Ventilation is higher at any submaximal workload in hypoxia as compared to normoxia. Whether or not training the respiratory muscles helps to improve exercise performance in hypoxia is unclear. Purpose: To determine if improvements in ventilatory strength with chronic inspiratory muscle training (IMT) improves 20km cycling time trial (TT) performance in hypoxia (FIO2 = 16.1%). Methods: Thirteen highly-trained men were pair-matched based on pre-exercise values of maximal inspiratory pressure (MIP) and randomly placed into either a sham (n = 5, V O2max = 61.7 ± 2.0 ml•kg -1 •min -1 ) or an IMT (n = 8, V O2max = 63.5 ± 3.4 ml•kg TT heart rate and SpO2 were unchanged in both groups post-training. Conclusion: In a small cohort, IMT-induced improvements in respiratory muscle strength which resulted in greater ventilation and oxygen uptake during a 20km time trial in hypoxia. IMT should be explored as a useful strategy for improving the quality of cycle exercise training and/or endurance exercise performance at altitude. Chapter I: IntroductionAthletes competing in a hypoxic environment experience a worsening of exercise performance. One of the main causes is a decline in arterial oxygenation which causes a decline in maximal oxygen consumption. The body compensates for the decline in arterial oxygenation by increasing ventilation, which increases work of breathing. During exercise in normoxia, it is estimated that the inspiratory muscles consume 10 to 15 percent of total body oxygen uptake (1).However, in hypoxia, the oxygen demand of the respiratory muscles increases an additional 20 to 30 percent (2). In response to an increase in work of breathing, the inspiratory muscles increase their oxygen supply by shunting blood away from the working muscle and to the inspiratory muscles (15). Therefore, this causes a decrease in locomotor muscle power production and increases the rate of fatigue.There have been many different theories and techniques used to attenuate the effects of altitude on exercise performance. Inspiratory muscle training (IMT) has been shown to increase performance during a cycling time trial of 20 km or longer in a normoxic environment (20, 34).
7Interestingly, to our knowledge, there has only been one study examining the effects of IMT on performance in hypoxia. In this study by Downey et al., IMT increased oxygen diffusing capacity and arterial oxygen saturation while decreasing ventilation, cardiac output and inspiratory muscle fatigue during a treadmill time to exhaustion test (TTE) in hypoxia (8). Based on these results one would expect exercise performance in hypoxia to benefit from IMT, but there was no significant difference in the time to exhaustion test on a treadmill between the IMT and sham training groups. A lack of significant difference in exercise performance in hypoxia in the Downey et al. study may be due to the specific performance trial used not being robust enough to detect differences. The duration, for the experimental and control group, was 9.7 ± 1.5 min and 7.4 ± 1.2 m...