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The Effect of Natural or Simulated Altitude Training on High-Intensity Intermittent Running Performance in Team-Sport Athletes: A Meta-Analysis.

PMID 29129021 (2018): altitude, hypoxia — VO₂max, Time-trial performance (study note for endurance athletes).

Last updated/Feb 23, 2026, 10:34 PM

Study note • PMID 29129021

The Effect of Natural or Simulated Altitude Training on High-Intensity Intermittent Running Performance in Team-Sport Athletes: A Meta-Analysis.

Sports medicine (Auckland, N.Z.)2018 • DOI 10.1007/s40279-017-0809-9
Evidence B81/100
Action 1: Default

Low risk + high feasibility for most athletes.

ELI5

In plain language

To analyse the effect of hypoxic interventions on high-intensity intermittent running performance in team-sport athletes. (systematic review / meta-analysis; athletes).

In this systematic review / meta-analysis, the abstract suggests a positive relationship with Time-trial performance. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: To analyse the effect of hypoxic interventions on high-intensity intermittent running performance in team-sport athletes.
  • In this systematic review / meta-analysis, the abstract suggests a positive relationship with Time-trial performance.
  • Population: athletes.
  • Protocol cues (title/abstract): 28 days • 1 week • 4 weeks • 33 km • 710 km.

Protocol

Protocol (as reported)

  • Intervention/exposure: altitude, hypoxia.
  • Dose/time/duration cues in abstract/title: 28 days • 1 week • 4 weeks • 33 km • 710 km.
  • Outcomes: VO₂max, Time-trial performance.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (athletes) working on altitude.
  • Athletes who can measure VO₂max, Time-trial performance with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: systematic review / meta-analysis (placebo-controlled).
  • Population: athletes.
  • Outcomes measured: VO₂max, Time-trial performance.
  • Protocol cues mentioned: 28 days • 1 week • 4 weeks • 33 km • 710 km.
  • Source: PubMed PMID 29129021 (2018) — Sports medicine (Auckland, N.Z.).

Results excerpt

What the abstract reports

Ten studies qualified for inclusion, but two were excluded owing to small sample size and risk of publication bias.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Reviews and consensus statements mix protocols and populations; recommendations may not match your exact constraints.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources