Int J Sports Med
DOI: 10.1055/a-2456-4054
1
Department of Materials and Production, Aalborg
University, Aalborg, Denmark (Ringgold ID: RIN1004)
2
Center for Mathematical Modeling of Knee Osteoarthritis,
Aalborg University, Aalborg, Denmark (Ringgold ID: RIN1004)
,
CharlotteNørkjær Eggertsen
3
Department of Pediatrics and Adolescent Medicine,
Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
4
Steno Diabetes Center North Denmark, Aalborg University
Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
5
Department of Clinical Medicine, Aalborg University
Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
JeppeBech Pedersen
6
Department of Health Science and Technology, Aalborg
University, Aalborg, Denmark (Ringgold ID: RIN1004)
,
Stine Christiansen
3
Department of Pediatrics and Adolescent Medicine,
Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
EsbenThyssen Vestergaard
7
Department of Pediatrics, Aarhus University Hospital,
Aarhus, Denmark (Ringgold ID: RIN11297)
8
Steno Diabetes Center Aarhus, Aarhus University
Hospital, Aarhus, Denmark (Ringgold ID: RIN11297)
,
Søren Hagstrøm
3
Department of Pediatrics and Adolescent Medicine,
Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
5
Department of Clinical Medicine, Aalborg University
Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
Ryan Godsk Larsen
9
Health Science and Technology, Aalborg University,
Aalborg, Denmark (Ringgold ID: RIN1004)
› Author AffiliationsSupported by:
TrygFonden
149852
Supported by:
Danish Regions
R201-A4487
Supported by:
Svend Andersens Foundation and Memorial legatee for Carpenter
Jørgen Holm and wife Elisa F. Hansen
20094
Supported by:
Steno Diabetes Center North Denmark
Clinical Trial:
Registration number (trial ID):NCT05465057,Trial registry: ClinicalTrials.gov(http://www.clinicaltrials.gov/),Type of Study: Part of an RCT
› Further Information
Also available at
Buy Article Permissions and Reprints
Abstract
High-intensity interval training (HIIT) has been suggested as an effective
treatment approach of childhood obesity. The objective of the present study was
to examine intensity, enjoyment, and perceived exertion of a 4x4-minute
play-based HIIT program for children and adolescents with obesity. 83
participants (42.2% girls, 12.3±1.5 years, 57.8% boys, 12.0±1.6 years) completed
a 12-week intervention comprising three weekly sessions. After nine sessions
(weeks 2, 6, and 11), participants rated perceived exertion (RPE) with a Borg
scale and enjoyment of activities using the Physical Activity Enjoyment Scale
(PACES). Heart rate (HR) was recorded to assess time spent in high- and
moderate-intensity. Participants spent more time in high-intensity during
strength-based (P=0.004) and running-based (P=0.007) activities compared to ball
games, and more time was spent in moderate-intensity during ball games compared
to strength-based (P=0.033) and running-based (P=0.028) activities. Overall,
boys spent more time in moderate-intensity than girls (P=0.007). Participants
rated RPE lower for ball games than for strength-based (P<0.001) and
running-based (P<0.001) activities. Boys rated running-based activities more
enjoyable than girls (P=0.021). Exercise intensity and RPE vary by activity in
HIIT for children and adolescents with obesity. Ball games led to less
high-intensity time and were seen as less exhausting. No differences in RPE or
enjoyment were found over time.
Keywords
high-intensity interval training -
heart rate -
ball game -
running -
strength training -
exercise
Publication History
Received: 28 June 2024
Accepted after revision: 29 October 2024
Accepted Manuscript online:
29 October 2024
Article published online:
02 December 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
References
1
Lobstein T,
Brinsden H.
Atlas of childhood obesity. World Obesity Federation. 2019 211. 4-210
2
Wiegand S,
Dannemann A,
Krude H.
et al.
Impaired glucose tolerance and type 2 diabetes mellitus: A new field for
pediatrics in Europe. Int J Obes 2005; 29: S136-S142
3
Freedman DS,
Khan LK,
Dietz WH.
et al.
