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High-intensity interval training to promote cerebral oxygenation and affective valence during exercise in individuals with obesity
Marillier M, Borowik A, Chacaroun S, Baillieul S, Doutreleau S, Guinot M, Wuyam B, Tamisier R, Pepin J-L, Esteve F, Verges S, Tessier D, Flore P
Journal of Sports Sciences 2022;40(13):1500-1511
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Left/right prefrontal cortex (PFC) activation is linked to positive/negative affects, respectively. Besides, larger left PFC oxygenation during exercise relates to higher cardiorespiratory fitness (CRF). High-intensity interval training (HIIT) is superior to moderate-intensity continuous training (MICT) in improving CRF. The influence of training on PFC oxygenation and affects during exercise in individuals with obesity is, however, currently unknown. Twenty participants with obesity (14 males, 48 +/- 8 years, body-mass index = 35 +/- 6 kg/m2) were randomised to MICT (50% peak work rate (WRpeak)) or HIIT (1-min bouts 100% WRpeak; 3 sessions/week, 8 weeks). Before/after training, participants completed an incremental ergocycle test. Near-infrared spectroscopy and the Feeling Scale assessed PFC oxygenation and affects during exercise, respectively. Improvements in CRF (eg, WRpeak: 32 +/- 14 versus 20 +/- 13 W) were greater after HIIT versus MICT (p < 0.05). Only HIIT induced larger left PFC oxygenation (haemoglobin difference from 7 +/- 6 to 10 +/- 7 Î?mol) and enhanced affective valence (from 0.7 +/- 2.9 to 2.2 +/- 2.0; p < 0.05) at intensities >= second ventilatory threshold. Exercise-training induced changes in left PFC oxygenation correlated with changes in CRF (eg, WRpeak (% predicted), r = 0.46) and post-training affective valence (r = 0.45; p < 0.05). HIIT specifically improved left PFC oxygenation and affects during exercise in individuals with obesity. Implementing HIIT in exercise programmes may therefore have relevant implications for the management of obesity, since greater affective response to exercise is thought to be associated with future commitment to physical activity.

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