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Effect of High-Intensity Interval Training on Total, Abdominal and Visceral Fat Mass: A Meta-Analysis

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Abstract

Background

High-intensity interval training (HIIT) is promoted as a time-efficient strategy to improve body composition.

Objective

The aim of this meta-analysis was to assess the efficacy of HIIT in reducing total, abdominal, and visceral fat mass in normal-weight and overweight/obese adults.

Methods

Electronic databases were searched to identify all related articles on HIIT and fat mass. Stratified analysis was performed using the nature of HIIT (cycling versus running, target intensity), sex and/or body weight, and the methods of measuring body composition. Heterogeneity was also determined

Results

A total of 39 studies involving 617 subjects were included (mean age 38.8 years ± 14.4, 52% females). HIIT significantly reduced total (p = 0.003), abdominal (p = 0.007), and visceral (p = 0.018) fat mass, with no differences between the sexes. A comparison showed that running was more effective than cycling in reducing total and visceral fat mass. High-intensity (above 90% peak heart rate) training was more successful in reducing whole body adiposity, while lower intensities had a greater effect on changes in abdominal and visceral fat mass. Our analysis also indicated that only computed tomography scan or magnetic resonance imaging showed significant abdominal and/or visceral fat-mass loss after HIIT interventions.

Conclusion

HIIT is a time-efficient strategy to decrease fat-mass deposits, including those of abdominal and visceral fat mass. There was some evidence of the greater effectiveness of HIIT running versus cycling, but owing to the wide variety of protocols used and the lack of full details about cycling training, further comparisons need to be made. Large, multicenter, prospective studies are required to establish the best HIIT protocols for reducing fat mass according to subject characteristics.

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References

  1. Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ. Tech Rep Ser. 2000;894:i–xii, 1–253.

  3. Wajchenberg BL. Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev. 2000;21:697–738.

    Article  CAS  PubMed  Google Scholar 

  4. Wronska A, Kmiec Z. Structural and biochemical characteristics of various white adipose tissue depots. Acta Physiol Oxf. 2012;205:194–208.

    Article  CAS  PubMed  Google Scholar 

  5. Després J-P, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444:881–7.

    Article  PubMed  Google Scholar 

  6. Johns DJ, Hartmann-Boyce J, Jebb SA, et al. Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons. J Acad Nutr Diet. 2014;114:1557–68.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Donnelly JE, Blair SN, Jakicic JM, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41:459–71.

    Article  PubMed  Google Scholar 

  8. Lazzer S, Tringali G, Caccavale M, et al. Effects of high-intensity interval training on physical capacities and substrate oxidation rate in obese adolescents. J Endocrinol Investig. 2017;40:217–26.

    Article  CAS  Google Scholar 

  9. Maurie J, Brun J, Jean E, et al. Comparaison de deux modalités différentes d’activité physique (SWEET et Lipoxmax) chez des diabétiques de type 2. Sci Sports. 2011;26:92–6.

    Article  Google Scholar 

  10. Shaw K, Gennat H, O’Rourke P, et al. Exercise for overweight or obesity. Cochrane Database Syst Rev. 2006;4:CD003817.

    Google Scholar 

  11. Wu T, Gao X, Chen M, et al. Long-term effectiveness of diet-plus-exercise interventions vs. diet-only interventions for weight loss: a meta-analysis. Obes Rev. 2009;10:313–23.

    Article  CAS  PubMed  Google Scholar 

  12. Boutcher SH. High-intensity intermittent exercise and fat loss. J Obes. 2011;2011:868305.

    Article  PubMed  Google Scholar 

  13. Keating SE, Johnson NA, Mielke GI, et al. A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity. Obes Rev. 2017;18(8):943–64.

    Article  CAS  PubMed  Google Scholar 

  14. Wewege M, Van den berg R, Ward RE, et al. The effects of high-intensity interval training vs. moderate-intensity continuous training on body composition in overweight and obese adults: a systematic review and meta-analysis. Obes Rev. 2017;18:635–46.

    Article  CAS  PubMed  Google Scholar 

  15. Trapp EG, Chisholm DJ, Freund J, et al. The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women. Int J Obes. 2005;2008(32):684–91.

    Google Scholar 

  16. Maillard F, Rousset S, Pereira B, et al. High-intensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes. Diabetes Metab. 2016;42:433–41.

    Article  CAS  PubMed  Google Scholar 

  17. Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Br J Sports Med. 2014;48:1227–34.

    Article  PubMed  Google Scholar 

  18. Azuma K, Matsumoto H. Potential universal application of high-intensity interval training from athletes and sports lovers to patients. Keio J Med. 2017;66:19–24.

    Article  PubMed  Google Scholar 

  19. Granata C, Oliveira RSF, Little JP, et al. Training intensity modulates changes in PGC-1α and p53 protein content and mitochondrial respiration, but not markers of mitochondrial content in human skeletal muscle. FASEB J. 2016;30:959–70.

