Aerobic interval training and moderate-to-vigorous intensity continuous training are associated with sex-specific improvements in psychological health in patients with heart disease

Terada, Tasuku; Beanlands, Rachelle A; Tulloch, Heather; Pipe, Andrew; Chirico, Daniele; Reed, Jennifer L.

doi:10.1177/2047487318825368

Cited by 6 publications

(10 citation statements)

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“…HIIT evaluations presenting outcomes by sex are scarce, with small sample sizes (particularly of females), inconsistent findings (Sandercock et al 2013;Witvrouwen et al 2019;Rengo et al 2020;Trachsel et al 2020;Way et al 2021), and often fail to measure mental health outcomes (Lee et al 2018;Terada et al 2019a;Rengo et al 2020;Way et al 2021). Our meta-analysis in patients with coronary artery disease revealed smaller absolute improvements in VȮ 2 peak, BMI and fasting plasma glucose in females than males following HIIT (Way et al 2021).…”

Section: Introductionmentioning

confidence: 74%

“…In contrast, in an analysis of randomized trials (only 8 females and 19 males engaged in HIIT), VȮ 2 peak in mL/kg/min improved similarly in both sexes (Trachsel et al 2020). Few CVD studies have examined the sex-specific effects of HIIT on mental health (Choi et al 2018;Reed et al 2019;Terada et al 2019a;Keech et al 2020). This research gap merits examination as females with CVD often report greater anxiety and depression than males (Todaro et al 2007;Shanmugasegaram et al 2012), which increase cardiovascular event recurrence and mortality risk (van Melle et al 2004).…”

Section: Introductionmentioning

confidence: 93%

“…There is a paucity of sex-based evaluations of HIIT (Lee et al 2018;Terada et al 2019a;Rengo et al 2020;Trachsel et al 2020;Way et al 2021). Our primary finding aligns with an analysis of randomized trials including MICT and HIIT which did not find time by sex interactions in VȮ 2 peak with (∆ females: 1.9±2.5; males: 2.9±3.5 mL/kg/min, p=0.255) or without (∆ females: 1.1±2.1; males: 2.0±2.6 mL/kg/min, p=0.116) lean body mass adjustment (Trachsel et al 2020).…”

Section: ))mentioning

confidence: 99%

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Sex differences in physical and mental health following high-intensity interval training in adults with cardiovascular disease who completed cardiac rehabilitation

Vidal-Almela

Way

Terada

et al. 2022

Appl. Physiol. Nutr. Metab.

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This pre-post study examined sex-differences in peak aerobic power (V̇O2peak) and physical- and mental-health outcomes in adults with cardiovascular disease who completed high-intensity interval training (HIIT)-based cardiac rehabilitation. HIIT consisted of 25 minutes of alternating higher- (4 minutes 85-95% HRpeak) and lower- (3 minutes 60-70% HRpeak) intensity intervals twice weekly for 10 weeks. V̇O2peak estimated from a graded exercise test using the ACSM equation, body mass index (BMI), waist circumference, blood pressure, blood biomarkers and anxiety and depression were assessed at baseline and follow-up. Linear mixed-effects models for repeated measures were performed to examine differences over time between sexes. Of 140 participants (mean ± standard deviation: 58±9 years), 40 were female. Improvements in V̇O2peak did not differ between sexes (interaction: p=0.273, females: 28.4±6.4 to 30.9±7.6; males: 34.3±6.3 to 37.4±6.0 mL/kg/min). None of the time by sex interactions were significant. Significant main effects of time showed reductions in waist circumference, triglycerides, LDL, TC/HDL and anxiety, and increases in V̇O2peak and HDL from baseline to follow-up. Significant main effects of sex revealed smaller V̇O2peak, BMI and waist circumference, and higher LDL, TC and HDL in females than males. HIIT led to similar improvements in estimated V̇O2peak (females: 8.8%, males: 9.0%) and additional health outcomes between sexes. Novelty • HIIT-based CR led to similar improvements in estimated V̇O2peak and other physical and mental health outcomes between sexes. • The number of sessions attended was high (>70%) and did not differ by sex. • Both sexes showed good compliance with the exercise protocol (HR target).

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Section: Introductionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 93%

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confidence: 99%

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Sex differences in physical and mental health following high-intensity interval training in adults with cardiovascular disease who completed cardiac rehabilitation

Vidal-Almela

Way

Terada

et al. 2022

Appl. Physiol. Nutr. Metab.

