{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:27:41Z","timestamp":1787120861330,"version":"build-2736575974"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Physiol."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study investigated the non-linear, time-dependent alterations in cardiorespiratory fitness, running economy (RE), and metabolic kinetics during the first week of acute exposure to a sub-high altitude (1,300 m) in elite youth endurance athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fourteen male national-level middle- and long-distance runners (age: 19.8\u00a0\u00b1\u00a00.7 years; sea-level\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im1\">\n                          <mml:mrow>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mn>2<\/mml:mn>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      : 67.2\u00a0\u00b1\u00a03.8\u00a0mL\u00b7kg\n                      <jats:sup>-<\/jats:sup>\n                      \u00b9\u00b7min\n                      <jats:sup>-<\/jats:sup>\n                      \u00b9) completed field-based incremental exhaustion tests on a standard 400-m outdoor track at sea level (T0) and on day\u00a01 (T1, within 18\u00a0h post-arrival), day\u00a04 (T2), and day\u00a06 (T3) after rapid rail-based ascent to 1,300\u00a0m. Maximal oxygen uptake (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im2\">\n                          <mml:mrow>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mn>2<\/mml:mn>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), peak running speed (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im3\">\n                          <mml:mrow>\n                            <mml:mi>v<\/mml:mi>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mn>2<\/mml:mn>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), and submaximal RE (steady-state\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im4\">\n                          <mml:mrow>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      at 12, 14, and 16\u00a0km\u00b7h\n                      <jats:sup>-<\/jats:sup>\n                      \u00b9) were assessed using an automated metabolic cart. Blood lactate concentration ([La\n                      <jats:sup>-<\/jats:sup>\n                      ]b) and maximal heart rate (HRmax) were measured. Daily waking morning heart rate (morning HR) and resting arterial oxygen saturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ) were continuously monitored. Training volume was strictly standardized to 70% of the habitual sea-level load.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One-way RM ANOVA revealed a significant main effect of time on\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im5\">\n                          <mml:mrow>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mn>2<\/mml:mn>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im6\">\n                          <mml:mrow>\n                            <mml:mi>F<\/mml:mi>\n                            <mml:mo stretchy=\"false\">[<\/mml:mo>\n                            <mml:mn>3<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mn>39<\/mml:mn>\n                            <mml:mo stretchy=\"false\">]<\/mml:mo>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>18.42<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mn>0.001<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:msubsup>\n                              <mml:mi>\u03b7<\/mml:mi>\n                              <mml:mi>p<\/mml:mi>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msubsup>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.59<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ). Crucially, polynomial contrasts confirmed a highly significant quadratic trend (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im7\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>F<\/mml:mi>\n                              <mml:mrow>\n                                <mml:mtext>quadratic<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                            <mml:mo stretchy=\"false\">[<\/mml:mo>\n                            <mml:mn>1<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mn>13<\/mml:mn>\n                            <mml:mo stretchy=\"false\">]<\/mml:mo>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>34.21<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:msub>\n                              <mml:mi>p<\/mml:mi>\n                              <mml:mrow>\n                                <mml:mtext>trend<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mn>0.001<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:msubsup>\n                              <mml:mi>\u03b7<\/mml:mi>\n                              <mml:mi>p<\/mml:mi>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msubsup>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.72<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), statistically validating a non-linear V-shaped temporal kinetic profile.