Study design and settings

ML Moqi Liu
XJ Xueqiao Jiao
RL Rui Li
JL Jialu Li
LW Lu Wang
LW Liyan Wang
YW Yishu Wang
CL Chunmei Lv
DH Dan Huang
RW Ran Wei
LW Liming Wang
XJ Xunming Ji
XG Xiuhai Guo
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This is a single-center, prospective, randomized, open-label, blinded endpoint (PROBE) study. Participants were randomly assigned to five groups with different interventions: Acetazolamide group, Regular RIPC Training (Ripc) group, Rapid RIPC Training (Rapid-Ripc) group, Acetazolamide plus Rapid RIPC Training (Combined) group, and Control group. After the interventions, participants were exposed to a normobaric hypoxic chamber for 6 h (12% oxygen/88% nitrogen, approximately equivalent to an altitude of 4000 m after adjusting the difference between the actual altitude and the stimulated altitude in a normobaric hypoxic chamber [19]). The primary and secondary outcomes were assessed at baseline, before and after the 6 h of hypoxic exposure. We conducted the study in five rounds due to the large number of participants. Each round lasted for 1 week with 50 participants, with an overall study lasting from Dec. 2021 to Aug. 2022.

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