    Article  CAS  PubMed  Google Scholar 

  20. MacInnis MJ, Gibala MJ. Physiological adaptations to interval training and the role of exercise intensity. J Physiol. 2017;595:2915–30.

    Article  CAS  PubMed  Google Scholar 

  21. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates; 1998.

    Google Scholar 

  22. Gillen JB, Percival ME, Ludzki A, et al. Interval training in the fed or fasted state improves body composition and muscle oxidative capacity in overweight women. Obes Silver Spring. 2013;21:2249–55.

    Article  CAS  Google Scholar 

  23. Hutchison SK, Stepto NK, Harrison CL, et al. Effects of exercise on insulin resistance and body composition in overweight and obese women with and without polycystic ovary syndrome. J Clin Endocrinol Metab. 2011;96:E48–56.

    Article  CAS  PubMed  Google Scholar 

  24. Fex A, Leduc-Gaudet J-P, Filion M-E, et al. Effect of elliptical high intensity interval training on metabolic risk factor in pre and type 2 diabetes patients a pilot study. J Phys Act Health. 2015;12:942–6.

    Article  PubMed  Google Scholar 

  25. Sawyer BJ, Tucker WJ, Bhammar DM, et al. Effects of high-intensity interval training and moderate-intensity continuous training on endothelial function and cardiometabolic risk markers in obese adults. J Appl Physiol. 1985;2016(121):279–88.

    Google Scholar 

  26. Kessler HS, Sisson SB, Short KR. The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports Med. 2012;42:489–509.

    Article  PubMed  Google Scholar 

  27. Gibala MJ, Jones AM. Physiological and performance adaptations to high-intensity interval training. Nestle Nutr Inst Workshop Ser. 2013;76:51–60.

    Article  PubMed  Google Scholar 

  28. Ribeiro RL, de Oliveira Ítalo, Silva J, Dantas M, et al. High-intensity interval training applied in Brazilian Jiu-jitsu is more effective to improve athletic performance and body composition. J Combat Sports Martial Arts. 2015;6:1–5.

    Article  CAS  Google Scholar 

  29. Drenowatz C, Hand GA, Sagner M, et al. The prospective association between different types of exercise and body composition. Med Sci Sports Exerc. 2015;47:2535–41.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Verheggen RJHM, Maessen MFH, Green DJ, et al. A systematic review and meta-analysis on the effects of exercise training versus hypocaloric diet: distinct effects on body weight and visceral adipose tissue. Obes Rev. 2016;17:664–90.

    Article  CAS  PubMed  Google Scholar 

  31. Terada T, Friesen A, Chahal BS, et al. Feasibility and preliminary efficacy of high intensity interval training in type 2 diabetes. Diabetes Res Clin Pract. 2013;99:120–9.

    Article  PubMed  Google Scholar 

  32. Capostagno B, Bosch A. Higher fat oxidation in running than cycling at the same exercise intensities. Int J Sport Nutr Exerc Metab. 2010;20:44–55.

    Article  CAS  PubMed  Google Scholar 

  33. Knechtle B, Müller G, Willmann F, et al. Fat oxidation in men and women endurance athletes in running and cycling. Int J Sports Med. 2004;25:38–44.

    Article  CAS  PubMed  Google Scholar 

  34. Cunha FA, Midgley AW, McNaughton LR, et al. Effect of continuous and intermittent bouts of isocaloric cycling and running exercise on excess postexercise oxygen consumption. J Sci Med Sport. 2016;19:187–92.

    Article  PubMed  Google Scholar 

  35. Zouhal H, Jacob C, Delamarche P, et al. Catecholamines and the effects of exercise, training and gender. Sports Med. 2008;38:401–23.

    Article  PubMed  Google Scholar 

  36. Rebuffé-Scrive M, Andersson B, Olbe L, et al. Metabolism of adipose tissue in intraabdominal depots of nonobese men and women. Metabolism. 1989;38:453–8.

    Article  PubMed  Google Scholar 

  37. Davies CT, Few J, Foster KG, et al. Plasma catecholamine concentration during dynamic exercise involving different muscle groups. Eur J Appl Physiol. 1974;32:195–206.

    Article  CAS  Google Scholar 

  38. Nieman DC, Nehlsen-Cannarella SL, Fagoaga OR, et al. Effects of mode and carbohydrate on the granulocyte and monocyte response to intensive, prolonged exercise. J Appl Physiol. 1985;1998(84):1252–9.

    Google Scholar 

  39. Vissers D, Hens W, Taeymans J, et al. The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis. PloS One. 2013;8:e56415.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Morikawa M, Okazaki K, Masuki S, et al. Physical fitness and indices of lifestyle-related diseases before and after interval walking training in middle-aged and older males and females. Br J Sports Med. 2011;45:216–24.