\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im8\">\n                          <mml:mrow>\n                            <mml:mover accent=\"true\">\n                              <mml:mi>V<\/mml:mi>\n                              <mml:mo>\u02d9<\/mml:mo>\n                            <\/mml:mover>\n                            <mml:msub>\n                              <mml:mtext>O<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mn>2<\/mml:mn>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      dropped from\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im9\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>1<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      to a distinct nadir at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im10\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im11\">\n                          <mml:mrow>\n                            <mml:mo>\u2212<\/mml:mo>\n                            <mml:mn>7.0<\/mml:mn>\n                            <mml:mo>%<\/mml:mo>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ,\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im12\">\n                          <mml:mrow>\n                            <mml:mn>95<\/mml:mn>\n                            <mml:mo>%<\/mml:mo>\n                            <mml:mtext>\u00a0CI<\/mml:mtext>\n                            <mml:mo>:<\/mml:mo>\n                            <mml:mo stretchy=\"false\">[<\/mml:mo>\n                            <mml:mn>60.1<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mn>64.7<\/mml:mn>\n                            <mml:mo stretchy=\"false\">]<\/mml:mo>\n                            <mml:mo>\u00a0<\/mml:mo>\n                            <mml:mtext>mL<\/mml:mtext>\n                            <mml:mo>\u00b7<\/mml:mo>\n                            <mml:msup>\n                              <mml:mrow>\n                                <mml:mtext>kg<\/mml:mtext>\n                              <\/mml:mrow>\n                              <mml:mrow>\n                                <mml:mo>\u2212<\/mml:mo>\n                                <mml:mn>1<\/mml:mn>\n                              <\/mml:mrow>\n                            <\/mml:msup>\n                            <mml:mo>\u00b7<\/mml:mo>\n                            <mml:msup>\n                              <mml:mrow>\n                                <mml:mtext>min<\/mml:mtext>\n                              <\/mml:mrow>\n                              <mml:mrow>\n                                <mml:mo>\u2212<\/mml:mo>\n                                <mml:mn>1<\/mml:mn>\n                              <\/mml:mrow>\n                            <\/mml:msup>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mn>0.001<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), and partially rebounded at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im13\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>3<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      . Concurrently, submaximal RE at 14 km\/h significantly deteriorated at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im14\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      , as evidenced by a 5.3% increase in distance-specific oxygen cost (from\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im15\">\n                          <mml:mrow>\n                            <mml:mn>210.5<\/mml:mn>\n                            <mml:mo>\u00b1<\/mml:mo>\n                            <mml:mn>12.4<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im16\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>1<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      to\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im17\">\n                          <mml:mrow>\n                            <mml:mn>221.7<\/mml:mn>\n                            <mml:mo>\u00b1<\/mml:mo>\n                            <mml:mn>14.2<\/mml:mn>\n                            <mml:mo>\u00a0<\/mml:mo>\n                            <mml:mtext>mL<\/mml:mtext>\n                            <mml:mo>\u00b7<\/mml:mo>\n                            <mml:msup>\n                              <mml:mrow>\n                                <mml:mtext>kg<\/mml:mtext>\n                              <\/mml:mrow>\n                              <mml:mrow>\n                                <mml:mo>\u2212<\/mml:mo>\n                                <mml:mn>1<\/mml:mn>\n                              <\/mml:mrow>\n                            <\/mml:msup>\n                            <mml:mo>\u00b7<\/mml:mo>\n                            <mml:msup>\n                              <mml:mrow>\n                                <mml:mtext>km<\/mml:mtext>\n                              <\/mml:mrow>\n                              <mml:mrow>\n                                <mml:mo>\u2212<\/mml:mo>\n                                <mml:mn>1<\/mml:mn>\n                              <\/mml:mrow>\n                            <\/mml:msup>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im18\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ,\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im19\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.010<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), which also exhibited a significant quadratic pattern (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im20\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>p<\/mml:mi>\n                              <mml:mrow>\n                                <mml:mtext>trend<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.008<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ). Post-exercise blood lactate peaked