Feasibility and Provisional Efficacy of Embedding High-Intensity Interval Training Into Physical Education Lessons: A Pilot Cluster-Randomized Controlled Trial

2021 ◽  
pp. 1-10
Author(s):  
Nigel Harris ◽  
Isaac Warbrick ◽  
Denise Atkins ◽  
Alain Vandal ◽  
Lindsay Plank ◽  
...  
Keyword(s):  
Physical Education ◽  
Cardiorespiratory Fitness ◽  
Effect Size ◽  
High Intensity ◽  
Controlled Trial ◽  
Interval Training ◽  
Recruitment Rate ◽  
High Intensity Interval Training ◽  
High Intensity Interval ◽  
Cluster Randomized

Purpose: The aim of this study was to determine the feasibility of generalist school teachers delivering curriculum connected high-intensity interval training in a school’s physical education class time. Method: Two schools volunteered to participate. A total of 84 students (11.9 [0.5] y, M = 64 and F = 19) volunteered to participate. Four classes from 2 schools were randomized to either intervention (n = 53) or control (n = 31) for one school term (8 wk). Intervention class teachers participated in a 1-day workshop instructing them how to deliver twice weekly, high-intensity interval training sessions. The control classes continued with their usual physical education curriculum. Recruitment, intervention fidelity, and program satisfaction were assessed. Preliminary efficacy (primary outcome cardiorespiratory fitness) was quantified using generalized linear mixed models, expressed as effect size. A range of secondary outcomes was also assessed. Results: The recruitment rate was 88%. About 84% of the sessions were delivered. The heart rate peak over all sessions was 89.6% (13%) of the predicted maximum. The intervention teachers reported high levels of satisfaction. Almost all student participants were positive about participating. No adverse events occurred. The adjusted between-group difference for cardiorespiratory fitness was trivial (effect size 0.02). Conclusions: This teacher-delivered high-intensity interval training program was feasible and acceptable to both teachers and student participants. It is therefore potentially scalable.

School-Based High-Intensity Interval Training Programs for Promoting Physical Activity and Fitness in Adolescents: A Systematic Review

2021 ◽  
pp. 1-13
Author(s):  
André Filipe Paulino da Silva Bento ◽  
Luis Carrasco Páez ◽  
Armando Manuel de Mendonça Raimundo
Keyword(s):  
Physical Activity ◽  
Physical Education ◽  
Physical Fitness ◽  
Effect Size ◽  
High Intensity ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
Moderate Effect Size ◽  
Moderate Effect ◽  
High Intensity Interval

Purpose: This review aimed to evaluate the utility of high-intensity interval training (HIIT) programs integrated into physical education classes. Method: Searches of electronic databases from January 2008 to March 2020. Inclusion criteria: Applied to adolescents aged 10–19 years; applied in school settings; reported results on physical fitness, physical activity (PA), and motivation; at least for 4 weeks; and randomized controlled trials. Studies with adolescents with physical or intellectual limitations were excluded, as well as other interventions parallel to HIIT. Results: Fourteen studies were included. All works present significant improvements in physical fitness and PA. Improvements in body composition recorded, at most, a moderate effect size. HIIT is presented as a powerful stimulus on cardiorespiratory fitness. Improvements in PA registered, a least, a moderate effect size. Conclusions: HIIT in the school context has great potential in improving physical fitness and PA in adolescents. HIIT efficiency (about 10 min) reflects the wide applicability that these protocols can have in physical education classes and great adaptation to the facilities.

scholarly journals Protective potential of high-intensity interval training on cardiac structure and function after COVID-19: protocol and statistical analysis plan for an investigator-blinded randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e048281
Author(s):  
Iben Elmerdahl Rasmussen ◽  
Frederik Foged ◽  
Josephine Bjørn Budde ◽  
Rasmus Syberg Rasmussen ◽  
Villads Rasmussen ◽  
...  
Keyword(s):  
Cardiorespiratory Fitness ◽  
High Intensity ◽  
Controlled Trial ◽  
Interval Training ◽  
Control Group ◽  
High Intensity Interval Training ◽  
Main Hypothesis ◽  
Randomised Study ◽  
Link Type ◽  
High Intensity Interval

