A comparison of the health benefits of reduced-exertion high-intensity interval training (REHIT) and moderate-intensity walking in type 2 diabetes patients

Ruffino, José Sofia; Songsorn, Preeyaphorn; Haggett, Malindi; Edmonds, Daniel; Robinson, Anthony; Thompson, Dylan; Vollaard, Niels

doi:10.1139/apnm-2016-0497

Cited by 78 publications

(111 citation statements)

References 49 publications

(61 reference statements)

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“…However, unlike our study's MICT+RT improvement of 4.6 mL/kg/min, prior studies have generally reported lower improvements for MICT ranging from 0.2 mL/kg/min (56) to 3.3 mL/kg/min (57). …”

Section: Discussioncontrasting

confidence: 98%

“…The improvements in aerobic capacity of our participants are on parity with prior reported improvements in VO 2 max that ranged from 1.9 mL/kg/min (56) to 6.1 mL/kg/min (57) for HIIT. However, unlike our study's MICT+RT improvement of 4.6 mL/kg/min, prior studies have generally reported lower improvements for MICT ranging from 0.2 mL/kg/min (56) to 3.3 mL/kg/min (57).…”

Section: Discussionsupporting

confidence: 77%

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High-Intensity Interval Training Is Equivalent to Moderate-Intensity Continuous Training for Short- and Medium-Term Outcomes of Glucose Control, Cardiometabolic Risk, and Microvascular Complication Markers in Men With Type 2 Diabetes

et al. 2018

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We sought to determine the efficacy of 12 weeks high-intensity interval training (HIIT), compared to moderate-intensity continuous training (MICT) on glucose control, cardiometabolic risk and microvascular complication markers in men living with type 2 diabetes (T2D). Both modalities were combined with resistance training (RT). Additionally, the study aimed to determine the medium-term durability of effects. After a 12-week, thrice weekly, training intervention incorporating either MICT+RT (n = 11) or HIIT+RT (n = 12), the study concluded with a 6-month follow-up analysis. The middle-aged study participants were obese, had moderate duration T2D and were taking multiple medications including insulin, statins and beta-blockers. Participants, randomized via the method of minimization, performed MICT (progressing to 26-min at 55% maximum estimated workload [eWLmax]) or HIIT (progressing to two variations in which twelve 1-min bouts at 95% eWLmax interspersed with 1-min recovery bouts, alternated with eight 30-s bouts at 120% eWLmax interspersed with 2:15 min recovery bouts) under supervision at an exercise physiology facility. To account for fixed and random effects within the study sample, mixed-effect models were used to determine the significance of change following the intervention and follow-up phases and to evaluate group*time interactions. Beyond improvements in aerobic capacity (P < 0.001) for both groups, both training modalities elicited similar group*time interactions (P > 0.05) while experiencing benefits for glycated hemoglobin (HbA1c; P = 0.01), subcutaneous adiposity (P < 0.001), and heart rate variability (P = 0.02) during the 12-week intervention. Adiposity (P < 0.001) and aerobic capacity (P < 0.001) were significantly maintained in both groups at the 6-month follow-up. In addition, during the intervention, participants in both MICT+RT and HIIT+RT experienced favorable reductions in their medication usage. The study reported the inter-individual variability of change within both groups, the exaggerated acute physiological responses (using exercise termination indicators) that occurred during the interventions as well as the incidence of precautionary respite afforded in such a study sample. To reduce hyperglycaemia, and prevent further deterioration of cardiometabolic risk and microvascular complication markers (in both the short- and medium-term), future strategies that integrate the adoption and maintenance of physical activity as a cornerstone in the treatment of T2M for men should (cognisant of appropriate supervision) include either structured MICT+RT, or HIIT+RT.Clinical Trials Registration Number: ACTRN12617000582358 http://www.anzctr.org.au/default.aspx

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“…However, unlike our study's MICT+RT improvement of 4.6 mL/kg/min, prior studies have generally reported lower improvements for MICT ranging from 0.2 mL/kg/min (56) to 3.3 mL/kg/min (57). …”

Section: Discussioncontrasting

confidence: 98%

Section: Discussionsupporting

confidence: 77%

High-Intensity Interval Training Is Equivalent to Moderate-Intensity Continuous Training for Short- and Medium-Term Outcomes of Glucose Control, Cardiometabolic Risk, and Microvascular Complication Markers in Men With Type 2 Diabetes

et al. 2018

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“…Likewise, [12] investigate INT modality compared to AE training in 16 men with DM2. Participants completed a reduced-exertion high-intensity interval training (REHIT) and moderate-intensity walking for 8 weeks with a 2-months wash-out period between interventions.…”

Section: Discussionmentioning

confidence: 99%

“…However, neither intervention significantly improved OGTT, glycemic control measured using continuous glucose monitors, blood lipid profile or body composition. Indicating that REHIT led to a higher aerobic fitness than walking, however, neither strategies were effective interventions for improving insulin sensitivity or glycemic control in DM2 patients in a shortterm period [12]. While, [13] examined the effect of a single session of cardio and resistance INT training in 35 participants with DM2 and control groups, which was composed of highly trained and untrained normoglycemic adults.…”

Section: Discussionmentioning

confidence: 99%

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Resistance and Aerobic Training in the Treatment of Type 2 Diabetes Mellitus

Nunes¹

2017

JDMDC

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Diabetes Mellitus is considered a chronic disease of epidemic proportions that affects approximately 415 million adults. Several studies reported the benefits of exercise training for this syndrome treatment. The aim of this study was to summarize the major findings of aerobic, resistance, and combined training influence in patients with Type 2 Diabetes Mellitus. The studies showed that different modalities of exercise exert positive effects on insulin sensitivity, exercise capacity, glycemic control, vascular function, and other risk factors associated with Type 2 Diabetes Mellitus. As a conclusion, physical exercise is a safe and effective strategy to prevent and mitigate the changes associated with Type 2 Diabetes Mellitus, besides it is possible to get benefits with continuous aerobic (low, moderate or high intensity), interval, combined or resistance training.

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Physical Activity and Exercise: Challenging Misconceptions and Considerations for People with Obesity

Broom

Haines²,

Capehorn³

2022

Bariatric Surgery in Clinical Practice

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A comparison of the health benefits of reduced-exertion high-intensity interval training (REHIT) and moderate-intensity walking in type 2 diabetes patients

Abstract: Background/Aim: Reduced-exertion high-intensity interval training (REHIT) is a genuinely

Cited by 78 publications

References 49 publications

High-Intensity Interval Training Is Equivalent to Moderate-Intensity Continuous Training for Short- and Medium-Term Outcomes of Glucose Control, Cardiometabolic Risk, and Microvascular Complication Markers in Men With Type 2 Diabetes

High-Intensity Interval Training Is Equivalent to Moderate-Intensity Continuous Training for Short- and Medium-Term Outcomes of Glucose Control, Cardiometabolic Risk, and Microvascular Complication Markers in Men With Type 2 Diabetes

Resistance and Aerobic Training in the Treatment of Type 2 Diabetes Mellitus

Physical Activity and Exercise: Challenging Misconceptions and Considerations for People with Obesity

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