Short-Term High-Intensity Interval Training Is Superior to Moderate-Intensity Continuous Training in Improving Cardiac Autonomic Function in Children

Anneke van Biljon, Andrew J McKune, Katrina D DuBose, Unathi Kolanisi, Stuart J Semple

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Abstract

Objectives: This study aimed to investigate the impact of 3 isocaloric exercise programs on cardiac autonomic nervous system (ANS) functioning in children. Methods: One hundred nine children (39% boys and 61% girls) aged 10-13 years (mean 11.07 ± 0.81) were conveniently assigned to 1 of 4 groups as follows: Moderate-intensity continuous training (MICT; n = 29) at 65-70% of the predicted maximum heart rate (MHR), High-intensity interval training (HIIT; n = 29) at > 80% of the predicted MHR, HIIT and MICT combined on alternate weeks (ALT; n = 27), and a control group (n = 24). Morning ANS activity was assessed via analysis of heart rate variability (HRV), with the patient in supine position for 10 min, before and after the exercise intervention. Data Analysis: A 2-way analysis of variance was used to evaluate the effects of training on all HRV parameters (p < 0.05/4 = 0.0125). Results: After 5 weeks of training, significant improvements were observed for ln of the standard deviation of normal-to-normal intervals (p < 0.0001), ln of the root mean square of successive difference (p < 0.0001), and ln of standard deviation 1 (p < 0.0001), with superior results reported in the HIIT group (effect size [ES] = 2.22, 2.69, and 2.69) compared with the MICT (ES = 1.67, 1.75, and 1.75) and ALT (ES = 0.87, 1.06, and 1.06) groups, respectively. Conclusion: Short-term HIIT seems to induce superior alterations in cardiac ANS activity compared to MICT and ALT in children through enhanced vagal activity.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalCardiology
Volume141
Issue number1
Early online date18 Sep 2018
DOIs
Publication statusPublished - 1 Nov 2018

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Autonomic Nervous System
Heart Rate
Exercise
Supine Position
varespladib methyl
Analysis of Variance
Control Groups
High-Intensity Interval Training

Cite this

@article{66995bccf3df49aca426174a52ba5324,
title = "Short-Term High-Intensity Interval Training Is Superior to Moderate-Intensity Continuous Training in Improving Cardiac Autonomic Function in Children",
abstract = "Objectives: This study aimed to investigate the impact of 3 isocaloric exercise programs on cardiac autonomic nervous system (ANS) functioning in children. Methods: One hundred nine children (39{\%} boys and 61{\%} girls) aged 10-13 years (mean 11.07 ± 0.81) were conveniently assigned to 1 of 4 groups as follows: Moderate-intensity continuous training (MICT; n = 29) at 65-70{\%} of the predicted maximum heart rate (MHR), High-intensity interval training (HIIT; n = 29) at > 80{\%} of the predicted MHR, HIIT and MICT combined on alternate weeks (ALT; n = 27), and a control group (n = 24). Morning ANS activity was assessed via analysis of heart rate variability (HRV), with the patient in supine position for 10 min, before and after the exercise intervention. Data Analysis: A 2-way analysis of variance was used to evaluate the effects of training on all HRV parameters (p < 0.05/4 = 0.0125). Results: After 5 weeks of training, significant improvements were observed for ln of the standard deviation of normal-to-normal intervals (p < 0.0001), ln of the root mean square of successive difference (p < 0.0001), and ln of standard deviation 1 (p < 0.0001), with superior results reported in the HIIT group (effect size [ES] = 2.22, 2.69, and 2.69) compared with the MICT (ES = 1.67, 1.75, and 1.75) and ALT (ES = 0.87, 1.06, and 1.06) groups, respectively. Conclusion: Short-term HIIT seems to induce superior alterations in cardiac ANS activity compared to MICT and ALT in children through enhanced vagal activity.",
keywords = "Cardiac autonomic nervous system, Cardiometabolic disease prevention, Exercise",
author = "{van Biljon}, Anneke and McKune, {Andrew J} and DuBose, {Katrina D} and Unathi Kolanisi and Semple, {Stuart J}",
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Short-Term High-Intensity Interval Training Is Superior to Moderate-Intensity Continuous Training in Improving Cardiac Autonomic Function in Children. / van Biljon, Anneke; McKune, Andrew J; DuBose, Katrina D; Kolanisi, Unathi; Semple, Stuart J.

