Ski Mountaineering: Perspectives on a Novel Sport to Be Introduced at the 2026 Winter Olympic Games

Independent, additive and interactive effects of acute normobaric hypoxia and cold on submaximal and maximal endurance exercise

PURPOSE

To evaluate the independent and combined effects of hypoxia (FiO2 = 13.5%) and cold (- 20 °C) on physiological and perceptual responses to endurance exercise.

METHODS

14 trained male subjects ( V . O2max: 64 ± 5 mL/kg/min) randomly performed a discontinuous maximal incremental test to exhaustion on a motorized treadmill under four environmental conditions: Normothermic-Normoxia (N), Normothermic-Hypoxia (H), Cold-Normoxia (C) and Cold-Hypoxia (CH). Performance and physiological and perceptual responses throughout exercise were evaluated.

RESULTS

Maximal WorkLoad (WL) and WL at lactate threshold (LT) were reduced in C (- 2.3% and - 3.5%) and H (- 18.0% and - 21.7%) compared to N, with no interactive (p = 0.25 and 0.81) but additive effect in CH (- 21.5% and - 24.6%). Similarly, HRmax and Vemax were reduced in C (- 3.2% and - 14.6%) and H (- 5.0% and - 7%), showing additive effects in CH (- 7.7% and - 16.6%). At LT, additive effect of C (- 2.8%) and H (- 3.8%) on HR reduction in CH (- 5.7%) was maintained, whereas an interactive effect (p = 0.007) of the two stressors combined was noted on Ve (C: - 3.1%, H: + 5.5%, CH: - 10.9%). [La] curve shifted on the left in CH, displaying an interaction effect between the 2 stressors on this parameter. Finally, RPE at LT was exclusively reduced by hypoxia (p < 0.001), whereas TSmax is synergistically reduced by cold and hypoxia (interaction p = 0.047).

CONCLUSION

If compared to single stress exposure, exercise performance and physiological and perceptual variables undergo additive or synergistic effects when cold and hypoxia are combined. These results provide new insight into human physiological responses to extreme environments.

Heart rate dynamics and asymmetry during sympathetic activity stimulation and post-stimulation recovery in ski mountaineers-a pilot exploratory study

There is a lack of studies on non-linear heart rate (HR) variability in athletes. We aimed to assess the usefulness of short-term HR dynamics and asymmetry parameters to evaluate the neural modulation of cardiac activity based on non-stationary RR interval series by studying their changes during sympathetic nervous system activity stimulation (isometric handgrip test) and post-stimulation recovery in professional ski mountaineers. The correlation between the changes in the parameters and the respiratory rate (RespRate) and also the duration of the career was analyzed. Short-term (5 min) and ultra-short-term (1 min) rates of patterns with no variations (0V), number of acceleration runs of length 1 (AR1), and short-term Porta's Index were greater, whereas Guzik's Index (GI) was smaller during sympathetic stimulation compared to rest. GI increased and the number of AR1 decreased during recovery. Greater increases in GI and RMSSD were associated with greater decreases in RespRate during recovery. Greater increases in RespRate from rest to short-term sympathetic stimulation were associated with greater increases in 0V (Max-min method) and AR1 but also with greater decreases in decelerations of short-term variance and accelerations and decelerations of long-term variance. Greater increases in 0V (Max-min method) and number of AR1 during sympathetic stimulation were associated with a shorter career duration. Greater decreases in these parameters during recovery were associated with a longer career duration. Changes in measures of HR dynamics and asymmetry, calculated based on short-term non-stationary RRi time series induced by sympathetic stimulation and post-stimulation recovery, reflected sympathovagal shift and were associated with condition-related alterations in RespRate and career duration in athletes who practice ski mountaineering.

Ski Mountaineering-Scientific Knowledge of This New Olympic Sport: A Narrative Review

ABSTRACT

Ski mountaineering (skimo) has been accepted as a new sport for the 2026 Milan-Cortina Olympics. The equipment used in this competitive ski mountaineering varies from leisure ski mountaineering equipment mainly in one point: the minimal weight. At the elite athlete level, skimo demands both maximal endurance performance and a high-intensity anaerobic capacity for the sprint and vertical races. Race time significantly correlates to V˙O2max, body mass index and racing gear mass. Available literature only rarely comments on competitive skimo injuries. Injuries are not only due to falls in downhill skiing but also can result from external hazards, such as avalanches and cold. The high training load of athletes in combination with a low body weight, low body fat, and exposure to cold cause high rates of respiratory infections in athletes. The inclusion of skimo into the Olympic program is expected to result in certain changes, such as higher training loads for the athletes and increased scientific interest into training methods.

