Effects of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training On Blood Pressure in Adults with Pre- to Established Hypertension: A Systematic Review and Meta-Analysis of Randomized Trials

Costa, Eduardo Caldas; Hay, Jacqueline; Kehler, D. Scott; Boreskie, Kevin F.; Arora, Rakesh C.; Umpierre, Daniel; Szwajcer, Andrea; Duhamel, Todd A.

doi:10.1007/s40279-018-0944-y

Cited by 221 publications

(176 citation statements)

References 41 publications

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…Therefore, there seems to be a greater trend for VO 2max -ES improvement in HIIT than in MICT. Our results are in accordance with various studies showing that the application of both HIICT and MICT succeeded in increasing the VO 2max values for subjects with cardiovascular diseases [4,24], as well as in healthy elderly and middle-aged people [38]. Similarly, in line with the better trend shown by HIICT, a meta-analysis showed that HIIT improved VO 2max more than MICT in overweight or obese adults [39].…”

Section: Discussionsupporting

confidence: 92%

“…HIIT includes intervals of high-intensity aerobic exercise (85%-100% of VO 2max ) interspersed with periods of relative rest (0%-40% of VO 2max ) [22]. In fact, much research has shown strong evidence that HIIT is an effective method for improving VO 2 peak [21,23], BP [24,25] and post-exercise HR recovery [18,26] in people with cardiovascular diseases. Indeed, the literature shows a more favorable trend for HIIT than for MICT in improving health indices and markers [22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Ballesta-García

González-Moro

Ramos-Campo

et al. 2020

IJERPH

View full text Add to dashboard Cite

High-intensity interval training (HIIT) has similar or better effects than moderate-intensity continuous training (MICT) in increasing peak oxygen consumption (VO2max), however, it has not been studied when HIIT is applied in a circuit (HIICT). The aim of this study was to compare the effects of a HIICT versus MICT on VO2max estimated (VO2max-ES), heart rate (HR) and blood pressure (BP) of middle-aged and older women. A quasi-experimental randomized controlled trial was used. Fifty-four women (67.8 ± 6.2 years) were randomized to either HIICT (n = 18), MICT (n = 18) or non-exercise control group (CG; n = 18) for 18 weeks. Participants in HIICT and MICT trained two days/week (one hour/session). Forty-one participants were assessed (HIICT; n = 17, MICT; n = 12, CG; n = 12). Five adverse events were reported. Cardiorespiratory fitness, HR and BP were measured. The tests were performed before and after the exercise intervention programs. VO2max-ES showed significant training x group interaction, in which HIICT and MICT were statistically superior to CG. Moreover, HIICT and MICT were statistically better than CG in the diastolic blood pressure after exercise (DBPex) interaction. For the systolic blood pressure after exercise (SBPex), HIICT was statistically better than CG. In conclusion, both HIICT and MICT generated adaptations in VO2max-ES and DBPex. Furthermore, only HIICT generated positive effects on the SBPex. Therefore, both training methods can be considered for use in exercise programs involving middle-aged and older women.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Ballesta-García

González-Moro

Ramos-Campo

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…The potential for blood pressure reduction is low, which may be related to the fact that our study did not include work based on hypertension. The absence of a significant difference in blood pressure reduction between HIIT and MICT was similar to the findings of previous systematic reviews and meta-analyses, indicating that HIIT and MICT could provide a similar decrease in SBP and DBP in adults with pre-to established hypertension (Costa et al, 2018). Campbell et al (2019) also demonstrated that a HIIT-induced blood pressure reduction was comparable with that of MICT in adults; people who were overweight or obese were more responsive in terms of blood pressure reduction than people with a normal weight.…”

Section: Discussionsupporting

confidence: 88%

Comparative Effectiveness of High-Intensity Interval Training and Moderate-Intensity Continuous Training for Cardiometabolic Risk Factors and Cardiorespiratory Fitness in Childhood Obesity: A Meta-Analysis of Randomized Controlled Trials

Liu

Zhu

2020

Front. Physiol.

