Purpose: To analyze the effects of 2 combined training methods on the cardiometabolic risk factors in adolescents. Methods: A total of 76 adolescents (16.1 [1.1] y, n = 44 female) were randomized into groups of moderate-intensity continuous training combined with resistance training (MICT + RT), high-intensity interval training combined with resistance training (HIIT + RT), or control. The training sessions were performed twice weekly for 12 weeks. The outcomes evaluated included body fat percentage, waist circumference, fasting blood glucose, fasting insulin, total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, glycated hemoglobin, insulin resistance index, blood pressure, peak oxygen consumption (VO2peak), and cardiometabolic risk Z score. Results: The intervention groups presented a significant reduction in the cardiometabolic risk Z score after 12 weeks of the combined exercise program. In relation to the cardiometabolic risk Z score between groups, the HIIT + RT group presented a significant intervention effect when compared with the control group (Cohen d = 0.23; P < .05). Significant intervention effects were found when comparing the MICT + RT and control groups for body fat percentage, high-density lipoprotein, and VO2peak. Between the HIIT + RT and control groups, significant intervention effects were found for body fat percentage, blood pressure, and VO2peak. There were not significant differences between the HIIT + RT and MICT + RT groups. Conclusion: Twelve weeks of HIIT + RT and MICT + RT were effective in significantly reducing the cardiometabolic risk in these adolescents.
O treinamento com pesos é uma estratégia para controle de processos ocorridos com o envelhecimento e o período de intervalo entre as séries pode determinar a carga total de treinamento. O objetivo deste estudo foi analisar o desempenho muscular, lactato sanguíneo, índice de fadiga e variáveis hemodinâmicas em diferentes intervalos de recuperação após exercício isocinético. O estudo foi realizado com 11 indivíduos de meia idade (57.00 ± 7.2 anos) que praticavam treinamento com pesos a mais de seis meses. Os voluntários realizaram duas visitas ao Laboratório de Avaliação Física da Universidade, onde realizaram três séries de 10 repetições concêntricas com 60º/segundo na extensão e flexão de joelho em dinamômetro isocinético. Na primeira visita 60 segundos de descanso entre as séries foram realizados e na segunda visita 90 segundos. As variáveis analisadas foram pico de torque (Nm), Trabalho Total (J), Índice de Fadiga (%), Frequência Cardíaca (bpm), Pressão Arterial Sistólica e Diastólica (mmHg) e Concentração de Lactato Sanguíneo (mmol/L). Para comparação entre os dados foi utilizado a Análise de Variância (p<0.05). Após análise pode-se verificar que não houve diferenças significativas entre intervalo de recuperação de 60 e 90 segundos na força muscular, índice de fadiga, concentração de lactato sanguíneo e variáveis hemodinâmicas. Conclui-se que para indivíduos que estão em processo de envelhecimento, aparentemente 60 ou 90 segundos de intervalo entre as séries ocasionam as mesmas respostas. Esse achado pode ser importante para profissionais da educação física na prescrição de exercícios.
Objective: To compare the acute perceptive responses of different combined training methods in adolescents. Materials and Methods: The sample consisted of 50 adolescents, insufficiently active, aged between 14 and 18 years (58% female). The adolescents performed 2 sessions in a randomized order: moderate-intensity continuous training + resistance training (MICT + RT) and high-intensity interval training + resistance training (HIIT + RT). The rating of perceived exertion, affect, and satisfaction were measured by self-report in 5 moments during the combined training (HIIT or MICT—moments 1, 2, and 3; RT—moments 4 and 5) and 10 minutes after the end of the session. Results: During HIIT, adolescents reported higher values of rating of perceived exertion compared to the MICT session at moments 2 and 3 in both sexes (P < .05). In addition, at moments 2 and 3 of the HIIT session, female participants were reported to have a higher value of satisfaction compared to MICT (F = 3.953; P = .005; η2 = .067). Conclusion: During the execution of both HIIT + RT and MICT + RT protocols, adolescents showed an increase in the values of pleasure and satisfaction, regardless of sex.
It has been shown that combined physical exercise is an efficient non-pharmacological approach in the context of public health, since it has demonstrated satisfactory results in the prevention, treatment and control of various morbidities. Therefore, it is essential to systematize current knowledge to enable professionals involved in the prescription of physical exercise to do so based on evidence. Thus, the objective of this study was to perform a systematic review of randomized clinical trials to verify changes in cardiometabolic risk factors induced by high-intensity interval training (HIIT) and resistance training (RT) in adolescents. The systematic search was performed in the following databases: Pubmed, ScienceDirect, Cochrane, LILACS and Scielo. Initially 933 studies were identified, then two researchers eliminated duplications and manuscripts that did not meet the eligibility criteria. Thus, two articles were included that met these criteria: a randomized clinical trial conducted with adolescents (10 to 19 years) of both sexes, an intervention lasting for at least four weeks, which prescribed HIIT and RT in the same session or not, and evaluation of at least one cardiometabolic risk factor. The results demonstrated that eight to 12 weeks of HIIT and RT without nutritional intervention were effective in significantly reducing waist circumference and body fat percentage. However, data pertinent to the efficacy of this combination on risk of developing type 2 diabetes mellitus and arterial hypertension are controversial. In view of the above, it is ascertained from the included studies that the combination of HIIT and RT has the potential to reduce cardiometabolic risk factors in adolescents; therefore, further studies should be conducted to determine the effectiveness of this prescription of physical exercise. Level of Evidence II; Systematic review of Level II or Level I Studies with discrepant results.
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