    Article  CAS  PubMed  Google Scholar 

  41. Shuster A, Patlas M, Pinthus JH, et al. The clinical importance of visceral adiposity: a critical review of methods for visceral adipose tissue analysis. Br J Radiol. 2012;85:1–10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Buchheit M, Laursen PB. High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications. Sports Med. 2013;43:927–54.

    Article  PubMed  Google Scholar 

  43. Gosselin LE, Kozlowski KF, DeVinney-Boymel L, et al. Metabolic response of different high-intensity aerobic interval exercise protocols. J Strength Cond Res. 2012;26:2866–71.

    Article  PubMed  Google Scholar 

  44. Bryner RW, Toffle RC, Ullrich IH, et al. The effects of exercise intensity on body composition, weight loss, and dietary composition in women. J Am Coll Nutr. 1997;16:68–73.

    Article  CAS  PubMed  Google Scholar 

  45. Lee M-G, Park K-S, Kim D-U, et al. Effects of high-intensity exercise training on body composition, abdominal fat loss, and cardiorespiratory fitness in middle-aged Korean females. Appl Physiol Nutr Metab. 2012;37:1019–27.

    Article  CAS  PubMed  Google Scholar 

  46. Ahmadizad S, Avansar AS, Ebrahim K, et al. The effects of short-term high-intensity interval training vs. moderate-intensity continuous training on plasma levels of nesfatin-1 and inflammatory markers. Horm Mol Biol Clin Investig. 2015;21:165–73.

    CAS  PubMed  Google Scholar 

  47. Almenning I, Rieber-Mohn A, Lundgren KM, et al. Effects of high intensity interval training and strength training on metabolic, cardiovascular and hormonal outcomes in women with polycystic ovary syndrome: apilot study. PloS One. 2015;10:e0138793.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Arad AD, DiMenna FJ, Thomas N, et al. High-intensity interval training without weight loss improves exercise but not basal or insulin-induced metabolism in overweight/obese African American women. J Appl Physiol. 1985;2015(119):352–62.

    Google Scholar 

  49. Cassidy S, Thoma C, Hallsworth K, et al. High intensity intermittent exercise improves cardiac structure and function and reduces liver fat in patients with type 2 diabetes: a randomised controlled trial. Diabetologia. 2016;59:56–66.

    Article  CAS  PubMed  Google Scholar 

  50. Coquart JBJ, Lemaire C, Dubart A-E, et al. Intermittent versus continuous exercise: effects of perceptually lower exercise in obese women. Med Sci Sports Exerc. 2008;40:1546–53.

    Article  PubMed  Google Scholar 

  51. Eimarieskandari R, Zilaeibouri S, Zilaeibouri M, et al. Comparing two modes of exercise training with different intensity on body composition in obese young girls. Sci Mov Health. 2012;12:473–8.

    Google Scholar 

  52. Fisher G, Brown AW, Bohan Brown MM, et al. High intensity interval vs moderate intensity-training for improving cardiometabolic health in overweight or obese males: a randomized controlled trial. PloS One. 2015;10:e0138853.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Gahreman D, Heydari M, Boutcher Y, et al. The effect of green tea ingestion and interval sprinting exercise on the body composition of overweight males: a randomized trial. Nutrients. 2016;8:510.

    Article  PubMed Central  Google Scholar 

  54. Guadalupe-Grau A, Fernández-Elías VE, Ortega JF, et al. Effects of 6-month aerobic interval training on skeletal muscle metabolism in middle-aged metabolic syndrome patients. Scand J Med Sci Sports. 2017;. https://doi.org/10.1111/sms.12881.

    PubMed  Google Scholar 

  55. Hallsworth K, Thoma C, Hollingsworth KG, et al. Modified high-intensity interval training reduces liver fat and improves cardiac function in non-alcoholic fatty liver disease: a randomized controlled trial. Clin Sci Lond. 2015;129:1097–105.

    Article  CAS  PubMed  Google Scholar 

  56. Heydari M, Freund J, Boutcher SH. The effect of high-intensity intermittent exercise on body composition of overweight young males. J Obes. 2012;2012:480467.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Hornbuckle LM, McKenzie MJ, Whitt-Glover MC. Effects of high-intensity interval training on cardiometabolic risk in overweight and obese African–American women: a pilot study. Ethn Health. 2017;1:1–15.

