Prediction of Critical Power and W' in Hypoxia: Application to Work-Balance Modelling

The influence of skeletal muscle mitochondria and sex on critical torque and performance fatiguability in humans

Critical torque (CT) represents the highest oxidative steady state for intermittent knee extensor exercise, but the extent to which it is influenced by skeletal muscle mitochondria and sex is unclear. Vastus lateralis muscle biopsy samples were collected from 12 females and 12 males -matched for relative maximal oxygen uptake normalized to fat-free mass (FFM) (F: 57.3 (7.5) ml (kg FFM)-1  min-1 ; M: 56.8 (7.6) ml (kg FFM)-1  min-1 ; P = 0.856) - prior to CT determination and performance fatiguability trials. Males had a lower proportion of myosin heavy chain (MHC) I isoform (40.6 (18.4)%) compared to females (59.5 (18.9)%; P = 0.021), but MHC IIa and IIx isoform distributions and protein markers of mitochondrial content were not different between sexes (P > 0.05). When normalized to maximum voluntary contraction (MVC), the relative CT (F: 42.9 (8.3)%; M: 37.9 (9.0)%; P = 0.172) and curvature constant, W' (F: 26.6 (11.0) N m s (N m)-1 ; M: 26.4 (6.5) N m s (N m)-1 ; P = 0.962) were not significantly different between sexes. All protein biomarkers of skeletal muscle mitochondrial content, as well as the proportion of MHC I isoform, positively correlated with relative CT (0.48 < r < 0.70; P < 0.05), and the proportion of MHC IIx isoform correlated positively with relative W' (r = 0.57; P = 0.007). Indices of performance fatiguability were not different between males and females for MVC- and CT-controlled trials (P > 0.05). Greater mitochondrial protein abundance was associated with attenuated declines in potentiated twitch torque for exercise at 60% MVC (P < 0.05); however, the influence of mitochondrial protein abundance on performance fatiguability was reduced when exercise was prescribed relative to CT. Whether these findings translate to whole-body exercise requires additional research. KEY POINTS: The quadriceps critical torque represents the highest intensity of intermittent knee extensor exercise for which an oxidative steady state is attainable, but its relationship with skeletal muscle mitochondrial protein abundance is unknown. Matching males and females for maximal oxygen uptake relative to fat-free mass facilitates investigations of sex differences in exercise physiology, but studies that have compared critical torque and performance fatiguability during intermittent knee extensor exercise have not ensured equal aerobic fitness between sexes. Skeletal muscle mitochondrial protein abundance was correlated with critical torque and fatigue resistance for exercise prescribed relative to maximum voluntary contraction but not for exercise performed relative to the critical torque. Differences between sexes in critical torque, skeletal muscle mitochondrial protein abundance and performance fatiguability were not statistically significant. Our results suggest that skeletal muscle mitochondrial protein abundance may contribute to fatigue resistance by influencing the critical intensity of exercise.

Interaction of Factors Determining Critical Power

The physiological determinants of high-intensity exercise tolerance are important for both elite human performance and morbidity, mortality and disease in clinical settings. The asymptote of the hyperbolic relation between external power and time to task failure, critical power, represents the threshold intensity above which systemic and intramuscular metabolic homeostasis can no longer be maintained. After ~ 60 years of research into the phenomenon of critical power, a clear understanding of its physiological determinants has emerged. The purpose of the present review is to critically examine this contemporary evidence in order to explain the physiological underpinnings of critical power. Evidence demonstrating that alterations in convective and diffusive oxygen delivery can impact upon critical power is first addressed. Subsequently, evidence is considered that shows that rates of muscle oxygen utilisation, inferred via the kinetics of pulmonary oxygen consumption, can influence critical power. The data reveal a clear picture that alterations in the rates of flux along every step of the oxygen transport and utilisation pathways influence critical power. It is also clear that critical power is influenced by motor unit recruitment patterns. On this basis, it is proposed that convective and diffusive oxygen delivery act in concert with muscle oxygen utilisation rates to determine the intracellular metabolic milieu and state of fatigue within the myocytes. This interacts with exercising muscle mass and motor unit recruitment patterns to ultimately determine critical power.