View full text Add to dashboard Cite

The main objective of this meta-analysis was to compare the effectiveness of high-intensity interval training (HIIT) and of moderate-intensity continuous training (MICT) on cardiometabolic health in childhood obesity and determine whether HIIT is a superior form of training in managing obese children's metabolic health. Methods: Relevant studies published in PubMed, Web of Science, Embase, the Cochrane Library, EBSCO, and CNKI were searched, restricted to those published from inception to 1 October 2019. Only randomized controlled trials (RCTs) depicting the effect of HIIT on childhood obesity were included. Results: Nine RCTs involving 309 participants were included in the meta-analysis. Among the 309 participants, 158 subjects were randomized for HIIT, while the others were randomized for MICT. Significant differences were observed in the body weight (mean difference [MD] = −5.45 kg, p = 0.001), body mass index (BMI; MD = −1.661 kg/m 2 , p = 0.0001), systolic blood pressure (SBP; MD = −3.994 mmHg, p = 0.003), and diastolic blood pressure (DBP; MD = −3.087 mmHg, p = 0.0001) in the HIIT group relative to the baseline values. Similar effects were found in the MICT group, as depicted by the significantly decreased values for body weight (MD = −4.604 kg, p = 0.0001), BMI (MD = −2.366 kg/m 2 , p = 0.0001), SBP (MD = −3.089 mmHg, p = 0.019), and DBP (MD = −3.087 mmHg, p = 0.0001). However, no significant differences were observed in the changes in body weight, BMI, SBP, or DBP between the HIIT and MICT groups. Furthermore, our studies showed that both HIIT and MICT could significantly improve VO 2peak (HIIT, MD = 4.17 ml/kg/min, 95% CI: 3.191 to 5.163, p = 0.0001; MICT, MD = 1.704 ml/kg/min, 95% CI: 0.279 to 3.130, p = 0.019). HIIT also showed more positive effects on VO 2peak (SMD = 0.468, 95% CI: 0.040 to 0.897, p = 0.006) than MICT. Conclusion: HIIT positively affects the cardiometabolic risk factors in childhood obesity. Similar positive effects on body composition and blood pressure were established. Moreover, HIIT can improve cardiorespiratory fitness more significantly than MICT. These findings indicate that HIIT may be an alternative and effective training method for managing childhood obesity.

show abstract

“…These are pivotal aspects that impact metanalytic effect sizes [42]. Also, some studies did not assess the risk of publication bias [6,10,28,31,38,39,41,43], and those that did concluded that there was some evidence of publication bias [9,35,40].…”

Section: Completeness Of Reportingmentioning

confidence: 99%

“…Flow diagram of the inclusion process.Of the assessed SRMAs[6,[8][9][10][11][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] two were unpublished ) at the moment of our search strategy. All SRMAs were available at [or submitted to] specialty journals and none was a Cochrane Review.…”

mentioning

confidence: 99%

High-intensity interval training and cardiorespiratory fitness: an overview of systematic reviews and meta-analyses with a nested meta-research study

Helal¹,

Botton²,

Nardi³

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Objectives: To synthesize narratively meta-analyses (SRMAs) of high-intensity interval training (HIIT) on cardiorespiratory fitness and to analyze the methodological and reporting quality of the included SRMAs. Methods: We searched six databases, including grey literature, without restrictions for publication date, quality, language, health status and age, and that addressed the impact of HIIT on cardiorespiratory fitness regardless of comparisons with other exercise modalities. We also included sprint interval training (SIT) in our eligibility criteria. Screening, data extraction and methodological quality were made in duplicate of reviewers for this study. Quantitative analyses are presented as absolute numbers and proportions. Results: Twenty SRMAs were included out of 144 reports. Effect sizes varied from 1.53 mL.kg-1.min-1 (95% CI 0.84 to 2.23 mL.kg-1.min-1) to 3.60 mL.kg-1.min-1 (95% CI 2.28 to 4.91 mL.kg-1.min-1). Some meta-analyses did not compare two different modalities and not all of them present their results with the same summary measurement. Methodological and completeness of reporting were poorly addressed. Conclusion: We cannot provide robust evidence of differences in the effectiveness of modalities on cardiorespiratory fitness neither for the overall effect of HIIT/SIT on cardiorespiratory fitness. Although SRMAs often conclude superiority of HIIT against MICT (when compared), the limitations outlined in this overview question the credibility of such conclusions. Register: CRD42017067269. Protocol: www.osf.io/a9m8z and www.osf.io/6xzyf.

show abstract

Effects of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training On Blood Pressure in Adults with Pre- to Established Hypertension: A Systematic Review and Meta-Analysis of Randomized Trials

Abstract: PROSPERO registration (2016: CRD42016041885).

Cited by 221 publications

References 41 publications

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Middle-Aged and Older Women: A Randomized Controlled Trial

Comparative Effectiveness of High-Intensity Interval Training and Moderate-Intensity Continuous Training for Cardiometabolic Risk Factors and Cardiorespiratory Fitness in Childhood Obesity: A Meta-Analysis of Randomized Controlled Trials

High-intensity interval training and cardiorespiratory fitness: an overview of systematic reviews and meta-analyses with a nested meta-research study

Contact Info

Product

Resources

About