Altitude Training for Competition Preparation
Author: Luke Way, ChPC
This article is informed by peer-reviewed research and professional sources, listed at the bottom.
Altitude is a sneaky performance tax. At sea level, you can muscle through a bad pacing decision. At altitude, the bill comes due faster: higher breathing rates at lower workloads, higher perceived effort, disrupted sleep, and a real hit to repeatability within a day or across multiple days. Team sport data is a useful proxy for competitive fitness because both involve repeated high-intensity bouts and short recovery windows, and those repeated efforts are specifically vulnerable when oxygen saturation drops.
Below are three practical altitude scenarios that matter most for competitive fitness athletes:
preparing to compete at altitude
using altitude style training (hypercapnic plus hypoxic style exposure) to boost form heading into a major competition
using isocapnic protocols to support recovery while at altitude
Competing at altitude: what changes, and what to do about it
What altitude does to performance
At higher altitudes, there is less oxygen available, causing oxygen saturation to decrease in the blood vessels. That reduction in available oxygen increases strain at a given power output. The result is usually not a single catastrophic failure, but rather a series of small failures: less repeat-sprint capacity, slower recovery between efforts, and higher mental load to hold pace.
The best case plan: arrive early enough to adapt
If you can control logistics, the boring answer is still the best: arrive early and let your body acclimatize to the higher elevation.
For endurance athletes, many best-practice recommendations suggest about 14 days for meaningful acclimatization before competition.
For athletes training or competing at moderate altitude, guidance suggests reducing training volume up to ~50% and minimizing high-intensity work in the first 3 to 7 days, then gradually reintroducing intensity as acclimatization improves. It is possible to match your sea level performances at elevations of 2000 to 3000 meters, if you acclimatize for 10 to 14 days.
Competitive fitness translation: if you arrive early, the first week is not the time to prove toughness. It is the time to protect quality, manage intensity, and build confidence that your breathing, sleep, and pacing are settling.
If you cannot arrive early: you still have options
Many athletes land 12 to 36 hours before competition. In that case, you are choosing between imperfect strategies. A classic review notes two commonly used approaches: arrive as soon as logistically possible to get some acclimatization time, or arrive as close as possible to start time to reduce some acute negatives like sleep disruption.
Competitive fitness translation: because competitions often span multiple days, arriving a touch earlier can still help you stabilize sleep and breathing before day one. If you truly must arrive late, you need a very deliberate pacing and recovery plan from the first event onward.
Using altitude style training to boost form before a major competition
Two distinct goals are often confused:
Pre-acclimatization: aims to reduce the shock of competing at altitude.
Performance boost at sea level: uses reduced-oxygen training to drive adaptations that carry over to competition.
The evidence is more consistent for the first goal than the second, and there is still a lot of variance in how different individuals respond to either goal.
Pre-acclimatization at sea level
One of the papers by Chapman, cited at the end of the document, discusses a training strategy that can be done at low elevations. This is called intermittent hypoxic training, which means for some training sessions, the amount of available oxygen is reduced using special equipment. This can improve performance when they do compete at higher elevations, even when the athlete’s performance changes are less clear at lower elevations.
Competitive fitness translation: if your event is at altitude and you cannot arrive early, pre-acclimatization blocks are one of the few levers you can pull ahead of time. This means finding a way to train with less available oxygen.
Hypercapnic-hypoxic training research signals
An 8-week study in Croatian elite swimmers reported a 5.35% increase in hemoglobin and a 10.79% improvement in VO2max. This was a combination of hypercapnic and hypoxic training. Hypoxic training means training with less available oxygen. Hypercapnic training is where you intentionally increase CO₂ levels in the blood by limiting breathing or using special devices.
Competitive fitness translation: improved oxygen transport and utilization can matter for repeated mixed modality efforts, especially across a multi-event weekend. The caveat is that protocols, athlete response, and transfer to sport-specific performance vary. Treat it as a targeted tool, not a guaranteed upgrade.
How to position this in a competitive season
A practical approach mirrors what high-level teams do with other environmental stressors:
Use a training block far enough out to test response and refine dosing.
Follow with a short refresher closer to competition if you are competing at altitude, similar to how heat acclimation is often maintained.
Track the athlete, not the theory: sleep quality, morning heart rate, perceived breathlessness, and session repeatability are often the earliest useful signals.
Isocapnic protocols to support recovery while at altitude
First, remember to prioritize safety. Standard safety practices while increasing altitude are important: stop going higher if troubling symptoms appear, descend if symptoms worsen, and use oxygen tanks or medication when indicated under medical guidance.