Influence and Mechanisms of Action of Environmental Stimuli on Work Near and Above the Severe Domain Boundary (Critical Power)

Abstract

The critical power (CP) concept represents the uppermost rate of steady state aerobic metabolism during work. Work above CP is limited by a fixed capacity (W′) with exercise intensity being an accelerant of its depletion rate. Exercise at CP is a considerable insult to homeostasis and any work done above it will rapidly become intolerable. Humans live and exercise in situations of hypoxia, heat, cold and air pollution all of which impose a new environmental stress in addition to that of exercise. Hypoxia disrupts the oxygen cascade and consequently aerobic energy production, whereas heat impacts the circulatory system’s ability to solely support exercise performance. Cold lowers efficiency and increases the metabolic cost of exercise, whereas air pollution negatively impacts the respiratory system. This review will examine the effects imposed by environmental conditions on CP and W′ and describe the key physiological mechanisms which are affected by the environment.

Graphical Abstract

Bi-exponential modelling of [Formula: see text] reconstitution kinetics in trained cyclists

PURPOSE

The aim of this study was to investigate the individual [Formula: see text] reconstitution kinetics of trained cyclists following repeated bouts of incremental ramp exercise, and to determine an optimal mathematical model to describe [Formula: see text] reconstitution.

METHODS

Ten trained cyclists (age 41 ± 10 years; mass 73.4 ± 9.9 kg; [Formula: see text] 58.6 ± 7.1 mL kg min^-1) completed three incremental ramps (20 W min^-1) to the limit of tolerance with varying recovery durations (15-360 s) on 5-9 occasions. [Formula: see text] reconstitution was measured following the first and second recovery periods against which mono-exponential and bi-exponential models were compared with adjusted R² and bias-corrected Akaike information criterion (AICc).

RESULTS

A bi-exponential model outperformed the mono-exponential model of [Formula: see text] reconstitution (AICc 30.2 versus 72.2), fitting group mean data well (adjR² = 0.999) for the first recovery when optimised with parameters of fast component (FC) amplitude = 50.67%; slow component (SC) amplitude = 49.33%; time constant (τ)_FC = 21.5 s; τ_SC = 388 s. Following the second recovery, W' reconstitution reduced by 9.1 ± 7.3%, at 180 s and 8.2 ± 9.8% at 240 s resulting in an increase in the modelled τ_SC to 716 s with τ_FC unchanged. Individual bi-exponential models also fit well (adjR² = 0.978 ± 0.017) with large individual parameter variations (FC amplitude 47.7 ± 17.8%; first recovery: (τ)_FC = 22.0 ± 11.8 s; (τ)_SC = 377 ± 100 s; second recovery: (τ)_FC = 16.3.0 ± 6.6 s; (τ)_SC = 549 ± 226 s).

CONCLUSIONS

W' reconstitution kinetics were best described by a bi-exponential model consisting of distinct fast and slow phases. The amplitudes of the FC and SC remained unchanged with repeated bouts, with a slowing of W' reconstitution confined to an increase in the time constant of the slow component.

Exogenous ketosis increases blood and muscle oxygenation but not performance during exercise in hypoxia

Available evidence indicates that elevated blood ketones are associated with improved hypoxic tolerance in rodents. From this perspective, we hypothesized that exogenous ketosis by oral intake of the ketone ester (R)-3-hydroxybutyl (R)-3-hydroxybutyrate (KE) may induce beneficial physiological effects during prolonged exercise in acute hypoxia. As we recently demonstrated KE to deplete blood bicarbonate, which per se may alter the physiological response to hypoxia, we evaluated the effect of KE both in the presence and absence of bicarbonate intake (BIC). Fourteen highly trained male cyclists performed a simulated cycling race (RACE) consisting of 3-h intermittent cycling (IMT_180') followed by a 15-min time-trial (TT_15') and an all-out sprint at 175% of lactate threshold (SPRINT). During RACE, fraction of inspired oxygen ([Formula: see text]) was gradually decreased from 18.6% to 14.5%. Before and during RACE, participants received either 1) 75 g of ketone ester (KE), 2) 300 mg/kg body mass bicarbonate (BIC), 3) KE + BIC, or 4) a control drink in addition to 60 g of carbohydrates/h in a randomized, crossover design. KE counteracted the hypoxia-induced drop in blood ([Formula: see text]) and muscle oxygenation by ∼3%. In contrast, BIC decreased [Formula: see text] by ∼2% without impacting muscle oxygenation. Performance during TT_15' and SPRINT were similar between all conditions. In conclusion, KE slightly elevated the degree of blood and muscle oxygenation during prolonged exercise in moderate hypoxia without impacting exercise performance. Our data warrant to further investigate the potential of exogenous ketosis to improve muscular and cerebral oxygenation status, and exercise tolerance in extreme hypoxia.

