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Terrain & Conditions: Trails, Altitude, Heat & Cold

By Runsense · Reviewed by Raphael Crawford-Marks, Founder · Last reviewed October 20, 2026

The same pace costs a different amount on a steep climb, into a headwind, at altitude and in the heat. This guide covers what changes in each case and what to do about it: run by effort, give heat and altitude time, and train the conditions you will race in. This is general education, not medical advice.

Train the terrain you will race on

Climbing, flat running, descending and walking are different skills, so train each one your race asks for. If your race is much steeper than your training ground, match the climbing per mile and the grades you will face, plan your volume by time and not distance. If you travel to very steep terrain, expect your pace to be about 10 to 15 percent slower than you are used to, and a two-hour run there may cover half the usual distance. That is the terrain, not lost fitness.

Hills and slopes

A 2017 review found that running uphill costs more energy per meter than running on the level, and that the cost rises in a straight line with the grade1. Hold your effort steady on hills and let pace vary. The guide on grade-adjusted pace covers how effort and pace relate on hills, and the guide on downhill running covers descending. To train a slope indoors, see the uphill treadmill.

Steep climbs, walking and poles

On very steep climbs walking stops costing more than running. In a 2021 study of ten high-caliber male trail and mountain runners, the speed at which they chose to switch between walking and running, and the speed at which running became cheaper than walking, both fell as the incline got steeper, and at 15 degrees (about a 27% grade) the two converged2. So hike the steep climbs when running would push you out of your target effort.

Poles help on steep walking. In a 2019 study of 14 mountain running athletes walking uphill on a treadmill at seven angles from 10.1 to 38.9 degrees, poles lowered the energy cost per meter climbed by about 2% to 3% at 25.4, 29.8 and 35.5 degrees and lowered rating of perceived exertion by about 14% to 19% at five of the seven angles3. If poles are in your race plan, they are in your long runs first.

Technical trail

Running technical trail is a skill, so practice it on purpose, including late in long runs when you are tired. On descents, take the most direct line and do not pick your way: you make about a thousand decisions on a one-mile descent, and quick feet are the biggest technical cue.

Wind

In 33 trained distance runners on a treadmill in a wind tunnel, a headwind raised oxygen uptake by 4.7% compared with no wind. Running 1 m behind a mannequin cut oxygen uptake by 2.8% compared with the headwind alone, and did not bring it back to the no-wind level4. Sheltering behind another runner helps, but only partly, so run a headwind by effort and let the pace slow.

Altitude

Altitude lowers the pace you can hold, and it starts low. In a 2006 study of eight endurance-trained athletes at simulated altitudes from 300 to 2,800 m, VO2max fell in a straight line, by 6.3% per 1,000 m (range 4.6% to 7.5%), and time to exhaustion at a fixed speed fell by 14.5% per 1,000 m. Both had already dropped between 300 and 800 m5.

The signs that normally tell you how hard you are working (breathing, muscle signals and heart rate) stop lining up with your speed at altitude, which makes pacing harder. A 2010 review written for winter-sport athletes recommends time to acclimatize for endurance events: 3 to 5 days if possible at low altitude (500 to 2,000 m), 1 to 2 weeks at moderate altitude (2,000 to 3,000 m), and at least 2 weeks if possible above 3,000 m6. In a race at altitude, lower the target for the day and run by effort. The guide on race-day pacing covers it.

Heat

The most important thing you can do in the heat is acclimatize, with repeated exercise in the heat over 1 to 2 weeks, and start training and racing well hydrated (a 2015 expert consensus)7. Most of the benefit comes in the first nine to eleven exposures, and it fades quickly, so time it for the last weeks before a hot race. Passive heat counts: the guides on passive heat training and heat suit training cover the options.

Heat pushes heart rate up out of proportion to the work you are doing, and heart rate keeps drifting upward over a long effort, which shifts the relationship between heart rate and how hard you are working, as a 2015 review describes8. A heart rate target set in cool weather therefore means something different on a hot day, so run by effort and slow down when it is hot. The guides on heart rate, pace and effort and hydration and electrolytes cover the rest. Heat is also a safety issue: the safety note at the end of this guide covers what to do.

