
Endurance athletes are continuously seeking ways to enhance their performance. One powerful technique that has gained attention is hypoxic training, which involves exercising in low-oxygen conditions. Unlike passive altitude exposure, hypoxic training incorporates low-oxygen environments directly into workout sessions, resulting in adaptations that improve endurance capacity. This blog explores the benefits of hypoxia during endurance training and the scientific mechanisms that make it effective.
My Introduction to Hypoxic Training
In January 2012, just six months before the Olympic Games, I found myself pedalling on an indoor bike in an upstairs bedroom with one leg in an aircast. Unable to train at high intensities, I looked for a way to make low-intensity exercise more impactful. Altitude seemed to be the perfect solution. Using an altitude generator and a mask, I developed a program of progressive hypoxic sessions. These workouts were among the most uncomfortable I had ever completed (which is saying something!) but they proved transformative. Guided by a pulse oximeter and existing research, I discovered how hypoxic training could be a potent training tool.
Later in my career as I looked for novel ways to stimulate my body and drive adaptions, I found altitude even more valuable.

What is Hypoxic Training?
Hypoxic training involves exercising in environments with reduced oxygen availability. This can be achieved through altitude simulation using hypoxic chambers, tents, or masks. The goal is to stress the body’s oxygen delivery and utilization systems, triggering adaptations that enhance endurance. Unlike intermittent hypoxic exposure at rest, hypoxic training integrates these stimuli into physical activity, amplifying the overall training effect.
The Science of Hypoxia and Performance
Hypoxic training potentially leads to various physiological and molecular adaptations that improve the body’s ability to perform under oxygen-limited conditions:
- Enhanced Oxygen Transport: Hypoxia stimulates erythropoietin (EPO) production, resulting in increased red blood cell counts and a greater capacity for oxygen transport.
- Improved Mitochondrial Function: Hypoxic exercise boosts mitochondrial density and efficiency, enhancing the muscles’ ability to produce energy aerobically.
- Increased Capillarization: Hypoxia induces angiogenesis, creating more capillaries to deliver oxygen-rich blood to muscle fibres.
- Improved Acid-Base Balance: Training in hypoxia enhances the body’s ability to buffer lactate, delaying the onset of fatigue during intense exercise.
What does the literature say about Hypoxia During Endurance Training? The potential benefits:
1. Higher VO2 Max: Hypoxic training improves VO2 max, a critical measure of aerobic performance, by enhancing oxygen delivery and utilization (Bailey et al., 2000).
2. Greater Fatigue Resistance: Athletes often report improved stamina and a reduced perception of effort during prolonged efforts following hypoxic training (Bonetti & Hopkins, 2009).
3. Enhanced Power Output: Evidence suggests that hypoxic training improves both peak power and sustained efforts, particularly in sports requiring endurance and high-intensity intervals (Faiss et al., 2013).
4. Optimised Recovery: The adaptations from hypoxic training can accelerate recovery between high-intensity sessions, allowing athletes to maintain their training volume and intensity (Millet et al., 2010).
Implementing Hypoxic Training
Sporting Edge UK Ltd has some brilliant equipment, information, advice and protocols for athletes looking to integrate hypoxic training into their endurance regimens. Consider the following practical tips:
- Start Gradually: Begin with lower intensities and shorter durations to help the body adapt to the hypoxic stress.
- Tailor Protocols: Training sessions can range from steady-state efforts to intervals. For example, cycling or running intervals at reduced oxygen levels can replicate race-specific conditions.
- Monitor Progress: Use tools like the inbuilt pulse oximeter to track oxygen saturation and ensure safe and effective training loads.
- Combine Hypoxia with Specificity: Incorporate hypoxic sessions during phases of training focused on endurance or anaerobic power, depending on your performance goals. You may also be training for an event at altitude.

Challenges and Limitations
While hypoxic training offers significant benefits, it is not without its challenges. Individual responses can vary, and some athletes may experience symptoms such as dizziness or excessive fatigue. Ensuring proper recovery and hydration is crucial. Furthermore, hypoxic training should complement, rather than replace, traditional high-quality training. I found hypoxic training particularly valuable when I was injured, for example.
Conclusion
Using hypoxia during endurance training represents a cutting-edge approach to improving performance. By leveraging the body’s adaptive responses to low oxygen, athletes can achieve greater VO2max, improved fatigue resistance, and enhanced recovery. Whether preparing for competition at altitude or seeking an edge at sea level, hypoxic training offers a scientifically grounded method for boosting endurance. As research continues to refine our understanding, integrating hypoxia into training may become a cornerstone of elite endurance performance.
References
Bailey, D. M., et al. (2000). Intermittent hypoxic training: Implications for exercise performance. Sports Medicine, 29(4), 235-249.
Bonetti, D. L., & Hopkins, W. G. (2009). Sea-level exercise performance following adaptation to hypoxia: A meta-analysis. Sports Medicine, 39(2), 107-127.
Faiss, R., et al. (2013). Strength and endurance training under hypoxic conditions. Sports Medicine, 43(6), 525-538.
Millet, G. P., et al. (2010). Hypoxic training and team sports: A challenge to traditional methods? British Journal of Sports Medicine, 44(9), 631-636.
Alistair Brownlee
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