Relationship of childhood obesity to coronary heart disease risk factors in
adulthood: The Bogalusa Heart Study. Pediatrics 2001; 108: 712-718
4
Bridger T.
Childhood obesity and cardiovascular disease. Paediatr Child Health 2009; 14: 177-182
5
Smith JD,
Fu E,
Kobayashi MA.
Prevention and management of childhood obesity and its psychological and health
comorbidities. Annu Rev Clin Psychol 2020; 16: 351-378
6
García-Hermoso A,
Cerrillo-Urbina AJ,
Herrera-Valenzuela T.
et al.
Is high-intensity interval training more effective on improving cardiometabolic
risk and aerobic capacity than other forms of exercise in overweight and obese
youth? A meta-analysis. Obes Rev 2016; 17: 531-540
7
Ells LJ,
Rees K,
Brown T.
et al.
Interventions for treating children and adolescents with overweight and obesity:
An overview of Cochrane reviews. Int J Obes 2018; 42: 1823-1833
8
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: 1227-1234
9
Brown T,
Moore THM,
Hooper L.
et al.
Interventions for preventing obesity in children. CDSR 2019; 7:
CD001871
10
Stiegler P,
Cunliffe A.
The role of diet and exercise for the maintenance of fat-free mass and resting
metabolic rate during weight loss. Sports Med 2006; 36: 239-262
11
Piercy KL,
Troiano RP,
Ballard RM.
et al.
The physical activity guidelines for Americans. JAMA 2018; 320: 2020-2028
12
Parrish A-M,
Tremblay MS,
Carson S.
et al.
Comparing and assessing physical activity guidelines for children and
adolescents: A systematic literature review and analysis. IJBNPA 2020; 17: 1-22
13
Foster C,
Moore JB,
Singletary CR.
et al.
Physical activity and family-based obesity treatment: A review of expert
recommendations on physical activity in youth. Clin Obes 2018; 8: 68-79
14
Eddolls WTB,
McNarry MA,
Stratton G.
et al.
High-intensity interval training interventions in children and adolescents: A
systematic review. Sports Med 2017; 47: 2363-2374
15
Gibala MJ.
High-intensity interval training: A time-efficient strategy for health
promotion?. Curr Sports Med Rep 2007; 6: 211-213
16
Børsheim E,
Bahr R.
Effect of exercise intensity, duration and mode on post-exercise oxygen
consumption. Sports Med 2003; 33: 1037-1060
17
Tjønna AE,
Stølen TO,
Bye A.
et al.
Aerobic interval training reduces cardiovascular risk factors more than a
multitreatment approach in overweight adolescents. Clin Sci 2009; 116: 317-326
18
Liu Y,
Wadey CA,
Barker AR.
et al.
Process evaluation of school-based high-intensity interval training
interventions for children and adolescents: A systematic review and
meta-analysis of randomized controlled trials. BMC Public Health 2024; 24: 348
19
Starkoff BE,
Eneli IU,
Bonny AE.
et al.
Estimated aerobic capacity changes in adolescents with obesity following high
intensity interval exercise. IJKSS 2014; 2: 1-8
20
Gray SR,
Ferguson C,
Birch K.
et al.
High-intensity interval training: Key data needed to bridge the gap from
laboratory to public health policy. Br J Sports Med 2016; 50: 1231-1232
21
McWhorter JW,
Wallmann HW,
Alpert PT.
The obese child: Motivation as a tool for exercise. JPHCED 2003; 17: 11-17
22
Moore JB,
Yin Z,
Hanes J.
et al.
Measuring enjoyment of physical activity in children: Validation of the physical
activity enjoyment scale. J Appl Sport Psychol 2009; 21: S116-S129
23
Rhodes RE,
Kates A.
Can the affective response to exercise predict future motives and physical
activity behavior? A systematic review of published evidence. Ann Behav Med 2015; 49: 715-731
24
Dunton GF,
Crosley-Lyons R,
Rhodes RE.