at\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im21\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mtext>T<\/mml:mtext>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im22\">\n                          <mml:mrow>\n                            <mml:mn>11.2<\/mml:mn>\n                            <mml:mo>\u00b1<\/mml:mo>\n                            <mml:mn>1.4<\/mml:mn>\n                            <mml:mo>\u00a0<\/mml:mo>\n                            <mml:mtext>mmol<\/mml:mtext>\n                            <mml:mo>\u00b7<\/mml:mo>\n                            <mml:msup>\n                              <mml:mtext>L<\/mml:mtext>\n                              <mml:mrow>\n                                <mml:mo>\u2212<\/mml:mo>\n                                <mml:mn>1<\/mml:mn>\n                              <\/mml:mrow>\n                            <\/mml:msup>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.015<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ), while\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im23\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mrow>\n                                <mml:mtext>HR<\/mml:mtext>\n                              <\/mml:mrow>\n                              <mml:mrow>\n                                <mml:mtext>max<\/mml:mtext>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      remained statistically stable (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" id=\"im24\">\n                          <mml:mrow>\n                            <mml:mi>F<\/mml:mi>\n                            <mml:mo stretchy=\"false\">[<\/mml:mo>\n                            <mml:mn>3<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mn>39<\/mml:mn>\n                            <mml:mo stretchy=\"false\">]<\/mml:mo>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.21<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.885<\/mml:mn>\n                            <mml:mo>,<\/mml:mo>\n                            <mml:msubsup>\n                              <mml:mi>\u03b7<\/mml:mi>\n                              <mml:mi>p<\/mml:mi>\n                              <mml:mn>2<\/mml:mn>\n                            <\/mml:msubsup>\n                            <mml:mo>=<\/mml:mo>\n                            <mml:mn>0.015<\/mml:mn>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Acute relocation to 1,300 m induces a distinct physiological nadir on Day 4, which may be related to transient autonomic adjustments and respiratory muscle work, rather than hematological adaptations. Early adaptation emerges by Day 6. Coaches may consider closer monitoring and temporary adjustment of training intensity during the early days following ascent, particularly around day 4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fphys.2026.1916986","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:46:30Z","timestamp":1787118390000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Time-dependent changes in aerobic capacity of acute sub-high altitude exposure in elite youth endurance athletes"],"prefix":"10.3389","volume":"17","author":[{"given":"Junpeng","family":"Feng","sequence":"first","affiliation":[{"name":"China Winter Sports College, Beijing Sport University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengming","family":"Ning","sequence":"additional","affiliation":[{"name":"College of Education, Beijing Sport University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuchang","family":"Zhang","sequence":"additional","affiliation":[{"name":"College of Education, Beijing Sport University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Tao","sequence":"additional","affiliation":[{"name":"College of Education, Beijing Sport University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyue","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Beijing City University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqiang","family":"Wu","sequence":"additional","affiliation":[{"name":"College of Education, Beijing Sport University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1113\/jphysiol.2006.115550","article-title":"Role of muscle afferents in determining the locomotor muscle fatigue-regulated ventilatory and cardiovascular response to exercise in mild hypoxia","volume":"575","author":"Amann","year":"2006","journal-title":"J. Physiol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1159\/000320633","article-title":"Endurance training and elite young athletes","volume":"56","author":"Armstrong","year":"2011","journal-title":"Med. Sport. Sci."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1710","DOI":"10.1152\/jappl.1995.78.5.1710","article-title":"Contribution of diaphragmatic fatigue to exercise limitation in hypoxia","volume":"78","author":"Babcock","year":"1995","journal-title":"J. Appl. Physiol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"895","DOI":"10.2165\/00007256-200838110-00003","article-title":"General physiology of hypoxia","volume":"38","author":"B\u00e4rtsch","year":"2008","journal-title":"Sports. Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"8655","DOI":"10.1073\/pnas.0701985104","article-title":"Two routes to functional adaptation: Tibetan and Andean high-altitude natives","volume":"104","author":"Beall","year":"2007","journal-title":"Proc. Natl. Acad. Sci. U.S.A."