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Effects of High-Intensity Interval Training and Moderate-Intensity Continuous Training on Cardiometabolic Risk Factors in Overweight and Obesity Children and Adolescents: A Meta-Analysis of Randomized Controlled Trials

Author

Listed:
  • Meng Cao

    (Department of Physical Education, Normal College, Shenzhen University, Shenzhen 518061, China
    Department of Physical Education, Institute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518061, China)

  • Yucheng Tang

    (Department of Physical Education, Normal College, Shenzhen University, Shenzhen 518061, China
    Department of Physical Education, Institute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518061, China)

  • Shu Li

    (Department of Physical Education, Normal College, Shenzhen University, Shenzhen 518061, China)

  • Yu Zou

    (Department of Sport and Exercise Science, College of Education, Zhejiang University, Hangzhou 310058, China)

Abstract

Background : The purpose of this review was to compare the effectiveness of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on cardiometabolic risk factors of obese children and adolescents. Methods : Relevant studies published in PubMed, MEDLINE and Web of Science databases were searched. Only randomized controlled trials (RCTs) that examined the effect of HIIT and MICT on children and adolescents with obesity were included. Meta-analyses were conducted to determine the effect of HIIT on cardiometabolic risk factors using STATA software and potential moderators were explored (i.e., study duration, training modalities, work/rest ratio and work duration time). Results : Twelve RCTs involving 325 participants were included in the meta-analysis. HIIT showed more positive effects on maximal oxygen uptake (VO 2max ; SMD = 0.87, 95% CI: 0.39 to 1.35, p = 0.000) and systolic blood pressure (SBP; SMD = −0.64, 95% CI: −1.05 to −0.22, p = 0.003) than MICT. However, when compared with MICT, HIIT caused no significant differences in body weight, body mass index, body fat percentage, diastolic blood pressure and glycolipid metabolism markers. Furthermore, subgroup analysis showed that the effects of HIIT on VO 2max and SBP were significantly different regarding protocol factors, such as modality, duration, training time, training settings, work/rest ratio and work duration. Conclusions : HIIT has a positive role in promoting cardiometabolic risk factors in obese children and adolescents. Moreover, when compared with MICT, HIIT had a more significant effect on improving cardiorespiratory fitness and systolic blood pressure. The factors of HIIT protocol had an important influence on the intervention effects of childhood obesity.

Suggested Citation

  • Meng Cao & Yucheng Tang & Shu Li & Yu Zou, 2021. "Effects of High-Intensity Interval Training and Moderate-Intensity Continuous Training on Cardiometabolic Risk Factors in Overweight and Obesity Children and Adolescents: A Meta-Analysis of Randomized," IJERPH, MDPI, vol. 18(22), pages 1-22, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11905-:d:678134
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    References listed on IDEAS

    as
    1. Meng Cao & Minghui Quan & Jie Zhuang, 2019. "Effect of High-Intensity Interval Training versus Moderate-Intensity Continuous Training on Cardiorespiratory Fitness in Children and Adolescents: A Meta-Analysis," IJERPH, MDPI, vol. 16(9), pages 1-13, April.
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    5. Rhona Martin-Smith & Ashley Cox & Duncan S. Buchan & Julien S. Baker & Fergal Grace & Nicholas Sculthorpe, 2020. "High Intensity Interval Training (HIIT) Improves Cardiorespiratory Fitness (CRF) in Healthy, Overweight and Obese Adolescents: A Systematic Review and Meta-Analysis of Controlled Studies," IJERPH, MDPI, vol. 17(8), pages 1-20, April.
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