  58. Hwang C-L, Yoo J-K, Kim H-K, et al. Novel all-extremity high-intensity interval training improves aerobic fitness, cardiac function and insulin resistance in healthy older adults. Exp Gerontol. 2016;82:112–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Karstoft K, Winding K, Knudsen SH, et al. The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetic patients: a randomized, controlled trial. Diabetes Care. 2013;36:228–36.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Kong Z, Sun S, Liu M, et al. Short-term high-intensity interval training on body composition and blood glucose in overweight and obese young women. J Diabetes Res. 2016;2016:4073618.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Martins C, Kazakova I, Ludviksen M, et al. High-intensity interval training and isocaloric moderate-intensity continuous training result in similar improvements in body composition and fitness in obese individuals. Int J Sport Nutr Exerc Metab. 2016;26:197–204.

    Article  PubMed  Google Scholar 

  62. Matinhomaee H, Banaei J, Azarbayjani MA, et al. Effects of 12-week high-intensity interval training on plasma visfatin concentration and insulin resistance in overweight men. J Exerc Sci Fit. 2014;12:20–5.

    Article  Google Scholar 

  63. Nikseresht M, Agha-Alinejad H, Azarbayjani MA, et al. Effects of nonlinear resistance and aerobic interval training on cytokines and insulin resistance in sedentary men who are obese. J Strength Cond Res. 2014;28:2560–8.

    Article  PubMed  Google Scholar 

  64. Panissa VLG, Julio UF, França V, et al. Sex-related differences in self-paced all out high-intensity intermittent cycling: mechanical and physiological responses. J Sports Sci Med. 2016;15:372–8.

    PubMed  PubMed Central  Google Scholar 

  65. Ramos JS, Dalleck LC, Borrani F, et al. The effect of different volumes of high-intensity interval training on proinsulin in participants with the metabolic syndrome: a randomised trial. Diabetologia. 2016;59:2308–20.

    Article  CAS  PubMed  Google Scholar 

  66. Sandstad J, Stensvold D, Hoff M, et al. The effects of high intensity interval training in women with rheumatic disease: a pilot study. Eur J Appl Physiol. 2015;115:2081–9.

    Article  PubMed  Google Scholar 

  67. Sasaki H, Morishima T, Hasegawa Y, et al. 4 weeks of high-intensity interval training does not alter the exercise-induced growth hormone response in sedentary men. SpringerPlus. 2014;3:336.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Schjerve IE, Tyldum GA, Tjønna AE, et al. Both aerobic endurance and strength training programmes improve cardiovascular health in obese adults. Clin Sci (Lond). 1979;2008(115):283–93.

    Google Scholar 

  69. Shepherd SO, Wilson OJ, Taylor AS, et al. Low-volume high-intensity interval training in a gym setting improves cardio-metabolic and psychological health. PloS One. 2015;10:e0139056.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Smith-Ryan AE, Melvin MN, Wingfield HL. High-intensity interval training: modulating interval duration in overweight/obese men. Phys Sports Med. 2015;43:107–13.

    Article  Google Scholar 

  71. Steckling FM, Farinha JB, Santos DLD, et al. High intensity interval training reduces the levels of serum inflammatory cytokine on women with metabolic syndrome. Exp Clin Endocrinol Diabetes Off. 2016;124:597–601.

    Article  CAS  Google Scholar 

  72. Stensvold D, Tjønna AE, Skaug E-A, et al. Strength training versus aerobic interval training to modify risk factors of metabolic syndrome. J Appl Physiol. 1985;2010(108):804–10.

    Google Scholar 

  73. Tjønna AE, Leinan IM, Bartnes AT, et al. Low- and high-volume of intensive endurance training significantly improves maximal oxygen uptake after 10-weeks of training in healthy men. PloS One. 2013;8:e65382.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Wallman K, Plant LA, Rakimov B, et al. The effects of two modes of exercise on aerobic fitness and fat mass in an overweight population. Sports Med. 2009;17:156–70.

    Google Scholar 

  75. Zhang H, Tong TK, Qiu W, et al. Effect of high-intensity interval training protocol on abdominal fat reduction in overweight Chinese women: a randomized controlled trial. Kinesiology. 2015;47:57–66.

    Google Scholar 

  76. Zhang H, Tong TK, Qiu W, et al. Comparable effects of high-intensity interval training and prolonged continuous exercise training on abdominal visceral fat reduction in obese young women. J Diabetes Res. 2017;2017:5071740.

    PubMed  PubMed Central  Google Scholar 

  77. Ziemann E, Grzywacz T, Łuszczyk M, et al. Aerobic and anaerobic changes with high-intensity interval training in active college-aged men. J Strength Cond Res. 2011;25:1104–12.

    Article  PubMed  Google Scholar 

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Correspondence to Nathalie Boisseau.

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Florie Maillard, Bruno Pereira and Nathalie Boisseau declare that they have no conflicts of interest relevant to the content of this review.

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Maillard, F., Pereira, B. & Boisseau, N. Effect of High-Intensity Interval Training on Total, Abdominal and Visceral Fat Mass: A Meta-Analysis. Sports Med 48, 269–288 (2018). https://doi.org/10.1007/s40279-017-0807-y

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