Heel riser height and slope gradient influence the physiology of ski mountaineering-A laboratory study

In ski mountaineering it is the goal to reach the top of a mountain by sheer muscle force. The specific equipment (flexible boot, only toe fixated binding, and a skin on the ski to prevent from slipping backwards) enables the skier to move up the hill ergonomically, where the heel part of the binding offers a special adaptation possibility. The so-called riser height supports the heel standing height and can be adjusted to individually preferred settings. General recommendations suggest using lower heel support in flat ascents and higher heel support in steep ascents to maintain upright posture and lower the strain. Still, it remains unclear whether the application of riser height affects the physiological response during ski mountaineering. This study was designed to investigate the effects of riser height on physiological response during indoor ski mountaineering. Nineteen participants took part in the study and walked on a treadmill with ski mountaineering equipment. The three available riser heights (low, medium, and high) were applied randomized at 8%, 16%, and 24% gradient. Results show that global physiological measurements like heart rate (p = 0.34), oxygen uptake (p = 0.26) or blood lactate (p = 0.38) values were not affected by changes in riser height. But local measurements of muscle oxygen saturation were affected by the riser height. Additionally comfort and rating of perceived exertion were also prone to changes in riser height. These results suggest differences on local measurements and perceived parameters, while global physiological measurements did not change. The results are in line with the existing recommendations but need to be confirmed in an outdoor setting as well.

Relationship of Training Factors and Resilience with Injuries in Ski Mountaineers

Ski mountaineering is an increasingly popular sport with a relatively high risk of injury. Therefore, several studies have analyzed factors related to the likelihood of injury, including athlete characteristics, training, resilience and equipment. Thus, the aim of this study was to identify factors that may influence injury risk. A 15-minute online survey was sent to various ski mountaineering groups of different ages and levels. Both the Mann-Whitney U test and odds ratio analysis were performed in order to analyze the data. Results from 104 skiers showed that most injuries occurred in the lower extremities, especially in the knee (29.6%). The findings indicated that skiers who had suffered an injury performed in more competitions per year (p = 0.046), more ski mountaineering sessions per week (p = 0.022) and fewer core training sessions per week (0.029), although core training and competition were not statistically significant factors. Likewise, non-injured athletes had fewer pairs of skis (p = 0.019), which were also wider (p = 0.04). However, no difference was found for warm up and resilience between both groups (p = 0.275). In conclusion, it is important to implement preventive measures based on these factors, even if more research is needed.

Heel riser height and slope gradient influence the kinematics and kinetics of ski mountaineering—A laboratory study

In ski mountaineering, equipment and its interaction with the exercising human plays an important role. The binding, as the crucial connection between boot and ski, must ensure safe fixation during downhill skiing and a free moving heel when walking uphill. Uphill, the binding offers the possibility to adopt the height of the heel (riser height) to personal preferences and the steepness of the ascent. This possible adjustment and its influence on various biomechanical parameters are the focus of this work. For this study, 19 male leisure ski mountaineers were tested on a treadmill, ascending at a fixed submaximal speed (3.9 ± 0.4 km·h−1) at 8, 16, and 24% gradient and with three heel riser heights, low (0 cm), medium (3.0 cm) and high (5.3 cm). The applied biomechanical measurement systems included a 3D motion capture system in sagittal plane, pressure insoles, a with strain gauges instrumented pole, spirometry and a comfort scale. Step length and step frequency were influenced by the riser height and the gradient (p ≤ 0.001). The high riser height decreased the step length by 5% compared to the low riser height over all tested gradients, while steps were 9.2% longer at the 24% gradient compared to the 8% gradient over all three riser heights. The high riser height revealed a force impulse of the pole 13% lower than using the low riser height (p &lt; 0.001). Additionally, the high riser height reduced the range of motion of the knee joint and the ankle joint compared to the low riser height (p &lt; 0.001). Therefore, advantageous settings can be derived, with the low riser height creating proper range of motion for ankle, knee and hip joint and higher propulsion via the pole at 8%, while higher riser heights like the medium setting do so at steeper gradients. These findings are in line with the conducted comfort scale. We would not recommend the highest riser height for the analyzed gradients in this study, but it might be an appropriate choice for higher gradients.

Physiological Effects of Training in Elite German Winter Sport Athletes: Sport Specific Remodeling Determined Using Echocardiographic Data and CPET Performance Parameters

Nine ski mountaineering (Ski-Mo), ten Nordic-cross country (NCC), and twelve world elite biathlon (Bia) athletes were evaluated for cardiopulmonary exercise test (CPET) performance and pronounced echocardiographic physiological cardiac remodeling as a primary aim of our descriptive preliminary report. In this context, a multicenter retrospective analysis of two-dimensional echocardiographic data including speckle tracking of the left ventricle (LV-GLS) and CPET performance analysis was performed in 31 elite world winter sports athletes, which were obtained during the annual sports medicine examination between 2020 and 2021. The matched data of the elite winter sports athletes (14 women, 17 male athletes, age: 18–32 years) were compared for different CPET and echocardiographic parameters, anthropometric data, and sport-specific training schedules. Significant differences could be revealed for left atrial (LA) remodeling by LA volume index (LAVI, p = 0.0052), LV-GLS (p = 0.0003), and LV mass index (LV Mass index, p = 0.0078) between the participating disciplines. All participating athletes showed excellent performance data in the CPET analyses, whereby significant differences were revealed for highest maximum respiratory minute volume (VE _maximum) and the maximum oxygen pulse level across the participating athletes. This study on sport specific physiological demands in elite winter sport athletes provides new evidence that significant differences in CPET and cardiac remodeling of the left heart can be identified based on the individual athlete’s training schedule, frequency, and physique.