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“…No studies to date have examined age differences in mental health outcomes following AIT-based CR. Limited research regarding sex differences in anxiety and depression in AIT-based CR suggests that women with CVD experience greater improvements in anxiety following AIT when compared with traditional continuous training 33. It remains unknown whether these changes are influenced by age.…”

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confidence: 99%

Sex and Age Differences in Anxiety and Depression Levels Before and After Aerobic Interval Training in Cardiac Rehabilitation

O’Neill

Vidal-Almela

Terada

et al. 2021

Journal of Cardiopulmonary Rehabilitation and Prevention

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The objective of this study was to investigate sex and age differences in anxiety and depression among patients with cardiovascular disease at baseline and following aerobic interval training (AIT)-based cardiac rehabilitation (CR) and secondarily to compare dropout rates between sexes and age groups. Methods: Participants were younger (≤44 yr), middle-aged (45-64 yr), and older adults (≥65 yr). The AIT protocol consisted of: 4 × 4-min of high-intensity work periods at 85-95% peak heart rate (HR) interspersed with 3 min of lower-intensity intervals at 60-70% peak HR, twice weekly for 10 wk. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale at baseline and following CR. Results: At baseline, of 164 participants (32% female), 14 (35% female) were younger, 110 (33% female) were middle-aged, and 40 (30% female) were older. Older adults reported lower anxiety levels versus younger (4.4 ± 2.6 vs 7.8 ± 3.4 points, P = .008) and middle-aged adults (4.4 ± 2.6 vs 6.1 ± 3.6 points, P = .05). Baseline depression levels did not differ between age groups (P = .749). All age groups experienced a reduction in anxiety (younger = −2.67; middle-aged = −1.40; older = −0.85) and depression (younger = −1.50; middle-aged = −0.83; older = −0.70) levels following CR. Differences in dropout rates were observed between age groups (χ 2 [1] = 13.4, P = .001). Within each age group, 43% (female n = 2, male n = 4) of younger, 10% (female n = 8, male n = 3) of middle-aged, and 2.5% (female n = 0, male n = 1) of older participants dropped out. Conclusions: Younger and middle-aged adults experience higher levels of anxiety upon entry into CR compared with older adults. Cardiac rehabilitation was associated with significant reductions in anxiety and depression severity, yet dropout rates were highest among younger adults.

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“…HIIT was found to be effective for weight loss and reducing body fat in obese young men (Hemmatinafar et al, 2020). AI training is also used in cardiac rehabilitation (CR) training as an alternative to improve the psychological and physical health of patients with coronary artery disease (CAD) (Terada et al, 2019) and can be used to help children achieve an optimal body fat percentage and improve some physical fitness indices (Rad et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Five-Week Aerobic Interval Training on The Body Composition of Pencak Silat Elite Athletes

Lubis¹,

Thongdaeng

Haqiyah

et al. 2022

IJKSS

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Background: Background: The direction of coaching is emphasized as a factor affecting the physical conditions of pencak silat martial arts athletes in all categories. One of the physical exercises that affects body composition is aerobic activity. Objective: This study aimed to examine the effects of aerobic interval (AI) training performed for five weeks on the body mass index (BMI), basal heart rate, and the VO2max of elite athletes. Methods: The study used an experimental design involving total sampling. Thirty national-level pencak silat elite athletes (17 men and 13 women) were involved in this study. Of the participants, 23 had a normal BMI of 18.5 – 24.9 kg/m2, and 7 had a BMI above 25 kg/m2 (overweight). Their average age was 23.67 + 4.10 years with an average height of 166.03 + 7.15) cm and average initial weight of 64.84 + 12.65 kg. They were in the preparation phase of their training. This experimental research used a one-group pre-test and post-test design. The Mi Xiaomi Body Scale 2 was used for bioimpedance analysis (BIA), and body composition (body weight, BMI, body fat percentage, bone mass, protein percentage, total water body percentage, visceral fat, body age, muscle mass, and basal metabolic rate [BMR]) and VO2max measurements were acquired using a multistage fitness test (MFT). The athletes lived in a dormitory where the food, type of training and exercise, and sleeping time were controlled to the exact condition. The AI training lasted 67–77 minutes per session, twice a week for five weeks, with vigorous intensity at 80–85% of the maximal heart rate, 5 minutes per interval, and 1 minute of rest between each interval. Results: The weight, BMI, body fat percentage, basal heart rate, and VO2max showed significant differences (p 0.05) after five weeks of AI training. However, AI training did not significantly alter muscle mass, percentage of water, percentage of protein, bone mineral density, or biological age. Conclusion: AI training performed for five weeks improved VO2max and decreased basal heart rate, body weight, and fat percentage.

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Aerobic interval training and moderate-to-vigorous intensity continuous training are associated with sex-specific improvements in psychological health in patients with heart disease

Cited by 6 publications

References 12 publications

Sex differences in physical and mental health following high-intensity interval training in adults with cardiovascular disease who completed cardiac rehabilitation

Sex differences in physical and mental health following high-intensity interval training in adults with cardiovascular disease who completed cardiac rehabilitation

Sex and Age Differences in Anxiety and Depression Levels Before and After Aerobic Interval Training in Cardiac Rehabilitation

The Effect of Five-Week Aerobic Interval Training on The Body Composition of Pencak Silat Elite Athletes

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