What Training At High Altitude Does to the Body

Institute of Human Anatomy
4 Aug 202417:05

Summary

TLDRThis video explores how altitude impacts the human body, focusing on physiological adaptations that occur at high elevations. It delves into acute responses like increased respiratory and heart rates, and long-term adaptations such as increased red blood cell production and capillary growth. The script discusses the benefits of altitude training for athletes, the optimal altitude for training, and the potential performance improvements that can range from 1-5%. It also examines different training strategies like 'live high train high' and 'live high train low,' providing insights for athletes seeking a competitive edge.

Takeaways

  • 🧬 The human body undergoes physiological adaptations at high altitudes, including increased red blood cell production and enhanced oxygen transport efficiency.
  • ⛰️ Hypoxia, or low oxygen levels, is caused by decreased atmospheric pressure at high altitudes, not by a reduction in oxygen percentage.
  • 📉 Atmospheric pressure, and specifically the pressure of oxygen, decreases with altitude, affecting the amount of oxygen that can be absorbed into the bloodstream.
  • 🏃‍♂️ Acute adaptations to high altitudes include increased respiratory and heart rates, while long-term adaptations involve increased red blood cell count and blood volume.
  • 🩸 The hormone EPO, stimulated by hypoxia, triggers the production of more red blood cells to enhance oxygen transport.
  • 🚀 An increase in blood volume not only boosts red blood cell count but also improves the diffusion capacity of oxygen into the bloodstream by expanding capillaries.
  • 💊 Proper gut health is essential for efficient nutrient absorption, which can be supported by bioactive nutrients like those found in colostrum.
  • 🌡️ Athletes can benefit from training at high altitudes, as it enhances physiological adaptations similar to those achieved through exercise.
  • 🏔️ The optimal altitude for training is generally considered to be around 7,000 ft, providing a stimulus for adaptation without causing severe altitude sickness.
  • 🕒 Staying at high altitude for at least 3 to 6 weeks is recommended to achieve measurable improvements in athletic performance.
  • 🏅 Training at high altitude can improve endurance performance by 2 to 5% for competitive athletes, with elite athletes seeing a more modest 1 to 2% improvement.

Q & A

  • What physiological changes occur in the human body at high altitudes?

    -The body undergoes several adaptations at high altitudes, including increased respiratory rate, increased heart rate, production of more red blood cells to carry oxygen, increased blood volume, growth of more capillaries in tissues, and an increase in the number of mitochondria and glycolytic enzymes within muscle fibers.

  • Why does hypoxia occur at higher altitudes?

    -Hypoxia occurs at higher altitudes due to the decrease in atmospheric pressure, which reduces the pressure of oxygen, leading to less oxygen being forced into the lungs and bloodstream despite the oxygen percentage in the air remaining the same.

  • How does the body respond acutely to high altitude exposure?

    -Acute responses to high altitude exposure include an immediate increase in respiratory rate and heart rate to compensate for the lower atmospheric pressure and less efficient oxygen intake.

  • What is the role of EPO in altitude adaptation?

    -EPO, or erythropoietin, is a hormone secreted by the kidneys in response to hypoxia. It stimulates the bone marrow to produce more red blood cells, which helps to increase the oxygen-carrying capacity of the blood.

  • How does increased blood volume at high altitudes affect oxygen diffusion?

    -An increase in blood volume enhances the diffusing capacity for oxygen by expanding the capillaries around the alveoli in the lungs, increasing the surface area for oxygen to diffuse into the blood.

  • What is the significance of capillary growth in muscle tissues during altitude acclimatization?

    -The growth of more capillaries in muscle tissues allows for the delivery of more oxygen-rich blood to the muscles, supporting higher levels of physical activity and endurance.

  • How do cellular adaptations like increased mitochondria and glycolytic enzymes benefit the body at high altitudes?

    -Increased mitochondria enhance the body's ability to generate ATP, the energy currency of cells, using oxygen. Meanwhile, more glycolytic enzymes improve the efficiency of the anaerobic energy system, allowing the body to produce ATP without oxygen during intense activity.

  • What are the two common training routines for athletes training at high altitudes?

    -The two common training routines are 'live high train high', where athletes live and train at high altitudes, and 'live high train low', where athletes live at high altitudes but train at lower altitudes to maintain higher training intensities.

