Comparison of High-Intensity Interval Training to Moderate-Intensity Continuous Training in Older Adults: A Systematic Review

in Journal of Aging and Physical Activity
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High-intensity interval training (HIIT) is emerging as a safe and effective means to combat chronic diseases. The objective of this work was to perform a systematic review of the effect of HIIT interventions in an aging population. Three electronic databases were searched for randomized trials comparing the effect of HIIT and moderate-intensity continuous training in older adults. After a thorough screening process, 15 articles were identified as meeting the inclusion criteria. All studies expressed a comparable or superior effect of HIIT in cardiorespiratory fitness measures. No studies reported a lessened effect of HIIT in comparison with moderate-intensity continuous training. This systematic review demonstrates that HIIT is a useful exercise regimen, which can be used in older adults to increase cardiorespiratory fitness. More research is needed to determine the effects of HIIT in an aging, predominately female population.

The authors are with the Department of Physical Education and Sport, University of Jaén, Jaén, Spain.

Keating (ckk00001@red.ujaen.es) is corresponding author.
  • Angadi, S.S., Mookadam, F., Lee, C.D., Tucker, W.J., Haykowsky, M.J., & Gaesser, G.A. (2018). High-intensity interval training vs. moderate-intensity continuous exercise training in heart failure with preserved ejection fraction: A pilot study. Journal of Applied Physiology, 119(6), 753758. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Benda, N.M.M., Seeger, J.P.H., Stevens, G.G.C.F., Hijmans-Kersten, B.T.P., Van Dijk, A.P.J., Bellersen, L., . . . Thijssen, D.H.J. (2013). Effects of high-intensity interval training versus continuous training on physical fitness, cardiovascular function and quality of life in heart failure patients. PLoS One, 10(10), 116. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bouaziz, W., Schmitt, E., Kaltenbach, G., Geny, B., & Vogel, T. (2015). Health benefits of cycle ergometer training for older adults over 70: A review. European Review of Aging and Physical Activity, 12(1), 8. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brønstad, E., Tjonna, A.E., Rognmo, Ø., Dalen, H., Heggli, A.M., Wisloff, U., . . . Steinshamn, S. (2013). Aerobic exercise training improves right- and left ventricular systolic function in patients with COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease, 10(3), 300306. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cassidy, S., Thoma, C., Hallsworth, K., Parikh, J., Hollingsworth, K.G., Taylor, R., . . . Trenell, M.I. (2016). High intensity intermittent exercise improves cardiac structure and function and reduces liver fat in patients with type 2 diabetes: A randomised controlled trial. Diabetologia, 59(1), 5666. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chodzko-Zajko, W.J., Proctor, D.N., Fiatarone Singh, M.A., Minson, C.T., Nigg, C.R., Salem, G.J., & Skinner, J.S. (2009). Exercise and physical activity for older adults. Medicine & Science in Sports & Exercise, 41, 15101530. PubMed ID: 19516148 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Coetsee, C., & Terblanche, E. (2017). Cerebral oxygenation during cortical activation: The differential influence of three exercise training modalities. A randomized controlled trial. European Journal of Applied Physiology, 117(8), 16171627. PubMed ID: 28567669 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Currie, K.D., Bailey, K.J., Jung, M.E., McKelvie, R.S., & MacDonald, M.J. (2015). Effects of resistance training combined with moderate-intensity endurance or low-volume high-intensity interval exercise on cardiovascular risk factors in patients with coronary artery disease. Journal of Science and Medicine in Sport, 18(6), 637642. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Currie, K.D., Dubberley, J.B., McKelvie, R.S., & Macdonald, M.J. (2013). Low-volume, high-intensity interval training in patients with CAD. Medicine & Science in Sports & Exercise, 45(8), 14361442. PubMed ID: 23470301 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ellingsen, Ø., Halle, M., Conraads, V., Støylen, A., Dalen, H., Delagardelle, C., . . . Linke, A. (2017). High-intensity interval training in patients with heart failure with reduced ejection fraction. Circulation, 135(9), 839849. PubMed ID: 28082387 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fu, T.C., Wang, C.H., Lin, P.S., Hsu, C.C., Cherng, W.J., Huang, S.C., . . . Wang, J.S. (2013). Aerobic interval training improves oxygen uptake efficiency by enhancing cerebral and muscular hemodynamics in patients with heart failure. International Journal of Cardiology, 167(1), 4150. PubMed ID: 22197120 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gremeaux, M., Hannequin, A., Laurent, Y., Laroche, D., Casillas, J.M., & Gremeaux, V. (2011). Usefulness of the 6-minute walk test and the 200-metre fast walk test to individualize high intensity interval and continuous exercise training in coronary artery disease patients after acute coronary syndrome: A pilot controlled clinical study. Clinical Rehabilitation, 25(9), 844855. