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Lachlan J.G. Mitchell, Ben Rattray, Paul Wu, Philo U. Saunders, and David B. Pyne

Purpose: Critical speed (CS) and supra-CS distance capacity (D′) are useful metrics for monitoring changes in swimmers’ physiological and performance capacities. However, the utility of these metrics across a season has not been systematically evaluated in high-level swimmers. Methods: A total of 27 swimmers (mean [SD]: 18 females, age = 19.1 [2.9] y, and 9 males, age = 19.5 [1.9] y) completed the 12 × 25-m swimming test multiple times (4 [3] tests/swimmer) across a 2-y period. Season-best times in all distances for the test stroke were sourced from publicly available databases. Swimmers’ distance speciality was determined as the event with the time closest to world record. Four metrics were calculated from the 12 × 25-m test: CS, D′, peak speed, and drop-off %. Results: Guyatt responsiveness index values were calculated to ascertain the practically relevant sensitivity of each 12 × 25-m metric: CS = 1.5, peak speed = 2.3, D′ = 2.1, and drop-off % = 2.6. These values are modified effect sizes; all are large effects. Bayesian mixed modeling showed substantial between-subjects differences between genders and strokes for each variable but minimal within-subject changes across the season. Drop-off % was lower in 200-m swimmers (14.0% [3.3%]) than in 100-m swimmers (18.1% [4.1%], P = .003, effect size = 1.10). Conclusions: The 12 × 25-m test is best suited to differentiating between swimmers of different strokes and events. Further development is needed to improve its utility in quantifying meaningful changes over a season for individual swimmers.

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Louise M. Burke, Clare Wood, David B. Pyne, Richard D. Telford, and Philo U. Saunders

Eighteen highly-trained runners ran two half marathons in mild environmental conditions, 3 wk apart, consuming either 426 ± 227 mL of a flavored placebo drink (PLACEBO) or an equivalent volume of water (386 ± 185 mL) and a commercial gel (GEL) supplying 1.1 ± 0.2 g/kg body mass (BM) carbohydrate (CHO). Voluntary consumption of this fluid was associated with a mean BM change of ~ 2.4%. Runners performed better in their second race by 0.9% or 40 s (P = 0.03). Three runners complained of gastrointestinal discomfort in GEL trial, which produced a clear impairment of half-marathon performance by 2.4% or 105 s (P = 0.03 ) . The effect of GEL on performance was trivial: time was improved b y 0.3% or 14 s compared with PLACEBO (P = 0.52). Consuming the gel was associated with a 2.4% slower time through the 2 × 200 m feed zone; adding a trivial ~ 2 s to race time. Although benefits to half marathon performance were not detected, the theoretical improvement during 1-h exercise with CHO intake merits further investigation.

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Amelia J. Carr, Philo U. Saunders, Laura A. Garvican-Lewis, and Brent S. Vallance

Purpose: To quantify, for an elite-level racewalker, altitude training, heat acclimation and acclimatization, physiological data, and race performance from January 2007 to August 2008. Methods: The participant performed 7 blocks of altitude training: 2 “live high:train high” blocks at 1380 m (total = 22 d) and 5 simulated “live high:train low” blocks at 3000 m/600 m (total = 98 d). Prior to the 2007 World Championships and the 2008 Olympic Games, 2 heat-acclimation blocks of ~6 weeks were performed (1 session/week), with ∼2 weeks of heat acclimatization completed immediately prior to each 20-km event. Results: During the observation period, physiological testing included maximal oxygen uptake (VO2max, mL·kg−1·min−1), walking speed (km·h−1) at 4 mmol·L−1 blood lactate concentration [La], body mass (kg), and hemoglobin mass (g), and 12 × 20-km races and 2 × 50-km races were performed. The highest VO2max was 67.0 mL·kg−1·min−1 (August 2007), which improved 3.1% from the first measurement (64.9 mL·kg−1·min−1, June 2007). The highest percentage change in any physiological variable was 7.1%, for 4 mmol·L−1 [La] walking speed, improving from 14.1 (June 2007) to 15.1 km·h−1 (August 2007). Personal-best times for 20 km improved from (hh:mm:ss) 1:21:36 to 1:19:41 (2.4%) and from 3:55:08 to 3:39:27 (7.1%) in the 50-km event. The participant won Olympic bronze and silver medals in the 20- and 50-km, respectively. Conclusions: Elite racewalkers who regularly perform altitude training may benefit from periodized heat acclimation and acclimatization prior to major international competitions in the heat.

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Philo U. Saunders, Laura A. Garvican-Lewis, Robert F. Chapman, and Julien D. Périard

High-level athletes are always looking at ways to maximize training adaptations for competition performance, and using altered environmental conditions to achieve this outcome has become increasingly popular by elite athletes. Furthermore, a series of potential nutrition and hydration interventions may also optimize the adaptation to altered environments. Altitude training was first used to prepare for competition at altitude, and it still is today; however, more often now, elite athletes embark on a series of altitude training camps to try to improve sea-level performance. Similarly, the use of heat acclimation/acclimatization to optimize performance in hot/humid environmental conditions is a common practice by high-level athletes and is well supported in the scientific literature. More recently, the use of heat training to improve exercise capacity in temperate environments has been investigated and appears to have positive outcomes. This consensus statement will detail the use of both heat and altitude training interventions to optimize performance capacities in elite athletes in both normal environmental conditions and extreme conditions (hot and/or high), with a focus on the importance of nutritional strategies required in these extreme environmental conditions to maximize adaptations conducive to competitive performance enhancement.

