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Do Training Masks Improve Performance?

February 02 2019

You might have seen folks training in the gym or outside wearing these masks. Admittedly, they do look cool and high-tech, but do they have any benefits?

What are the benefits of training masks?

The makers claim better fitness and improved performance in a wide range of activities

Performance: Quoting from their website:

“Training Mask is used to improve your breathing power and technique so that you can perform better in a broad range of physical activities such as running, weight lifting, sports, yoga, and core exercises. Performance breathing with Training Mask has multiple benefits that lead to improved athletic performance and better fitness (www.Trainingmask.com).”

Image Credit: Trainingmask.com

How do training masks work?

According to the website:

“Training Mask reproduces hypoxia at a fraction of the cost of multi-thousand-dollar altitude training chambers, or expensive trips to the Rocky Mountains. “The Training Mask Effect” is a proprietary combination of Resisted Breathing & Hypoxic Training”

Basically, the mask ‘works’ by mimicking high-altitude training and by training your breathing muscles.

Are there any scientific studies?

In their website, they have referenced 2 studies that both gives the impression that these mask do work. But do they?

Aerobic Exercise Study 1: In study 1, twenty-four moderately trained subjects were divided into a training mask group and a control group and trained on a cycle ergometer for 6 weeks. Two variables (unlike the 4 shown on the site) showed significant difference (out of 14 variables measured). 

    Major Limitations: First, the study measured everything except the most important variable - performance. People care about the mask because it is claimed to improve performance, not because it improves a couple of physiological variables. Second, the control group did not wear a sham mask during training. Considering the vo2 max test involves breathing through a mask as the final test, a group that trained using a mask will have an unfair advantage. So improvement even in some of the markers is questionable.

Weight Training Study 2: In study 2, they showed that weight training increased growth hormone and muscle thickness in the hypoxia group (low oxygen group).

    Major Limitations: Unfortunately, the major problem of this study is that they didn’t use the training mask. The study participants inspired hypoxic gas (14.5% oxygen corresponding to 4000m sea level) to mimic low oxygen levels. That is, you will need a mask and an oxygen tank! So the website is partially correct.

Bottom line - none of the studies cited support an improvement in athletic performance as claimed.

Is it similar to altitude training as they claim?

Altitude training mechanism: At high altitudes, the thinning of air leads to a lack of oxygen (called hypoxia)that triggers the release the hormone Erythropoietin. This hormone increases our red blood cells (RBC). And since 95% of the oxygen in our body is carried by RBC’s, the increase in RBC means greater oxygen carrying capacity and better performance.

Mask vs Altitude training: The mask simulates altitude training by reducing the air you can breathe. So the company is right to claim the mask leads to a hypoxic environment. However, the problem here is the degree of hypoxia needed to achieve an increase in RBC’s. In the first study, the oxygen levels in the mask group decreased by 2%. On the other hand, in altitude training, the reduction in oxygen levels is as high as 40%. Hence the reason the aerobic study didn’t observe an increase in RBC’s with the mask training. And importantly, the increase in RBC seen in altitude training requires hypoxia for 12-22 hour/day, which requires athletes to live at high altitudes for weeks. In short, unless you are Batman and wearing the mask the whole day, I just don’t see the mask improving your red blood cell count. 

Live High, Train Low: Due to the low oxygen levels at high altitude, training intensity suffers. To overcome this problem, athletes live at a higher altitude to improve their blood RBC’s and train at lower altitude to maintain their intensity. This lowering of workout intensity is a problem with mask training. In fact, one weight training study has shown to decrease performance or the repetitions performed during squat (3-4 repetitions). Another one showed significant decrease in alertness and focus for task in the mask group.

So how can I improve my breathing muscles?

Respiratory muscle training (RMT): RMT involves training your respiratory (inspiratory or/and expiratory) muscles by breathing into a pressure device for 15-30 minutes, 3-4 times per week. Apparently, unlike the mask, a number of meta-analysis (group of studies) have shown RMT to enhance performance (Timed trials, Endurance time) in non-athletes and athletes from multiple sports (rowing, running, swimming, cycling, Intermittent sprint sports). And since you re not using this during training, it doesn’t negatively affect your training either.

Conclusions

  • To date, there is little evidence to show that using a training mask improves endurance or strength training performance.
  • Further, limited evidence show that the mask can negatively affect your acute weight training performance that may lower your gains in the long-term.
  • If you want to improve performance by training your breathing muscles, respiratory muscle training is a far better option.

Reference 1, Reference 2, Reference 3, Reference 4, Reference 5

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Rahul | Sat February 23, 2019  

Hello Anoop,

Good article! So does it mean, the mask could improve performance since the study didn’t measure performance? Most articles online say the mask cannot work but it seems like it does lower oxygen levels. Am I right?

Anoop | Sat February 23, 2019  

Hello Rahul,

Thank you for the comment.

Exactly! Absence of evidence doesn’t mean evidence of absence. A pilot study did show some performance improvements, but too small a study to say anything. And the current study didn’t measure performance.

You are right. It does lower oxygen levels but not to the levels (and not enough duration) that may be required. So they are partially right to call it “elevation mask”.

What do you think?

Smileys

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