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hannan, A.L., Hing, W., Simas, V., Climstein, M., Coombes, J.S., Jayasinghe, R., . . . Furness, J. (2018). High-intensity interval training versus moderate-intensity continuous training within cardiac rehabilitation: A systematic review and meta-analysis. Open Access Journal of Sports Medicine, 9, 117. PubMed ID: 29416382 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hwang, C., Yoo, J., Kim, H., Hwang, M., Handberg, E.M., Petersen, J.W., & Christou, D.D. (2017). Novel all-extremity high-intensity interval training improves aerobic fitness, cardiac function and insulin resistance in healthy older adults. Experimental Gerontology, 82, 112119. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Iellamo, F., Caminiti, G., Sposato, B., Vitale, C., Massaro, M., Rosano, G., & Volterrani, M. (2014). Effect of high-intensity interval training versus moderate continuous training on 24-h blood pressure profile and insulin resistance in patients with chronic heart failure. Internal and Emergency Medicine, 9(5), 547552. PubMed ID: 23857036 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Iellamo, F., Manzi, V., Caminiti, G., Vitale, C., Castagna, C., Massaro, M., . . . Volterrani, M. (2013). Matched dose interval and continuous exercise training induce similar cardiorespiratory and metabolic adaptations in patients with heart failure. International Journal of Cardiology, 167(6), 25612565. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kim, C., Choi, H.E., & Lim, M.H. (2015). Effect of high interval training in acute myocardial infarction patients with drug-eluting stent. American Journal of Physical Medicine and Rehabilitation, 94(10), 879886. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lamina, S. (2010). Effects of continuous and interval training programs in the management of hypertension: A randomized controlled trial. Journal of Clinical Hypertension, 12(11), 841849. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lee, D.-C., Sui, X., Ortega, F.B., Kim, Y.-S., Church, T.S., Winett, R.A., . . . Blair, S.N. (2011). Comparisons of leisure-time physical activity and cardiorespiratory fitness as predictors of all-cause mortality in men and women. British Journal of Sports Medicine, 45(6), 504510. PubMed ID: 20418526 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mador, M.J., Shaffer, M., Kufel, T.J., Krawza, M., Alhajhusian, A., & Khan, A.I. (2009). Interval training versus continuous training in patients with chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation and Prevention, 29(2), 126132. PubMed ID: 19305238 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Maher, C.G., Sherrington, C., Herbert, R.D., Moseley, A.M., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy, 83(8), 713721. PubMed ID: 12882612 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Maillard, F., Rousset, S., Pereira, B., Traore, A., de Pradel Del Amaze, P., Boirie, Y., . . . Boisseau, N. (2016). High-intensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes. Diabetes and Metabolism, 42(6), 433441. PubMed ID: 27567125 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mitranun, W., Deerochanawong, C., Tanaka, H., & Suksom, D. (2014). Continuous vs interval training on glycemic control and macro- and microvascular reactivity in type 2 diabetic patients. Scandinavian Journal of Medicine and Science in Sports, 24(2), e69e76. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. PubMed ID: 19621072 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nes, B.M., Vatten, L.J., Nauman, J., Janszky, I., & WislØff, U. (2014). A simple nonexercise model of cardiorespiratory fitness predicts long-term mortality. Medicine & Science in Sports & Exercise, 46(6), 11591165. PubMed ID: 24576863 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Northey, J.M., Pumpa, K.L., Quinlan, C., Ikin, A., Toohey, K., Smee, D.J., & Rattray, B. (2019). Cognition in breast cancer survivors: A pilot study of interval and continuous exercise. Journal of Science and Medicine in Sport, 22(5), 580585. PubMed ID: 30554923 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ramos, J.S., Dalleck, L.C., Tjonna, A.E., Beetham, K.S., & Coombes, J.S. (2015). The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: A systematic review and meta-analysis. Sports Medicine, 45(5), 679692. PubMed ID: 25771785 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rodríguez, D.A., Arbillaga, A., Barberan-Garcia, A., Ramirez-Sarmiento, A., Torralba, Y., Vilaró, J., . . . Marco, E. (2016). Effects of interval and continuous exercise training on autonomic cardiac function in COPD patients. Clinical Respiratory Journal, 10(1), 8389. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Terada, T., Friesen, A., Chahal, B.S., Bell, G.J., McCargar, L.J., & Boulé, N.G. (2013). Feasibility and preliminary efficacy of high intensity interval training in type 2 diabetes. Diabetes Research and Clinical Practice, 99(2), 120129. PubMed ID: 23183390 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tjønna, A.E., Lee, S.J., Rognmo, Ø., Stølen, T.O., Bye, A., Haram, P.M., . . . Wisløff, U. (2008). Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: A pilot study. Circulation, 118(4), 346354. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tschentscher, M., Eichinger, J., Egger, A., Droese, S., Schönfelder, M., & Niebauer, J. (2016). High-intensity interval training is not superior to other forms of endurance training during cardiac rehabilitation. European Journal of Preventive Cardiology, 23(1), 1420. PubMed ID: 25404752 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization (WHO). (2019). WHO. Retrieved from https://www.who.int/gho/ncd/en/

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