The effect of low-volume high-intensity interval training on cardiovascular health outcomes in type 2 diabetes : A randomised controlled trial

Journal article

Way, Kimberley L., Sabag, Angelo, Sultana, Rachelle N., Baker, Michael K., Keating, Shelley E., Lanting, Sean, Gerofi, James, Chuter, Vivienne H., Caterson, Ian D., Twigg, Stephen M. and Johnson, Nathan A.. (2020). The effect of low-volume high-intensity interval training on cardiovascular health outcomes in type 2 diabetes : A randomised controlled trial. International Journal of Cardiology. 320, pp. 148-154. https://doi.org/10.1016/j.ijcard.2020.06.019
AuthorsWay, Kimberley L., Sabag, Angelo, Sultana, Rachelle N., Baker, Michael K., Keating, Shelley E., Lanting, Sean, Gerofi, James, Chuter, Vivienne H., Caterson, Ian D., Twigg, Stephen M. and Johnson, Nathan A.
Abstract

Background
Low-volume high-intensity interval training (HIIT) may be a time-efficient strategy that leads to similar or superior improvements in cardiorespiratory fitness (CRF) and cardiovascular disease (CVD) risk factors when compared with moderate-intensity continuous training (MICT). Our study investigated the effect of low-volume HIIT or MICT versus sham placebo-control (PLA) on central arterial stiffness, hemodynamic responses, and CVD risk factors in adults with obesity and type 2 diabetes (T2D).

Methods
Eligible participants were previously inactive adults with obesity and T2D. Individuals were randomly allocated to: i) HIIT (1 × 4 min cycling at 90% peak oxygen consumption [V̇O2peak]); ii) MICT (45 min of cycling at 60% VO2peak); or PLA. Training groups exercised thrice weekly for 12 weeks. Central arterial stiffness, hemodynamics and CVD risk factors were assessed at baseline and post-intervention. Analysis of covariance (ANCOVA) was used to examine changes following HIIT, MICT and PLA.

Results
Thirty-five participants (age: 55.1 ± 1.4 years, BMI: 36.1 ± 0.8 kg/m2) completed the study. A significant intervention effect was found for changes in pulse wave velocity (PWV) (p = .03), which reduced with HIIT (−0.3 ± 0.9 m/s) and MICT (−0.1 ± 1.1 m/s) but increased with PLA (0.8 ± 1.6 m/s). There was a significant intervention effect for changes in V̇O2peak (p < .01), glycosylated hemoglobin (p = .03), systolic blood pressure (p < .01), and waist circumference (p = .03), which all improved following MICT or HIIT but not PLA; there was no difference between MICT and HIIT.

Conclusions
Twelve minutes of low-volume HIIT per week leads to improvements in central arterial stiffness and cardiovascular health in inactive individuals with obesity and T2D.

Keywordshigh-intensity interval training; type 2 diabetes; arterial stiffness; cardiovascular health
Year2020
JournalInternational Journal of Cardiology
Journal citation320, pp. 148-154
PublisherElsevier B.V.
ISSN0167-5273
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ijcard.2020.06.019
Scopus EID2-s2.0-85087737845
Research or scholarlyResearch
Page range148-154
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online26 Jun 2020
Publication process dates
Accepted12 Jun 2020
Deposited19 Aug 2021
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