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Updated: Mar 26, 2026

Supramaximal Intensity Hypoxic Exercise and Vascular Function Assessment in Mice
Published on: March 15, 2019
Severe hypoxia during incremental exercise to exhaustion provokes negative post-exercise affects
Michail E Keramidas1, Nektarios A M Stavrou2, Stylianos N Kounalakis3
1Department of Environmental Physiology, Swedish Aerospace Physiology Center, School of Technology and Health, Royal Institute of Technology, Stockholm, Sweden; Department of Automation, Biocybernetics and Robotics, Jozef Stefan Institute, Ljubljana, Slovenia.
Severe hypoxia during exercise negatively impacts post-exercise emotions, increasing fatigue and reducing motivation. This occurs because acute hypoxia impairs peak oxygen uptake (V̇O2peak), leading to a lower exercise intensity at exhaustion.
Area of Science:
- Exercise Physiology
- Sports Psychology
- Altitude Research
Background:
- Post-exercise emotional responses are intensity-dependent, with moderate exercise yielding positive feelings and maximal exercise potentially causing negative affects.
- Acute hypoxia, a condition of reduced oxygen availability, impairs peak oxygen uptake (V̇O2peak), shifting the point of exhaustion to a lower absolute exercise intensity.
Purpose of the Study:
- To investigate the influence of severe hypoxic conditions on the post-exercise affective state in healthy lowlanders.
- To determine if a hypoxic stimulus alters emotional responses and fatigue perception after maximal incremental exercise.
Main Methods:
- Thirty-six healthy lowlanders completed two incremental exercise to exhaustion trials in a counter-balanced order.
- Participants breathed either room air (AIR; FiO2: 0.21) or a hypoxic gas mixture (HYPO; FiO2: 0.12).
- Mood states, activation, and fatigue were assessed using validated questionnaires before and after exercise.
Main Results:
- Peak oxygen uptake (V̇O2peak) was significantly reduced by approximately 15% during the hypoxic trial compared to the room air trial (p<0.001).
- Following exercise in hypoxia, participants reported significantly impaired energy, calmness, and motivation (p≤0.05).
- Perceptions of tension, confusion, and physical/general fatigue were significantly exaggerated in the hypoxic condition (p≤0.05).
Conclusions:
- Incremental exercise to exhaustion in severe hypoxia elicits negative post-exercise emotional states.
- Hypoxia leads to increased perceived fatigue and decreased motivation compared to normoxic conditions.
- These affective responses correlate with the reduced V̇O2peak observed under hypoxic conditions.
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