Living high-training low: effect of moderate-altitude acclimatization with low-altitude training on performance

Levine BD, Stray-Gundersen J (1997) Journal of Applied Physiology
Title and abstract of Living high-training low: effect of moderate-altitude acclimatization with low-altitude training on performance

Key Takeaway

The landmark study establishing "Live High, Train Low" as the gold standard for altitude training - showed 3% improvement in 5K time after 4 weeks of LHTL

Summary

This foundational study compared three groups of collegiate runners: live high-train high (LHTH), live high-train low (LHTL), and live low-train low (LLTH). The LHTL group lived at 2,500m but trained at 1,250m.

Methods

  • 39 competitive distance runners
  • 4-week altitude camp
  • Three groups: LHTH, LHTL, and control (LLTL)
  • Pre and post 5,000m time trials at sea level
  • Blood measurements (EPO, hemoglobin, red cell mass)

Key Results

  • LHTL group improved 5K time by ~3% (vs 1% in other groups)
  • EPO increased ~2x in first 24 hours at altitude
  • Red cell mass increased ~5% in LHTL group
  • VO2max increased ~5% in LHTL group
  • Benefits maintained for 2-3 weeks post-altitude

Limitations

  • Relatively small sample size
  • Young, healthy athletes only
  • Single study location
  • Individual variation was significant

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Source

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DOI: 10.1152/jappl.1997.83.1.102