Training Questions
Training Questions
Q:  Are there different methods of altitude training? Which is best?

A:  There are three main protocols for simulated altitude training:

  • Live High Train Low (HiLo).  In HiLo, you sleep or work in a low-oxygen environment, using a
    mask, tent, or semi-sealed room, and continue to train normally, at low altitude.   Your exposure
    to altitude must be 6-8 hours a day for at least 4 weeks.  See a typical HiLo training schedule.

  • Hypoxic Workouts (HW).   HW involves riding a stationary bicycle or running on a treadmill for 20-
    30 minutes three times per week while breathing hypoxic air.  HW can substantially lower your
    blood oxygen saturation, which may stimulate additional production of red blood cells.

  • Intermittent Hypoxic Training (IHT).  In IHT, you repeat short intervals (typically 5 min on, 5 min off)
    breathing moderately to highly hypoxic air (as little as 10% oxygen).  Interval length and oxygen
    level are adjusted to achieve a certain oxygen saturation in the blood.  

Which is method best is a matter of ongoing study and debate.  It is fair to say that the gold standard,
used by most athletes and supported by most scientific research, is HiLo.  There also is growing
evidence that HW can be used to enhance or accelerate altitude adaptation.   The effectiveness of IHT
has been documented by only a few studies at this time, however, this does not mean it is not effective.  
Ultimately, you will have to decide which method or methods are best for you.
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Q:  How long does it take before I see results?

A:  Research shows you can get measurable results in 3-4 weeks of consistent use (e.g. 6-8 hours per
night in an altitude tent).  During this time, the body will produce more red blood cells and make other
metabolic adjustments that facilitate oxygen uptake and release (see
Physiology).  

Most studies have only focused on the benefit of these initial weeks.  However, most of the benefits
occur when you
continue altitude training beyond one month.  This is when you can push your training
to the maximum to build up your entire body to exploit the enhanced availability of oxygen.  As you adapt
your muscles and other body systems through continued training, you will grow significantly stronger
and faster.  Physiologically, during this "build-up phase", you are building up capillary density and the
number of mitochondria in muscle tissue.

In summary, your circulatory system changes in the first month, which provides a nice 2-3% benefit,
and with continued training the rest of your body follows suit to get to your personal
higher peak.
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Q:  How long do the effects last?

A:  If you discontinue altitude training, altitude effects will persist at sea level for 2-4 weeks.  However, if
you continue to maintain the altitude adaptation, you can maintain your increased performance
indefinitely.  There are no known negative long-term consequences on health.
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Q:  What is the optimal altitude and oxygen range?

A:   Most experienced coaches, physiologists, and researchers agree that for HiLo training, "Hi" should
be carried out in the “High” altitude region -- between 8000 ft and 12,000 ft.  Some athletes will use the
"Very High" altitude range from 13,000 to 18,000 ft, but in the "Very High" altitude range, the risk
increases that you will start weakening and losing muscle mass.  

In terms of oxygen concentration, the optimal "High" altitude range is equivalent to 15.4% to 13.2%
oxygen.  The "Very High" range is from 13.1% to 10.5% oxygen.  See our
Altitude Chart for the
relationship between altitude and oxygen concentration, and for definition of the altitude regions (use
your browser's back button to return to this page).
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Q:  Will sleeping at high altitude hurt my training?

A:  If you are careful to increase altitude gradually, you will be able to continue a full training or
competition schedule.  However, as you are adjusting to higher altitude, you may experience mild
“mountain sickness” symptoms such as headache, fatigue, difficulty sleeping, and dehydration.  These
symptoms should subside in 2-4 days as the body adjusts. If you have serious persistent headaches
or other symptoms of acute mountain sickness you should immediately discontinue altitude training
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Q:  Do I need to measure my blood parameters while I'm training?

A:   You can, but probably isn’t necessary.  Simulated altitude training is very similar to going to high
altitude.  People who go hiking or skiing in Colorado don’t usually think about getting blood tests.  If you
want, changes in haematocrit (red blood cell density) and reticulocytes (new red blood cells) can be
measured with standard blood tests.

Blood oxygen saturation (SpO2) measures the percentage of your red blood cells actively carrying
oxygen.  At rest, SpO2 is usually 98% or better.  During hard exercise, it may drop into the 90-95%
range.  Generally, it is not necessary to measure SpO2 unless you are doing IHT, where the
specifically goal is to get SpO2 down into the 80-85% range.  Measuring your SpO2 will help you adjust
the amount of oxygen and duration of the hypoxic interval to attain the SpO2 target.

Blood oxygen saturation is measured by a pulse oximeter, a small device you clip onto your finger.  
Although Higher Peak does not sell pulse oximeters, these devices are widely available on the Internet.
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