IntroductionCOVID-19 is associated with a marked systemic inflammatory response with concomitant cardiac injury and remodelling, but it is currently unknown whether the latter is reversible. Given that high-intensity interval training (HIIT) is a powerful stimulus to improve cardiorespiratory fitness while also eliciting marked anti-inflammatory effects, it may be an important countermeasure of reducing cardiopulmonary morbidity following COVID-19.Methods and analysis40 COVID-19 survivors who have been discharged from hospital will be included in this investigator-blinded randomised study with a 12-week HIIT intervention. Patients will be 1:1 block-randomised by sex to either a supervised HIIT exercise group or standard care (control group). The main hypothesis is that a 12-week HIIT scheme is a safe way to improve loss of cardiac mass and associated cardiorespiratory fitness, despite hypothesised limited HIIT-induced changes in conventional lung function indices per se. Ultimately, we hypothesise that the HIIT scheme will reduce post-COVID-19 symptoms and improve quality of life.Ethics and disseminationThis study is approved by the Scientific Ethical Committee at the Capital Region of Denmark (H-20033733, including amendments 75068 and 75799) and registered at ClinicalTrials.gov (NCT04647734, pre-results). The findings will be published in a peer-reviewed journal, including cases of positive, negative and inconclusive results.Trial registration numberNCT04549337.

scholarly journals High-intensity interval training in haemodialysis patients: a pilot randomised controlled trial

2019 ◽  
Vol 5 (1) ◽  
pp. e000617 ◽  
Author(s):  
Birgitta Blakstad Nilsson ◽  
Heidi Bunæs-Næss ◽  
Elisabeth Edvardsen ◽  
Aud-Eldrid Stenehjem
Keyword(s):  
Cardiorespiratory Fitness ◽  
High Intensity ◽  
Controlled Trial ◽  
Interval Training ◽  
Peak Oxygen Uptake ◽  
Drop Out ◽  
Moderate Intensity ◽  
High Intensity Interval Training ◽  
Continuous Training ◽  
High Intensity Interval

ObjectivesPatients with end-stage renal disease (ESRD) undergoing haemodialysis (HD) have significantly reduced cardiorespiratory fitness and health-related quality of life (HRQoL). Our hypothesis was that high-intensity interval training (HIIT) is a feasible and safe form of exercise during HD and that HIIT would elicit greater change in cardiorespiratory fitness and HRQoL compared with moderate-intensity continuous training (MICT).MethodsTwenty patients were randomised to either HIIT (n=6), MICT (n=8) (two times a week within 22 weeks) or usual care (n=6). Feasibility was assessed by session attendance and adherence to exercise intensity. Safety was assessed by adverse event reporting. Efficacy was determined from change in peak oxygen uptake (VO2peak), 6 min walk distance and a HRQoL questionnaire (the COOP-WONCA chart).ResultsEleven patients (55%) completed premeasurements and postmeasurements. The main reason for drop-out was due to kidney transplant during follow-up. The patients completed the same number of sessions in each group and adhered to the target heart rates after habituation. There were no adverse events. In the HIIT group, two of the three patients increased VO2peak by 46% and 53%, respectively. Three of the five patients in the MICT group increased their VO2peak by 6%, 18% and 36%, respectively.ConclusionsThis pilot study demonstrated that HIIT is a feasible and safe exercise model for intradialytic exercise in patients undergoing HD. There might be a considerable potential of intradialytic HIIT in patients undergoing HD. Further studies with larger sample sizes are needed to determine if HIIT is an optimal approach in patients with ESRD undergoing HD.Trial registration numberNCT01728415.

scholarly journals Effect of High-Intensity Interval Training versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Children and Adolescents: A Meta-Analysis

2019 ◽  
Vol 16 (9) ◽  
pp. 1533 ◽  
Author(s):  
Meng Cao ◽  
Minghui Quan ◽  
Jie Zhuang
Keyword(s):  
Children And Adolescents ◽  
Cardiorespiratory Fitness ◽  
Effect Size ◽  
High Intensity ◽  
Meta Analysis ◽  
Interval Training ◽  
Moderate Intensity ◽  
High Intensity Interval Training ◽  
Continuous Training ◽  
High Intensity Interval

Enhancing cardiorespiratory fitness (CRF) can lead to substantial health benefits. Comparisons between high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on CRF for children and adolescents are inconsistent and inconclusive. The objective of this study was to perform a meta-analysis to compare the effects between HIIT and MICT on CRF in children and adolescents. We searched MEDLINE, PubMed, Web of Science, and Google Scholar to identify relevant articles. The standardized mean differences (SMD) and 95% confidence intervals (95% CI) were calculated to determine the pooled effect size of HIIT and MICT on CRF. A total of 563 subjects from 17 studies (18 effects) were identified. The pooled effect size was 0.51 (95% CI = 0.33–0.69) comparing HIIT to MICT. Moreover, intervention duration, exercise modality, work and rest ratio, and total bouts did not significantly modify the effect of HIIT on CRF. It is concluded that compared with endurance training, HIIT has greater improvements on cardiorespiratory fitness among children and adolescents.

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