a why is it up to a boy? ah, [000:00:00;00] a quote, i'm not sure this is, laura doesn't want that much extra money for a year to prepare that whole. ah generations. people have been coming here to case of lots to get healthy,

taking advantage of the mineral waters and the fresh air. today, the city is at the forefront of cutting edge research, helping athletes, not by utilizing that air, but by depriving them from it. today we are speaking to the head of the innovation center of the russian olympic committee. world renowned trainer, alexander gruesome. you have trained 15 olympic champions, 24 world champions. the training in a hypoxia can vironment can enhance general performance mac. what we've proposed is using artificial hypoxia in this environment. and so what does lack of oxygen actually due to a person's body? it's a controversial topic and to all individual with the many factors that play the level of hypoxia it's duration. this equipment essentially allows us to put the athlete at an altitude of up to 6000 meters above

sea level. ooh, leaked chooses to train with us with that means increasing their training load and using advanced techniques to improve performance at new records. alexandra, thank you for taking the time to meet us today. i you know what you're doing when it comes to training world athletes. you have trained 15 olympic champions, 24 world champions. so what made you think about using hypoxia as a training mechanism and that she were new, she again did so traditional approaches to training. i wouldn't say they've become obsolete, but they all come a no, should have qualen variations, mostly recombine elements to find optimal low and high intensity training. and that's a role for coaches themselves. so experts increasingly try to enrich the process with non traditional methods in your there are many ways actually there was a range from using special equipment to building new facilities has been said,

is among the well known hypoxia training is particularly interesting. if i knew it gained popularity in the last 30 years or so, it began when people realized that competitions are not always at the same altitude . you, sir, for many high profile international events, take place, way above sea level, a bullying carrier, for example. the olympic games in mexico were held at over 2000 meters above sea level or theaters need. obviously you need special training to perform in those conditions. also, training in a hypoxia environment can enhance general performance with getting erosion process . so when i think of hypoxia, i think of a shortness of breath confusion and possibly will all of the negative effects. what does the lack of oxygen actually due to a person's body and how can it help your athletes? bucks you mentioned your, your thoughts on you. the lack of oxygen in the air has a range of effects on the human body. and 1st, it triggers an adaptation response that improves the efficiency of our oxygen

transport system for places it improve circulation or increase his oxygen uptake in our muscles. and that means a greater capacity for generate training to help the athlete optimized movement and reach new skill levels for some sports, especially cycling sirower. and that's what it does, isn't that anyways. so athletes say that they, when they train at high altitude for a long time, that they start to lose effectiveness. they can't train for as long as does that mean that you can only be at a certain altitude for so long, and then you have to return to sea level and then train normally is there is some sort of an alternation that needs to happen, practice. but a few in there because only because we know that the optimal length of a single stay at high altitude is between 10 and 2 the 4 days. because the new after that the athlete must recover before training at altitude again. what if we're talking about of effectiveness, which is the best old, most rational, is around 90 days at high altitude. we have experience in this area pretty well, but it all varies from athlete to athlete. that isn't for some that works. but

there's an average to these parameters to keep the city nearly done quickly. and so i'm going to play devil's advocate just a little bit here. high altitude training has been around for a long time, as well as trade live high train. lo, what is innovative about what you're doing and how is it different from old practices with, from the small museum? let's talk about this particular case 1st, and even though we're currently at an altitude of 1200 meters, which isn't very high, the appreciate the sports research shows the best conditions are to live at around 18022100 meters above sea level, i think with training at 11021200 meters above sea level ab north. but you obviously need to commute between your living quarters and the training ground. so you lose time in the course. what we've proposed is using artificial hypoxia in this environment. really, we have a lot of equipment for creating conditions, right. and this increases our training capabilities, training efficiency skyrockets,

when the sports campus simulates the higher altitude and then outdoor training take place at a lower level. and this is the read the book. we are able to create this higher altitude at the camp without pressure ceiling. so there are lots of opportunities here. there are countries like kenya that the athletes naturally train at higher elevations. does that mean that they are genetically already able to adapt to this? and can you train athletes to be as good as them the same way in terms of research the right to contradicting views on this matter, or even those who study the training process itself, agree that the efficiency of really high, almost unilaterally those who study physiology or similar, don't completely discard the idea, but al, give that a professional set up at sea level could yield the same results to mr. so it's a controversial topic in the gutter. both fields make strong points, but i can give you an example, a policy to loretta. you know, the hung village of mountain for count and france of pretty i've been there. and 11