The impact of elevated body core temperature on critical power as determined by a 3-min all-out test

The parameters of the power-duration relationship (critical power and W′) estimated by a 3-min all-out test were not altered by elevated body core temperature as compared with a thermoneutral condition.

Hypoxia equally reduces the respiratory compensation point and the NIRS-derived [HHb] breakpoint during a ramp-incremental test in young active males

This study investigated the effect of reduced inspired fraction of O₂ (FiO₂) in the correspondence between the respiratory compensation point (RCP) and the breakpoint in the near‐infrared spectroscopy‐derived deoxygenated hemoglobin signal ([HHb]_bp) during a ramp‐incremental (RI) test to exhaustion. Eleven young males performed, on two separated occasions, a RI test either in normoxia (NORM, FiO₂ = 20.9%) or hypoxia (HYPO, FiO₂ = 16%). Oxygen uptake ( V˙O₂), and [HHb] signal from the vastus lateralis muscle were continuously measured. Peak V˙O₂ (2.98 ± 0.36 vs. 3.39 ± 0.26 L min⁻¹) and PO (282 ± 29 vs. 310 ± 19 W) were lower in HYPO compared to NORM condition, respectively. The V˙O₂ and PO associated with RCP and [HHb]_bp were lower in HYPO (2.35 ± 0.24 and 2.34 ± 0.26 L min⁻¹; 198 ± 37 and 197 ± 30 W, respectively) when compared to NORM (2.75 ± 0.26 and 2.75 ± 0.28 L min⁻¹; 244 ± 29 and 241 ± 28 W, respectively) (p < .05). Within the same condition, the V˙O₂ and PO associated with RCP and [HHb]_bp were not different (p > .05). Bland–Altman plots mean average errors between RCP and [HHb]_bp were not different from zero in HYPO (0.01 L min⁻¹ and 1.1 W) and NORM (0.00 L min⁻¹ and 3.6 W) conditions. The intra‐individual changes between thresholds associated with V˙O₂ and PO in HYPO from NORM were strongly correlated (r = .626 and 0.752, p < .05). Therefore, breathing a lower FiO₂ during a RI test resulted in proportional reduction in the RCP and the [HHb]_bp in terms of V˙O₂ and PO, which further supports the notion that these physiological responses may arise from similar metabolic changes reflecting a common phenomenon.

A new energetics model for the assessment of the power-duration relationship during over-ground running

We evaluated the reliability of an over-ground running three-minute all-out test (3MT) and compared this to traditional multiple-visit testing to determine the critical speed (CS) and distance > CS (D´). Using a novel energetics model during the 3MT, critical power (CP) and work > CP (W´) were also evaluated for reliability and compared to the multiple-visit tests. Over-ground running speed was measured using Global Positioning Systems during fixed-speed trials on a 400 m track to exhaustion, at four intensities corresponding to: (i) maximal oxygen uptake (V˙O2max) (V_max), (ii) 110% V˙O2max(110%Vmax), (iii) Δ70% (i.e. 70% of the difference between gas exchange threshold and V_max) and (iv) Δ85%. The participants subsequently performed the 3MT across two days to determine its reliability. There were no differences between the multiple-visit testing and the 3MT for CS (P = 0.328) and D´ (P = 0.919); however, CP (P = 0.02) and W´ (P < 0.001) were higher in the 3MT. The reliability of the 3MT was stable (P > 0.05) between trials for all variables, with coefficient of variation ranging from 2.0-8.1%. The current over-ground energetics model can reliably estimate CP and W´ based on GPS speed data during the 3MT, which supports its use for most athletic training and monitoring purposes. The reliability of the over-ground running 3MT for power- and speed-related indices was sufficient to detect typical training adaptations; however, it may overestimate CP (∼ 25 W) and W´ (∼ 7 kJ) compared to multiple-visit tests.