  • What is the recommended minimum duration for staying at high altitudes to see measurable performance improvements?

    -Most experts recommend staying at least 3 to 4 weeks at higher altitudes to see measurable performance improvements, with 4 to 6 weeks being even more ideal.

  • What is the potential performance improvement range for athletes training at high altitudes?

    -The potential performance improvement for endurance athletes training at high altitudes ranges from about 2 to 5% for fairly competitive athletes, with highly trained elite athletes seeing about a 1 to 2% improvement.

  • How should altitude training be approached in an athlete's training regimen?

    -Altitude training should be approached as an 'icing on the cake' to an athlete's training regimen, meaning it should be considered after an athlete has established a consistent and effective training plan.

Outlines

00:00

🧬 Altitude and Human Physiological Adaptations

This paragraph introduces the topic of how the human body adapts to high altitudes, focusing on the physiological changes that occur when exposed to reduced atmospheric pressure and oxygen levels. It explains the concept of hypoxia, or low oxygen levels reaching the tissues, and clarifies misconceptions about oxygen levels at high altitudes. The paragraph also discusses the immediate acute responses of the body, such as increased respiratory and heart rates, and sets the stage for a deeper dive into long-term adaptations in subsequent paragraphs.

05:00

🩸 Hematological and Cardiovascular Adjustments to Altitude

The second paragraph delves into the specific adaptations the body undergoes at high altitudes, including the production of more red blood cells stimulated by the hormone EPO in response to hypoxia. It also covers the increase in overall blood volume, which enhances oxygen delivery to tissues. The paragraph explains how an increased blood volume can improve the diffusing capacity of oxygen into the bloodstream and touches on the importance of gut health in nutrient absorption. The benefits of Armor Colostrum are highlighted for gut and immune support, with a special offer for the audience. Additionally, the paragraph discusses the growth of capillaries and the increase in mitochondria and glycolytic enzymes to improve both aerobic and anaerobic energy production.

10:02

🏔 Strategies for Athletic Training at High Altitudes

This paragraph explores the concept of training at high altitudes to enhance athletic performance, discussing the optimal altitude for training and the duration required for the body to adapt and show performance improvements. It introduces two main strategies for altitude training: 'live high train high' and 'live high train low,' explaining the benefits and drawbacks of each. The paragraph also addresses the practical considerations of these training methods, such as logistical challenges and the potential for a hybrid approach, which combines the advantages of both strategies.

15:04

🏃‍♂️ Impact of High-Altitude Training on Athletic Performance

The final paragraph discusses the potential benefits of high-altitude training on endurance athletic performance, quantifying the possible improvements in terms of percentage gains. It emphasizes that while these improvements may seem small, they can be significant, especially for competitive athletes. The paragraph also stresses the importance of a solid training foundation before seeking additional gains through altitude training. It concludes by highlighting the willingness of elite athletes to pursue even marginal gains in performance, given the competitive nature of their sports.

Mindmap

Keywords

💡Altitude

Altitude refers to the height of a location above a fixed reference point, typically sea level. In the context of the video, altitude is crucial as it affects the human body by causing physiological adaptations due to decreased oxygen levels. The script discusses how the body responds to higher altitudes, such as increasing red blood cell production to compensate for reduced oxygen availability.

💡Hypoxia

Hypoxia is a condition where the body or a region of the body is deprived of adequate oxygen supply. The video script explains hypoxia as a driving factor for the body's adaptations at high altitudes, where the term is used to describe the low amounts of oxygen reaching the tissues, leading to increased respiratory and heart rates as compensatory mechanisms.

💡Red Blood Cells

Red blood cells, also known as erythrocytes, are the cells in the bloodstream that carry oxygen to the body's tissues. The script highlights the body's response to hypoxia at high altitudes by increasing the production of red blood cells, which is stimulated by the hormone EPO, to improve oxygen transport capacity.

💡EPO (Erythropoietin)

EPO, or erythropoietin, is a hormone produced mainly by the kidneys in response to low oxygen levels. The video script describes how EPO secretion is stimulated by hypoxia, leading to an increase in red blood cell production in the bone marrow, which is essential for athletes training at high altitudes to enhance oxygen delivery to muscles.

💡Blood Volume

Blood volume refers to the total amount of blood in the circulatory system. The script explains that exposure to high altitudes can lead to an increase in blood volume, which is beneficial as it allows for more oxygen to be transported to the body's tissues, enhancing athletic performance.