olympic champions come from that little settlement. really. it is a good or bad. it is a genetic predisposition. it's definitely food for thought is 11 olympic champions were born and raised there to me that looked like a good answer to your question. yeah. no on. i guess what i really want to ask is, what are your athletes experiencing when they are going through hypoxia training? no was ne jenny athlete doing higher altitude training, goes through certain phases, but the training process must account for stages of acclimatization in europe. this is also true for the opposite process, re acclimatization to sea level, and then the train must build a program taking this into consideration. and there are lots of variables. for example, how often has the athlete been to a mountainous area as this could change the program a lot of good evening with how well does he or she tolerate hypoxia, you of them? that's important as well. because it's all individual says you need to know the athlete to come up with a good program if you had or i. altitude training may also have different

objectives. if the goal is to improve strength, 10 to 11 days is enough given them. but if it's about endurance, it's better to stay for longer. $21.00 to $24.00 days. yep. it. this is the foundation upon which to build the micro cycles of an efficient training program within waited. you should always keep your training goals and objectives in mind. tell you about shipper of us, shall we continue the conversation inside the training center with . so you have an impressive center here. i see that you have equipment for different sports. what kind of athletes need this type of training the most? is it swimmers skaters, spheres, or is it generalized for all athletes?

no. it's not just about training. we can test the athletes capabilities here to renew until recently and during sports were considered to benefit from hypoxia training the most. but it's been proven that this kind of training is also good for strength need and coordination, sports. it's just the techniques that differ. but the concept has demonstrated its feasibility for improving performance in almost all athletic disciplines. does every single athlete have their own limits on what they can handle? or is it a one size fits all kind of a process when it comes to hypoxia training? here we did, it all depends on the goals to train a set, but it also depends on how the program is shuttled. either during preparation or inactive competition. there are many factors that play here. the level of hypoxia is duration. again, it all depends on the goals of the trainers and athletes. me and i know that box you can actually be dangerous. it can kill. for example,

if you're on mount everest, you can't be up there without oxygen for a long time. how do you make sure that you protect these athletes from the dangers of hypoxia here to where the great part of the world health organization has guidelines and then our own experience over the years. and typically this is how it looks for training in boxes. environment is mitigated by the oxygen level in the yeah, yeah, i mean it's recommended that your blood oxygen saturation level, which is directly correlated to the level of oxygen in the air, is no less than 80 percent going lower than that is not advisable. we're speaking of oxygen concentration in the air. it depends on the altitude. under the guidelines, it's not recommended to go above 3000 meters with the highest recommended elevation is 2500 meters above sea level. now i see you have some different equipment. i see some masks. can you tell me what this equipment is and maybe show me how it works? no. there is

a multitude of equipment here from we have facilities that measure various aspects of an athletes functional performance. for example, to measure aerobic performance with the man in the mask when we perform gas exchange analysis. we've been athlete under pressure from we observe indicators such as maximum oxygen consumption, the aerobic supply, threshold and so on. based on these observations, we structure the training processors are going to adjust its intensity for other equipment is designed to measure a host of properties. for example, we have equipment for measuring strengths potential. when there are specific parameters we look into and the equipment measures potential and functional fitness . let's see what else you can show me. this looks like an incredibly interesting room right here. my understanding is that the runner inside can get the experience of being on top of mount albus and really fast. what's really happening in this room? no. this is where a special gas mixture is administered for athletes to breathe in. the mixture

contains a set percentage of oxygen depending on target altitude, the percentage of oxygen is altered products of this equipment essentially allows us to put the athlete at an altitude of up to 6000 meters above sea level. as i mentioned earlier, we have trained mountain climbers using this equipment. this is where people are trains to climb mount elbert or other higher peaks for the equipment allows them to better prepare for it. so you can actually measure their intake and you can control the atmosphere where they are. can you show me a little bit how that works? control oxygen levels are monitored on a special dashboard. it shows us the percentage of oxygen mixture that everything is automated, completely minimum. so you have been a good sport. you've been working out for us. tell me how do you feel after all of