Within that framework, the concept that matters most at high altitude is this: increase ventilation without getting CO₂ too low.
Typical hyperventilation is excessive rapid breathing, which can drop CO₂ in the body aggressively, which can create problems such as dizziness. Using an isocapnic device is designed to increase breathing while maintaining CO₂ levels.
What the controlled research shows
A randomized crossover pilot trial in Scientific Reports (published January 6, 2026) tested a 5-minute isocapnic intervention during a 2-hour exposure inside a normobaric hypoxic chamber simulating 4200 meters of elevation. In that study, the isocapnic intervention showed these positive signs:
reduced clinical hypoxemia from 83.3% to 22.2%.
increased the percentage of hemoglobin in the blood that was saturated with oxygen.
Increased blood oxygen partial pressure.
showed an acute benefit that did not persist to the final time point.
The authors describe this as a feasible method for temporarily improving oxygenation under severe hypoxia, with more research needed.
Practical implication for competition weeks: think “acute tool” not “magic shield.” This is most relevant when you need a short window of improved oxygenation and comfort, especially when symptoms flare up or prior to sleeping.
A coach-friendly way to apply this at altitude
A simple, competition-relevant structure looks like this:
Baseline support: short session in the morning and before sleep on altitude days to support comfort and sleep quality.
Between-event recovery: use the same logic as between-heat recovery strategies, prioritizing calm, controlled ventilation without breathing out too much CO₂.
Symptom-responsive support: if an athlete feels headache, nausea, unusual breathlessness, or very poor sleep, this is where acute oxygenation support may be most meaningful, while still following standard altitude illness rules.
Safety considerations that matter for competitive athletes
Altitude illness is not a test of toughness; it’s a physiological response with real risks.
Best practice guidance emphasizes stopping ascent when symptoms appear, and descending if symptoms are significant or worsening.
If you are training at altitude, recommendations include reducing training load early, rebuilding intensity gradually, and paying attention to recovery and sleep.
Key points
Altitude most often reduces repeatability: recovery between bouts and across days becomes the performance limiter.
If possible, arrive early and respect the first week by reducing volume and limiting high-intensity exposure.
Controlled evidence shows isocapnic devices provide short-term oxygenation boosts during severe hypoxia (low tissue oxygen at high altitude). While rapid breathing usually causes dizziness by purging too much CO₂, these devices allow athletes to breathe aggressively to maximize oxygen intake without side effects.
Hypercapnic-hypoxic style training has research signals for improved hemoglobin and VO2max in elite athletes, but dosing and individual response matter.
None of these tools replaces standard altitude illness guidance.
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Kowalski et al. Effectiveness of voluntary isocapnic hyperpnoea for mitigating hypoxemia and AMS in normobaric hypoxia. Scientific Reports. Published January 6, 2026. (Nature)
Chapman et al. Timing of arrival and pre-acclimatization strategies for endurance athletes competing at moderate to high altitudes. High Altitude Medicine and Biology. 2013. (Uphill Athlete)
Koehle et al. Athletes at high altitude. Clinical Journal of Sport Medicine. 2014. (casem-acmse.org)
Billaut and Aughey. Update in the understanding of altitude-induced limitations to performance in team-sport athletes. 2013. (PMC)
Wilderness Medical Society clinical practice guidelines for acute altitude illness. Updated guidance available via WMS and PubMed listings. (PubMed)
Zoretić et al. Hypercapnic-hypoxic training program effects in elite swimmers. Kinesiology. 2014. (ResearchGate)
Kowalski et al. Influence of voluntary isocapnic hyperpnoea on recovery after high-intensity exercise in elite short-track speedskaters. BMC Sports Science, Medicine and Rehabilitation. 2024. (SpringerLink)
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Luke Way is an endurance coach with over 20 years of experience working with world champions in endurance sports such as triathlon and cycling, as well as multiple CrossFit Games athletes. Over his career, he identified respiratory function as an overlooked limiter of elite performance, which led him to co-develop the Isocapnic Breathe Way Better Training System (www.isocapnic.com). In this article, Luke references the use of a product he sells; however, this is not intended as an advertisement. Based on both available research and practical experience preparing athletes for high altitude competitions, the approaches discussed represent genuinely effective and cost-efficient options. He also outlines evidence-informed strategies that do not require isocapnic products, ensuring athletes have multiple viable paths to prepare. The PFAA is fortunate to have his expertise contributing to this article.

