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Updated: Mar 14, 2026

A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
High-intensity interval training programme for obese youth (HIP4YOUTH): A pilot feasibility study
SoJung Lee1, Jenna Spector2, Stephanie Reilly1
1a Division of Weight Management & Wellness, Children's Hospital of Pittsburgh of UPMC, School of Medicine , University of Pittsburgh , Pittsburgh , PA , USA.
High-intensity interval training (HIT) improved cardiorespiratory fitness and reduced blood pressure in overweight and obese youth. Most participants enjoyed this exercise strategy, indicating its potential for improving cardiovascular health.
Area of Science:
- Exercise Physiology
- Pediatric Health
- Cardiovascular Disease Prevention
Background:
- Growing interest in high-intensity interval training (HIT) for health improvement.
- Overweight and obesity are significant health concerns in youth, impacting cardiovascular health.
- Need for effective and engaging exercise interventions for this demographic.
Purpose of the Study:
- To assess the feasibility of a 4-week low-volume HIT program in overweight and obese adolescents.
- To evaluate the effects of HIT on cardiorespiratory fitness (CRF) and blood pressure (BP).
- To determine participant enjoyment of HIT compared to other exercise modalities.
Main Methods:
- Pilot study involving 12 adolescents (BMI: 34.8 ± 3.9 kg·m⁻², age: 14.9 ± 1.5 years).
- 12 HIT sessions over ~4 weeks (3 sessions/week): 10x60s cycling at ~90% max heart rate with 90s recovery, 30 min/session.
- Measurements included CRF (peak oxygen uptake), resting BP, body weight, and total fat. Participant enjoyment was surveyed.
Main Results:
- High adherence (92% attendance) and completion rate (100%) indicate feasibility.
- Significant improvements in CRF (20.1 to 22.2 ml·kg⁻¹·min⁻¹) and exercise time (425 to 509s) (P < 0.01).
- Significant reduction in resting systolic BP (115.8 to 107.6 mmHg). No significant changes in body weight or total fat.
Conclusions:
- Low-volume HIT is a feasible and effective intervention for improving cardiovascular health in overweight and obese youth.
- HIT significantly enhances cardiorespiratory fitness and reduces blood pressure in this population.
- The majority of participants found HIT enjoyable, suggesting it can promote exercise participation.
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