This study investigated the effect of high-intensity interval training (HIIT) in normobaric hypoxia on aerobic performance in young biathlon athletes. In addition, the study aimed to assess the impact of training in hypoxia on the mechanisms of exercise-induced motor performance fatigue. In a randomized, controlled crossover study twelve athletes (age 15.7 ± 1.0 years) completed a HIIT in normobaric hypoxia (hypoxia training) (fraction of inspired oxygen, FiO2 = 15.2%) and normoxia (normoxia training) in a randomized order. The HIIT was performed 3 days/week for 6 weeks (3 weeks in hypoxia and 3 weeks in normoxia, with a 3 week wash-out period in between) and consisted of 5 x 4 minutes running (80% of peak oxygen uptake), separated by 3 minutes of active recovery and 4 x 1minute arm cranking (60% peak power), interspersed with a 2 minute rest. Peak oxygen uptake (V̇O2peak), hypoxia-inducible factor 1 alpha (HIF1α), vascular endothelial growth factor (VEGF), pro-inflammatory cytokines, muscle damage biomarkers and total antioxidant status were analyzed before and after both training protocols (HT and NT). A significant effect of hypoxia on V̇O2peak (ηp2 = 0.321, p = 0.044) and hypoxia and training on V̇O2LT and haemoglobin concentrations (ηp2 = 0.689 p = 0.001) were observed. The V̇O2peak was significantly higher post-HT compared to pre-HT (p < 0.01). A significant effect of oxygen conditions and training on the serum post-exercise VEGF (ηp2 = 0.352, p = 0.033) and myoglobin concentrations (ηp2 = 0.647 p = 0.001) was found. A significant effect of hypoxia was also observed for cytokines levels: interleukin-6 (ηp2 = 0.324 p = 0.042), tumour necrosis factor alpha (ηp2 = 0.474 p = 0.009) and transforming growth factor beta (ηp2= 0.410, p = 0.018) with a non-significant effect on antioxidant status. This study shows significant differences in the aerobic performance and biomarkers of muscle damage after exposure to hypoxia training. These findings highlight that HIIT in hypoxia is sufficient to enhance aerobic performance and may also reduce skeletal muscle susceptibility to fatigue in young biathletes. |