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Effect of High-Intensity Interval Training on Functional Movement in Older Adults: A Systematic Review and
Guy Stern1,2,3, Stelios G Psycharakis4,5, Shaun M Phillips4,6
1The University of Edinburgh, St Leonard's Land, Holyrood Road, Edinburgh, EH8 8AQ, UK. guy.stern@ed.ac.uk.
High-intensity interval training (HIIT) shows promise for improving functional movement in older adults compared to no intervention. However, current evidence does not definitively establish HIIT as superior to moderate-intensity continuous training (MICT).
Area of Science:
- Gerontology and Exercise Science
- Geriatric Rehabilitation
- Physical Therapy and Sports Medicine
Background:
- Maintaining physiological functional capacity (PFC) is crucial for older adults' independence.
- Physical activity, particularly exercise training, is linked to improved PFC.
- Functional movement preservation is a key goal for older adults' physical activity.
Approach:
- Systematic review and meta-analysis of randomized and pair-matched trials.
- Included studies focused on high-intensity interval training (HIIT) interventions for older adults.
- Excluded studies with neurological impairment or combined exercise modalities.
Key Points:
- HIIT demonstrated a medium, statistically significant positive effect on functional movement compared to non-intervention controls (ES=0.60).
- The effect of HIIT versus moderate-intensity continuous training (MICT) on functional movement was trivial and not statistically significant (ES=0.13).
- Subgroup analyses using singular and multiple functional movement outcome measures yielded similar results.
Conclusions:
- HIIT interventions appear effective for enhancing functional movement in older adults.
- Further research is needed to clarify if HIIT offers advantages over MICT for functional movement.
- HIIT may be a valuable exercise modality for promoting mobility and independence in aging populations.
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