High-intensity interval training
High-intensity interval training (HIIT), also called high-intensity intermittent exercise (HIIE) or sprint interval training (SIT), is a form of interval training, a cardiovascular exercise strategy alternating short periods of intense anaerobic exercise with less intense recovery periods, until too exhausted to continue. Though there is no universal HIIT session duration, these intense workouts typically last under 30 minutes, with times varying based on a participant's current fitness level. The duration of HIIT also depends on the intensity of the session.
HIIT workouts provide improved athletic capacity and condition as well as improved glucose metabolism. Compared with longer sessions comprising other regimens, HIIT may not be as effective for treating hyperlipidemia and obesity, or improving muscle and bone mass. However, research has shown that HIIT regimens produced significant reductions in the fat mass of the whole-body. Some researchers also note that HIIT requires "an extremely high level of subject motivation" and question whether the general population could safely or practically tolerate the extreme nature of the exercise regimen.
HIIT exercise sessions generally consist of a warm up period, then several repetitions of high-intensity exercise separated by medium intensity exercise for recovery, then a cool down period. The high-intensity exercise should be done at near maximum intensity. The medium exercise should be about 50% intensity. The number of repetitions and length of each depends on the exercise, but may be as little as three repetitions with just 20 seconds of intense exercise. The specific exercises performed during the high-intensity portions vary. Most of the research on HIIT has been done using a cycling ergometer, but other exercises like a rowing ergometer, running, stair climbing and uphill walking can also be effective.
There is no specific formula to HIIT. Depending on one's level of cardiovascular development, the moderate-level intensity can be as slow as walking. A common formula involves a 2:1 ratio of work to recovery periods, for example, 30–40 seconds of hard sprinting alternated with 15–20 seconds of jogging or walking, repeated to failure.
The entire HIIT session may last between four and thirty minutes, meaning that it is considered to be an excellent way to maximize a workout that is limited by time constraints. Use of a clock or timer is recommended to keep accurate times, the number of rounds, and intensity.
Peter Coe regimenEdit
A type of high-intensity interval training with short recovery periods was used in the 1970s by the athletics coach Peter Coe when setting sessions for his son Sebastian Coe. Inspired by the principles propounded by the German coach and university professor Woldemar Gerschler and the Swedish physiologist Per-Olof Åstrand, Coe set sessions involving repeated fast 200 metre runs with only 30 seconds recovery between each fast run.
A version of HIIT was based on a 1996 study by Professor Izumi Tabata (田畑泉) et al. initially involving Olympic speedskaters. The study used 20 seconds of ultra-intense exercise (at an intensity of about 170% of VO2max) followed by 10 seconds of rest, repeated continuously for 4 minutes (8 cycles). The exercise was performed on a mechanically braked cycle ergometer. Tabata called this the IE1 protocol. In the original study, athletes using this method trained 4 times per week, plus another day of steady-state training, for 6 weeks and obtained gains similar to a group of athletes who did steady state training (70% VO2max) 5 times per week. The steady state group had a higher VO2max at the end (from 52 to 57 mL/(kg•min)), but the Tabata group had started lower and gained more overall (from 48 to 55 mL/(kg•min)). Also, only the Tabata group had gained anaerobic capacity benefits. In the original study from 1996, participants were disqualified if they could not keep a steady cycling pace of 85RPM for the full 20 seconds of work.[relevant? ]
In popular culture, "Tabata training" has now come to refer to a wide variety of HIIT protocols and exercise regimens  that may or may not have similar benefits to those found in Tabata's original study.
Professor Martin Gibala and his team at McMaster University in Canada have been researching high-intensity exercise for several years. Their 2010 study on students uses 3 minutes for warming up, then 60 seconds of intense exercise (at 95% of VO2max) followed by 75 seconds of rest, repeated for 8–12 cycles (sometimes referred to as "The Little Method"). Subjects using this method training 3 times per week obtained gains similar to what would be expected from subjects who did steady state (50–70% VO2max) training five times per week. While still a demanding form of training, this exercise protocol could be used by the general public with nothing more than an average exercise bike.
Gibala's group published a less intense version of their regimen in a 2011 paper in Medicine & Science in Sports & Exercise. This was intended as a gentler option for sedentary people who had done no exercise for over a year. It included 3 minutes of warm-up, 10 repetitions of 60-second bursts at 60% peak power (80–95% of heart rate reserve) each followed by 60 seconds of recovery, and then a 5-minute cool-down.
Jorge Zuniga, assistant professor of exercise science at Creighton University, set out to determine how to fit the highest volume of work and oxygen consumption into the smallest amount of time. He found that intervals of 30 seconds at 90% of power output at VO2 max followed by 30 seconds of rest allowed for the highest VO2 consumption and the longest workout duration at specified intensity. Alternative protocols considered included 100% of maximum power output on the same interval schedule, similar to the Coe regimen, and 90% of maximum power output for three minutes, similar to traditional interval training.