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Philo U. Saunders, Richard D. Telford, David B. Pyne, Christopher J. Gore, and Allan G. Hahn

We quantified the effect of an extended live high-train low (LHTL) simulated altitude exposure followed by a series of training camps at natural moderate altitude on competitive performance in seven elite middle-distance runners (Vo2max 71.4 ± 3.4 mL·min−1·kg−1, mean ± SD). Runners spent 44 ± 7 nights (mean ± SD) at a simulated altitude of 2846 ± 32 m, and a further 4 X 7- to 10-d training at natural moderate altitude (1700–2200 m) before racing. The combination of simulated LHTL and natural altitude training improved competitive performance by 1.9% (90% confidence limits, 1.3-2.5%). Middle-distance runners can confidently use a combination of simulated and natural altitude to stimulate adaptations responsible for improving performance.

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Philo U. Saunders, Amanda J. Cox, Will G. Hopkins, and David B. Pyne

It is unclear whether physiological measures monitored in an incremental treadmill test during a training season provide useful diagnostic information about changes in distance running performance.


To quantify the relationship between changes in physiological measures and performance (peak running speed) over a training season.


Well-trained distance runners (34 males; VO2max 64 ± 6 mL⋅kg-1⋅min-1, mean ± SD) completed four incremental treadmill tests over 17 wk. The tests provided values of peak running speed, VO2max, running economy, and lactate threshold (as speed and %VO2max). The physiological measures were included in simple and multiple linear regression models to quantify the relationship between changes in these measures and changes in peak speed.


The typical within-subject variation in peak speed from test to test was 2.5%, whereas those for physiological measures were VO2max (mL⋅min-1⋅kg-1) 3.0%, economy (m⋅kg⋅mL–1) 3.6%, lactate threshold (%VO2max) 8.7%, and body mass 1.8%. In simple models these typical changes predicted the following changes in performance: VO2max 1.4%, economy 0.8%, lactate threshold –0.3%, and body mass –0.2% (90% confidence limits ~±0.7%); the corresponding correlations with performance were 0.57, 0.33, –0.05, and –0.13 respectively (~±0.20). In a multiple linear regression model, the contribution of each physiological variable to performance changed little after adjustment for the other variables.


Change in VO2max in an incremental test during a running season is a good predictor of change in peak running speed, change in running economy is a moderate predictor, and lactate threshold and body mass provide little additional information.

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Amy L. Woods, Avish P. Sharma, Laura A. Garvican-Lewis, Philo U. Saunders, Anthony J. Rice, and Kevin G. Thompson

High altitude exposure can increase resting metabolic rate (RMR) and induce weight loss in obese populations, but there is a lack of research regarding RMR in athletes at moderate elevations common to endurance training camps. The present study aimed to determine whether 4 weeks of classical altitude training affects RMR in middle-distance runners. Ten highly trained athletes were recruited for 4 weeks of endurance training undertaking identical programs at either 2200m in Flagstaff, Arizona (ALT, n = 5) or 600m in Canberra, Australia (CON, n = 5). RMR, anthropometry, energy intake, and hemoglobin mass (Hbmass) were assessed pre- and posttraining. Weekly run distance during the training block was: ALT 96.8 ± 18.3km; CON 103.1 ± 5.6km. A significant interaction for Time*Group was observed for absolute ( (F-statistic, p-value: F(1,8)=13.890, p = .01) and relative RMR (F(1,8)=653.453, p = .003) POST-training. No significant changes in anthropometry were observed in either group. Energy intake was unchanged (mean ± SD of difference, ALT: 195 ± 3921kJ, p = .25; CON: 836 ± 7535kJ, p = .75). A significant main effect for time was demonstrated for total Hbmass (g) (F(1,8)=13.380, p = .01), but no significant interactions were observed for either variable [Total Hbmass (g): F(1,8)=1.706, p = .23; Relative Hbmass ( F(1,8)=0.609, p = .46]. These novel findings have important practical application to endurance athletes routinely training at moderate altitude, and those seeking to optimize energy management without compromising training adaptation. Altitude exposure may increase RMR and enhance training adaptation,. During training camps at moderate altitude, an increased energy intake is likely required to support an increased RMR and provide sufficient energy for training and performance.