Affective response during real-world physical activity as an intervention
mediator. Exerc Sport Sci Rev 2023; 51: 140-149
25
Oliveira BRR,
Santos TM,
Kilpatrick M.
et al.
Affective and enjoyment responses in high intensity interval training and
continuous training: A systematic review and meta-analysis. PLoS One 2018; 13: e0197124
26
Burford K,
Gillespie K,
Jowers EM.
et al.
Children’s Enjoyment, Perceived Competency, and Vigorous Physical Activity
During High-Intensity Interval Training in Physical Education. Res Q Exerc Sport 2022; 93: 835-844
27
Kelley GA,
Kelley KS,
Pate RR.
Effects of exercise on BMI z-score in overweight and obese children and
adolescents: A systematic review with meta-analysis. BMC Pediatr 2014; 14: 1-16
28
Eggertsen CN,
Larsen RG,
Duch K.
et al
Feasibility and efficacy of adding high-intensity interval training to a
multidisciplinary lifestyle intervention in children with obesity – a randomized
controlled trial. Int J Obes 2024;
29
Borg GAV.
Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982; 14: 377-381
30
Wedderkopp N,
Froberg K,
Hansen HS.
et al.
Secular trends in physical fitness and obesity in Danish 9-year-old girls and
boys: Odense School Child Study and Danish substudy of the European Youth Heart
Study. Scand J Med Sci Sports 2004; 14: 150-155
31
Tanaka H,
Monahan KD,
Seals DR.
Age-predicted maximal heart rate revisited. J Am Coll Cardiol 2001; 37: 153-156
32
Barnett LM,
Lai SK,
Veldman SLC.
et al.
Correlates of gross motor competence in children and adolescents: A systematic
review and meta-analysis. Sports Med 2016; 46: 1663-1688
33
Delisle Nyström C,
Traversy G,
Barnes JD.
et al.
Associations between domains of physical literacy by weight status in 8-to
12-year-old Canadian children. BMC Public Health 2018; 18: 1-8
34
Acala JJ,
Roche-Willis D,
Astorino TA.
Characterizing the heart rate response to the 4× 4 interval exercise
protocol. Int J Environ Res Public Health 2020; 17: 5103
35
Falz R,
Fikenzer S,
Holzer R.
et al.
Acute cardiopulmonary responses to strength training, high-intensity interval
training and moderate-intensity continuous training. Eur J Appl Physiol 2019; 119: 1513-1523
36
Hammond HK,
Froelicher VF.
Normal and abnormal heart rate responses to exercise. Prog Cardiovasc Dis 1985; 27: 271-296
37
Bossmann T,
Woll A,
Wagner I.
Effects of Different Types of High-Intensity Interval Training (HIIT) on
Endurance and Strength Parameters in Children and Adolescents. Int J Environ Res Public Health 2022; 19: 6855
38
Chung AE,
Skinner AC,
Steiner MJ.
et al.
Physical activity and BMI in a nationally representative sample of children and
adolescents. Clin Pediatr (Phila) 2012; 51: 122-129
39
Lambrick D,
Westrupp N,
Kaufmann S.
et al.
The effectiveness of a high-intensity games intervention on improving indices of
health in young children. J Sports Sci 2016; 34: 190-198
40
Herget S,
Reichardt S,
Grimm A.
et al.
High-intensity interval training for overweight adolescents: Program acceptance
of a media supported intervention and changes in body composition. Int J Environ Res Public Health 2016; 13: 1099
41
Murphy A,
Kist C,
Gier AJ.
et al.
The feasibility of high-intensity interval exercise in obese adolescents. Clin Pediatr (Phila) 2015; 54: 87-90
42
Alberga AS,
Sigal RJ,
Sweet SN.
et al.
Understanding low adherence to an exercise program for adolescents with obesity:
The HEARTY trial. Obes Sci Pract 2019; 5: 437-448
43
Herget S,
Reichardt S,
Grimm A.
et al.
High-intensity interval training for overweight adolescents: Program acceptance
of a media supported intervention and changes in body composition. Int J Environ Res Public Health 2016; 13: 1099
留言 (0)