitude training.
J Appl Physiol.
1998;
85
1448-1456
-
12
Daniels J, Oldridge N.
The effects of alternate exposure to altitude and sea level
on world-class middle-distance runners.
Med Sci Sports Exerc.
1970;
2
107-112
-
13
Dick F W.
Training at altitude in practice.
Int J Sports Med.
1992;
13
203-206
-
14
Digicaylioglu M, Lipton S A.
Erythropoietin-mediated neuroprotection involves cross-talk
between Jak2 and NF-κB signalling cascades.
Nature.
2001;
412
641-647
-
15
Dressendorfer R H, Keen C L, Wade C E, Claybaugh J R, Timmis G C.
Development of runner's anemia during a 20-day road
race: effect of iron supplements.
Int J Sports Med.
1991;
12
332-336
-
16
Friedmann B D, Jost J, Rating T, Weller E, Werle E, Eckardt K U, Bärtsch P, Mairbäurl H.
Effect of iron supplementation on total body hemoglobin
during endurance training at moderate altitude.
Int J Sports Med.
1999;
20
78-85
-
17
Green H J, Sutton J R, Cymerman A, Young P M, Houston C S.
Operation Everest II: adaptations in human skeletal
muscle.
J Appl Physiol.
1989;
66
2454-2461
-
18
Grover R F, Weil J V, Reeves J T.
Cardiovascular adaptation to exercise at high altitude.
Exerc Sport Sci Rev.
1986;
14
269-302
-
19
Gunga H, Kirsch K, Rocker L, Schobersberger W.
Time course of erythropoietin, triiodothyronine, thyroxine,
and thyroid-stimulating hormone at 2315 m.
J Appl Physiol.
1994;
76
1068-1072
-
20
Jackson C G, Sharkey B J.
Altitude, training and human performance.
Sports Med.
1988;
6
279-284
-
21
Jung R C, Dill D B, Horton R, Horvath S M.
Effects of age on plasma aldosterone levels and
hemoconcentration at altitude.
J Appl Physiol.
1971;
31
593-597
-
22
Kanstrup I L, Ekblom B.
Blood volume and hemoglobin concetration as determinants of
maximal aerobic power.
Med Sci Sports Exerc.
1984;
16
256-262
-
23
Klausen T, Mohr T, Ghisler U, Nielsen O J.
Maximal oxygen uptake and erythropoietic responses after
training at moderate altitude.
Eur J Appl Physiol.
1991;
62
376-379
-
24
Laitinen H, Alopaeus K, Heikkinen R, Hietanen H, Mikkelsson L, Tikkanen H, Rusko H K.
Acclimatization to living in normobaric hypoxia and training
in normoxia at sea level in runners. Med.
Sci Sports Exerc.
1995;
27
109
-
25
Levine B D, Stray-Gundersen J.
“Living high - training low”: effect of
moderate altitude acclimatization with low altitude training on
performance.
J Appl Pysiol.
1997;
83
102-112
-
26
Levine B D, Stray-Gundersen J.
A practical approach to altitude training: where to live and
train for optimal performance enhancement.
Int J Sports Med.
1992;
13
209-212
-
27
Levine B D, Engfred K, Friedman D B, Kjaer M, Saltin B, Clifford P S, Secher N H.
High altitude endurance training; effect on aerobic capacity
and work performance.
Med Sci Sports Exerc.
1990;
22
35
-
28
Levine B D, Stray-Gundersen J, Duhaime G, Snell P G, Friedman D B.
“Living high - training low”: The effect of
altitude acclimatization normoxic training in trained runners.
Med Sci Sports Exerc.
1991;
23
25
-
29
Liu Y, Steinacker J M, Dehnert C, Menold E, Baur S, Lormes W, Lehmann M.
Effect of “Living high - Training low” on the
cardiac functions at sea level.
Int J Sports Med.
1998;
19
380-384
-
30
Mairbäurl H, Schobersberger W, Humpeler E, Hasibeder W, Fischer W, Raas E.
Beneficial effects of exercising at moderate altitude on red
cell oxygen transport and on exercise performance.
Pflügers Arch.
1986;
406
594-599
-
31
Mattila V, Rusko H.
Effect of living high and training low on sea level
performance in cyclists.
Med Sci Sports Exerc.
1996;
28
156
-
32
Miayazaki S, Sakai A.
The effect of “living high - training low”
on physical performance in rats.
Int J Biometerol.
2000;
44
24-30
-
33
Nummela A, Jouste P, Rusko H.
Effect of living high and training low on sea level anaerobic
performance in runners.
Med Sci Sports Exerc.
1996;
28
124
-
34
Ou L C, Tenney S M.
Properties of mitochondria from hearts of cattle acclimatized
to high altitude.
