In recent years, the use of hypoxic stimulation methods among elite athletes has expanded as part of preparations for competitions. Exposure to real or simulated altitude induces numerous physiological adaptations that may affect performance and haematological markers and thus plays a key role in the interpretation of the haematological module of the Athlete Biological Passport (ABP). The aim of this master’s thesis was to analyse self-declared data reported by Slovenian elite athletes on the use of hypoxic stimulation, collected on ABP doping control forms, and to determine the frequency, types, and protocols of hypoxic stimulation according to sex, age, and sport discipline. Methods: This retrospective analysis included 66 Slovenian athletes enrolled in the national ABP program under the Slovenian Anti-Doping Organization (SLOADO), comprising 392 ABP forms obtained during anti-doping tests between 2017 and 2024 (213 male and 179 female samples). Data were obtained from the Anti-doping administration and management system (ADAMS) and analysed using descriptive statistics in Microsoft Excel and IBM SPSS Statistics 29. Results: The use of hypoxic stimulation methods in the two weeks preceding testing was self-reported by 16.3% of athletes. In more details, altitude exposure predominantly involved living at altitude (43 cases), followed by a hypoxic tent (14 cases) and an altitude room (6 cases). The highest number of altitude-training cases occurred in endurance sports disciplines, particularly road cycling, biathlon, cross-country skiing, and long-distance track and field events. The results confirmed the hypotheses that Slovenian athletes use hypoxic stimulation methods and that it is more frequent in endurance sports, with a predominance of natural (hypobaric) hypoxia. Conclusion: This study is the first in Slovenia based on real-world data from anti-doping ABP forms and represents an important contribution to understanding the use of different of hypoxic stimulation methods within the national ABP program. The findings highlight the importance of accurate self-reporting for the correct interpretation of the haematological module of the ABP and for more effective planning of targeted testing within anti-doping control.
|