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Effects of high-intensity interval training and moderate-intensity continuous training on endothelial function and cardiometabolic risk markers in obese adults [with consumer summary] |
Sawyer BJ, Tucker WJ, Bhammar DM, Ryder JR, Sweazea KL, Gaesser GA |
Journal of Applied Physiology 2016 Jul;121(1):279-288 |
clinical trial |
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
We hypothesized that high-intensity interval training (HIIT) would be more effective than moderate-intensity continuous training (MICT) at improving endothelial function and maximum oxygen uptake (VO2max) in obese adults. Eighteen participants (35.1 +/- 8.1 (SD) yr; body mass index 36.0 +/- 5.0 kg/m2) were randomized to 8 wk (3 sessions/wk) of either HIIT (10x1min, 90 to 95% maximum heart rate (HRmax), 1-min active recovery) or MICT (30 min, 70 to 75% HRmax). Brachial artery flow-mediated dilation (FMD) increased after HIIT (5.13 +/- 2.80% versus 8.98 +/- 2.86%, p = 0.02) but not after MICT (5.23 +/- 2.82% versus 3.05 +/- 2.76%, p = 0.16). Resting artery diameter increased after MICT (3.68 +/- 0.58 mm versus 3.86 +/- 0.58 mm, p = 0.02) but not after HIIT (4.04 +/- 0.70 mm versus 4.09 +/- 0.70 mm; p = 0.63). There was a significant (p = 0.02) group x time interaction in low flow-mediated constriction (L-FMC) between MICT (0.63 +/- 2.00% versus -2.79 +/- 3.20%; p = 0.03) and HIIT (-1.04 +/- 4.09% versus 1.74 +/- 3.46%; p = 0.29). VO2max increased (p < 0.01) similarly after HIIT (2.19 +/- 0.65 l/min versus 2.64 +/- 0.88 l/min) and MICT (2.24 +/- 0.48 l/min versus 2.55 +/- 0.61 l/min). Biomarkers of cardiovascular risk and endothelial function were unchanged. HIIT and MICT produced different vascular adaptations in obese adults, with HIIT improving FMD and MICT increasing resting artery diameter and enhancing L-FMC. HIIT required 27.5% less total exercise time and about 25% less energy expenditure than MICT.
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