# Mild hyperbaric hyperoxia improves aerobic capacity and suppresses cardiopulmonary stress during the maximal cycle-ergometer test

## TL;DR

Mild hyperbaric hyperoxia improves aerobic performance and reduces heart and lung stress during exercise in healthy individuals.

## Contribution

The study shows that mild hyperbaric hyperoxia increases work rate at ventilatory threshold and reduces cardiopulmonary stress during maximal cycling.

## Key findings

- WVT was significantly higher under hyperbaric hyperoxia compared to hypoxia and normoxia.
- Systolic blood pressure and double product at VT were lower in the hyperbaric hyperoxia condition.
- Maximal ventilation did not differ across oxygen conditions, but cardiopulmonary stress was reduced in hyperbaric hyperoxia.

## Abstract

Aerobic exercise is more recommended than anaerobic exercise for individuals with cardiopulmonary dysfunction to avoid cardiopulmonary stress. However, their oxygen-carrying capacity is already reduced, making it difficult to exercise enough. Therefore, we aimed to investigate whether mild hyperbaric hyperoxia enhances aerobic capacity and decreases cardiopulmonary stress during exercise with a particular focus on the ventilatory threshold (VT). Nineteen healthy men (age 34.9 ± 10.8 years) performed ramp-loading tests on a cycle-ergometer under the three oxygen conditions: hypobaric hypoxia (HYPO; 0.7 ATA, 14.7% O2), normobaric normoxia (NOR; 1.0 ATA, 21% O2), and mild hyperbaric hyperoxia (HYPER; 1.3 ATA, 35% O2). Cardiopulmonary data were recorded using a gas exchange analyzer. VT was assessed based on minute ventilation (VE) using the V-slope method and the work rate on VT (WVT) was determined. Although the maximal values of VE did not differ among the oxygen conditions, WVT in the HYPER condition was significantly higher compared to others (HYPO; 125 ± 21, NOR; 148 ± 24, HYPER; 168 ± 32 [W], each p < 0.01). Systolic blood pressure and double product on VT in the HYPER condition were significantly reduced compared to others (HYPO; 172 ± 21, 23096 ± 4354, NOR; 173 ± 15, 23377 ± 3109, HYPER; 155 ± 18, 21255 ± 3340 [mmHg, beats·min-1·mmHg], each p < 0.05). Although further clinical research targeting other populations is needed to apply mild hyperbaric hyperoxia in clinical practice, due to its positive effects on WVT and cardiopulmonary stress, the HYPER oxygen condition may potentially be used to enhance aerobic capacity and make individuals with cardiopulmonary dysfunction exercise safely.