High intensity interval training vs moderate intensity continuous training in the management of metabolic type disease

Pearson, S; Macaluso, A; Hussain, S

Abstract

Previously, the use of moderate-intensity continuous training (MICT) has
generally been considered the most beneficial exercise treatment modality for
the prevention/management of metabolic type disease. More recently, however,
high-intensity interval training (HIIT) has emerged into the clinical setting as a
potential alternative to traditional MICT in the management of such diseases, but
the comparative effects are not well understood. Use of HIIT has the potential
to induce favorable physiological remodeling that is similar or even superior to
MICT, despite a considerably lower exercise volume and time commitment. Many
studies have therefore examined the efficacy of HIIT relative to MICT with respect
to reducing the development and progression of numerous metabolic conditions
including obesity, type 2 diabetes, and the metabolic syndrome. Despite this,
however, the efficacy of HIIT relative to MICT in reversing the specific symptoms
and adverse effects of those at risk of, or afflicted with metabolic disease is
not well understood. Moreover, HIIT is often perceived as very stressful and
demanding, which could potentially render it unsafe and/or unappealing for
clinical populations whom are already at a higher risk of experiencing adverse
events. Furthermore, the optimal prescriptive variables (volume, intensity,
duration, rest) of a HIIT protocol that elicit the greatest benefits for each of the
aforementioned clinical cohorts have not been established. This review article
aims to explore the use of HIIT with respect to the above. Firstly, the efficacy of
HIIT is examined relative to MICT in the management of metabolic diseases, with
particular relevance to physiological adaptations, health outcomes, and potential
mechanisms. Secondly, the potential safety issues relating to the suitability and
tolerability of HIIT for clinical populations, as well as the optimal HIIT prescriptive
variables for such clinical populations are discussed.

Citation

Pearson, S., Macaluso, A., & Hussain, S. (2015). High intensity interval training vs moderate intensity continuous training in the management of metabolic type disease. MOJ anatomy & physiology, 1(5), 27-33. https://doi.org/10.15406/mojap.2015.01.00027

• Journal Article Type: Article
• Publication Date: Dec 16, 2015
• Deposit Date: Sep 1, 2016
• Journal: MOJ Anatomy & Physiology
• Volume: 1
• Issue: 5
• Pages: 27-33
• DOI: https://doi.org/10.15406/mojap.2015.01.00027
• Publisher URL: http://dx.doi.org/10.15406/mojap.2015.01.00027
• Additional Information: Projects : None