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Effects of Alternating Altitude Training Versus Fixed-Altitude Training on Exercise Capacity and Physiological Adaptations in Elite Race Walkers: A Randomized Controlled Trial

Effects of Alternating Altitude Training Versus Fixed-Altitude Training on Physical Performance and Physiological Adaptations in Elite Race Walkers: A Randomized Controlled Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07718009
Enrollment
16
Registered
2026-07-21
Start date
2026-07-20
Completion date
2026-09-05
Last updated
2026-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Altitude Training, Race Walking

Brief summary

This randomized controlled trial aims to compare the effects of alternating altitude training and fixed-altitude training on physical performance and physiological adaptations in elite race walkers living at altitude. Elite race walkers from Yunnan Province will be randomly assigned to either an alternating altitude training group or a fixed-altitude training group. The alternating altitude training group will perform selected training sessions under simulated higher-altitude conditions while completing the remaining sessions at their regular altitude training base. The fixed-altitude training group will complete all training sessions at the regular altitude. Physical performance, race walking performance, cardiovascular function, pulmonary function, and hematological parameters will be assessed before and after the intervention to evaluate the effectiveness of the two altitude training strategies.

Interventions

BEHAVIORALAlternating Altitude Training

Participants complete the prescribed training program using an alternating altitude strategy, combining regular altitude training with selected sessions performed under simulated higher-altitude conditions.

BEHAVIORALFixed-Altitude Training

Participants complete the prescribed training program exclusively at the regular altitude training base.

Sponsors

Macao Polytechnic University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 26 Years
Healthy volunteers
Yes

Inclusion criteria

* Male and female elite race walkers aged 16-26 years. Registered athletes from the Yunnan Provincial Race Walking Team. Long-term residents of high-altitude regions with regular altitude training experience. Healthy and medically cleared to participate in high-intensity training and hypoxic exposure. Able to complete the prescribed training program and all outcome assessments. Provided written informed consent before enrollment. For participants younger than 18 years, written informed consent will also be obtained from a parent or legal guardian.

Exclusion criteria

* Any cardiovascular, respiratory, metabolic, neurological, or other medical condition contraindicating exercise or hypoxic exposure. Musculoskeletal injury or illness affecting normal training or performance within the previous three months. Current use of medications or supplements that may substantially influence physiological adaptation or exercise performance. Failure to complete the intervention or outcome assessments according to the study protocol. Withdrawal of informed consent at any time during the study.

Design outcomes

Primary

MeasureTime frameDescription
Body WeightBaseline and immediately after completion of the 4-week intervention.Body weight measured before and after the training period.
Body Fat PercentageBaseline and immediately after completion of the 4-week intervention.Body fat percentage measured using bioelectrical impedance or other validated method.
Forced Vital Capacity (FVC)Baseline and immediately after completion of the 4-week intervention.Forced vital capacity measured using spirometry before and after the intervention.
Maximal Voluntary VentilationBaseline and immediately after completion of the 4-week intervention.MVV measured using standard pulmonary function testing protocol pre- and post-intervention.
Left Ventricular VolumeBaseline and immediately after completion of the 4-week intervention.Echocardiography measurement of left ventricular end-diastolic and end-systolic volume.
Ejection FractionBaseline and immediately after completion of the 4-week intervention.Echocardiography assessment of left ventricular ejection fraction pre- and post-training.
Myocardial ThicknessBaseline and immediately after completion of the 4-week intervention.Measurement of interventricular septum and left ventricular posterior wall thickness by echocardiography.
Maximal Oxygen UptakeBaseline and immediately after completion of the 4-week intervention.Pre- and post-intervention measurement of VO₂max using standard exercise testing protocol to assess aerobic capacity
Countermovement Jump HeightBaseline and immediately after completion of the 4-week intervention.Countermovement jump (CMJ) height measured using a validated force platform or jump assessment system to evaluate lower-limb explosive power before and after the intervention.
Squat Jump HeightBaseline and immediately after completion of the 4-week intervention.Squat jump (SJ) height measured using a validated force platform or jump assessment system to assess concentric lower-limb explosive strength before and after the intervention.
Isometric Mid-Thigh Pull Peak ForceBaseline and immediately after completion of the 4-week intervention.Peak force during the isometric mid-thigh pull (IMTP) measured using a force platform to assess maximal isometric lower-limb strength before and after the intervention.
Isometric Mid-Thigh Pull Rate of Force DevelopmentBaseline and immediately after completion of the 4-week intervention.Rate of force development (RFD) during the isometric mid-thigh pull (IMTP) measured using a force platform before and after the intervention.
Reactive Strength Index (RSI)Baseline and immediately after completion of the 4-week intervention.Reactive Strength Index (RSI) calculated from repeated ankle hops using a force platform or validated jump assessment system to assess lower-limb reactive strength before and after the intervention.

Secondary

MeasureTime frameDescription
Red Blood Cell CountBaseline and immediately after completion of the 4-week intervention.RBC count measured from venous blood samples pre- and post-intervention.
HemoglobinBaseline and immediately after completion of the 4-week intervention.Hemoglobin concentration measured from venous blood samples.
HematocritBaseline and immediately after completion of the 4-week intervention.Hemoglobin concentration measured from venous blood samples.
ErythropoietinBaseline and immediately after completion of the 4-week intervention.Plasma EPO concentration measured from venous blood samples.

Countries

China

Contacts

CONTACTBinghong Gao
research_ethics@ipm.edu.mo+853 8591 2000

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 22, 2026