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Updated: May 7, 2026

A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
VO2max trainability and high intensity interval training in humans: a meta-analysis.
Andrew P Bacon1, Rickey E Carter, Eric A Ogle
1Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, United States of America.
Interval training (IT) and combined interval (IT) and continuous training (CT) significantly improve maximal oxygen uptake (VO2max). Standardized IT or IT/CT programs may enhance VO2max trainability in sedentary or recreationally active individuals.
Area of Science:
- Exercise Physiology
- Sports Science
- Cardiovascular Health
Background:
- Endurance training often yields modest VO2max improvements.
- Some individuals exhibit limited responses to traditional training.
- Interval training (IT) and combined IT/continuous training (CT) show greater VO2max gains.
Purpose of the Study:
- To evaluate the impact of exercise intensity on VO2max trainability.
- To analyze existing literature on interval training and VO2max.
- To determine the effectiveness of IT and IT/CT protocols.
Main Methods:
- Systematic review and meta-analysis of English-language studies (1965-2012).
- Inclusion criteria: healthy sedentary/recreationally active adults (<45 yrs), training duration 6-13 weeks, ≥3 days/week, ≥10 min high-intensity work, ≥1:1 work/rest ratio.
- Random effects model used due to heterogeneity (I²=70) to analyze changes in VO2max.
Main Results:
- A total of 334 subjects (120 women) from 37 studies were analyzed.
- Mean increase in VO2max was 0.51 L·min⁻¹ (95% CI: 0.43–0.60 L·min⁻¹).
- Studies with longer intervals showed greater VO2max changes (~0.8–0.9 L·min⁻¹), with consistent responses across subjects.
Conclusions:
- Interval training protocols appear more effective for increasing VO2max than traditional endurance training.
- Standardized IT or IT/CT programs may optimize VO2max trainability.
- Further research should focus on standardized interval training protocols to understand VO2max potential.
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