Respir Physiol.
1970;
38
806-810
-
35
Piehl Aulin K, Svedenhag J, Wide L, Berglund B, Saltin B.
Short-term intermittent normobaric hypoxia -
haematological, physiological and mental effects.
Scand J Med Sci Sports.
1998;
8
132-137
-
36
Puranen A S, Rusko H K.
On- and off-response of EPO, reticulocytes, 2,3-DPG and
plasma volume to living high, training low.
Med Sci Sports Exerc.
1996;
28
159
-
37
Radomski M W, Sabiston B H, Isoard P.
Development of “sports anemia” in physically fit
men after daily sustained submaximal exercise.
Aviat Space Environ Med.
1980;
51
41-45
-
38
Roskamm H, Landry F, Samek L, Schlager M, Weidemann H, Reindell H.
Effects of a standardized ergometer training program at three
different altitudes.
J Appl Physiol.
1969;
27
840-847
-
39 Rusko H K, Penttinen J TT, Koistinen P O, Vahasoyrinki P I, Leppaluoto J O. A new solution to simulate altitude and stimulate
erythropoiesis at sea level in athletes. Helsinki, Finland; International Congress on Applied Research in
Sports 1994: pp287-289
-
40
Schmidt W, Eckhardt K U, Hilgendorf A, Strauch S, Bauer C.
Effects of maximal and submaximal exercise under normoxic and
hypoxic conditions on serum erythropoietin level.
Int J Sports Med.
1991;
12
457-461
-
41
Schmidt W, Maassen N, Trost F, Böning D.
Training induced effects on blood volume, erythrocyte
turnover and haemoglobin oxygen binding properties.
Eur J Appl Physiol.
1988;
57
490-498
-
42
Souillard A, Audran M, Bressolle F, Gareau R, Duvallet A, Chanal J L.
Pharmacokinetics and pharmacodynamics of recombinant human
erythropoietin in athletes. Blood sampling and doping control.
Br J Clin Pharmacol.
1996;
42
355-364
-
43
Steinacker J M, Halder A, Liu Y, Thomas A, Stauch M.
Hypoxic ventilatory response during rest and exercise after a
Himalaya expedition.
Eur J Appl Physiol.
1996;
73
202-209
-
44
Steinacker J M, Liu Y, Böning D, Halder A, Maassen N, Thomas A, Stauch M.
Lung diffusion capacity, oxygen uptake, cardiac output and
oxygen transport during exercise before and after an Himalaya expedition.
Eur J Appl Physiol.
1996;
74
187-193
-
45
Stray-Gundersen J, Chapman R F, Levine B D.
“Living high - training low” altitude
training improves sea level performance in male and female elite runners.
J Appl Physiol.
2001;
91
1113-1120
-
46
Stray-Gundersen J, Levine B D.
“Living high-training high and low” is equivalent
to “living high-training low” for sea-level performance.
Med Sci Sports Exerc.
1997;
29
S.136
-
47
Surks M I, Chinn K S, Mathoush L R.
Alterations in body composition in man after acute exposure
to high altitude.
J Appl Physiol.
1966;
21
1741-1746
-
48
Sutton J R, Reeves J T, Groves B M, Wagner P D, Alexander J K, Hultgren H N, Cymerman A, Houston C S.
Oxygen transport and cardiovascular function at extreme
altitude: lessons from Operation Everest II.
Int J Sports Med.
1992;
13
13-18
-
49
Sutton J R, Reeves J T, Wagner P D, Groves B M, Cymerman A, Malconian M K, Rock P B, Young P M, Walter S D, Houston C S.
Operation Everest II: oxygen transport during exercise at
extreme simulated altitude.
J Appl Physiol.
1988;
64
1309-1321
-
50
Terrados N.
Altitude training and muscular metabolism.
Int J Sports Med.
1992;
13
206-209
-
51
Terrados N, Melichna J, Jansson E, Kaijser L.
Effects on training at simulated altitude on performance and
muscle metabolic capacity in competitive road cyclists.
Eur J Appl Physiol.
1988;
57
203-209
-
52
Wang R Y, Tsai S C, Lu C C, Shih H C, Chen Y H, Tung Y F, Wang W F, Wang S W, Wang P S.
Effect of aging on erythropoietin secretion in male
rats.
J Gerontol A Biol Sci Med Sci.
1996;
51
B434-438
-
53
Weight L M, Byrne M J, Jacobs P.
Haemolytic effects of exercise.
Clin Sci (Colch).
1991;
81
147-152
Ch. Dehnert
Department of Internal Medicine VII (Sports Medicine) ·
University Hospital Heidelberg
Hospitalstrasse 3 · 69115 Heidelberg ·
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Email: christoph_dehnert@med.uni-heidelberg.de