Abstract

BackgroundThe present study compared the effects of training and detraining periods of high-intensity interval training (HIIT), moderate-intensity interval training (MIIT) and moderate-intensity continuous training (MICT) on functional performance, body composition, resting blood pressure and heart rate in elderly women nursing home residents.MethodsForty-six volunteers (age, 80.8 ± 5.2 y; body mass, 69.8 ± 5.2 kg, height, 164.2 ± 4.12 cm) were divided into groups that performed treadmill exercise twice-weekly HIIT (4 bouts of 4-min intervals at 85–95% of the maximal heart rate [HRmax], interspersed by 4 min at 65% HRmax), MIIT (4 bouts of 4 min intervals at 55–75% HRmax, interspersed by 4 min at 45–50% HRmax) and MICT (30-min at 55–75% HRmax). Tests were performed before and after 8 weeks of training and 2 and 4 weeks of detraining. ANCOVA was used to analyze dependent variable changes.ResultsAfter 8 weeks HIIT promoted greater reductions in body mass (HIIT = − 1.6 ± 0.1 kg; MICT = − 0.9 ± 0.1 kg; MIIT = − 0.9 ± 0.1 kg; p = 0.001), fat mass (HIIT = − 2.2 ± 0.1%; MICT = − 0.7 ± 0.1%; MIIT = − 1.2 ± 0.1%; p < 0.001) and resting heart rate (HIIT = − 7.3 ± 0.3%; MICT = − 3.6 ± 0.3%; MIIT = − 5.1 ± 0.3%; p < 0.001) and greater improvement in the chair stand test (HIIT = 3.4 ± 0.1 reps; MICT = 2.5 ± 0.1 reps; MIIT = 3.1 ± 0.1 reps; p < 0.001) when compared to MIIT and MICT. These improvements were sustained after 2 and 4 weeks of detraining only in the HIIT group.ConclusionHIIT promoted greater benefits for body composition and functional performance than MICT and MIIT and also showed less pronounced effects of detraining. This suggests that the intensity of physical exercise is an important factor to consider when prescribing exercise to the elderly.

Highlights

  • The present study compared the effects of training and detraining periods of high-intensity interval training (HIIT), moderate-intensity interval training (MIIT) and moderate-intensity continuous training (MICT) on functional performance, body composition, resting blood pressure and heart rate in elderly women nursing home residents

  • The primary findings were: (i) Fat loss was higher after HIIT than after MICT and MIIT and returned to baseline after 4 weeks of detraining. (ii) HIIT and MIIT promoted higher improvements in the chair stand test than MICT, while only HIIT improved the 6-min walking test performance, in which the increases were higher than other protocols

  • No protocol increased gait velocity. (iii) After detraining, changes in functional performance were maintained only for HIIT, with the exception of gait velocity. (iv) All groups reduced Resting heart rate (RHR), and this reduction was greater for HIIT; after 4 weeks of detraining, the effects on RHR were completely reversed. (v) There were no non-responders in the chair stand test in any group, while for the 6-min walking test, there were no nonresponders only in HIIT, and body mass responsiveness was higher in MIIT than in HIIT

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Summary

Introduction

The present study compared the effects of training and detraining periods of high-intensity interval training (HIIT), moderate-intensity interval training (MIIT) and moderate-intensity continuous training (MICT) on functional performance, body composition, resting blood pressure and heart rate in elderly women nursing home residents. Whilst the benefits of exercise programs for the elderly are well established [7], it is difficult to increase physical activity levels and exercise frequency in older populations [8], as well as, to promote longterm adherence [9]. Coswig et al J Transl Med (2020) 18:88 programs with low time commitment have been investigated [6, 10,11,12] In this regard, high-intensity interval training (HIIT) might be interesting

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