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CompletedNCT06253039Updated Oct 9, 2026

"Living Low - Training High" Methods and Physiological Responses in Well-trained Swimmers

An interventional study of Repeated sprint in Normobaric Hypoxia, Hypoventilation and Normoxia, sponsored by Faculdade de Motricidade Humana. Completed at 1 site in Portugal. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Faculdade de Motricidade Humana · Not applicable, Interventional, and Other

Updated Oct 9, 2026Now CompletedPrimary completion moved+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

To overcome the lack of knowledge regarding the impact of different "living low, training high" methods on swimming performance, a 4-week intervention will be carried out to determine and compare the effects of three Repeated Sprints in Hypoxia (RSH) methods with each other and with a control group. Our goal is to characterize and compare the adaptations in swimming performance and in cardiorespiratory, metabolic, and muscle oxygenation responses that can arise after a 4-week training period of RSH and RSN performed in a ski-ergometer.

Read the detailed description

Recently, several new "living low training high" (LLTH) methods involving repeated sprints in hypoxia have shown promising results, especially in team sports. However, the underlying mechanisms remain mostly unclear, as does its effectiveness in improving swimming performance.

Hypoxemia can be induced by exposure to ambient hypoxia conditions, by voluntary hypoventilation at low lung volume, or by vascular occlusion (namely, blood flow restriction). Swimming performance is influenced by aerobic and anaerobic metabolism and could benefit from these different LLTH methods.

This project aims to compare the effects of repeated sprint training performed with a ski-ergometer 1) in a hypoxic chamber; 2) in normoxia 3) in control group on the performance of swimmers, as well as to characterize cardiorespiratory, metabolic, and muscle oxygenation adaptations that may contribute to the improvements achieved after four weeks of each of these types of training.

All groups will be evaluated before and after the supervised training period in three testing sessions in normoxia, separated by at least 24 hours within 7 days. Swimmers will perform: 1) time-trial (100 m front crawl) in the swimming pool to determine performance, V̇̇O2 peak, and lactate concentration following the test; 2) incremental test to exhaustion in the swim-ergometer to determine aerobic peak power, cardiorespiratory responses (V̇̇O2max, ventilatory thresholds), and maximal tissue deoxygenation; 3) time-trial test in the ski-ergometer (100 m) to access performance, muscle and pulmonary oxygen uptake kinetics, and the relative contribution of energetic systems.

Training sessions will be performed in the ski-ergometer and consist of 3 sets of 5x10s all-out sprints with 20s and 5 min of passive rest between the sprints and sets, respectively. In all testing and training sessions, pulse oxygen saturation will be measured for safety purposes.

02

Conditions studied

  • Normobaric Hypoxia
  • Hypoventilation
  • Normoxia

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Keywords

  • Repeated sprint methods
  • Swimming performance
  • Training programs
  • V̇̇O2peak
  • Lactate concentration
  • Energetic systems
  • Oxygen uptake kinetics
  • Deoxygenation kinetics
03

In context

Hypoventilation

96 studies on the registry are indexed under Hypoventilation; 21 are open to participants now.

This study's enrollment of 32 is below the median of 52 across 63 interventional studies indexed under Hypoventilation.

Browse Hypoventilation studies →

Lead sponsor

Faculdade de Motricidade Humana is the lead sponsor of 21 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Swimmers from both sexes;
  • With regular participation in National Championships;
  • More than five years of training experience;
  • No recent exposure/acclimatization to altitude;
  • No recent exposition to Blood Flow Restriction training.

Exclusion criteria

Exclusion Criteria:

  • athletes who had an acclimatization experience or exposure to altitude lasting more than 10 days in the last 6 months;
  • pregnant or postpartum women;
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Normobaric hypoxia (RSH)

    The RSH group will perform training sessions in a normobaric hypoxic chamber at a simulated altitude of 3000 meters (FiO2 14.5%)

    Other: Repeated sprint

  • No intervention
    Control Group

    Participants did not receive any additional intervention and continued their usual swimming training throughout the study period.

  • Experimental
    Normoxia (RSN)

    The control group will perform the training sessions in normoxia (FIO2, 20.9%)

    Other: Repeated sprint

Interventions

  • OtherRepeated sprint

    * The group will endure four weeks (8 sessions) of the assigned training program in addition to the regular swimming training. * Data collection sessions: All groups will be evaluated before and after the supervised training period in three testing sessions in normoxia separated by at least 24 hours within 7 days. * Training sessions: will be performed in the ski ergometer and consist of 3 sets of 5x10s all-out sprints with 20s and 5 min of passive rest between the sprints and sets, respectively.

06

What researchers measure

Primary outcomes

  1. Ventilatory thresholds and maximum oxygen consumption

    mL/kg·min

    Time frame: Before and after 4 weeks of supervised training period

  2. Lactate concentration

    mmol.L-1

    Time frame: Before and after 4 weeks of supervised training period

  3. Muscle oximetry

    Near-infrared spectroscopy (NIRS)

    Time frame: Before and after 4 weeks of supervised training period

  4. Time-trial

    seconds

    Time frame: Before and after 4 weeks of supervised training period

Secondary outcomes

  1. Heart rate

    bpm

    Time frame: Before and after 4 weeks of supervised training period

  2. Arterial oxygen saturation

    Oxymetry (%)

    Time frame: Before and after 4 weeks of supervised training period

07

Study locations

1 site
  • Faculty of Human Kinetics
    Lisbon, Cruz-Quebrada 1495-002, Portugal
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2024 to primary completion in Apr 2025, 14 months.

Of 35 non-industry interventional studies with no phase under Hypoventilation, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 26. This study's 14 months is close to that.

Counting every sponsor, half of 35 studies reached it within 15 months; a quarter within 5 and three quarters within 26.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 9, 2026: primary completion Apr 2024 → Apr 2025 and completion Jun 2024 → Mar 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Dec 21, 2023
First posted
Feb 12, 2024
StartActual
Feb 10, 2024
Primary completionActual
Apr 15, 2025was Apr 2024
CompletionActual
Mar 30, 2026was Jun 2024
Last update
Oct 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Completed
changed Oct 9, 2026
Primary completion
Apr 2024→Apr 15, 2025 (actual)
Oct 9, 2026
Study completion
Jun 2024→Mar 30, 2026 (actual)
Oct 9, 2026
Enrollment
36 (estimated)→32 (actual)
Oct 9, 2026
Interventions
Arms added: Control Group; arms removed: Hypoventilation (RSH-VHL)
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    Not yet recruiting→Completed
    Primary completion Apr 2024→Apr 15, 2025 (now actual)
    Study completion Jun 2024→Mar 30, 2026 (now actual)
    Enrollment 36 (estimated)→32 (actual)
    Interventions Arms added: Control Group; arms removed: Hypoventilation (RSH-VHL)
    + 4 other changes: description, contact details, site details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06253039
Lead sponsor
Faculdade de Motricidade Humana
Collaborators
Centro de Alto Rendimento do Jamor
Responsible party
Sponsor
First posted
Feb 12, 2024
Start date
Feb 10, 2024
Primary completion
Apr 15, 2025
Completion
Mar 30, 2026
Last update
Oct 9, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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