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Dietary Adjustments to Altitude Training in Elite Endurance Athletes; Impact of a Randomized Clinical Trial With Antioxidant-Rich Foods.

PMID 33345095 (2020): altitude — VO₂max, Time-trial performance (study note for endurance athletes).

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

Study note • PMID 33345095

Dietary Adjustments to Altitude Training in Elite Endurance Athletes; Impact of a Randomized Clinical Trial With Antioxidant-Rich Foods.

Frontiers in sports and active living2020 • DOI 10.3389/fspor.2020.00106
Evidence C69/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

We investigated whether athletes adjust their dietary intake according to the IOC's altitude-specific dietary recommendations, and whether an in-between meal intervention with antioxidant-rich foods altered the athletes' dietary composition… (randomized trial; elite athletes).

The abstract doesn’t indicate a clear change in VO₂max, Time-trial performance under the tested conditions. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: We investigated whether athletes adjust their dietary intake according to the IOC's altitude-specific dietary recommendations, and whether an in-between meal intervention with antioxidant-rich foods altered the athletes' dietary composition…
  • The abstract doesn’t indicate a clear change in VO₂max, Time-trial performance under the tested conditions.
  • Population: elite athletes.
  • Protocol cues (title/abstract): 1.8 g/kg • 2.1 g/kg • 3 weeks • 320 m.

Protocol

Protocol (as reported)

  • Intervention/exposure: altitude (vs control group).
  • Dose/time/duration cues in abstract/title: 1.8 g/kg • 2.1 g/kg • 3 weeks • 320 m.
  • 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 (elite 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: randomized trial.
  • Population: elite athletes.
  • Comparator: control group.
  • Outcomes measured: VO₂max, Time-trial performance.
  • Protocol cues mentioned: 1.8 g/kg • 2.1 g/kg • 3 weeks • 320 m.
  • Source: PubMed PMID 33345095 (2020) — Frontiers in sports and active living.

Results excerpt

What the abstract reports

Carbohydrate intake increased from 6.5 +/- 1.8 g/kg body weight (BW) (50 E%) to 9.3 +/- 2.1 g/kg BW (53 E%) (p < 0.001), with no difference between the antioxidant and control group.

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).
  • Single studies often don’t generalize to your event, history, and training load; treat results as a starting point.
  • 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