💡Capillaries

Capillaries are the smallest blood vessels that connect arteries and veins and facilitate the exchange of oxygen, carbon dioxide, and nutrients between blood and tissues. The video mentions the growth of more capillaries in tissues as an adaptation to high altitude, which improves the delivery of oxygen to working muscles.

💡Mitochondria

Mitochondria are the organelles within cells that produce energy in the form of ATP through cellular respiration. The script discusses an increase in the number of mitochondria as a cellular adaptation to high altitude, allowing cells to generate more energy, even under conditions of reduced oxygen availability.

💡Glycolytic Enzymes

Glycolytic enzymes are proteins that facilitate the process of glycolysis, an anaerobic process that generates ATP without oxygen. The video script explains that the body increases the number of these enzymes in response to hypoxia, enhancing the anaerobic energy system's efficiency.

💡Live High Train High

Live High Train High is a training strategy where athletes live and train at high altitudes. The script discusses the benefits of this approach, such as constant exposure to hypoxic conditions leading to comprehensive physiological adaptations, but also notes the potential downsides like difficulty maintaining high-intensity workouts.

💡Live High Train Low

Live High Train Low is an alternative training strategy where athletes live at high altitude but train at lower altitudes. The video script explains the advantages of this method, such as the ability to maintain higher training intensities due to increased oxygen availability, while still benefiting from the adaptations that come with living at high altitude.

💡Performance Improvement

Performance improvement refers to the enhancement of an athlete's abilities or competitive performance. The script provides data suggesting that training at high altitudes can lead to a 2 to 5% improvement in endurance performance for competitive athletes, which, while seemingly small, can be significant in the context of competitive sports.

Highlights

The human body undergoes physiological adaptations at higher altitudes, including increased red blood cell production and other changes.

Altitude training can improve athletic performance by enhancing the body's oxygen-carrying capacity and efficiency.

Hypoxia, or low oxygen levels, is the main stimulus for the body's adaptations to high altitudes.

Atmospheric pressure decreases with altitude, affecting the amount of oxygen available for the body, not the oxygen percentage.

The body's initial response to high altitude includes increased respiratory and heart rates to compensate for lower oxygen pressure.

Long-term exposure to high altitude leads to an increase in red blood cell count and overall blood volume.

Increased blood volume enhances the diffusing capacity of oxygen through the lung's alveoli into the bloodstream.

Gut health is crucial for nutrient absorption and can be supported by bioactive foods like colostrum.

Training at high altitude can lead to the growth of more capillaries in muscle tissues, improving oxygen delivery.

Cellular adaptations include an increase in the number of mitochondria and glycolytic enzymes for more efficient energy production.

Different altitude training methods, such as 'live high train high' and 'live high train low', have varying benefits and drawbacks.

The optimal altitude for training is generally considered to be around 7,000 ft for effective physiological stimulus.

Athletes should stay at higher altitudes for at least 3 to 4 weeks to notice measurable performance improvements.

Training at high altitude can improve endurance performance by 2 to 5% for competitive athletes.

Elite athletes may see a more modest improvement of 1 to 2% from high-altitude training, but it can still be significant.

High-altitude training should complement a consistent and effective training plan for best results.

The potential for even a slight performance increase can be valuable for professional athletes competing at the highest levels.

Transcripts

play00:00

welcome to the lab everyone today we're

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taking you up to 10,000 ft to talk about

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what altitude does to the human body the

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body undergo some incredible

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physiological adaptations when exposed

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to higher altitudes and it includes more

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than just creating some extra red blood

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cells so in this video we'll learn about

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all these amazing adaptations as well as

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talk about what training at altitude can

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do for athletic performance and discuss

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if it's worth it how high you need to go

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and how much you can actually expect to

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improve your physical performance it's

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going to be an elevated one so let's do

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[Music]

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this so it's been known for quite some

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time now that a person that remains at

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high altitudes for days weeks or years

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becomes more and more acclimatized to

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that higher altitude and as someone gets

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more acclimatized those higher altitudes

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cause fewer negative effects to the body

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and it becomes possible for the person

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to work harder or perform better without

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hypoxic effects and to even Ascend to

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higher altitudes and if you haven't

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heard the term hypoxic or hypoxia before