Zuniga's protocol has been implemented to great success by his students participating in Creighton's Army ROTC program. Cadets completing the protocol twice a week saw greater improvements in APFT scores than in years past.
Dr Niels Vollaard at the University of Stirling proposed that when high-intensity intervals are done at ‘all-out’ intensities, associated health benefits plateau after performing 2 or 3 sprint repetitions. This led to the development of a 10-minute exercise routine consisting of easy pedalling interspersed with two 20-second ‘all-out’ cycling sprints. In a 2017 meta-analysis, Vollaard indeed showed that common protocols with as many as 6 to 10 repetitions of 30-second ‘all-out’ sprints do not improve aerobic fitness more than the ‘2x20-s’ protocol. It is claimed that this short protocol may remove many of the drawbacks that make other high-intensity interval training protocols unsuitable for the general population.
In a BBC Horizon programme in February 2012, Jamie Timmons, professor of systems biology at the University of Loughborough, put Michael Mosley through this exercise bike regimen, but with three sprints instead of two. This was done three times a week for a total of 30 minutes of exercise per week (3 minutes of intense exercise), plus warm-up and recovery time.
Wood et al. compared high-intensity interval training of eight 1-minute bouts at 85% Wmax interspersed with a 1-minute active recovery at 25% Wmax v Sprint interval training of eight 30-second bouts at 130% Wmax interspersed with 90-second active recovery at 25% Wmax. (Total time matched at 24 mins including warm up & cool down). Their conclusion was "HIIT is the recommended routine" but "the magnitude of differences in various parameters between regimens was small; therefore, preference for either modality may be up to the individual".
A 2015 systematic review and meta-analysis of randomized controlled trials found that HIIT training and traditional endurance training both lead to significantly improved cardiovascular fitness in healthy adults ages 18–45 but greater improvements in VO2 max were seen in those participating in the HIIT exercise regimen. Another analysis also found that HIIT regimens of one month or longer effectively improve cardiovascular fitness in adolescents and lead to moderate improvements in body composition. Furthermore, a separate systematic review and meta-analysis of seven small randomized controlled trials found that HIIT (defined as four intervals of four minutes at 85–95% of max heart rate with three-minute intervals at 60–70% of max heart rate) was more effective than moderate-intensity continuous training at improving blood vessel function and markers of blood vessel health.
A 2015 meta-analysis comparing HIIT to moderate intensity continuous training (MICT) in people with coronary artery disease found that HIIT leads to greater improvements in VO2 max but that MICT leads to greater reductions in body weight and heart rate. A 2014 meta-analysis found that the cardiorespiratory fitness, as measured by VO2 max, of individuals with lifestyle-induced chronic cardiovascular or metabolic diseases (including high blood pressure, obesity, heart failure, coronary artery disease, or metabolic syndrome) who completed a HIIT exercise program was nearly double that of individuals who completed a MICT exercise program.
HIIT significantly lowers insulin resistance compared to continuous training or control conditions and leads to modestly decreased fasting blood glucose levels and increased weight loss compared to those who do not undergo a physical activity intervention. Another study found that HIIT was more effective than moderate-intensity continuous training at fasting insulin levels (31% decrease and 9% decrease, respectively).
A 2007 study examined HIIT's physiological effects on fat oxidation in moderately active women. The participants in the study performed HIIT (defined as ten sets of 4-minute cycling bursts at an intensity of 90% VO2max separated by 2 minutes of rest) every other day over a 2-week period. The study found that seven sessions of HIIT over a 2-week period improved whole body fat oxidation and the capacity for skeletal muscle to oxidize fat in moderately active women. A 2010 systematic review of HIIT summarized the results of HIIT on fat loss and stated that HIIT can result in modest reductions of subcutaneous fat in young and healthy individuals, but greater reductions for overweight individuals.
A 2017 study examined the effect of HIIT on cognitive performance among a group of children (N=318). The authors show that HIIT is beneficial to cognitive control and working memory capacity when compared against "a blend of board games, computer games, and trivia quizzes" and that this effect is mediated by the BDNF polymorphism. They conclude that the study "suggests a promising alternative to enhance cognition, via short and potent exercise regimens".
- "HIIT FAQ (Frequently Asked Questions about High-Intensity Interval Training)". DOHIIT. Retrieved 2017-08-25.
- Laursen PB, Jenkins DG (2002). "The Scientific Basis for High-Intensity Interval Training". Sports Medicine (Review). 32 (1): 53–73. doi:10.2165/00007256-200232010-00003. PMID 11772161.
