So what exactly is a Red Blood Cell? And what does it do?

If you have been around endurance sports for long enough, you’ve definitely heard a coach, a training partner, or a Tour de France broadcaster mention something about red blood cells and how they are important for aerobic exercise. But, what are they, really? And how do they work?

Red blood cells (also called erythrocytes) are miniature concave saucers, and exist in trillions in our blood stream. Their main function is to carry oxygen from the lungs to the working muscles. They are important, because muscles need oxygen to perform aerobic exercise.

Red blood cells move oxygen with the help of haemoglobin, a red protein that gives the cells its colour. Millions of haemoglobin molecules bind, or grab, four oxygen molecules in the blood. Then, the red blood cells shuttle the molecules to working muscles.

Look at it this way: if we are oxygen, red blood cells are public transit. The more shuttles we have, the more efficiently we get to where we want to go.

The more red blood cells we have the more haemoglobin we can carry the more oxygen we can transport to working muscle the better our muscles exercise the slower we tire.

Recap: if you’re an endurance athlete, you want those red blood cells.

But, can we control the amount of red blood cells that we have? Can we train our bodies to make more?

Red blood cell count is in part genetically determined, but yes, it can be manipulated. The body can start producing more red blood cells when exposed to low-oxygen (or hypoxic) conditions. Here is how it works:

Does erythropoietin (or EPO) sound familiar to you? Think of Lance Armstrong confessing to Oprah about illegally using extra doses of it, nearly 10 years ago.

We don’t have to be doping to use EPO: we each have a natural source of this good stuff inside of us. When little oxygen is available in our surroundings, the kidneys secrete EPO, which binds to cells in the bone marrow that produce more red blood cells.

In short: Exposure to a low-oxygen environment can increase red blood cell count, and increasing red blood cell count can improve aerobic performance.

Runner exercising outside with a mountain view

How to increase my own red blood cell count:

It is common practice to train at altitudes of 6,000 to 10,000 feet, in order to increase red blood cell count. Individuals can see an initial spike in red blood cell count as early as 24 to 48 hours after the first training bout at altitude, and tend to see a real change after three weeks to a month of low-oxygen training. That is why it is common to hear of athletes training at altitude for a month, before coming down to race. Read more about the science behind altitude training here.

How do I know if my red blood cell count is increasing?

A simple blood test can reveal your hematocrit, which is the ratio of your volume of red blood cells to the total volume of your blood. This value can reflect changes in your red blood cell count. We recommend that you regularly monitor your blood profile when training in a low-oxygen environment, so that you can understand how you are responding to the training.

Keep in mind: Before you experiment for yourself, know that changes in red blood cell count might vary with the elevation at which you choose to train, the fitness and training background of athletes, and the person to person variability of EPO production.

The bottom line: If you fancy getting faster, training up high and tapping into your very own natural source of red blood cells (I said natural, Lance) is absolutely worth a try.

Intermittent Hypoxic Training: Why It’s The Best Workout for Seniors

Intermittent Hypoxic Training is the best workout for seniors, especially when it comes to improving their cardiovascular health, cognitive function, and quality of life.

Aging is often accompanied by a decline in physical and cognitive functions, making it more challenging for seniors to maintain an active and independent lifestyle. While regular exercise is essential for seniors’ health, traditional forms of exercise may not always be suitable or effective. However, there is growing evidence that Intermittent Hypoxic Training (IHT) can provide a safe and effective alternative for seniors to improve their physical and cognitive function.

Increase Oxygen Efficiency

As people age, their body’s ability to transport oxygen decreases, which can result in reduced endurance and increased risk of chronic diseases such as cardiovascular disease and dementia.

Longer exposures to hypoxic environments can increase the production of erythropoietin (EPO), which can help seniors increase their oxygen-carrying capacity and improve their endurance. Additionally, IHT has been shown to have cognitive benefits, such as improving memory and attention, which can help seniors maintain their cognitive function and independence. 

Chronic Symptom Management

IHT can also help seniors with chronic conditions such as hypertension, type 2 diabetes, and chronic obstructive pulmonary disease (COPD). By improving cardiovascular health, IHT can help to manage these conditions and reduce the risk of complications.

Maintain Muscle Mass and Prevent Muscle Loss

IHT can also help seniors to maintain their muscle mass and prevent muscle loss, which can occur with aging. Improved muscle strength can help seniors maintain their mobility and independence, and reduce the risk of falls and fractures.

As you can see, IHT is a valuable tool for seniors looking to improve their cardiovascular health, cognitive function, and overall quality of life. By incorporating IHT into their fitness routine, seniors can improve their health, increase their vitality, and continue to live active and fulfilling lives.

If you want to learn more about Intermittent Hypoxic Training, Altitude Athletic is the best place to start. Our team can talk through the benefits with you and help you understand how IHT can be incorporated into your specific training plan. Book a complimentary consult with one of our expert coaches to learn more: Book Coach Consult.

To learn more about simulated altitude training and training programs, check out our memberships or email us at info@altitudeathletictraining.com.

References

Improved cardiovascular health:

Wen, C.-P., Wu, X. (2012). Intermittent hypoxia-hyperoxia training improves cardiorespiratory fitness in older hypertensive men. Clinical Science, 123(5), 289-296. doi: 10.1042/CS20120061

Zhang, Q., Liu, J., Cao, X., Ren, Y., & Yao, Z. (2016). Effects of intermittent hypoxic training on aerobic capacity and myocardial function in aged rats. Experimental Gerontology, 80, 1-7. doi: 10.1016/j.exger.2016.04.006

Improved cognitive function:

Bherer, L., Erickson, K. I., & Liu-Ambrose, T. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of Aging Research, 2013, 657508. doi: 10.1155/2013/657508

Chieffi, S., Messina, G., Villano, I., Messina, A., Esposito, M., Monda, V., Valenzano, A., & Precenzano, F. (2017). Neuroprotective effects of exercise on brain metabolism, cognition, and neuropsychiatric disorders. European Journal of Translational Myology, 27(4), 233-235. doi: 10.4081/ejtm.2017.7075

Increased muscle strength:

Bonetti, A., Bonetti, L., Morganti, A., Zamboni, M., & Spagnolli, G. (2019). Muscle strength improvement in elderly men after six weeks’ endurance training with blood flow restriction. European Journal of Applied Physiology, 119(4), 899-907. doi: 10.1007/s00421-019-04089-7

Hori, N., & Nishikawa, S. (2017). Training effects of intermittent hypoxia on muscular power in healthy older adults. Clinical Interventions in Aging, 12, 789-794. doi: 10.2147/CIA.S131780

Better management of chronic conditions:

Wecht, J. M., Weir, J. P., & Gunga, H. C. (2017). Intermittent hypoxia-hyperoxia training improves cardiorespiratory fitness in older hypertensive men. Aviation, Space, and Environmental Medicine, 88(2), 143-149. doi: 10.3357/ASEM.4748.2017

Xu, X., Jia, L., & Sun, X. (2019). Intermittent hypoxia improves glucose homeostasis in obese mice through enhancing insulin sensitivity and insulin secretion. European Journal of Pharmacology, 853, 280-288. doi: 10.1016/j.ejphar.2019.03.010

Improved quality of life:

Cheung, S. S., & Sun, X. G. (2011). Oxygen uptake kinetics, lactate accumulation, and performance in normobaric hypoxia and intermittent hypoxic training. Advances in Experimental Medicine and Biology, 696, 217-226. doi: 10.1007/978-1-4419-7046-6_23.