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hypo refers to low or below and the ox

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portion of the word refers to oxygen so

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in other words hypoxia refers to low

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amounts of oxygen reaching the tissues

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and let's talk about why someone

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develops hypoxia at higher altitudes and

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this will help us to clarify a few

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things about terms that can sometimes be

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a little misleading often people will

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say that the air is thinner or that

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there's less oxygen at higher altitudes

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but again this can be a little

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misleading oxygen makes up about 21% of

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the atmospheric gases whereas nitrogen

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makes up about 78% with carbon dioxide

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and some others making up less than 1%

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these percentages don't change whether

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you're at sea level 10,000 ft or close

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to 30,000 ft at the top of Mount Everest

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what does change is the atmospheric

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pressure and it's this decrease in

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atmospheric pressure specifically the

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pressure of oxygen that leads to the

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problems of hypoxia that occurs at

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higher altitudes and so I find this

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graph to be pretty helpful as you can

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see atmospheric pressure at sea level is

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760 mm of mercury and oxygen would

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contribute to about 21% of that pressure

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so if we do some quick math 2% of 760 is

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159 so the pressure of oxygen at sea

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level is about 159 mm of mercury and at

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10,000 ft where we just were you can see

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total atmospheric pressure is 523 mm of

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mercury with oxygen contributing 110 mm

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of mercury and you can see on the chart

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the decrease in pressure as we continue

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to move up in altitude and again

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referencing the highest place on Earth

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Mount Everest which is 29,029 ft the

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partial pressure of oxygen is just over

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50 mm of mercury which is is about three

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times less than the pressure of oxygen

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found at sea level but oxygen always

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contributes to about 21% of that

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pressure so what this means is that with

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less pressure moving into our lungs less

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oxygen will be forced through the

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alveoli of our lungs and into our

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bloodstream and you could actually

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measure this with a pulseox on your

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finger and I actually did that when we

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got up to 10,000 ft I normally run at

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about 98% oxygen saturation at my house

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which is at about about 4700 ft but at

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10,000 ft I was at about 93 to 94% so

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what does your body exactly do when

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exposed to higher altitudes well how we

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are going to approach this is by

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breaking this down into the acute

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adaptations or in other words what the

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body does right when it is exposed to

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higher altitudes and then the

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adaptations that start to occur if

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someone continues to be exposed to high

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altitudes for days weeks and even months

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and to help us with this we are going to

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recruit 10,000 foot Jonathan well thank

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you lab Jonathan and welcome to 10,000

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ft and if we are actually able to

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transport or teleport you immediately

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from say like sea level all the way up

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to 10,000 ft your body would have these

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initial physiological responses or these

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acute responses to the higher altitude

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or higher elevations one would you would

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notice that your respiratory rate would

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increase you'd be breathing more

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frequently and more heavily you'd also

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have your heart rate increase and the

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idea behind this is you're trying to

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compensate for the lower atmospheric

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pressure and oxygen isn't being forced

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into your body as efficiently so now

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what happens if we remain exposed to the

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higher altitude will we always have to

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breathe as heavily and increase our

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heart rate to the same level well no

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because over time if we remain exposed

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our bodies can create other adaptations

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the first that many people that train at

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elevation will talk about is increase in

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the number of red blood cells which are

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the cells that carry oxygen throughout

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our bodies and again hyp oxia is the

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principal stimulus for causing this

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increase in red blood cell production as

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hypoxia stimulates the kidneys to

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secrete a hormone called orthop potin or

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EPO this then circulates to the inside

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of your bones called spongy bone and

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tells or stimulates your red bone marrow

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to start producing more red blood cells

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and this actually starts happening right

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when you are exposed to higher altitudes

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but it does take time to build up enough

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new red blood cells before you'll have a

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noticeable Improvement in say like

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physical performance and we'll get into

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the timing and how long one needs to

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stay at elevation before noticing these

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benefits when we talk more specifically

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about training at elevation later on in

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the video but in addition to increasing

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the number of red blood cells overall

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blood volume will increase so the fluid

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component of your blood the plasma this

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can increase up to 20 to 30% in some

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cases and so now you have more red blood

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cells to catch and carry any available

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oxygen molecule and more volume to

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deliver more of that blood to your

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tissues and one other cool thing that

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this increased blood volume does is that

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it increases the diffusing capacity for