In: Cardiology, Vol. 141, No. 1, 01.11.2018, p. 1-8.

Research output: Contribution to journalArticle

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T1 - Short-Term High-Intensity Interval Training Is Superior to Moderate-Intensity Continuous Training in Improving Cardiac Autonomic Function in Children

AU - van Biljon, Anneke

AU - McKune, Andrew J

AU - DuBose, Katrina D

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AU - Semple, Stuart J

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N2 - Objectives: This study aimed to investigate the impact of 3 isocaloric exercise programs on cardiac autonomic nervous system (ANS) functioning in children. Methods: One hundred nine children (39% boys and 61% girls) aged 10-13 years (mean 11.07 ± 0.81) were conveniently assigned to 1 of 4 groups as follows: Moderate-intensity continuous training (MICT; n = 29) at 65-70% of the predicted maximum heart rate (MHR), High-intensity interval training (HIIT; n = 29) at > 80% of the predicted MHR, HIIT and MICT combined on alternate weeks (ALT; n = 27), and a control group (n = 24). Morning ANS activity was assessed via analysis of heart rate variability (HRV), with the patient in supine position for 10 min, before and after the exercise intervention. Data Analysis: A 2-way analysis of variance was used to evaluate the effects of training on all HRV parameters (p < 0.05/4 = 0.0125). Results: After 5 weeks of training, significant improvements were observed for ln of the standard deviation of normal-to-normal intervals (p < 0.0001), ln of the root mean square of successive difference (p < 0.0001), and ln of standard deviation 1 (p < 0.0001), with superior results reported in the HIIT group (effect size [ES] = 2.22, 2.69, and 2.69) compared with the MICT (ES = 1.67, 1.75, and 1.75) and ALT (ES = 0.87, 1.06, and 1.06) groups, respectively. Conclusion: Short-term HIIT seems to induce superior alterations in cardiac ANS activity compared to MICT and ALT in children through enhanced vagal activity.

AB - Objectives: This study aimed to investigate the impact of 3 isocaloric exercise programs on cardiac autonomic nervous system (ANS) functioning in children. Methods: One hundred nine children (39% boys and 61% girls) aged 10-13 years (mean 11.07 ± 0.81) were conveniently assigned to 1 of 4 groups as follows: Moderate-intensity continuous training (MICT; n = 29) at 65-70% of the predicted maximum heart rate (MHR), High-intensity interval training (HIIT; n = 29) at > 80% of the predicted MHR, HIIT and MICT combined on alternate weeks (ALT; n = 27), and a control group (n = 24). Morning ANS activity was assessed via analysis of heart rate variability (HRV), with the patient in supine position for 10 min, before and after the exercise intervention. Data Analysis: A 2-way analysis of variance was used to evaluate the effects of training on all HRV parameters (p < 0.05/4 = 0.0125). Results: After 5 weeks of training, significant improvements were observed for ln of the standard deviation of normal-to-normal intervals (p < 0.0001), ln of the root mean square of successive difference (p < 0.0001), and ln of standard deviation 1 (p < 0.0001), with superior results reported in the HIIT group (effect size [ES] = 2.22, 2.69, and 2.69) compared with the MICT (ES = 1.67, 1.75, and 1.75) and ALT (ES = 0.87, 1.06, and 1.06) groups, respectively. Conclusion: Short-term HIIT seems to induce superior alterations in cardiac ANS activity compared to MICT and ALT in children through enhanced vagal activity.

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