The balance of muscle oxygen supply and demand reveals critical metabolic rate and predicts time to exhaustion

We tested the hypothesis that during whole body exercise, the balance between muscle O₂ supply and metabolic demand may elucidate intensity domains, reveal a critical metabolic rate, and predict time to exhaustion. Seventeen active, healthy volunteers (12 males, 5 females; 32 ± 2 yr) participated in two distinct protocols. Study 1 (n = 7) consisted of constant work rate cycling in the moderate, heavy, and severe exercise intensity domains with concurrent measures of pulmonary V̇o₂ and local %SmO₂ [via near-infrared spectroscopy (NIRS)] on quadriceps and forearm sites. Average %SmO₂ at both sites displayed a domain-dependent response (P < 0.05). A negative %SmO₂ slope was evident during severe-domain exercise but was positive during exercise below critical power (CP) at both muscle sites. In study 2 (n = 10), quadriceps and forearm site %SmO₂ was measured during three continuous running trials to exhaustion and three intermittent intensity (ratio = 60 s severe: 30 s lower intensity) trials to exhaustion. Intensity-dependent negative %SmO₂ slopes were observed for all trials (P < 0.05) and predicted zero slope at critical velocity. %SmO₂ accurately predicted depletion and repletion of %D' balance on a second-by-second basis (R² = 0.99, P < 0.05; both sites). Time to exhaustion predictions during continuous and intermittent exercise were either not different or better with %SmO₂ [standard error of the estimate (SEE) < 20.52 s for quad, <44.03 s for forearm] versus running velocity (SEE < 65.76 s). Muscle O₂ balance provides a dynamic physiological delineation between sustainable and unsustainable exercise (consistent with a "critical metabolic rate") and predicts real-time depletion and repletion of finite work capacity and time to exhaustion.NEW & NOTEWORTHY Dynamic muscle O₂ saturation discriminates boundaries between exercise intensity domains, exposes a critical metabolic rate as the highest rate of steady state O₂ supply and demand, describes time series depletion and repletion for work above critical power, and predicts time to exhaustion during severe domain whole body exercise. These results highlight the matching of O₂ supply and demand as a primary determinant for sustainable exercise intensities from those that are unsustainable and lead to exhaustion.

Critical oxygenation: Can muscle oxygenation inform us about critical power?

The power-duration relationship is well documented for athletic performance and is formulated out mathematically in the critical power (CP) model. The CP model, when applied properly, has great predictive power, e.g. pedaling at a specific power output on an ergometer the model precisely calculates the time over which an athlete can sustain this power. However, CP presents physiological inconsistencies and process-oriented problems. The rapid development of near-infrared spectroscopy (NIRS) to measure muscle oxygenation (SmO₂) dynamics provides a physiological exploration of the CP model on a conceptual and empirical level. Conceptually, the CP model provides two components: first CP is defined as the highest metabolic rate that can be achieved through oxidative means. And second, work capacity above CP named W'. SmO₂ presents a steady-state in oxygen supply and demand and thereby represents CP specifically at a local level of analysis. Empirically, exploratory data quickly illustrates the relationship between performance and SmO₂, as shown during 3-min all-out cycling tests to assess CP. During these tests, performance and SmO₂ essentially mirror each other, and both CP and W' generate solid correlation with what would be deemed their SmO₂ counterparts: first, the steady-state of SmO₂ correlates with CP. And second, the tissue oxygen reserve represented in SmO₂, when calculated as an integral corresponds to W'. While the empirical data presented is preliminary, the proposition of a concurring physiological model to the current CP model is a plausible inference. Here we propose that SmO₂ steady-state representing CP as critical oxygenation or CO. And the tissue oxygen reserve above CO would then be identified as O'. This new CO model could fill in the physiological gap between the highly predictive CP model and at times its inability to track human physiology consistently. For simplicity's sake, this would include acute changes in physiology as a result of changing climate or elevation with travel, which can affect performance. These types of acute fluctuations, but not limited to, would be manageable when applying a CO model in conjunction with the CP model. Further, modeling is needed to investigate the true potential of NIRS to model CP, with a focus on repeatability, recovery, and systemic vs local workloads.

