Effects of Respiratory Muscle Endurance Training in Hypoxia on Running Performance

PURPOSE We hypothesized that respiratory muscle endurance training (RMET) in hypoxia induces greater improvements in respiratory muscle endurance with attenuated respiratory muscle metaboreflex and consequent whole-body performance. We evaluated respiratory muscle endurance and cardiovascular response during hyperpnoea and whole-body running performance before and after RMET in normoxia and hypoxia. METHODS Twenty-one collegiate endurance runners were assigned to control (n=7), normoxic (n=7), and hypoxic (n=7) groups. Before and after the 6 weeks of RMET, an incremental respiratory endurance test and constant exercise tests were performed. The constant exercise test was performed on a treadmill at 95% of the individual's peak oxygen uptake (VO2peak). The RMET was isocapnic hyperpnoea under normoxic and hypoxic conditions (30 min/day). The initial target of minute ventilation during RMET was set to 50% of the individual maximal voluntary ventilation, and the target increased progressively during the 6 weeks. Target arterial oxygen saturation in the hypoxic group was set to 90% in the first 2 weeks, and thereafter it was set to 80%. RESULTS Respiratory muscle endurance was increased after RMET in the normoxic and hypoxic groups. The time to exhaustion at 95%VO2peak exercise also increased after RMET in the normoxic (10.2±2.4 to 11.2±2.6 min) and hypoxic (11.5±2.6 to 12.6±3.0 min) groups, but not in the control group (9.6±3.2 to 9.4±4.0 min). The magnitude of these changes did not differ between the normoxic and hypoxic groups (P=0.84). CONCLUSION These results suggest that the improvement of respiratory muscle endurance and blunted respiratory muscle metaboreflex could, in part, contribute to improved endurance performance in endurance-trained athletes. However, it is also suggested that there are no additional effects when the RMET is performed in hypoxia. Corresponding author: Keisho Katayama, Ph.D., Research Center of Health, Physical Fitness and Sports, Nagoya University, Nagoya, 464-8601, Japan. TEL/FAX: +81-52-789-5754, E-mail: katayama@htc.nagoya-u.ac.jp This study was supported in part by JSPS KAKENHI Grant Number 26560348. The results of the study are presented clearly, honesty, and without fabrication, falsification, or inappropriate data manipulation. The authors declare that there is no conflict of interest to this study. The presentation of the results of the present here does not constitute endorsement by the American College of Sports Medicine. Accepted for Publication: 11 February 2019 © 2019 American College of Sports Medicine

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