- Nybo, Lars; Sundstrup, Emil; Jakobsen, Markus D.; Mohr, Magni; Hornstrup, Therese; Simonsen, Lene; Bülow, Jens; Randers, Morten B.; Nielsen, Jens J. (2010-10-01). "High-intensity training versus traditional exercise interventions for promoting health". Medicine and Science in Sports and Exercise. 42 (10): 1951–1958. doi:10.1249/MSS.0b013e3181d99203. ISSN 1530-0315. PMID 20195181.
- Zhang, Haifeng; Tong, Tom K.; Qiu, Weifeng; Zhang, Xu; Zhou, Shi; Liu, Yang; He, Yuxiu (2017-01-01). "Comparable Effects of High-Intensity Interval Training and Prolonged Continuous Exercise Training on Abdominal Visceral Fat Reduction in Obese Young Women". Journal of Diabetes Research. 2017: 5071740. doi:10.1155/2017/5071740. ISSN 2314-6745. PMC 5237463. PMID 28116314.
- Gibala MJ (July 2007). "High-intensity Interval Training: A Time-efficient Strategy for Health Promotion?". Current Sports Med Rep. 6 (4): 211–13. doi:10.1007/s11932-007-0033-8. PMID 17617995.
- "Got a Minute? Let's Work Out".
- Gillen, Jenna B.; Gibala, Martin J. (2013-09-27). "Is high-intensity interval training a time-efficient exercise strategy to improve health and fitness?". Applied Physiology, Nutrition, and Metabolism. 39 (3): 409–412. doi:10.1139/apnm-2013-0187. ISSN 1715-5312. PMID 24552392.
- Van Dusen, Allison (October 20, 2008). "Ten ways to get more from your workout". Forbes. Retrieved December 14, 2008.
- Coe, Sebastian (2013). Running My Life. Hodder. pp. 38, 39. ISBN 978-1-444-73253-5.
- Tabata, Izumi; Nishimura, Kouji; Kouzaki, Motoki; Hirai, Yuusuke; Ogita, Futoshi; Miyachi, Motohiko; Yamamoto, Kaoru (1996). "Effects of moderate-intensity endurance and high-intensity intermittent training on anaerobic capacity and VO2max". Medicine & Science in Sports & Exercise. 28 (10): 1327–30. doi:10.1097/00005768-199610000-00018. PMID 8897392.
- Tabata, Izumi; Irisawa, Kouichi; Kouzaki, Motoki; Nishimura, Kouji; Ogita, Futoshi; Miyachi, Motohiko (1997). "Metabolic profile of high intensity intermittent exercises". Medicine & Science in Sports & Exercise. 29 (3): 390–5. doi:10.1097/00005768-199703000-00015. PMID 9139179.
- "The Beginner's Guide To Tabata Workouts". Noob Norm. Retrieved 16 October 2017.
- Little, J. P.; Safdar, A.; Wilkin, G. P.; Tarnopolsky, M. A.; Gibala, M. J. (2010). "A practical model of low-volume high-intensity interval training induces mitochondrial biogenesis in human skeletal muscle: Potential mechanisms". The Journal of Physiology. 588 (6): 1011–22. doi:10.1113/jphysiol.2009.181743. PMC 2849965. PMID 20100740.
- Hood, Melanie S.; Little, Jonathan P.; Tarnopolsky, Mark A.; Myslik, Frank; Gibala, Martin J. (2011). "Low-Volume Interval Training Improves Muscle Oxidative Capacity in Sedentary Adults". Medicine & Science in Sports & Exercise. 43 (10): 1849–56. doi:10.1249/MSS.0b013e3182199834. PMID 21448086.
- Zuniga JM, Berg K, Noble J, Harder J, Chaffin ME, Hanumanthu VS (May 2011). "Physiological responses during interval training with different intensities and duration of exercise". Journal of Strength and Conditioning Research (Primary Article). 25 (5): 1279–84. doi:10.1519/JSC.0b013e3181d681b6. PMID 21522072.
- Metcalfe RS, Babraj JA, Fawkner SG, Vollaard NB (Jul 2012). "Towards the minimal amount of exercise for improving metabolic health: beneficial effects of reduced-exertion high-intensity interval training". European Journal of Applied Physiology (Primary Article). 112 (7): 2767–75. doi:10.1007/s00421-011-2254-z. PMID 22124524.
- Vollaard NB, Metcalfe RS, Williams S (Jun 2017). "Effect of Number of Sprints in an SIT Session on Change in VO2max: A Meta-analysis". Medicine and Science in Sports and Exercise (Primary Article). 49 (6): 1147–1156. doi:10.1249/MSS.0000000000001204. PMID 28079707.
