Book ; Online: High-Intensity Exercise in Hypoxia - Beneficial Aspects and Potential Drawbacks
2018
Abstract: In the past, 'traditional' moderate-intensity continuous training (60-75% peak heart rate) was the type of physical activity most frequently recommended for both athletes and clinical populations (cf. American College of Sports Medicine guidelines). ... ...
| Abstract | In the past, 'traditional' moderate-intensity continuous training (60-75% peak heart rate) was the type of physical activity most frequently recommended for both athletes and clinical populations (cf. American College of Sports Medicine guidelines). However, growing evidence indicates that high-intensity interval training (80-100% peak heart rate) could actually be associated with larger cardiorespiratory fitness and metabolic function benefits and, thereby, physical performance gains for athletes. Similarly, recent data in obese and hypertensive individuals indicate that various mechanisms - further improvement in endothelial function, reductions in sympathetic neural activity, or in arterial stiffness - might be involved in the larger cardiovascular protective effects associated with training at high exercise intensities.- Concerning hypoxic training, similar trends have been observed from 'traditional' prolonged altitude sojourns ('Live High Train High' or 'Live High Train Low'), which result in increased hemoglobin mass and blood carrying capacity. Recent innovative 'Live Low Train High' methods ('Resistance Training in Hypoxia' or 'Repeated Sprint Training in Hypoxia') have resulted in peripheral adaptations, such as hypertrophy or delay in muscle fatigue. Other interventions inducing peripheral hypoxia, such as vascular occlusion during endurance/resistance training or remote ischemic preconditioning (i.e. succession of ischemia/reperfusion episodes), have been proposed as methods for improving subsequent exercise performance or altitude tolerance (e.g. reduced severity of acute-mountain sickness symptoms).- Postulated mechanisms behind these metabolic, neuro-humoral, hemodynamics, and systemic adaptations include stimulation of nitric oxide synthase, increase in anti-oxidant enzymes, and down-regulation of pro-inflammatory cytokines, although the amount of evidence is not yet significant enough. Improved O2 delivery/utilization conferred by hypoxic training interventions might also be effective in preventing and treating cardiovascular diseases, as well as contributing to improve exercise tolerance and health status of patients. For example, in obese subjects, combining exercise with hypoxic exposure enhances the negative energy balance, which further reduces weight and improves cardio-metabolic health. In hypertensive patients, the larger lowering of blood pressure through the endothelial nitric oxide synthase pathway and the associated compensatory vasodilation is taken to reflect the superiority of exercising in hypoxia compared to normoxia.- |
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| Keywords | Science (General) ; Physiology |
| Size | 1 electronic resource (169 p.) |
| Publisher | Frontiers Media SA |
| Document type | Book ; Online |
| Note | English ; Open Access |
| HBZ-ID | HT020099601 |
| ISBN | 9782889454068 ; 2889454061 |
| Database | ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture |
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