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.2165\/11317990-000000000-00000","article-title":"Sea-level performance gains from various altitude-training modalities: a meta-analysis","volume":"39","author":"Bonetti","year":"2009","journal-title":"Sports. Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1111\/j.1469-7793.2001.00289.x","article-title":"Parasympathetic regulation of maximal heart rate in humans during severe acute hypoxia","volume":"536","author":"Boushel","year":"2001","journal-title":"J. Physiol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1152\/jappl.1991.70.3.919","article-title":"Increased dependence on blood glucose after acclimatization to 4,300 m","volume":"70","author":"Brooks","year":"1991","journal-title":"J. Appl. Physiol."},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2015.00326","article-title":"Convective oxygen transport cascade in humans: exercise-limiting factors under acute hypoxia","volume":"6","author":"Calbet","year":"2015","journal-title":"Front. Physiol."},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2014.00221","article-title":"Defining the \"expert\" approach to altitude training","volume":"5","author":"Chapman","year":"2014","journal-title":"Front. Physiol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1152\/japplphysiol.00081.2016","article-title":"Timing of return from altitude training for optimal sea level performance","volume":"120","author":"Chapman","year":"2016","journal-title":"J. Appl. Physiol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"1448","DOI":"10.1152\/jappl.1998.85.4.1448","article-title":"Individual variation in response to altitude training","volume":"85","author":"Chapman","year":"1998","journal-title":"J. Appl. Physiol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1007\/s00421-004-1065-x","article-title":"The effect of acute simulated altitude on running economy and performance","volume":"92","author":"Clark","year":"2004","journal-title":"Eur. J. Appl. Physiol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.jsams.2006.06.012","article-title":"Running economy is uninfluenced by six days of acute altitude exposure","volume":"10","author":"Clark","year":"2007","journal-title":"J. Sci. Med. Sport."},{"key":"B15","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1152\/jappl.1975.39.3.390","article-title":"Response to exercise after blood loss and reinfusion","volume":"39","author":"Ekblom","year":"1975","journal-title":"J. Appl. Physiol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1152\/japplphysiol.00895.2017","article-title":"Microvascular oxygenation kinetics in fiber-type specific skeletal muscle during hypoxia","volume":"124","author":"Ferguson","year":"2018","journal-title":"J. Appl. Physiol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1055\/s-2005-837441","article-title":"Effects of acute moderate hypoxia on performance indices in elite youth athletes","volume":"26","author":"Friedmann","year":"2005","journal-title":"Int. J. Sports. Med."},{"key":"B18","doi-asserted-by":"publisher","first-page":"1841","DOI":"10.1249\/mss.0b013e318149986d","article-title":"Cardiorespiratory and metabolic profiles of elite Kenyan runners at moderate altitude","volume":"39","author":"Fudge","year":"2007","journal-title":"Med. Sci. Sports. Exerc."},{"key":"B19","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1186\/s40798-015-0026-3","article-title":"Altitude exposure at sub-high environments: implications for elite sports periodization","volume":"1","author":"Garvican-Lewis","year":"2015","journal-title":"Sports. Med. - Open"},{"key":"B20","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1089\/ham.2007.8205","article-title":"Non-hematological mechanisms of altitude training","volume":"8","author":"Gore","year":"2007","journal-title":"High Alt. Med. Biol."},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2013.00286","article-title":"Altitude training and haemoglobin mass in elite athletes","volume":"4","author":"Gore","year":"2013","journal-title":"Front. Physiol."},{"key":"B22","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.1152\/jappl.1992.73.4.1497","article-title":"Operation Everest II: muscle adaptations during prolonged severe hypoxia","volume":"73","author":"Green","year":"1992","journal-title":"J. Appl. Physiol."},{"key":"B23","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1113\/jphysiol.2002.036087","article-title":"Sympathetic nervous system activity during acute and prolonged hypoxia in healthy humans","volume":"548","author":"Hansen","year":"2003","journal-title":"J. Physiol."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1152\/jappl.1997.82.5.1573","article-title":"Respiratory muscle work compromises leg blood flow during maximal exercise","volume":"82","author":"Harms","year":"1997","journal-title":"J. Appl. Physiol."},{"key":"B25","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195117028.001.0001","volume-title":"Biochemical Adaptation: Mechanism and Process in Physiological Evolution","author":"Hochachka","year":"2002"},{"key":"B26","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1097\/00005768-199903000-00018","article-title":"Design and analysis of research on sport performance enhancement","volume":"31","author":"Hopkins","year":"1999","journal-title":"Med. Sci. Sports. Exerc."