Effects of Normobaric Hypoxia on Matched-severe Exercise and Power-duration Relationship

We investigated the effects of hypoxia on matched-severe intensity exercise and on the parameters of the power-duration relationship. Fifteen trained subjects performed in both normoxia and normobaric hypoxia (F_iO₂=0.13, ~3000 m) a maximal incremental test, a 3 min all-out test (3AOT) and a transition from rest to an exercise performed to exhaustion (T_lim) at the same relative intensity (80%∆). Respiratory and pulmonary gas-exchange variables were continuously measured (K5, Cosmed, Italy). T_lim test's V̇O₂ kinetics was calculated using a two-component exponential model. V̇O₂max (44.1±5.1 vs. 58.7±6.4 ml.kg^-1.min^-1, p<0.001) was decreased in hypoxia. In T_lim, time-to-exhaustion sustained was similar (454±130 vs. 484±169 s) despite that V̇O₂ kinetics was slower (_τ1: 31.1±5.8 vs. 21.6±4.7 s, p<0.001) and the amplitude of the V̇O₂ slow component lower (12.4±5.4 vs. 20.2±5.7 ml.kg^-1.min^-1, p<0.05) in hypoxia. CP was reduced (225±35 vs. 270±49 W, p<0.001) but W' was unchanged (11.3±2.9 vs. 11.4±2.7 kJ) in hypoxia. The changes in CP/V̇O₂max were positively correlated with changes in W' (r = 0.58, p<0.05). The lower oxygen availability had an impact on aerobic related physiological parameters, but exercise tolerance is similar between hypoxia and normoxia when the relative intensity is matched despite a slower V̇O₂ kinetics in hypoxia.

Less Is More-Cyclists-Triathlete's 30 min Cycling Time-Trial Performance Is Impaired With Multiple Feedback Compared to a Single Feedback

Purpose: The purpose of this article was to (i) compare different modes of feedback (multiple vs. single) on 30 min cycling time-trial performance in non-cyclist’s and cyclists-triathletes, and (ii) investigate cyclists-triathlete’s information acquisition.

Methods: 20 participants (10 non-cyclists, 10 cyclists-triathletes) performed two 30 min self-paced cycling time-trials (TT, ∼5–7 days apart) with either a single feedback (elapsed time) or multiple feedback (power output, elapsed distance, elapsed time, cadence, speed, and heart rate). Cyclists-triathlete’s information acquisition was also monitored during the multiple feedback trial via an eye tracker. Perceptual measurements of task motivation, ratings of perceived exertion (RPE) and affect were collected every 5 min. Performance variables (power output, cadence, distance, speed) and heart rate were recorded continuously.

Results: Cyclists-triathletes average power output was greater compared to non-cyclists with both multiple feedback (227.99 ± 42.02 W; 137.27 ± 27.63 W; P < 0.05) and single feedback (287.9 ± 60.07 W; 131.13 ± 25.53 W). Non-cyclist’s performance did not differ between multiple and single feedback (p > 0.05). Whereas, cyclists-triathletes 30 min cycling time-trial performance was impaired with multiple feedback (227.99 ± 42.02 W) compared to single feedback (287.9 ± 60.07 W; p < 0.05), despite adopting and reporting a similar pacing strategy and perceptual responses (p > 0.05). Cyclists-triathlete’s primary and secondary objects of regard were power (64.95 s) and elapsed time (64.46 s). However, total glance time during multiple feedback decreased from the first 5 min (75.67 s) to the last 5 min (22.34 s).