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Avish P. Sharma, Philo U. Saunders, Laura A. Garvican-Lewis, Brad Clark, Marijke Welvaert, Christopher J. Gore, and Kevin G. Thompson

Purpose: To determine the effect of altitude training at 1600 and 1800 m on sea-level (SL) performance in national-level runners. Methods: After 3 wk of SL training, 24 runners completed a 3-wk sojourn at 1600 m (ALT1600, n = 8), 1800 m (ALT1800, n = 9), or SL (CON, n = 7), followed by up to 11 wk of SL racing. Race performance was measured at SL during the lead-in period and repeatedly postintervention. Training volume (in kilometers) and load (session rating of perceived exertion) were calculated for all sessions. Hemoglobin mass was measured via CO rebreathing. Between-groups differences were evaluated using effect sizes (Hedges g). Results: Performance improved in both ALT1600 (mean [SD] 1.5% [0.9%]) and ALT1800 (1.6% [1.3%]) compared with CON (0.4% [1.7%]); g = 0.83 (90% confidence limits −0.10, 1.66) and 0.81 (−0.09, 1.62), respectively. Season-best performances occurred 5 to 71 d postaltitude in ALT1600/1800. There were large increases in training load from lead-in to intervention in ALT1600 (48% [32%]) and ALT1800 (60% [31%]) compared with CON (18% [20%]); g = 1.24 (0.24, 2.08) and 1.69 (0.65, 2.55), respectively. Hemoglobin mass increased in ALT1600 and ALT1800 (∼4%) but not CON. Conclusions: Larger improvements in performance after altitude training may be due to the greater overall load of training in hypoxia compared with normoxia, combined with a hypoxia-mediated increase in hemoglobin mass. A wide time frame for peak performances suggests that the optimal window to race postaltitude is individual, and factors other than altitude exposure per se may be important.

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Amelia J. Carr, Laura A. Garvican-Lewis, Brent S. Vallance, Andrew P. Drake, Philo U. Saunders, Clare E. Humberstone, and Christopher J. Gore

Purpose: To compare the effects of natural altitude training (NAT) and simulated (SIM) live high:train low altitude training on road-race walking performance (min), as well as treadmill threshold walking speed (km·h−1) at 4 mmol·L−1 and maximal oxygen consumption, at 1380 m. Methods: Twenty-two elite-level male (n = 15) and female (n = 7) race walkers completed 14 d of NAT at 1380 m (n = 7), SIM live high:train low at 3000:600 m (n = 7), or control conditions (600-m altitude; CON, n = 8). All preintervention and postintervention testing procedures were conducted at 1380 m and consisted of an incremental treadmill test, completed prior to a 5 × 2-km road-race walking performance test. Differences between groups were analyzed via mixed-model analysis of variance and magnitude-based inferences, with a substantial change detected with >75% likelihood of exceeding the smallest worthwhile change. Results: The improvement in total performance time for the 5 × 2-km test in NAT was not substantially different from SIM but was substantially greater (85% likely) than CON. The improvement in percentage decrement in the 5 × 2-km performance test in NAT was greater than in both SIM (93% likely) and CON (93% likely). The increase in maximal oxygen consumption was substantially greater (91% likely) in NAT than in SIM. Improvement in threshold walking speed was substantially greater than CON for both SIM (91% likely) and NAT (90% likely). Conclusions: Both NAT and SIM may allow athletes to achieve reasonable acclimation prior to competition at low altitude.

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Erin L. McCleave, Katie M. Slattery, Rob Duffield, Philo U. Saunders, Avish P. Sharma, Stephen Crowcroft, and Aaron J. Coutts

Purpose: To determine whether combining training in heat with “Live High, Train Low” hypoxia (LHTL) further improves thermoregulatory and cardiovascular responses to a heat-tolerance test compared with independent heat training. Methods: A total of 25 trained runners (peak oxygen uptake = 64.1 [8.0] mL·min−1·kg−1) completed 3-wk training in 1 of 3 conditions: (1) heat training combined with “LHTL” hypoxia (H+H; FiO2 = 14.4% [3000 m], 13 h·d−1; train at <600 m, 33°C, 55% relative humidity [RH]), (2) heat training (HOT; live and train <600 m, 33°C, 55% RH), and (3) temperate training (CONT; live and train <600 m, 13°C, 55% RH). Heat adaptations were determined from a 45-min heat-response test (33°C, 55% RH, 65% velocity corresponding to the peak oxygen uptake) at baseline and immediately and 1 and 3 wk postexposure (baseline, post, 1 wkP, and 3 wkP, respectively). Core temperature, heart rate, sweat rate, sodium concentration, plasma volume, and perceptual responses were analyzed using magnitude-based inferences. Results: Submaximal heart rate (effect size [ES] = −0.60 [−0.89; −0.32]) and core temperature (ES = −0.55 [−0.99; −0.10]) were reduced in HOT until 1 wkP. Sweat rate (ES = 0.36 [0.12; 0.59]) and sweat sodium concentration (ES = −0.82 [−1.48; −0.16]) were, respectively, increased and decreased until 3 wkP in HOT. Submaximal heart rate (ES = −0.38 [−0.85; 0.08]) was likely reduced in H+H at 3 wkP, whereas CONT had unclear physiological changes. Perceived exertion and thermal sensation were reduced across all groups. Conclusions: Despite greater physiological stress from combined heat training and “LHTL” hypoxia, thermoregulatory adaptations are limited in comparison with independent heat training. The combined stimuli provide no additional physiological benefit during exercise in hot environments.