- Vollaard NB, Metcalfe RS (Apr 2017). "Research into the Health Benefits of Sprint Interval Training Should Focus on Protocols with Fewer and Shorter Sprints". Sports Medicine (Primary Article). 47 (12): 2443–2451. doi:10.1007/s40279-017-0727-x. PMC 5684281. PMID 28391489.
- Wood, Kimberly M.; Olive, Brittany; Lavalle, Kaylyn; Thompson, Heather; Greer, Kevin; Astorino, Todd A. (2016). "Dissimilar Physiological and Perceptual Responses Between Sprint Interval Training and High-Intensity Interval Training". Journal of Strength and Conditioning Research. 30 (1): 244–50. doi:10.1519/JSC.0000000000001042. PMID 26691413.
- Milanović Z, Sporiš G, Weston M (October 2015). "Effectiveness of High-Intensity Interval Training (HIT) and Continuous Endurance Training for VO2max Improvements: A Systematic Review and Meta-Analysis of Controlled Trials". Sports Med (Systematic Review and Meta-Analysis). 45 (10): 1469–81. doi:10.1007/s40279-015-0365-0. PMID 26243014.
- Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR (October 2015). "High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis". Br J Sports Med (Systematic Review and Meta-Analysis). 49 (19): 1253–61. doi:10.1136/bjsports-2014-094490. PMID 26089322.
- Ramos JS, Dalleck LC, Tjonna AE, Beetham KS, Coombes JS (May 2015). "The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: a systematic review and meta-analysis". Sports Med (Systematic Review and Meta-Analysis). 45 (5): 679–92. doi:10.1007/s40279-015-0321-z. PMID 25771785.
- Liou K, Ho S, Fildes J, Ooi SY (July 2015). "High Intensity Interval versus Moderate Intensity Continuous Training in Patients with Coronary Artery Disease: A Meta-analysis of Physiological and Clinical Parameters". Heart Lung Circ (Meta-Analysis). 25 (15): 01269–X. doi:10.1016/j.hlc.2015.06.828. PMID 26375499.
- Weston KS, Wisloff U, Coombes JS (August 2014). "High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis". Br J Sports Med (Systematic Review & Meta-Analysis). 48 (16): 1227–1234. doi:10.1136/bjsports-2013-092576. PMID 24144531.
- Jelleyman C, Yates T, O'Donovan G, Gray LJ, King JA, Khunti K, Davies MJ (November 2015). "The effects of high-intensity interval training on glucose regulation and insulin resistance: a meta-analysis". Obes Rev (Meta-Analysis). 16 (11): 942–61. doi:10.1111/obr.12317. PMID 26481101.
Compared with CON, HbA1c decreased by 0.19% (-0.36 to -0.03, P = 0.021) and body weight decreased by 1.3 kg (-1.9 to -0.7, P < 0.001).
- Trapp, E. G.; Chisholm, D. J.; Freund, J.; Boutcher, S. H. (2008-01-15). "The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women". International Journal of Obesity. 32 (4): 684–691. doi:10.1038/sj.ijo.0803781. ISSN 0307-0565. PMID 18197184.
- Talanian, Jason L.; Galloway, Stuart D. R.; Heigenhauser, George J. F.; Bonen, Arend; Spriet, Lawrence L. (April 2007). "Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women". Journal of Applied Physiology. 102 (4): 1439–1447. doi:10.1152/japplphysiol.01098.2006. ISSN 8750-7587. PMID 17170203.
- Boutcher, Stephen H. (2011). "High-Intensity Intermittent Exercise and Fat Loss". Journal of Obesity. 2011: 868305. doi:10.1155/2011/868305. ISSN 2090-0708. PMC 2991639. PMID 21113312.
- Moreau D, Kirk IJ, Waldie, KE (2017). "High-intensity training enhances executive function in children in a randomized, placebo-controlled trial". eLife. 6:e25062. doi:10.7554/eLife.25062. PMC 5566451. PMID 28825973.
- Gibala, M. J.; Little, J. P.; MacDonald, M. J.; Hawley, J. A. (2012). "Physiological adaptations to low-volume, high-intensity interval training in health and disease". The Journal of Physiology. 590 (5): 1077–1084. doi:10.1113/jphysiol.2011.224725. PMC 3381816. PMID 22289907.
- Burgomaster, K. A.; Howarth, K. R.; Phillips, S. M.; Rakobowchuk, M.; MacDonald, M. J.; McGee, S. L.; Gibala, M. J. (2007). "Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans". The Journal of Physiology. 586 (1): 151–60. doi:10.1113/jphysiol.2007.142109. PMC 2375551. PMID 17991697.
- Tabata Protocol in swimming