Conclusion: Cyclists-triathletes indoor 30 min cycling TT performance was impaired with multiple feedback compared to single feedback. Whereas non-cyclist’s performance did not differ between multiple and single feedback. Cyclists-triathletes glanced at power and time which corresponds with the wireless sensor networks they use during training. However, total glance time during multiple feedback decreased over time, and therefore, overloading athletes with feedback may decrease performance in cyclists-triathletes.

The Application of Critical Power, the Work Capacity above Critical Power (W'), and its Reconstitution: A Narrative Review of Current Evidence and Implications for Cycling Training Prescription

The two-parameter critical power (CP) model is a robust mathematical interpretation of the power–duration relationship, with CP being the rate associated with the maximal aerobic steady state, and W′ the fixed amount of tolerable work above CP available without any recovery. The aim of this narrative review is to describe the CP concept and the methodologies used to assess it, and to summarize the research applying it to intermittent cycle training techniques. CP and W′ are traditionally assessed using a number of constant work rate cycling tests spread over several days. Alternatively, both the 3-min all-out and ramp all-out protocols provide valid measurements of CP and W′ from a single test, thereby enhancing their suitability to athletes and likely reducing errors associated with the assumptions of the CP model. As CP represents the physiological landmark that is the boundary between heavy and severe intensity domains, it presents several advantages over the de facto arbitrarily defined functional threshold power as the basis for cycle training prescription at intensities up to CP. For intensities above CP, precise prescription is not possible based solely on aerobic measures; however, the addition of the W′ parameter does facilitate the prescription of individualized training intensities and durations within the severe intensity domain. Modelling of W′ reconstitution extends this application, although more research is needed to identify the individual parameters that govern W′ reconstitution rates and their kinetics.

Minimal Effects of Moderate Normobaric Hypoxia on the Upper Body Work-Time Relationship in Recreationally Active Women

Background: Sex-based differences in metabolism and morphological characteristics may result in unique exercise responses during periods of limited oxygen availability. Purpose: To evaluate the effects of moderate normobaric hypoxia on the parameters of the work-time relationship during upper body exercise in women. Materials and Methods: Thirteen recreationally active women (age: 22.7 ± 2.6 years; height: 167 ± 8.6 cm; weight: 66.4 ± 9.7 kg; body fat: 27.6% ± 5% body fat) completed a maximal graded exercise test in both normobaric hypoxia (H; fraction of inspired oxygen (F_iO₂) = 0.14) and normoxia (N; F_iO₂ = 0.20) on an arm ergometer to determine peak oxygen uptake (VO₂peak) and peak power output (PPO). Each participant completed four constant, work rate, arm-cranking time-to-exhaustion tests at 90%-120% PPO in both environmental conditions. Linear regression was used to estimate critical power (CP) and anaerobic capacity (W') through the work-time relationship during the constant work rate tests. Paired sample t-tests compared mean differences between VO₂peak, PPO, CP, and W' between conditions (normoxia vs. hypoxia). Two-way (condition × intensity) repeated measures analysis of variance (ANOVA) was used to compare total work (TW) and time to exhaustion. Results: Hypoxia significantly reduced VO₂peak (N: 1.73 ± 0.31 L·minute^-1 vs. H: 1.62 ± 0.27 L·minute^-1, p = 0.008), but had no effects on PPO (N: 78.08 ± 14.51 W vs. H: 75.38 ± 13.46 W, p = 0.09), CP (N: 57.44 ± 18.89 W vs. H: 56.01 ± 12.36 W, p = 0.55), and W' (N: 4.81 ± 1.01 kJ vs. H: 4.56 ± 0.91 kJ, p = 0.51). No significant condition × intensity interactions were noted for TW or time to exhaustion (p > 0.05). Conclusions: Moderate normobaric hypoxia significantly reduced VO₂peak, but had minimal effects on CP and W' using the work-time model in women.

