PRIMAVETEquine Sports Medicine · Worldwide
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Interval hypoxic training · Veterinarian-led

Four thousand metres.
Standing still.

We bring the equipment to your yard. Your horse breathes thinned air through a soft mask, in his own box, at rest. The body adapts as it would at altitude — more oxygen-carrying capacity, better lactate clearance, a stronger aerobic engine — with no load on tendon, joint or bone.

15-session programme At rest · non-invasive At your yard, worldwide
A dark bay horse standing calmly in a stable wearing a clear interval hypoxic training mask connected by a ribbed hose, with a teal headcollar.
A horse wearing the training mask during a session.
A layer of cloud seen from above at a mountain summit, stretching to a pale horizon under a soft blue sky.
Racing stables have chased altitude for decades. The horse that travels to it loses weeks of work, condition and routine. This brings the air to the horse instead.

The method

Short bursts of thin air, alternating with rich.

Interval Hypoxic Training alternates low-oxygen air with normal or oxygen-enriched air in controlled cycles. The horse stands still throughout. The stimulus is entirely physiological — nothing is asked of the musculoskeletal system.

9–16%

Hypoxia

Thinned air, equivalent to roughly 2,000–4,500 metres of altitude. The controlled shortage that triggers adaptation.

21%

Normoxia

Ordinary stable air, used as the recovery phase between intervals — and for horses in whom enriched oxygen is not indicated.

up to 33%

Hyperoxia

Oxygen-enriched air, restoring saturation quickly between intervals so the whole session is tolerated at rest.

How the hypoxic depth progresses

The thin air deepens as the horse adapts.

Hypoxic depth is never fixed. It descends step by step as the horse adapts — the chart below plots our own controlled 14-day study, from roughly 2,000 metres at the start to 4,000 by the end. Your horse’s programme follows the same principle, set to his own response. Drag across to follow it.

Controlled 14-day study

Inspired oxygen and equivalent altitude

Equivalent altitude is computed from the inspired oxygen fraction using the international standard atmosphere.

Day
1
Inspired O₂
16.0%
Equivalent altitude
2,200 m
Phase
Acclimatisation
Days 1–4 · Acclimatisation Days 5–10 · Progressive load Days 11–14 · Peak stimulus
Drag across the chart, or use the slider, to step through the programme.

What the research reports

The numbers come from the literature, not from us.

The figures below come from one randomised crossover study in Thoroughbreds, linked in full further down. We would rather you read it than take our word for it, and we make no promise about what any individual horse will do.

28.4%

Run time increase

Run time to exhaustion, against 10.4% for the identical training in normal air.

12.1%

VO₂max

Maximal oxygen consumption, the standard measure of aerobic capacity — against 2.6% in normoxia.

11.3%

Cardiac output

Against a 1.7% fall in the normoxic group. Stroke volume at exhaustion rose 5.4%, where normoxia lost 5.5%.

Read that study carefully and one thing stands out. Those gains were produced by high-intensity exercise performed in thinned air — eight untrained Thoroughbreds cantering and galloping on a treadmill at 15% inspired oxygen, three days a week for four weeks. They are not evidence for breathing thin air at rest.

We are straightforward about this: the published equine performance data comes from exercise under hypoxia, while the programme we run applies the same gas principle at rest. That is why we measure your horse rather than promising him the numbers above.

In our own 14-day programme, simulating altitudes of 2,000–4,000 metres at inspired oxygen fractions between 16% and 12%, every test horse showed significant reductions in resting heart and respiratory rates, and measurable gains in performance readiness.

We recommend phased cycles of interval hypoxic training combined with tailored nutrition and recovery planning — not the training in isolation.

A grey horse in a treatment stall wearing a clear hypoxic training mask with blue straps, a second horse visible behind.
The horse stands in a normal stall throughout — no travel, no change of environment.

What changes inside

A shortage the body answers by rebuilding.

Controlled hypoxia activates HIF-1α — hypoxia-inducible factor — which regulates over a hundred genes associated with endurance adaptation.

Oxygen transport
erythropoiesis
Capillary density
angiogenesis
Mitochondrial density
biogenesis
Lactate clearance
MCT4 upregulation
Muscle repair
satellite cell activation
Energy metabolism
glycolytic enzyme activity

Who it suits

Two quite different jobs.

01 · Performance

Flat racing, endurance and competition horses

For building aerobic capacity without adding to an already full workload. Note that the published study was run in untrained Thoroughbreds, so the gains it reports should not simply be assumed in a horse already at peak fitness. Particularly relevant to endurance and flat yards, where the aerobic ceiling is the limiting factor and the training calendar has no spare weeks in it.

02 · Rehabilitation

Horses on box rest or restricted work

This is the case that has no real substitute. A horse recovering from injury loses cardiovascular fitness while the tendon or bone heals. Interval hypoxic training delivers a genuine cardiovascular stimulus with no mechanical load at all — fitness maintained through the months when the horse cannot work.

