Role of the exercise of high intensity intervals (HIIT) in health in the older adultsA systematic review of randomized clinical trials

  1. Jiménez García, José Daniel 1
  2. Aibar Almazán, Agustín 2
  3. Hita Contreras, Fidel 2
  4. Cruz Días, David 2
  5. Fábrega Cuadros, Raquel 2
  6. Martínez Amat, Antonio 2
  1. 1 Universidad de Cádiz
    info

    Universidad de Cádiz

    Cádiz, España

    ROR https://ror.org/04mxxkb11

  2. 2 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

Journal:
European Journal of Health Research: (EJHR)

ISSN: 2444-9067,  2445-0308

Year of publication: 2020

Issue Title: (Junio, 2020)

Volume: 6

Issue: 1

Pages: 51-64

Type: Article

DOI: 10.30552/EJHR.V6I1.201 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: European Journal of Health Research: (EJHR)

Abstract

Despite growing interest in high-intensity interval training as a time-effective way for older adults to improve their health, there is little consensus regarding the better way to plan a HIIT intervention. Given the loss of function and health problems of an older adult population, the identification and characterization of interventions and strategies is a fundamental prerequisite. The goals of this review are examining high-intensity interval training as a way to improve health, and finding out the highestintensity viable HIIT protocol. Studies were included in this systematic review if: (1) they studied a population of older adults; (2) prescribed an intervention that can be described as high intensity; and (3) reported health-related outcome measures. The resulting 14 papers were included in our study. The present review found that high-intensity interval training is an effective tool to improve indicators of body composition as well as cardiometabolic and cardiovascular health, with 90-95% HRmax cycle ergometer sessions held two-three times a week, with a minimum session length of 40 minutes, in an intervention at least 12-week long, effecting significant improvements on the health of participants. Recommendations regarding optimal exercise duration and rest intervals must remain ambiguous given the scarcity of published literature and the methodology and limitations of those studies that are already available

