The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis

AimWe performed a systematic review and meta-analysis to investigate the effects of high-intensity interval training (HIIT) compared with moderate-intensity continuous training (MICT) or with no exercise (CON) on vascular function in adults who were free of cardiometabolic diseases and those with ca...

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Main Authors: Mousa Khalafi, Mohammad Hossein Sakhaei, Fatemeh Kazeminasab, Michael E. Symonds, Sara K. Rosenkranz
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.1046560/full
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author Mousa Khalafi
Mohammad Hossein Sakhaei
Fatemeh Kazeminasab
Michael E. Symonds
Sara K. Rosenkranz
author_facet Mousa Khalafi
Mohammad Hossein Sakhaei
Fatemeh Kazeminasab
Michael E. Symonds
Sara K. Rosenkranz
author_sort Mousa Khalafi
collection DOAJ
description AimWe performed a systematic review and meta-analysis to investigate the effects of high-intensity interval training (HIIT) compared with moderate-intensity continuous training (MICT) or with no exercise (CON) on vascular function in adults who were free of cardiometabolic diseases and those with cardiometabolic diseases.MethodsA search across three electronic databases including Scopus, PubMed, and Web of Science was conducted through February 2022 to identify the randomized trials evaluating HIIT vs. MICT and/or CON on vascular function as measured using brachial artery flow-mediated dilation (FMD) in adults. Separate analyses were conducted for HIIT vs. MICT and/or CON to calculate weighted mean differences (WMD) and 95% confidence intervals (95% CIs) using random or fixed models.ResultsA total of 36 studies involving 1,437 participants who were either free of cardiometabolic diseases or had cardiometabolic diseases were included in the meta-analysis. HIIT effectively increased FMD when compared with MICT [1.59% (95% CI 0.87–2.31), p = 0.001] or CON [3.80% (95% CI 2.58–5.01), p = 0.001]. Subgroup analysis showed that HIIT increased FMD in participants with cardiovascular and metabolic diseases, but not in participants who were free of cardiometabolic diseases. In addition, HIIT effectively increased FMD regardless of age and body mass index.ConclusionWe confirm that HIIT is effective for improving vascular function in individuals with metabolic disorders and cardiovascular diseases and has a superior effect compared to MICT, demonstrating time efficiency.Systematic review registration[https://www.crd.york.ac.uk/prospero], identifier [CRD42022320863].
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spelling doaj.art-78178980dfb944bbb6c9c9a85f702ace2022-12-22T02:50:09ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10465601046560The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysisMousa Khalafi0Mohammad Hossein Sakhaei1Fatemeh Kazeminasab2Michael E. Symonds3Sara K. Rosenkranz4Department of Physical Education and Sport Sciences, Faculty of Humanities, University of Kashan, Kashan, IranDepartment of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Guilan, IranDepartment of Physical Education and Sport Sciences, Faculty of Humanities, University of Kashan, Kashan, IranAcademic Unit of Population and Lifespan Sciences, Centre for Perinatal Research, School of Medicine, University of Nottingham, Nottingham, United KingdomDepartment of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, NV, United StatesAimWe performed a systematic review and meta-analysis to investigate the effects of high-intensity interval training (HIIT) compared with moderate-intensity continuous training (MICT) or with no exercise (CON) on vascular function in adults who were free of cardiometabolic diseases and those with cardiometabolic diseases.MethodsA search across three electronic databases including Scopus, PubMed, and Web of Science was conducted through February 2022 to identify the randomized trials evaluating HIIT vs. MICT and/or CON on vascular function as measured using brachial artery flow-mediated dilation (FMD) in adults. Separate analyses were conducted for HIIT vs. MICT and/or CON to calculate weighted mean differences (WMD) and 95% confidence intervals (95% CIs) using random or fixed models.ResultsA total of 36 studies involving 1,437 participants who were either free of cardiometabolic diseases or had cardiometabolic diseases were included in the meta-analysis. HIIT effectively increased FMD when compared with MICT [1.59% (95% CI 0.87–2.31), p = 0.001] or CON [3.80% (95% CI 2.58–5.01), p = 0.001]. Subgroup analysis showed that HIIT increased FMD in participants with cardiovascular and metabolic diseases, but not in participants who were free of cardiometabolic diseases. In addition, HIIT effectively increased FMD regardless of age and body mass index.ConclusionWe confirm that HIIT is effective for improving vascular function in individuals with metabolic disorders and cardiovascular diseases and has a superior effect compared to MICT, demonstrating time efficiency.Systematic review registration[https://www.crd.york.ac.uk/prospero], identifier [CRD42022320863].https://www.frontiersin.org/articles/10.3389/fcvm.2022.1046560/fullhigh-intensity interval trainingmoderate-intensity continuous trainingvascular functioncardiovascular diseasesmetabolic disorders
spellingShingle Mousa Khalafi
Mohammad Hossein Sakhaei
Fatemeh Kazeminasab
Michael E. Symonds
Sara K. Rosenkranz
The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
Frontiers in Cardiovascular Medicine
high-intensity interval training
moderate-intensity continuous training
vascular function
cardiovascular diseases
metabolic disorders
title The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
title_full The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
title_fullStr The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
title_full_unstemmed The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
title_short The impact of high-intensity interval training on vascular function in adults: A systematic review and meta-analysis
title_sort impact of high intensity interval training on vascular function in adults a systematic review and meta analysis
topic high-intensity interval training
moderate-intensity continuous training
vascular function
cardiovascular diseases
metabolic disorders
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.1046560/full
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