Abstract

Objectives: We tested the hypotheses that respiratory muscle endurance training (RMET) improves endurance cycling performance differently in women and men and more so in hypoxia than in normoxia.Design: A prospective pre–post cross-over study with two testing conditions.Methods: Healthy and active women (seven, 24 ± 4 years, mean ± standard deviation [SD]) and men (seven, 27 ± 5 years) performed incremental cycling to determine maximum oxygen consumption (VO2peak) and power output (Wpeak) and on different days two 10-km cycling time trials (TTs) in normoxia and normobaric hypoxia (FiO2, 0.135, ~3,500 m equivalent), in a balanced randomized order. Next they performed supervised RMET in normoxia (4 weeks, 5 days/week, 30 min/day eucapnic hyperpnea at ~60% predicted maximum voluntary ventilation) followed by identical post-tests. During TTs, heart rate, ear oximetry reading, and Wpeak were recorded.Results: The VO2peak and Wpeak values were unchanged after RMET. The TT was improved by 7 ± 6% (p < 0.001) in normoxia and 16 ± 6% (p < 0.001) in hypoxia. The difference between normoxic and hypoxic TT was smaller after RMET as compared with that before RMET (14% vs. 21%, respectively, p < 0.001). All effects were greater in women (p < 0.001). The RMET did not change the heart rate or ear oximetry reading during TTs.Conclusion: We found a greater effect of RMET on cycling TT performance in women than in men, an effect more pronounced in hypoxia. These findings are congruent with the contention of a more pronounced performance-limiting role of the respiratory system during endurance exercise in hypoxia compared with normoxia and more so in women whose respiratory system is undersized compared with that of men.

Highlights

  • In conditions of normoxia, the capacity of the cardiorespiratory oxygen transport is the main limiting factor for maximum oxygen consumption (VO2max) (Bassett and Howley, 2000; Lundby et al, 2017)

  • The effects of respiratory muscle endurance training (RMET) on TT performance were greater in women

  • RMET did not affect the mean nor the final levels of heart rate (HR) or ear oximetry reading during TT in normoxia or hypoxia (Table 2)

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Summary

Introduction

The capacity of the cardiorespiratory oxygen transport is the main limiting factor for maximum oxygen consumption (VO2max) (Bassett and Howley, 2000; Lundby et al, 2017). For aerobic endurance-type exercises such as running or cycling, it is the highest maintainable fraction of VO2max for a given time that sets the best performance for a given distance such as the marathon, with a multitude of other interacting factors contributing to ceiling effects such as the energy cost of locomotion, development of neuromuscular fatigue, availability of energy substrate, and thermoregulation (Jones et al, 2020). The respiratory system is thought not to be an important limiting factor for maximum aerobic capacity in young, healthy, but not especially trained men, who possess excess respiratory system capacity (Dempsey et al, 2020). For endurance type of effort, fatigue of the respiratory muscle is currently thought to be a limiting factor (Boutellier, 1998; Spengler and Boutellier, 2000; Dempsey et al, 2020)

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