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Updated: May 1, 2026

A Rapidly Incremented Tethered-Swimming Maximal Protocol for Cardiorespiratory Assessment of Swimmers
Published on: January 28, 2020
"Live High-Train High" increases hemoglobin mass in Olympic swimmers
Thomas Christian Bonne1, Carsten Lundby, Susanne Jørgensen
1Department of Nutrition, Exercise and Sport Sciences, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Live High-Train High (LHTH) altitude training for 3-4 weeks effectively increases hemoglobin mass (Hbmass) in swimmers. However, this method does not enhance swim-specific VO2peak, though it may offer performance benefits over sea-level training.
Area of Science:
- Sports Science
- Altitude Training Physiology
- Swimming Performance
Background:
- Endurance athletes utilize altitude training to enhance physiological adaptations.
- Live High-Train High (LHTH) is a common altitude training strategy.
- The impact of LHTH on swim-specific maximal oxygen uptake (VO2max) and hemoglobin mass (Hbmass) requires further investigation.
Purpose of the Study:
- To determine if 3-4 weeks of LHTH altitude training increases swim-specific VO2max.
- To investigate if increases in hemoglobin mass (Hbmass) mediate the effects of LHTH on swim performance.
- To compare the effects of LHTH with sea-level (SL) training on swimming performance.
Main Methods:
- Ten swimmers underwent LHTH at 2,130–3,094m for over 3 weeks.
- A control group of ten swimmers performed identical training at sea-level (SL).
- Measurements included body composition, Hbmass (carbon monoxide rebreathing), and swim-specific VO2peak before and after the intervention.
Main Results:
- LHTH significantly increased Hbmass by 6.2% (P < 0.05), with no changes in the SL group.
- Swim-specific VO2peak remained unchanged in both LHTH and SL groups post-intervention.
- While 4x50m race pace improved similarly in both groups, LHTH showed a trend towards greater improvements in maximal speed and 3,000m time.
Conclusions:
- 3-4 weeks of LHTH increases Hbmass but does not improve swim-specific VO2peak.
- LHTH may offer performance advantages over SL training for certain swimming distances.
- Further research is needed to optimize LHTH protocols for swimming.
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