Does altitude training work?
The short answer
Yes, but slowly. At moderate altitude (about 2,000 to 2,500 metres) your body makes more red blood cells, roughly 1% more haemoglobin mass per 100 hours at altitude. A meaningful effect needs about three to four weeks. A two-week camp gives a small blood effect, and its bigger value for most amateurs is a focused block of volume, hills and coaching.
When the air is thinner, each breath delivers less oxygen. The kidneys respond by releasing more EPO, which over weeks raises the amount of haemoglobin, the protein that carries oxygen. Back at sea level, more haemoglobin means more oxygen to the muscles, and the same pace feels easier. Elite runners chase this with long stays in places like Iten, Flagstaff, St Moritz and Font-Romeu.
What changes in the first days
- Heart rate is higher for the same pace, often by 5 to 15 beats at first.
- Pace is slower for the same effort. Easy runs 20 to 40 seconds per km slower are normal.
- Breathing feels harder on hills and in fast sessions.
- Sleep can be lighter for the first nights.
- You dehydrate faster in dry, thin air. Drink more than you think.