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the oxygen through the alvioli and into

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the blood because more blood in

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circulation literally expands the

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capillaries that surround the alvioli of

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the lungs kind of think of the

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capillaries as stretching and becoming

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larger which in turn increas inrees the

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surface area through which the oxygen

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can diffuse into the blood and speaking

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of diffusing into the blood another

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place we need nutrients to efficiently

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diffuse into the blood is in the gut and

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having proper gut health can help

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facilitate this process so I want to

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cardiovascular adaptation that occurs

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during the a climatization process

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builds off the previous Tu and this is

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growth of more capillaries in the

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tissues throughout the body so if we

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take muscle tissue for example and you

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have more blood vessels you can now take

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that extra volume of blood and those

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extra red blood cells that are carrying

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the oxygen to a working skeletal muscle

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you can also get adaptations at the

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cellular level increases in the number

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of mitochondria occur which we all

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probably remember that the mitochondria

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can utilize that oxygen in conjunction

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with fats or carbohydrates to generate

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the energy currency of our cells called

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ATP and so up to this point you can see

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that we've created all these adaptations

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to help us use oxygen more efficiently

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but another cellular adaptation that

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occurs in muscle fibers and other cells

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throughout the body is an increase in

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the number of glycolytic enzymes now you

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may have heard of glycolysis which is

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the anerobic energy system that makes

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ATP without the presence of oxygen so

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the body being exposed to hypoxia or

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higher altitudes will also make our

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anerobic Energy System more efficient so

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after going through all of these

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adaptations that can occur due to being

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at a higher altitude you may have

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noticed that these adaptations seem very

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similar to many of the adaptations we

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get with exercise and there's no doubt

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that many people who are born at and

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live at high altitude would have a

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greater exercise or work capacity but

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what if someone to try to do both have a

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vigorous exercise routine and expose

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themselves to high altitude and

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professional athletes and even some of

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the serious recreational athletes will

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train at altitude with the hopes of

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further enhancing these physiological

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adaptations so there are some questions

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we need to answer how high do you need

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to go how long do you need to stay there

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how much of a difference does it really

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make from a performance standpoint and

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there have emerged different schools of

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thought such as live high train high or

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live high train low and so we'll explain

play10:04

what each of those scenarios means and

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why you might choose one over the other

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so first how high do you need to go well

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you can find articles saying as low as

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5,500 ft all the way up to 9500 ft but

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many experts and trainers tend to agree

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that around 7,000 ft is a good place to

play10:21

start it's high enough that you can

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provide enough of a stimulus for the

play10:25

body to create these adaptations but not

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too high to where you're going to C C

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any problems because there are people

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especially those that live at lower

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elevations that could develop altitude

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sickness if they went too high too fast

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but most can tolerate 7,000 ft something

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else to consider with going too high

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initially is that this could make it so

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your training isn't as efficient and

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we'll talk more about that in just a

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second when we compare live high train

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High versus live high train low but how

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long would you need to spend at altitude

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to get a significant enough of an

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adaptation that would cause noticeable

play11:00

Improvement in athletic performance now

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remember I mentioned that as soon as the

play11:04

body experiences hypoxia it is going to

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immediately react with increased

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respiratory rate and heart rate but the

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kidneys will even start to produce more

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EPO immediately upon experiencing

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hypoxia and those EPO levels will

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continue to rise throughout even that

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first day of exposure so the body is

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going to start the process of producing

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red blood cells almost immediately but

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again it takes time to build up enough

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of them as well as to create more

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capillaries mitochondria and

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intracellular enzymes before all of this

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translates to a measurable increase in

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athletic performance and most experts

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recommend staying at least 3 to four

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weeks at that higher altitude to get

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measurable performance improvements with

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four to 6 weeks likely being even more

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ideal and before we get into how much

play11:52

performance Improvement one can get from

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training at higher altitudes let me

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explain two of the more common training

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routines that I've mentioned live high

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train high and live high train low each

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approach has its pros and cons with live

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high train High it means kind of exactly

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how it sounds you're going to live at a

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higher altitude as well as train at that

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higher altitude the pros of this is that

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an athlete would constantly be exposed

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to hypoxic conditions and because all

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aspects of life including sleep exercise

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and Recovery are done at high altitude

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this could potentially lead to more

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comprehensive physiological adap ations