Physiological Aspects of World Elite Competitive German Winter Sport Athletes

Nine Ski mountaineering (Ski-Mo), ten Nordic-Cross Country (NCC) and twelve world elite biathlon (Bia) athletes were evaluated for cardiopulmonary exercise test (CPET) performance as the primary aim of our descriptive preliminary report. A multicenter retrospective analysis of CPET data was performed in 31 elite winter sports athletes, which were obtained in 2021 during the annual medical examination. The matched data of the elite winter sports athletes (14 women, 17 male athletes, age: 18–32 years) were compared for different CPET parameters, and athlete’s physique data and sport-specific training schedules. All athletes showed, as estimated in elite winter sport athletes, excellent performance data in the CPET analyses. Significant differences were revealed for VE _VT2 (respiratory minute volume at the second ventilatory threshold (VT2)), highest maximum respiratory minute volume (VE_maximum), the indexed ventilatory oxygen uptake (VO₂) at VT2 (VO₂/kg _VT2), the oxygen pulse at VT2, and the maximum oxygen pulse level between the three professional winter sports disciplines. This report provides new evidence that in different world elite winter sport professionals, significant differences in CPET parameters can be demonstrated, against the background of athlete’s physique as well as training control and frequency.

Exceptional Performance in Competitive Ski Mountaineering: An Inertial Sensor Case Study

Organized biannually in the Swiss Alps since 1984, the “Patrouille des Glaciers” (PDG) is one of the most challenging long-distance ski mountaineering (skimo) team competitions in the world. The race begins in Zermatt (1,616 m) and ends in Verbier (1,520 m), covering a total distance of 53 km with a cumulated 4,386 m of ascent and 4,482 m of descent. About 4,800 athletes take part in this competition, in teams of three. We hereby present the performance analysis of the uphill parts of this race of a member (#1) of the winning team in 2018, setting a new race record at 5 h and 35 min, in comparison with two amateur athletes. The athletes were equipped with the Global Navigation Satellite System (GNSS) antenna, a heart rate monitor, and a dedicated multisensor inertial measurement unit (IMU) attached to a ski, which recorded spatial-temporal gait parameters and transition events. The athletes' GNSS and heart rate data were synchronized with the IMU data. Athlete #1 had a baseline VO₂ max of 80 ml/min/kg, a maximum heart rate of 205 bpm, weighed 69 kg, and had a body mass index (BMI) of 21.3 kg/m². During the race, he carried 6 kg of gear and kept his heart rate constant around 85% of max. Spatiotemporal parameters analysis highlighted his ability to sustain higher power, higher pace, and, thus, higher vertical velocity than the other athletes. He made longer steps by gliding longer at each step and performed less kick turns in a shorter time. He spent only a cumulative 5 min and 30 s during skins on and off transitions. Skimo performance, thus, requires a high aerobic power of which a high fraction can be maintained for a prolonged time. Our results further confirm earlier observations that speed of ascent during endurance skimo competitions is a function of body weight and race gear and vertical energy cost of locomotion, with the latter function of climbing gradient. It is also the first study to provide some reference benchmarks for spatiotemporal parameters of elite and amateur skimo athletes during climbing using real-world data.

Steeper or Faster? Tactical Dispositions to Minimize Oxygen Cost in Ski Mountaineering

Purpose

Investigate the effect of speed, inclination, and use of heel elevator on the oxygen cost of vertical climbing (C_vert) in ski mountaineering.

Methods

In this study, 19 participants who were (3 women and 16 men) moderate- to well-trained recreational Norwegian ski mountaineers were involved. All participants were tested for VO_2max in running, and in a ski mountaineering test on a treadmill, to assess C_vert. The test protocol consisted of 12 4 min work periods at different inclinations from 13 to 23°, with continuous VO₂ measurements. After every second work period, the inclination increased by 2°, and speed was decreased accordingly. The speed reduction was based on the equation V_vert = speed · sin(α), where α represents the angle of inclination. V_vert was thus held constant for each work period (854 m·h⁻¹). All work periods were completed twice, with and without a heel elevator. Half of the subjects started with the smallest inclination, and the other half started with the steepest inclination.

Results

The results showed that C_vert was unchanged at all inclinations except 13°, where there was a significantly higher C_vert, at the same V_vert. Only at 13°, C_vert was higher with the use of heel elevator. There was also a significant trend indicating lower C_vert with use of heel elevator with steeper inclination.

Conclusions

There seemed to be nothing to gain by choosing detours if the inclination was 13° or less. The use of heel elevator was more advantageous, the steeper the inclination, but at 13° there was a negative effect of using heel elevator.