},{"key":"B27","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1152\/jappl.1997.83.1.102","article-title":"Living high-training low\": a procedure for improving altitude and sea-level performance","volume":"83","author":"Levine","year":"1997","journal-title":"J. Appl. Physiol."},{"key":"B28","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1136\/bjsports-2011-090714","article-title":"Current understanding of the mechanisms of altitude training","volume":"46","author":"Lundby","year":"2012","journal-title":"Br. J. Sports. Med."},{"key":"B29","doi-asserted-by":"publisher","first-page":"E619","DOI":"10.1152\/ajpendo.1998.275.4.E619","article-title":"Catecholamine response to high altitude exposure and acclimatization in women","volume":"275","author":"Mazzeo","year":"1998","journal-title":"Am. J. Physiol."},{"key":"B30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2165\/11317770-000000000-00000","article-title":"Combining hypoxia and training: a framework for elite performers","volume":"40","author":"Millet","year":"2010","journal-title":"Sports. Med."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1533","DOI":"10.1007\/s40279-015-0371-y","article-title":"Metabolic responses and muscle fatigue development during high-intensity intermittent exercise in children","volume":"45","author":"Ratel","year":"2015","journal-title":"Sports. Med."},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2012.00411","article-title":"Cardiac receptor desensitization under severe altitude hypoxia: mechanisms and physiological benefits","volume":"3","author":"Richalet","year":"2012","journal-title":"Front. Physiol."},{"key":"B33","doi-asserted-by":"publisher","first-page":"1985","DOI":"10.1007\/s00421-020-04423-1","article-title":"Oxygen transport and utilization limits during hypoxic exercise: muscle microvascular insights","volume":"120","author":"Richardson","year":"2020","journal-title":"Eur. J. Appl. Physiol."},{"key":"B34","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1007\/s00421-005-0089-1","article-title":"Hematological adaptations among elite runners during living high-training low","volume":"96","author":"Robach","year":"2006","journal-title":"Eur. J. Appl. Physiol."},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0114418","article-title":"Comparison of \"living high-training low\" in simulated versus real altitude in elite runners","volume":"9","author":"Saugy","year":"2014","journal-title":"PloS One"},{"key":"B36","doi-asserted-by":"publisher","first-page":"465","DOI":"10.2165\/00007256-200434070-00005","article-title":"Factors affecting running economy in trained distance runners","volume":"34","author":"Saunders","year":"2004","journal-title":"Sports. Med."},{"key":"B37","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.jsams.2007.08.014","article-title":"Improved running economy and increased hemoglobin mass in elite runners after extended moderate altitude exposure","volume":"12","author":"Saunders","year":"2009","journal-title":"J. Sci. Med. Sport."},{"key":"B38","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1089\/ham.2007.8402","article-title":"Time course of hemoglobin mass expansion during acute hypoxic exposure","volume":"8","author":"Schuler","year":"2007","journal-title":"High Alt. Med. Biol."},{"key":"B39","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1152\/japplphysiol.01182.2011","article-title":"Living high-training low\" altitude training excludes erythropoietic adaptations but improves performance in elite swimmers","volume":"112","author":"Siebenmann","year":"2012","journal-title":"J. Appl. Physiol."},{"key":"B40","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.resp.2010.02.012","article-title":"Differences in the control of hypoxic ventilatory response between adult and youth populations","volume":"171","author":"Slessarev","year":"2010","journal-title":"Respir. Physiol. Neurobiol."},{"key":"B41","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1152\/jappl.2001.91.3.1113","article-title":"Living high-training low\" altitude training improves sea level performance in male and female elite runners","volume":"91","author":"Stray-Gundersen","year":"2001","journal-title":"J. Appl. Physiol."},{"key":"B42","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1007\/s00421-005-0081-9","article-title":"Linear decrease in $$\\dot{V}\\text{O}_{2\\max}$$ and performance with increasing altitude in endurance athletes","volume":"96","author":"Wehrlin","year":"2006","journal-title":"Eur. J. Appl. Physiol."},{"key":"B43","doi-asserted-by":"crossref","DOI":"10.1201\/b13633","volume-title":"High Altitude Medicine and Physiology","author":"West","year":"2012"},{"key":"B44","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1249\/mss.0b013e3180de49e6","article-title":"Application of altitude\/hypoxic training by elite athletes","volume":"39","author":"Wilber","year":"2007","journal-title":"Med. Sci. Sports. Exerc."}],"container-title":["Frontiers in Physiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphys.2026.1916986\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:46:32Z","timestamp":1787118392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphys.2026.1916986\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":44,"alternative-id":["10.3389\/fphys.2026.1916986"],"URL":"https:\/\/doi.org\/10.3389\/fphys.2026.1916986","relation":{},"ISSN":["1664-042X"],"issn-type":[{"value":"1664-042X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"article-number":"1916986"}}