The acute effect of high- and moderate-intensity interval exercise on vascular function before and after a glucose challenge in adolescents.

Abstract

What is the central question of this study? What is the effect of high-intensity and moderate-intensity interval running on macro- and microvascular function in a fasted state and following a glucose challenge in adolescents? What is the main finding and its importance? Both macro- and microvascular function were improved after interval running independent of intensity. This finding shows that the intermittent exercise pattern and its associated effect on shear are important for vascular benefits. In adolescents, macrovascular function was enhanced after an acute glucose load. However, the effect of chronic glucose consumption on vascular function remains to be elucidated. Interventions targeting vascular function in youth are an important strategy for the primary prevention of cardiovascular diseases. This study examined, in adolescents, the effect of high-intensity interval running (HIIR) and moderate-intensity interval running (MIIR) on vascular function in a fasted state and postprandially after a glucose challenge. Fifteen adolescents (13 male, 13.9±0.6years) completed the following conditions on separate days in a counterbalanced order: (1) 8×1min HIIR interspersed with 75s recovery; (2) distance-matched amount of 1min MIIR interspersed with 75s recovery; and (3) rest (CON). Macro- (flow-mediated dilatation, FMD) and microvascular (peak reactive hyperaemia, PRH) function were assessed immediately before and 90min after exercise/rest. Participants underwent an oral glucose tolerance test (OGTT) 2h after exercise/rest before another assessment of vascular function 90min after the OGTT. Following exercise, both HIIR and MIIR increased FMD (P=0.02 and P=0.03, respectively) and PRH (P=0.04, and P=0.01, respectively) with no change in CON (FMD: P=0.51; PRH: P=0.16) and no significant differences between exercise conditions. Following the OGTT, FMD increased in CON (P<0.01) with no changes in HIIR and MIIR (both P>0.59). There was no change in PRH after the OGTT (all P>0.40). In conclusion, vascular function is improved after interval running independent of intensity in adolescents. Acute hyperglycaemia increased FMD, but prior exercise did not change vascular function after the OGTT in youth.