The Critical Power Model as a Potential Tool for Anti-doping

Existing doping detection strategies rely on direct and indirect biochemical measurement methods focused on detecting banned substances, their metabolites, or biomarkers related to their use. However, the goal of doping is to improve performance, and yet evidence from performance data is not considered by these strategies. The emergence of portable sensors for measuring exercise intensities and of player tracking technologies may enable the widespread collection of performance data. How these data should be used for doping detection is an open question. Herein, we review the basis by which performance models could be used for doping detection, followed by critically reviewing the potential of the critical power (CP) model as a prototypical performance model that could be used in this regard. Performance models are mathematical representations of performance data specific to the athlete. Some models feature parameters with physiological interpretations, changes to which may provide clues regarding the specific doping method. The CP model is a simple model of the power-duration curve and features two physiologically interpretable parameters, CP and W′. We argue that the CP model could be useful for doping detection mainly based on the predictable sensitivities of its parameters to ergogenic aids and other performance-enhancing interventions. However, our argument is counterbalanced by the existence of important limitations and unresolved questions that need to be addressed before the model is used for doping detection. We conclude by providing a simple worked example showing how it could be used and propose recommendations for its implementation.

Quantifying the effects of acute hypoxic exposure on exercise performance and capacity: A systematic review and meta-regression

OBJECTIVE

To quantify the effects of acute hypoxic exposure on exercise capacity and performance, which includes continuous and intermittent forms of exercise.

DESIGN

A systematic review was conducted with a three-level mixed effects meta-regression. The ratio of means method was used to evaluate main effects and moderators providing practical interpretations with percentage change.

DATA SOURCES

A systemic search was performed using three databases (Google scholar, PubMed and SPORTDiscus). Eligibility criteria for selecting studies: Inclusion was restricted to investigations that assessed exercise performance (time trials (TTs), sprint and intermittent exercise tests) and capacity (time to exhaustion test, TTE) with acute hypoxic (<24 h) exposure and a normoxic comparator.

RESULTS

Eighty-two outcomes from 53 studies (N = 798) were included in this review. The results show an overall reduction in exercise performance/capacity -17.8 ± 3.9% (95% CI -22.8% to -11.0%), which was significantly moderated by -6.5 ± 0.9% per 1000 m altitude elevation (95% CI -8.2% to -4.8%) and oxygen saturation (-2.0 ± 0.4%; 95% CI -2.9% to -1.2%). TT (-16.2 ± 4.3%; 95% CI -22.9% to -9%) and TTE (-44.5 ± 6.9%; 95% CI -51.3% to -36.7%) elicited a negative effect, whilst indicating a quadratic relationship between hypoxic magnitude and both TTE and TT performance. Furthermore, exercise less than 2 min exhibited no ergolytic effect from acute hypoxia. Summary/Conclusion: This review highlights the ergolytic effect of acute hypoxic exposure, which is curvilinear for TTE and TT performance with increasing hypoxic levels, but short duration intermittent and sprint exercise seem to be unaffected.

Considerations on the Assessment and Use of Cycling Performance Metrics and their Integration in the Athlete's Biological Passport

Over the past few decades the possibility to capture real-time data from road cyclists has drastically improved. Given the increasing pressure for improved transparency and openness, there has been an increase in publication of cyclists' physiological and performance data. Recently, it has been suggested that the use of such performance biometrics may be used to strengthen the sensitivity and applicability of the Athlete Biological Passport (ABP) and aid in the fight against doping. This is an interesting concept which has merit, although there are several important factors that need to be considered. These factors include accuracy of the data collected and validity (and reliability) of the subsequent performance modeling. In order to guarantee high quality standards, the implementation of well-structured Quality-Systems within sporting organizations should be considered, and external certifications may be required. Various modeling techniques have been developed, many of which are based on fundamental intensity/time relationships. These models have increased our understanding of performance but are currently limited in their application, for example due to the largely unaccounted effects of environmental factors such as, heat and altitude. In conclusion, in order to use power data as a performance biometric to be integrated in the biological passport, a number of actions must be taken to ensure accuracy of the data and better understand road cycling performance in the field. This article aims to outline considerations in the quantification of cycling performance, also presenting an alternative method (i.e., monitoring race results) to allow for determination of unusual performance improvements.