Heat exercise training may increase exercise performance in athletes. The underlying mechanisms remain partly unresolved, and it is unknown if female and male athletes may experience comparable gains. The aims were to investigate whether heat training (HEAT) increases hemoglobin mass (Hbmass), skeletal muscle fiber characteristics, and thermoneutral exercise performance in elite female and male endurance athletes. Female (n = 20; Vo2max = 58.2 ± 6.7 mL·min-1·kg-1) and male (n = 27; Vo2max = 76.4 ± 7.8 mL·min-1·kg-1) cyclists were studied before and after 5 wk of randomized control or HEAT consisting of five weekly sessions each of 50 min duration, which were included in their normal training regimes. Overall, the observed relative responses to HEAT were largely similar in female and male study participants. HEAT increased (P < 0.05) Hbmass in females from 650 ± 77 to 675 ± 76 g (4.0 ± 1.6%) and from 1,008 ± 155 to 1,041 ± 147 g (3.5 ± 2.3%) in males. In contrast, skeletal muscle citrate synthase activity, fiber type distribution, and capillary density remained unchanged with HEAT. Lactate threshold, Vo2max, and mean power output during 15-min all-out testing were all enhanced (P < 0.05) following HEAT in female and male study participants. In conclusion, 5 wk of HEAT increases Hbmass in female and male elite cyclists and improves exercise performance in a thermoneutral environment. Based on this, heat training may be recommended to elite female and male athletes aiming to perform in a thermoneutral environment.
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