Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures

IntroductionMeta-analysts have found that high-intensity interval training (HIIT) improves physical performance, but limited evidence exists regarding its effects on highly trained athletes, measures beyond maximum oxygen uptake (V˙O2max), and the moderating effects of different types of HIIT. In th...

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Main Authors: Hans-Peter Wiesinger, Thomas Leonard Stöggl, Nils Haller, Julia Blumkaitis, Tilmann Strepp, Francesca Kilzer, Anna Schmuttermair, Will G. Hopkins
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1486526/full
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author Hans-Peter Wiesinger
Hans-Peter Wiesinger
Hans-Peter Wiesinger
Thomas Leonard Stöggl
Thomas Leonard Stöggl
Nils Haller
Nils Haller
Julia Blumkaitis
Tilmann Strepp
Francesca Kilzer
Anna Schmuttermair
Will G. Hopkins
author_facet Hans-Peter Wiesinger
Hans-Peter Wiesinger
Hans-Peter Wiesinger
Thomas Leonard Stöggl
Thomas Leonard Stöggl
Nils Haller
Nils Haller
Julia Blumkaitis
Tilmann Strepp
Francesca Kilzer
Anna Schmuttermair
Will G. Hopkins
author_sort Hans-Peter Wiesinger
collection DOAJ
description IntroductionMeta-analysts have found that high-intensity interval training (HIIT) improves physical performance, but limited evidence exists regarding its effects on highly trained athletes, measures beyond maximum oxygen uptake (V˙O2max), and the moderating effects of different types of HIIT. In this study, we present meta-analyses of the effects of HIIT focusing on these deficits.MethodsThe effects of 6 types of HIIT and other moderators were derived from 34 studies involving highly trained endurance and elite athletes in percent units via log-transformation from separate meta-regression mixed models for sprint, time–trial, aerobic/anaerobic threshold, peak speed/power, repeated-sprint ability, V˙O2max, and exercise economy. The level of evidence for effect magnitudes was evaluated based on the effect uncertainty and the smallest important change of 1%.ResultsCompared with control training, HIIT showed good to excellent evidence for the substantial enhancement of most measures for some athlete subgroups in practically important study settings defined by effect moderators (maximum of 12.6%, for endurance female athletes after 6 weeks of aerobic traditional long intervals). The assessment of the moderators indicated good evidence of greater effects as follows: with more aerobic types of HIIT for V˙O2max (+2.6%); with HIIT added to conventional training for most measures (+1.1–2.3%); during the competition phase for V˙O2max (+4.3%); and with tests of longer duration for sprint (+5.5%) and time trial (+4.9%). The effects of sex and type of athlete were unclear moderators. The heterogeneity of HIIT effects within a given type of setting varied from small to moderate (standard deviations of 1.1%–2.3%) and reduced the evidence of benefit in some settings.ConclusionAlthough athletes in some settings can be confident of the beneficial effects of HIIT on some measures related to competition performance, further research is needed. There is uncertainty regarding the mean effects on exercise economy and the modifying effects of sex, duration of intervention, phase of training, and type of HIIT for most measures.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=236384.
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spelling doaj-art-07fe9f35c7074540beda8c7d483a83212025-01-03T06:47:07ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-01-011510.3389/fphys.2024.14865261486526Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measuresHans-Peter Wiesinger0Hans-Peter Wiesinger1Hans-Peter Wiesinger2Thomas Leonard Stöggl3Thomas Leonard Stöggl4Nils Haller5Nils Haller6Julia Blumkaitis7Tilmann Strepp8Francesca Kilzer9Anna Schmuttermair10Will G. Hopkins11Department of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaInstitute of Nursing Science and Practice, Center for Public Health and Healthcare Research, Paracelsus Medical University, Salzburg, AustriaInstitute of General Practice, Family Medicine and Preventive Medicine, Center for Public Health and Healthcare Research, Paracelsus Medical University, Salzburg, AustriaDepartment of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaRed Bull Athlete Performance Center, Thalgau, AustriaDepartment of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaDepartment of Sports Medicine, Rehabilitation and Disease Prevention, Johannes Gutenberg University, Mainz, GermanyDepartment of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaDepartment of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaDepartment of Sport and Exercise Science, Paris Lodron University Salzburg, Salzburg, AustriaRed Bull Athlete Performance Center, Thalgau, AustriaInternet Society for Sport Science, Auckland, New ZealandIntroductionMeta-analysts have found that high-intensity interval training (HIIT) improves physical performance, but limited evidence exists regarding its effects on highly trained athletes, measures beyond maximum oxygen uptake (V˙O2max), and the moderating effects of different types of HIIT. In this study, we present meta-analyses of the effects of HIIT focusing on these deficits.MethodsThe effects of 6 types of HIIT and other moderators were derived from 34 studies involving highly trained endurance and elite athletes in percent units via log-transformation from separate meta-regression mixed models for sprint, time–trial, aerobic/anaerobic threshold, peak speed/power, repeated-sprint ability, V˙O2max, and exercise economy. The level of evidence for effect magnitudes was evaluated based on the effect uncertainty and the smallest important change of 1%.ResultsCompared with control training, HIIT showed good to excellent evidence for the substantial enhancement of most measures for some athlete subgroups in practically important study settings defined by effect moderators (maximum of 12.6%, for endurance female athletes after 6 weeks of aerobic traditional long intervals). The assessment of the moderators indicated good evidence of greater effects as follows: with more aerobic types of HIIT for V˙O2max (+2.6%); with HIIT added to conventional training for most measures (+1.1–2.3%); during the competition phase for V˙O2max (+4.3%); and with tests of longer duration for sprint (+5.5%) and time trial (+4.9%). The effects of sex and type of athlete were unclear moderators. The heterogeneity of HIIT effects within a given type of setting varied from small to moderate (standard deviations of 1.1%–2.3%) and reduced the evidence of benefit in some settings.ConclusionAlthough athletes in some settings can be confident of the beneficial effects of HIIT on some measures related to competition performance, further research is needed. There is uncertainty regarding the mean effects on exercise economy and the modifying effects of sex, duration of intervention, phase of training, and type of HIIT for most measures.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=236384.https://www.frontiersin.org/articles/10.3389/fphys.2024.1486526/fullmeta-regressionendurancesprintperformanceinterval trainingelite athletes
spellingShingle Hans-Peter Wiesinger
Hans-Peter Wiesinger
Hans-Peter Wiesinger
Thomas Leonard Stöggl
Thomas Leonard Stöggl
Nils Haller
Nils Haller
Julia Blumkaitis
Tilmann Strepp
Francesca Kilzer
Anna Schmuttermair
Will G. Hopkins
Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
Frontiers in Physiology
meta-regression
endurance
sprint
performance
interval training
elite athletes
title Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
title_full Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
title_fullStr Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
title_full_unstemmed Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
title_short Meta-analyses of the effects of high-intensity interval training in elite athletes—part I: mean effects on various performance measures
title_sort meta analyses of the effects of high intensity interval training in elite athletes part i mean effects on various performance measures
topic meta-regression
endurance
sprint
performance
interval training
elite athletes
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1486526/full
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