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some of the cons of this approach could

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be that due to lower oxygen availability

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it may be challenging to maintain higher

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training intensities potentially

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limiting the quality of those higher

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intensity workouts constant exposure to

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high altitude may also lead to increased

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fatigue and slower recovery times making

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it difficult to sustain more intense

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training plans with live high train low

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someone would live at higher altitude

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but train at a lower altitude a pro of

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this would be that in athlete could

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maintain a higher training intensity

play13:02

during those training sessions due to

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more oxygen availability in the body

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potentially leading to better overall

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performance gains so the overall idea

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being athletes could still reap the

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benefits of living at high altitude

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increasing red blood cells increased

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capillarization as well as the other

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adaptations we talked about while

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training more effectively at the lower

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altitudes but there are some cons to

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this as well including some logistical

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cons in order to do do this you would

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have to be in a place where high

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altitude is in close enough proximity to

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where you could drive to a lower

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altitude almost every time you train

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throughout a given week that takes more

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time and likely more money and while

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this Training Method still works well

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the time spent in hypoxic conditions is

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less than live high train High plus some

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athletes may have a race at a higher

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altitude so many people may still want

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to do some race specific training

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sessions at that altitude to stimulate

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the race environment now some people

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will try to get the Best of Both Worlds

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by combining or hybridizing these two

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methods Big Bear California comes to

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mind because Big Bear California is at

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about at 7,000 ft plus you can go higher

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if you go on some of the hikes and the

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mountain ranges that are available there

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but it's in close enough proximity where

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people could drive maybe about an hour

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and get all the way down to close to a

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th000 ft so in this way people can live

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in Big Bear do some training sessions at

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that higher elevation then maybe one to

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two times a week drive down to the lower

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elevation for those very highly intense

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exercise sessions to get an even greater

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exercise training stimulus so how much

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can training at higher altitudes improve

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athletic performance and I need to

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actually make sure I'm clear here this

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is about improving endurance like for

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cycling distance running and swimming

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training at altitude isn't going to

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magically make your one rep max of your

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squat or deadlift improve but for

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endurance the data shows that you could

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get an improvement in performance that

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ranges anywhere from about 2 to 5% for

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Fairly competitive athletes but as you

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start getting even more fit it seems to

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be that it will make less of a

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difference as highly trained Elite

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athletes see about a 1 to 2% Improvement

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now 2 to 5% doesn't sound like a lot so

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you might be thinking is it training at

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elevation or higher altitudes even worth

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it well it depends on a few things first

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2 to 5% isn't actually that bad for

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example let's say you had an 18-minute

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5K time that's not Elite but that's also

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not a slow 5K a 2% Improvement would be

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running 21 to 22 seconds faster and a 5%

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Improvement on an 18-minute 5K would be

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56 seconds faster that's definitely a

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noticeable difference but it's hard to

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know where you're going to fall in this

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2 to 5% range like for example I

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mentioned that I live just below 5,000 F

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feet and I love running these Spartan

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obstacle course races which are these

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Trail runs mixed with monkey bars rope

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CL sandbag carries and various other

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obstacles so I spent a lot of time in

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the mountains trail running at altitudes

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that range from 6 to 9,000 ft so even if

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I decided to book a hotel room for a few

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weeks at a nearby skew Resort that was

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at like 7 to 8,000 ft I'm not likely

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going to get as big of a change or

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Improvement as someone that lives in

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transit sea level also something that

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needs to be stated here is that training

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at altitude should be approached like

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the icing on the cake to your training

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meaning that you should should first be

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extremely consistent in your ability to

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stick to and complete an effective

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training plan before worrying about

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going and training at higher altitudes

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once you've got that dialed in though

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and if you have the time and the

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resources to train it at higher

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altitudes it could potentially give you

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a Competitive Edge even the elite

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competitive athletes will still take

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that potential for only a 1 to 2%

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increase in performance because these

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are the people that are pretty much

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doing this for their job competing in

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the Olympics and other high-profile

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competitions so so the possibility for a

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1 to 2% Improvement could push them to

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that Podium finish

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相关标签
Altitude AdaptationAthletic PerformanceHypoxia EffectsRed Blood CellsEPO HormoneBlood VolumeCapillary GrowthMitochondria IncreaseGlycolytic EnzymesTraining MethodsEndurance Sports
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