this, with all of this equipment shifts or you know, i feel good after this training session with this type of training helps me improve and regulate my training process and to achieve better results graders with so it seems to me, the balance is very important. is it all about the physical training and getting the body ready for the sport? or is there mental aspects to getting these athletes ready as well? which is i'd like to show you one more thing before i answer that question. we have a unique piece of equipment that you won't find anywhere else in the world. this is a roller sky treadmill for professional skills by athletes, and noted combined athletes. it also uses a high puklich environment, which allows us to train athletes at up to 3000 meters. feel question about the relationship between the physical, conditioning and mental performance. there are 2 aspects to consider. first hypoxia certainly affects mental ability, but unfortunately this subject is under explored and basically testing mental capacity requires

a certain amount of stress. i folks here also causes stress as do various health conditions. no, i proxy or is involved in all of these stressful influences. europe, but the exact effect on the body is uncertain. we can say with confidence that if the intensity of hypoxia exposure is very high, is above certain limits, this leads to fairly unpleasant conditions which can ultimately damage and destroy brain cells. however moderate high toxic exposure has a positive effect. unfortunately, no one has the precise data on the correlation between physical and mental states. under such conditions seems trust should also be important. trust the athlete in themselves to trust between the trainer and the athlete, especially when you have a non conventional training method like your box. yeah. how do you get the athlete to trust you? sneaks and chooses to train with us. we go. that means increasing their training load and using advanced techniques to improve performance, new records,

and so on. i proxy is not a completely new concept and it's been around for a long time. is there a specific methods involved? the coaches of the highest caliber of proof that these produce a positive effect. when athletes are offered the chance to try them, they recognize how effective these methods are. there's no need to persuade them really. in any case, we can say with certainty that this approach has a positive impact on an athletes performance. you're one of the best trainers in the world with all of your experience. what do you think is the most important and most difficult getting an athlete ready, mentally prepared for physically prepared. it's hard to give an exact ratio, as it all depends on the sport. everyone requires a different combination of physical conditions, either. it's very specific on a case by case basis. sometimes it's physical power that's key or good coordination or mental capacity. it all depends on the spot. and now what i've seen so far has

been incredibly impressive. i know that you have plans for a specific high proxy a center. tell me more about that and what do you see for the future of this program here in russia? today we're considering a project and kiss level, where the training bases of nell to 2 to 1200 meters above sea level. we've been developing new equipment from arthur and tier up or if we upgrade the residential quarters at kiss a bunch of them, we could get a combination of artificial and natural hypoxia was awarded. this would allow us to combine different technologies and ratios of artificial and natural hypoxia in the training process for athletes in kids level and scott machine. there are very few bases like this today. it's in the book, alex integration, it has been an incredibly interesting conversation. thank you for taking the time to show us around your facility. wish you luck in the future. so we know that high public training can proved to be beneficial for professional athletes. can it be adapted to treat illnesses as well? as it turns out here at the origin to keep the health resort back in case the tax

return is being used and we wanted to find out more about its practical application . ah, could you very much for having us here? it's a very interesting place. my 1st question i guess is here in kilowatts could years very clean, but many of us live in cities that are heavily polluted, have exhaust fumes in a sense, aren't we already being deprived of oxygen? how is hypoxia different? oh, maria was go from the i poxy, it doesn't improve the condition of a person who is exposed to exhaust fumes, polluted air, et cetera. with more oxygen would be better. in this case. we're in case level, it's with the air is clean and there are no fumes here in the pony. and the facility we're in right now is 920 meters above sea level. but by default it has less oxygen than other places at sea level view. large cities, for example,

nor to count to the effects of polluted air. you need more oxygen. so our team this week, we were up on mount elbows and earlier and i've been on kilimanjaro as well as to mount everest base camp. so i've experienced hypoxia 1st hand and what i can tell you is it can play tricks on your brain a little bit. so i'm now being told that how can oxy can be good for your brain? how is that the 1st floor of abroad, it's not an easy question to answer you prescribe. it can be explained by the way our body's self regulate. there is adapt ation and reaction to changes in the environment. the reactions are unlimited. if you reached an altitude of 4 and a half 1000 meters is me like mount kilimanjaro, your body constantly suffers from stress hypoxia. you're not adapt. taishan can take some time. she initially it takes 7 days and full adaptation can take 2 to 3

