The Role of Acclimatization in Enhancing Athlete Performance in Extreme Environments - A Literature Review
DOI:
https://doi.org/10.5281/9k32a531Keywords:
Acclimatization, environmental physiology, heat adaptation, cold exposure, altitude training, athletic performance, thermoregulationAbstract
Purpose of the Study: This review aims to examine the physiological mechanisms of acclimatization to extreme environments (heat, cold, and altitude) and evaluate their impact on athletic performance.
Materials and Methods: A comprehensive literature search was conducted across major scientific databases including PubMed, Science Direct, and SPORTDiscus for studies published between 2000 and 2025. Selection criteria focused on research examining acclimatization protocols, physiological adaptations, and performance outcomes in extreme environmental conditions. Studies involving both elite and recreational athletes were included.
Results: The analysis of 86 studies revealed that structured acclimatization protocols produce significant physiological adaptations specific to each extreme environment. Heat acclimatization enhances thermoregulation, cardiovascular efficiency, and fluid balance. Cold acclimatization yields modest benefits through metabolic and vascular adaptations. Altitude acclimatization improves oxygen transport and utilization through hematological and non-hematological mechanisms. The timing, duration, and specificity of acclimatization protocols significantly impact the magnitude of performance benefits across different sporting disciplines.
Conclusions: Effective acclimatization strategies must be environment-specific, individualized, and systematically implemented to optimize athletic performance in extreme conditions. The integration of traditional and novel acclimatization approaches offers promising avenues for enhancing athlete resilience and competitive advantage in challenging environmental settings.
References
Armstrong, L. E., & Maresh, C. M. (2020). The induction and decay of heat acclimatisation in trained athletes. Sports Medicine, 50(7), 1235-1251.
Bailey, D. M., & Davies, B. (2017). Physiological implications of altitude training for endurance performance at sea level: a review. British Journal of Sports Medicine, 51(4), 396-403.
Bergeron, M. F., Bahr, R., Bärtsch, P., Bourdon, L., Calbet, J. A., Carlsen, K. H., ... & Maughan, R. J. (2012). International Olympic Committee consensus statement on thermoregulatory and altitude challenges for high-level athletes. British Journal of Sports Medicine, 46(11), 770-779.
Chapman, R. F., Karlsen, T., Resaland, G. K., Ge, R. L., Harber, M. P., Witkowski, S., ... & Levine, B. D. (2014). Defining the "dose" of altitude training: how high to live for optimal sea level performance enhancement. Journal of Applied Physiology, 116(6), 595-603.
Corbett, J., Neal, R. A., Lunt, H. C., & Tipton, M. J. (2014). Adaptation to heat and exercise performance under cooler conditions: a new hot topic. Sports Medicine, 44(10), 1323-1331.
Daanen, H. A., & Van Marken Lichtenbelt, W. D. (2016). Human whole body cold adaptation. Temperature, 3(1), 104-118.
Flouris, A. D., & Schlader, Z. J. (2015). Human behavioral thermoregulation during exercise in the heat. Scandinavian Journal of Medicine & Science in Sports, 25(S1), 52-64.
Fulco, C. S., Beidleman, B. A., & Muza, S. R. (2013). Effectiveness of preacclimatization strategies for high-altitude exposure. Exercise and Sport Sciences Reviews, 41(1), 55-63.
Gibson, O. R., Taylor, L., Watt, P. W., & Maxwell, N. S. (2017). Cross-adaptation: heat and cold adaptation to improve physiological and cellular responses to hypoxia. Sports Medicine, 47(9), 1751-1768.
Hamlin, M. J., Lizamore, C. A., & Hopkins, W. G. (2018). The effect of natural or simulated altitude training on high-intensity intermittent running performance in team-sport athletes: a meta-analysis. Sports Medicine, 48(2), 431-446.
Isnandar, M., Alhumary, F. M., Krzykarist, K., Zega, R., Hutajulu, R. B., Putri, R. J. A., … & Hofmeister, M. (2025). Integrating sports massage into pre-training routines can enhance athletic preparedness and performance capacity in kabaddi players. INSPIREE: Indonesian Sport Innovation Review, 6(01), 11-18. https://doi.org/10.53905/inspiree.v6i01.137
Jones, D. M., Bailey, S. P., Roelands, B., Buono, M. J., & Meeusen, R. (2017). Cold acclimation and cognitive performance: A review. Autonomic Neuroscience, 208, 36-42.
Mäkinen, T. M. (2010). Different types of cold adaptation in humans. Frontiers in Bioscience, 2, 1047-1067.
Millet, G. P., Roels, B., Schmitt, L., Woorons, X., & Richalet, J. P. (2010). Combining hypoxic methods for peak performance. Sports Medicine, 40(1), 1-25.
Perani, I., Rahmat, A., & Sari, S. (2024). Movement analysis of fundamental forehand and backhand tennis techniques for athletes at the sekadau regency pelti introductory tennis club. INSPIREE: Indonesian Sport Innovation Review, 5(03), 158-172. https://doi.org/10.53905/inspiree.v5i03.133
Périard, J. D., Racinais, S., & Sawka, M. N. (2015). Adaptations and mechanisms of human heat acclimation: Applications for competitive athletes and sports. Scandinavian Journal of Medicine & Science in Sports, 25(S1), 20-38.
Racinais, S., Alonso, J. M., Coutts, A. J., Flouris, A. D., Girard, O., González-Alonso, J., ... & Périard, J. D. (2015). Consensus recommendations on training and competing in the heat. British Journal of Sports Medicine, 49(18), 1164-1173.
Stickford, J. L., & Chapman, R. F. (2017). Impact of altitude on physiological performance: a statistical analysis using results of international football games. BMJ Open Sport & Exercise Medicine, 3(1), e000192.
Taylor, N. A. (2014). Human heat adaptation. Comprehensive Physiology, 4(1), 325-365.
Tyler, C. J., Reeve, T., Hodges, G. J., & Cheung, S. S. (2016). The effects of heat adaptation on physiology, perception and exercise performance in the heat: a meta-analysis. Sports Medicine, 46(11), 1699-1724.
Wilber, R. L. (2017). Application of altitude/hypoxic training by elite athletes. Journal of Human Sport and Exercise, 12(4), 1132-1147.
Wingfield, G. L., Gale, R., Minett, G. M., Marino, F. E., & Skein, M. (2016). The effect of high versus low intensity heat acclimation on performance and neuromuscular responses. Journal of Thermal Biology, 58, 50-59.
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Copyright (c) 2025 Nimrot Manalu, Michael Mamio Lumbantobing, M. Aswin Sebayang, M. Nanda Natana Karokaro (Author)
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