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

Ismael Ballesta-García, Ignacio Martínez-González-Moro, Domingo J Ramos-Campo, María Carrasco-Poyatos

Journal: International journal of environmental research and public health 2020;17(5):1805

PMID: 32164314

Plain Language Summary

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Ageing populations have increased in recent years increasing the prevalence of chronic diseases. Chronic diseases can impact the elderly in many ways and see them unable to perform day to day activities. Maintaining fitness may prevent chronic diseases such as heart disease from developing and ensure that these individuals maintain their independence. This randomised control trial of fifty-four middle-aged and older women aimed to compare the effects of high-intensity interval circuit training (HIICT) versus moderate-intensity continuous training (MICT) on measures of fitness over 18 weeks. The results showed that measures of aerobic fitness were improved with both HIICT and MICT, however HIICT showed slightly greater improvements than MICT. Blood pressure was improved in both exercise groups compared to control. It was concluded that both types of exercise can increase aerobic fitness, although HIICT may have a slightly greater benefit. This study could be used by practitioners to recommend the use of either HIICT or MICT to increase fitness, prevent chronic diseases and ensure that independence is maintained in middle-aged and older female patients.

Abstract

High-intensity interval training (HIIT) has similar or better effects than moderate-intensity continuous training (MICT) in increasing peak oxygen consumption (VO), 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 VO estimated (VO-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 ( = 18), MICT ( = 18) or non-exercise control group (CG; = 18) for 18 weeks. Participants in HIICT and MICT trained two days/week (one hour/session). Forty-one participants were assessed (HIICT; = 17, MICT; = 12, CG; = 12). Five adverse events were reported. Cardiorespiratory fitness, HR and BP were measured. The tests were performed before and after the exercise intervention programs. VO-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 (DBP) interaction. For the systolic blood pressure after exercise (SBP), HIICT was statistically better than CG. In conclusion, both HIICT and MICT generated adaptations in VO-ES and DBP. Furthermore, only HIICT generated positive effects on the SBP. Therefore, both training methods can be considered for use in exercise programs involving middle-aged and older women.

Address: Physical Exercise and Human Performance Research Group, University of Murcia, 30003 Murcia, Spain.; Physical Exercise and Human Performance Research Group, University of Murcia, 30003 Murcia, Spain.; Department of Physiotherapy, University of Murcia, 30003 Murcia, Spain.; Department of Physical Activity and Sport Sciences, UCAM Research Centre for High Performance Sport, Catholic University of San Antonio de Murcia, 30107 Murcia, Spain.; Department of Education, Health and Public Administration Research Center, University of Almeria, 04120 Almeria, Spain.
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