months or if you're, when you enter a different environment for your body, slowly adjust to the changes around you, which when you're high up in the mountains suffering from the chronic stress of hypoxia, your body can break down because you're using up your internal reserves. we will use that when we treat people here, or we do that without subjecting them to hyper stress. when your body is pushed to function in an entirely different mode. look at functionally. however, after you spend 7 to 10 days in a state of low hypoxia, i guess that when you go back to a big city would like moscow or st. petersburg located at sea level. your body has this incredible feeling and i would am as if it is saying, wow, this is how it should be, or are there any issues? and that's when you can unlock its potential. bruce, when you will adapt, taishan is key to treatment and how patients respond to it. at the 5 minute change your environment, you subject your body to stress vineyards,

pushing it towards new systems, new regulation of the cell and new perceptions. what ductwork in the and it all comes down to dopamine levels, dopamine in being the feel good hormone that regulate, saw mood, gun one shift a couple of the group mercilessly. i've also um, read that i, i box i can help with depression or using that being used here for that purpose of messy the law of but from the, from a physiological perspective, i just mentioned dopamine. you just through the happiness whole management, you reject it. wipes out depression that the got one shape when we change the environment, subjecting people to some stress levels of strain that you're the body produces domains that have, thus curing depression or whatever could be from in the loop to decrease. jeffery, this is how a patient is prepared for hypoxia therapy during the procedure. the patient 1st breeze in a low oxygen mixture, then after a certain interval,

a high oxygen mixture, roughly speaking, it's 10 minutes on low oxygenated air, followed by 10 minutes with high. most importantly, we have to ensure the oxygen levels don't drop below a certain threshold. this protects the patient from serious distress. first, you are breathing a regular mixture with 21 percent. oxygen is foreign now by 10 percent. so you're breathing a low oxygen mixture. you might find that you're having trouble breathing, but this sensation will go away after a while, as you go through primary adapt taishan to low oxygen air. now the real training has begun. the device is now supplying a mixture of 9.7 percent oxygen to your mosque. the saturation level or the amount of oxygen in your bloodstream has dropped to 85 percent. 93 percent is the norm. during the next phase, when you're breathing regular air,

your saturation should go up to 91. 092 percent. these steam minutes cycles help train your body. it will take a total of 45 minutes of all spicy by my home. when the lip of gonna run a bunch of patients, doc it's, it's interesting, it's very interesting. that's for sure. now, i've heard you touch on this just a little bit. i want to kind of go back to this a little bit more and we've heard that cold can help you adapt. we've heard that stress can help you out your body adapt as well. we've heard that fasting can help your body adapt as well. so now in basic terms, does it basically mean that in order for your body to really be functioning well, we need to put our bodies through stress in order for us to kind of have a balance stress,

your stress is an integral element of our life. but we can't live without it. we may not always feel it, but it is necessary, and not only to be able to fully enjoy life's pleasures, assist them with our systems need to be adapting all the time. that came the way nature created us means that our bodies are self regulating systems which seek to strike a certain balance. but there is the medical concept of homeostasis, which is the state of balance within all physical systems in our body. not but we arrived at this mechanism through involution. the hordes of our bodies systems are always prepared to support homeostasis, game f. that's why stress is a necessary element in our lives. but let me say this again on all the parameters you do on the quantities of this stress, you have to be within certain limits. otherwise, blood vessels break met, you can develop an illness, your blood pressure rises,

which is hard to manage. all you have other conditions which will make your life difficult. what mission, what diseases specifically are being treated here with hypoxia and, and do you see this type of treatment growing in the future? and we'll get back to you, is it treatment by hypoxia training relies the last and foremost on the physiological mechanisms of treatment which is sheeka. this includes these adaptive processes in practical terms. this means the treatment could work for any condition of a regulatory nature that will your 99 percent of all disorders immune. we can't use the cancer of course. when you those however conditions which have to do with neuro regulation, such as hypertension, blood vessel, diseases, diabetes, or depression, the online forms of mental disorders can be treated idea, which is this a wide range of applications. leach of no proof of. thank you very much for your time. it's been incredibly interesting conversation. the so that so that,

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