Cold and bad weather

In a 2014 study of nine female endurance athletes running on a treadmill in a climatic chamber from 20 to -14 degrees C with a wind of 5 meters per second, time to exhaustion, running economy, running speed at lactate threshold and VO2max did not differ between temperatures9. Cold on its own did not slow them. Slick footing on ice and snow does slow you, so run by effort there. To get used to bad weather, run in it on purpose, on a loop you stop timing.

Safety

Exertional heat stroke is a medical emergency. The American College of Sports Medicine's consensus statement says that recognizing it early, stopping activity and cooling the whole body quickly are essential for survival10. Stop and cool down if you feel dizzy, nauseated or confused in the heat, and call emergency services for confusion or collapse.

Acute altitude illness (acute mountain sickness, high altitude cerebral edema and high altitude pulmonary edema) has its own Wilderness Medical Society guidelines11. A bad headache, breathlessness at rest or confusion at altitude is a medical problem, not something to run through.

Sources

  1. Vernillo G, Giandolini M, Edwards WB, Morin JB, Samozino P, Horvais N, Millet GY. Biomechanics and Physiology of Uphill and Downhill Running. Sports Medicine 47(4):615-629 (2017). (Narrative review of the literature on graded running) ↩
  2. Brill JW, Kram R. Does the preferred walk-run transition speed on steep inclines minimize energetic cost, heart rate or neither? Journal of Experimental Biology 224(3):jeb233056 (2021). (10 high-caliber male trail and mountain runners at 0, 5, 10 and 15 degrees) ↩
  3. Giovanelli N, Sulli M, Kram R, Lazzer S. Do poles save energy during steep uphill walking? European Journal of Applied Physiology 119(7):1557-1563 (2019). (14 mountain running athletes walking on a treadmill at seven angles) ↩
  4. Steele JR, VanKeersbilck L, Bruening D, Gifford J, Seeley M, Hunter I. How Oxygen Uptake, Ground Reaction Forces, and Kinematics Respond to Air Resistance and Drafting During Treadmill Running. Journal of Applied Biomechanics 41(6):511-518 (2025). (33 trained distance runners on a treadmill in a wind tunnel) ↩
  5. Wehrlin JP, Hallén J. Linear decrease in VO2max and performance with increasing altitude in endurance athletes. European Journal of Applied Physiology 96(4):404-412 (2006). (8 endurance-trained athletes at simulated altitudes of 300 to 2,800 m) ↩
  6. Chapman RF, Stickford JL, Levine BD. Altitude training considerations for the winter sport athlete. Experimental Physiology 95(3):411-421 (2010). (Review of altitude training (framed for winter-sport athletes)) ↩
  7. Racinais S, Alonso JM, Coutts AJ, Flouris AD, Girard O, González-Alonso J, et al. Consensus recommendations on training and competing in the heat. British Journal of Sports Medicine 49(18):1164-1173 (2015). (Expert consensus statement on training and competing in the heat) ↩
  8. Wingo JE. Exercise intensity prescription during heat stress: A brief review. Scandinavian Journal of Medicine & Science in Sports 25(Suppl 1):90-95 (2015). (Brief review of exercise intensity prescription in the heat) ↩
  9. Renberg J, Sandsund M, Wiggen ØN, Reinertsen RE. Effect of ambient temperature on female endurance performance. Journal of Thermal Biology 45:9-14 (2014). (9 female endurance athletes running on a treadmill at 20 to -14 degrees C) ↩
  10. Roberts WO, Armstrong LE, Sawka MN, Yeargin SW, Heled Y, O'Connor FG. ACSM Expert Consensus Statement on Exertional Heat Illness: Recognition, Management, and Return to Activity. Current Sports Medicine Reports 20(9):470-484 (2021). (Expert consensus statement on exertional heat illness) ↩
  11. Luks AM, Beidleman BA, Freer L, Grissom CK, Keyes LE, McIntosh SE, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention, Diagnosis, and Treatment of Acute Altitude Illness: 2024 Update. Wilderness & Environmental Medicine 35(1_suppl):2S-19S (2024). (Clinical practice guidelines for acute mountain sickness and high altitude cerebral and pulmonary edema) ↩

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