Breathing air with less oxygen through a mask (simulated altitude) makes your muscles get less oxygen during exercise than being at real high altitude, even when the oxygen level in the air is the same.
Scientific Claim
Normobaric hypoxia (FiO₂ = 15.9%) induces a moderate to very large reduction in muscle oxygenation (SmO₂) compared to hypobaric hypoxia at equivalent altitude (2,320 m), with effect sizes of 0.79–2.26, suggesting impaired muscle reoxygenation despite identical inspired oxygen levels.
Original Statement
“Compared to HH, NH showed a moderate reduction in the inter-set rest-HR (ES > 0.80), maxLac (ES > 1.01) and SmO₂ (ES > 0.79) at both rest intervals. ... moderate to very large reductions in SmO₂T were observed in NH during both training sessions.”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
definitive
Can make definitive causal claims
Assessment Explanation
The RCT design with direct, objective measurement of SmO₂ via NIRS and large effect sizes supports definitive causal claims about the differential impact of hypoxia types on muscle oxygenation.
Evidence from Studies
Supporting (1)
Even though both types of low-oxygen environments have the same amount of oxygen in the air, the study found that breathing low-oxygen air at normal pressure (normobaric) made muscles less oxygenated than being at high altitude (hypobaric), meaning muscles had a harder time recovering between sets.