Cardiorespiratory and Metabolic Responses During Graded Exercise in Normobaric and Hypobaric Hypoxia.

Faulhaber, Martin, Stephan Pramsohler, Linda Rausch, and Verena Menz. Cardiorespiratory and metabolic responses during graded exercise in normobaric and hypobaric hypoxia. High Alt Med Biol. 00:000-000, 2019. Background: The study investigated submaximal exercise responses during an acute exposure to normobaric hypoxia (NH) versus hypobaric hypoxia (HH) focusing on different exercise intensities. Methods: Eight recreationally trained male subjects (age 23 ± 3 years) performed submaximal cycling exercise at three different intensity levels (100, 150, and 200 W) in NH (simulated altitude 3150 m) and HH (terrestrial high altitude, 3150 m) in a cross-over study design. Cardiorespiratory parameter, blood lactate concentration, and ratings of perceived exertion were determined at each intensity level. Results: Cardiorespiratory parameters, arterial oxygen saturation, and ratings of perceived exertion did not differ between NH and HH except for the higher ventilatory equivalent for oxygen in HH compared to NH (25.9 ± 1.3 vs. 24.6 ± 1.0 at 100 W, 28.0 ± 1.6 vs. 27.1 ± 1.6 at 150 W, 32.1 ± 3.9 vs. 31.3 ± 3.6 at 200 W, p  = 0.03). Blood lactate concentration tended to be higher in HH compared to NH (1.8 ± 0.9 mmol/L vs. 1.7 ± 0.8 mmol/L at 100 W, 3.2 ± 1.8 mmol/L vs. 2.8 ± 1.6 mmol/L at 150 W, 6.0 ± 3.1 mmol/L vs. 5.5 ± 3.0 mmol/L at 200 W, p  = 0.08) with a significant interaction effect for exercise intensity ( p  = 0.02). Conclusions: Cycling during acute exposure to NH appears to result in equivalent cardiorespiratory responses to HH. The more pronounced lactate accumulation in HH should be a topic of future research.