The literature

Where the figures come from.

Controlled study Mukai K, Ohmura H, Matsui A, Aida H, Takahashi T, Jones JH. High-intensity training in normobaric hypoxia enhances exercise performance and aerobic capacity in Thoroughbred horses: a randomized crossover study. Physiological Reports 8(10). Eight horses, randomised crossover, 15.0% inspired O₂ against 20.9%, three days a week for four weeks. Open access. 2020
In-house programme 14-day phased programme at simulated altitudes of 2,000–4,000 m (FiO₂ 16%–12%); reductions in resting heart and respiratory rates across all test horses. Prima Vita
Mechanism HIF-1α mediated adaptation — erythropoiesis, angiogenesis, mitochondrial biogenesis and MCT4-mediated lactate transport. Review
To verify before launch. The in-house 14-day programme still needs its horse count and discipline stated, so it is as checkable as the published study now is. The photography also needs confirming — see the note in the enquiry section.

Honestly

It does not work equally well in every horse.

Response varies, and some horses are poor responders — the study authors note that the severity of hypoxaemia may simply be too stressful for those horses. Protocols are adjusted individually, and where a horse is not responding we will tell you rather than sell you another block of sessions.

Depth of hypoxaemia is monitored throughout every session to avoid excessive physiological stress, and every horse is assessed by a veterinarian before the programme begins.

Optimal protocols for each discipline are still under investigation. We follow the published work and our own measurements, and we will say which is which.

Programmes

Two programmes, fifteen sessions each.

Fifteen sessions across roughly five weeks, delivered at your yard — we bring the equipment to the horse, always. For yards outside the UAE, see international programmes. Every programme begins with a veterinary assessment, and the hypoxic depth is then stepped up session by session against that horse’s own response.

Mountain & Spa

AED 45,000 · 15 sessions

AED 3,000 a session.

General wellness and recovery

  • Interval hypoxic training, full protocol
  • Restorative therapies in a spa setting
  • Suited to horses in light work or between campaigns
  • Veterinary assessment included

Training & Treatment

AED 75,000 · 15 sessions

AED 5,000 a session.

Competitive and rehabilitating horses

  • Interval hypoxic training, full protocol
  • Physiology and nutrition consultations
  • Laboratory tests and IV support as needed
  • Activation and recovery therapies
  • Veterinary review through the programme
Schedule to confirm. The page now says fifteen sessions over about five weeks, which reconciles the brochure’s package with the deck’s “three sessions per week”. Confirm that this is the real cadence. The 14-day figure is kept only where it belongs — describing the study.
Pricing to confirm. These are the list prices from the 2025 brochure. The discounted rates shown there (AED 30,000 and AED 50,000) expired in September 2025 — tell me the current figures and I will set them.

How we work

The equipment travels. The horse never has to.

Our systems are portable, and this is how every programme runs: we come to the horse. We work wherever there are racehorses — Dubai, Newmarket, Chantilly, Riyadh, Kentucky. The equipment, the protocol and the supervision arrive at your yard.

Shipping a horse in full work is disruptive and expensive, and for a horse on box rest it is out of the question. So we never ask. The horse stays in his own stable, on his own routine, with his own people, and the machine does the travelling.

It also changes the economics for a yard with several horses in the programme at once. One visit, one setup, multiple horses — which is usually a better proposition than sending them one at a time.

The programme prices above cover yards within the UAE. Everywhere else is quoted individually — it depends on the number of horses, the length of the programme, travel and the veterinary supervision required, so there is no sensible list price. Tell us where you are and what you have in mind, and we will put a figure together.

Where
Worldwide. The UAE at listed prices; every other territory quoted per engagement.
Who it suits
Racing and endurance yards, studs, and private owners with several horses.
What we bring
The equipment, the protocol and the supervision. You provide the stabling.
Pricing
UAE yards as listed above; elsewhere quoted per engagement.
Enquire about international work
To confirm. The page now states that every programme is delivered at the horse’s own yard. It still names no countries, machine count or travel terms, because I do not have them — tell me the real scope and whether UAE travel is included in the listed price, and I will make it specific.

Enquire

Start with an assessment.

Tell us the horse, the discipline, where the yard is, and what you are trying to change. We will tell you honestly whether this is likely to help — and what it would cost to come to you.

Photography to confirm. Both horse photographs come from your 2025 brochure. The halter plate in the hero image reads “Makers Mark Secretariat Center” — a Thoroughbred aftercare facility in Kentucky — so it was not shot at the Dubai unit. Captions make no location claim, but provenance and usage rights need checking before launch.

+971 4 321 9433

+971 50 321 9405

clinic@primavitadubai.com

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