Bibliographic References

  • Bell, K.E., Séguin, C., Parise, G., Baker, S.K., and Phillips, S.M. (2015). Day-to-day changes in muscle protein synthesis in recovery from resistance, aerobic, and high-intensity interval exercise in older men. The Journals of Gerontology: Series A, 70(8), 1024-1029.
  • Bruseghini, P., Calabria, E., Tam, E., Milanese, C., Oliboni, E., Pezzato, A., ... Capelli, C. (2015). Effects of eight weeks of aerobic interval training and of isoinertial resistance training on risk factors of cardiometabolic diseases and exercise capacity in healthy elderly subjects. Oncotarget, 6(19), 16998.
  • Carmeli, E., Coleman, R., and Reznick, A.Z. (2002). The biochemistry of aging muscle. Experimental Gerontology, 37(4), 477-489.
  • Ceglia, L. (2009). Vitamin D and its role in skeletal muscle. Current Opinion in Clinical Nutrition and Metabolic Care, 12(6), 628.
  • Clark, B.C., and Manini, T.M. (2008). Sarcopenia≠ dynapenia. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 63(8), 829-834.
  • Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boirie, Y., Cederholm, T., Landi, F., … Topinková, E. (2010). Sarcopenia: European consensus on definition and diagnosisReport of the European Working Group on Sarcopenia in Older People A. J. Cruz-Gentoft et al. Age and Ageing, 39(4), 412-423.
  • Devin, J.L., Sax, A.T., Hughes, G.I., Jenkins, D.G., Aitken, J.F., Chambers, S.K., ... Skinner, T.L. (2016). The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial. Journal of Cancer Survivorship, 10(3), 467-479. ISO 690
  • Ellingsen, Ø., Halle, M., Conraads, V., Støylen, A., Dalen, H., Delagardelle, C.,... and Videm, V. (2017). High-intensity interval training in patients with heart failure with reduced ejection fraction. Circulation, 135(9), 839-849.
  • García-Pinillos, F., Laredo-Aguilera, J.A., Muñoz-Jiménez, M., and Latorre-Román, P.A. (2019). Effects of 12-Week Concurrent High-Intensity Interval Strength and Endurance Training Program on Physical Performance in Healthy Older People. The Journal of Strength and Conditioning Research, 33(5), 1445-1452.
  • Globas, C., Becker, C., Cerny, J., Lam, J.M., Lindemann, U., Forrester, L.W., ... Luft, A.R. (2012). Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: a randomized control trial. Neurorehabilitation and Neural Repair, 26(1), 85-95.
  • Granacher, U., Muehlbaue, T., Zahner, L., Gollhofer, A., and Kressig, R.W. (2011). Comparison of traditional and recent approaches in the promotion of balance and strength in older adults. Sports Medicine, 41(5), 377-400.
  • Henderson, G.C., Irving, B.A., and Nair, K.S. (2009). Potential application of essential amino Acid supplementation to treat sarcopenia in elderly people. ISO 690
  • Howley, E.T., and Franks, B.D. (1986). Health/Fitness Instructor's Handbook. Human Kinetics Publishers, Inc., Marketing Director, Box 5076, Champaign, IL.
  • Jabbour, G., Iancu, H.D., Mauriege, P., Joanisse, D.R., and Martin, L.J. (2017). High‐intensity interval training improves performance in young and older individuals by increasing mechanical efficiency. Physiological Reports, 5(7), 1-45.
  • Kessler, H.S., Sisson, S.B., and Short, K.R. (2012). The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports Medicine, 42(6), 489-509.
  • Knowles, A.M., Herbert, P., Easton, C., Sculthorpe, N., and Grace, F.M. (2015). Impact of lowvolume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men. Age, 37(2), 25.
  • Latham, N.K., Anderson, C.S., Lee, A., Bennett, D.A., Moseley, A., and Cameron, I.D. (2003). A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: the Frailty Interventions Trial in Elderly Subjects (FITNESS). Journal of the American Geriatrics Society, 51(3), 291-299. ISO 690
  • Lazaar, N., Aucouturier, J., Ratel, S., Rance, M., Meyer, M., and Duché, P. (2007). Effect of physical activity intervention on body composition in young children: influence of body mass index status and gender. Acta Paediatrica, 96(9), 1321-1325. ISO 690
  • Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P.,... Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine, 6(7), e1000100. ISO 690
  • Littbrand, H., Lundin‐Olsson, L., Gustafson, Y., and Rosendahl, E. (2009). The effect of a high‐ intensity functional exercise program on activities of daily living: a randomized controlled trial in residential care facilities. Journal of the American Geriatrics Society, 57(10), 1741-1749.
  • Maillard, F., Rousset, S., Pereira, B., Traore, A., Del Amaze, P.D.P., Boirie, Y.,... Boisseau, N. (2016). High-intensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes. Diabetes and Metabolism, 42(6), 433-441.
  • Mandrup, C.M., Egelund, J., Nyberg, M., Slingsby, M.H.L., Andersen, C.B., Løgstrup, S., ... Hellsten, Y. (2017). Effects of high-intensity training on cardiovascular risk factors in premenopausal and postmenopausal women. American Journal of Obstetrics and Gynecology, 216(4), 384-e1.
  • Martínez-Vizcaíno, V., Sánchez-López, M., Notario-Pacheco, B., Salcedo-Aguilar, F., SoleraMartínez, M., Franquelo-Morales, P., ... Mora-Rodríguez, R. (2014). Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: a cluster randomized trial. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 154.
  • Mejías-Peña, Y., Rodriguez-Miguelez, P., Fernandez-Gonzalo, R., Martínez-Flórez, S., Almar, M., de Paz, J.A.,... González-Gallego, J. (2016). Effects of aerobic training on markers of autophagy in the elderly. Age, 38(2), 33.
  • Muehlbauer, T., Besemer, C., Wehrle, A., Gollhofer, A., and Granacher, U. (2012). Relationship between strength, power and balance performance in seniors. Gerontology, 58(6), 504- 512.
  • Nemoto, K.I., Gen-no, H., Masuki, S., Okazaki, K., and Nose, H. (2007). Effects of high-intensity interval walking training on physical fitness and blood pressure in middle-aged and older people. Mayo Clinic Proceedings, 82(7), 803-811.
  • Obert, P., Mandigouts, S., Nottin, S., Vinet, A., N’Guyen, L.D., and Lecoq, A.M. (2003). Cardiovascular responses to endurance training in children: effect of gender. European Journal of Clinical Investigation, 33(3), 199-208.
  • Onambélé-Pearson, G.L., Breen, L., and Stewart, C.E. (2010). Influence of exercise intensity in older persons with unchanged habitual nutritional intake: skeletal muscle and endocrine adaptations. Age, 32(2), 139-153.
  • Orr, R., De Vos, N.J., Singh, N.A., Ross, D.A., Stavrinos, T.M., and Fiatarone-Singh, M.A. (2006). Power training improves balance in healthy older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61(1), 78-85.
  • Ramos, J.S., Dalleck, L.C., Borrani, F., Mallard, A.R., Clark, B., Keating, S.E., ... Coombes, J. S. (2016). The effect of different volumes of high-intensity interval training on proinsulin in participants with the metabolic syndrome: a randomised trial. Diabetologia, 59(11), 2308-2320.
  • Ridgers, N.D., Timperio, A., Cerin, E., and Salmon, J.O. (2014). Compensation of physical activity and sedentary time in primary school children. Medicine and Science in Sports and Exercise, 46(8), 1564.
  • Rognmo, Ø., Moholdt, T., Bakken, H., Hole, T., Mølstad, P., Myhr, N.E.,... and Wisløff, U. (2012). Cardiovascular risk of high-versus moderate-intensity aerobic exercise in coronary heart disease patients. Circulation, 126(12), 1436-1440.
  • Rowland, T.W. (1998). The biological basis of physical activity. Medicine and Science in Sports and Exercise, 30(3), 392-399.
  • Rubenstein, L.Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(2), ii37-ii41.
  • Rubenstein, L.Z., and Josephson, K.R. (2002). The epidemiology of falls and syncope. Clinics in Geriatric Medicine, 18(2), 141-158.
  • Stutts, W.C. (2002). Physical activity determinants in adults: perceived benefits, barriers, and self efficacy. Aaohn Journal, 50(11), 499-507.
  • Tinetti, M.E., and Kumar, C. (2010). The patient who falls: “It's always a trade-off”. Jama, 303(3), 258-266.
  • Woollacott, M.H., and Shumway-Cook, A. (1990). Changes in posture control across the life spana systems approach. Physical Therapy, 70(12), 799-807. World Health Organization (WHO). (2007). Global age-friendly cities: A guide. Sweden: WHO.
Data source: Dialnet