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Updated: Jan 6, 2026

A Real-World High-Intensity Interval Training Protocol for Cardiorespiratory Fitness Improvement
Published on: February 22, 2022
High-Intensity Interval Training and Moderate-Intensity Continuous Training on Ventricular-Arterial Coupling (VAC) in
Caroline Ferraz Simões1,2, Rogério Toshiro Passos Okawa1,3, João Carlos Locatelli1,4
1Research Group on Systemic Arterial Hypertension, Arterial Stiffness and Vascular Aging, Maringa, Brazil.
High-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) both improved ventricular-arterial coupling (VAC) in obese women. However, only HIIT significantly enhanced the elastance-derived VAC measure, suggesting PWV/GLS may be a more sensitive indicator.
Area of Science:
- Cardiovascular Physiology
- Exercise Science
- Obesity Research
Background:
- Obesity is linked to impaired ventricular-arterial coupling (VAC), a crucial determinant of cardiovascular health.
- Understanding the impact of different exercise modalities on VAC is essential for developing effective interventions in obese populations.
Purpose of the Study:
- To compare the effects of 8-week high-intensity interval training (HIIT) versus moderate-intensity continuous training (MICT) on VAC in young obese women.
- To evaluate two distinct methods for assessing VAC: pulse wave velocity/global longitudinal strain (PWV/GLS) and arterial/ventricular elastance (Ea/Ees).
Main Methods:
- Twenty-four obese women participated in a supervised 8-week aerobic training program, randomly assigned to either HIIT (n=11) or MICT (n=13).
- HIIT involved 4-min intervals at 85%-95% max heart rate (HRmax); MICT involved 41 min continuous exercise at 65%-75% HRmax.
- VAC was measured using PWV/GLS and Ea/Ees ratios.
Main Results:
- Both HIIT and MICT significantly improved the PWV/GLS ratio, indicating enhanced VAC.
- Only HIIT resulted in a significant reduction of the Ea/Ees ratio, suggesting a greater improvement in VAC.
- A strong correlation was found between relative changes in PWV/GLS and Ea/Ees, highlighting their interconnectedness.
Conclusions:
- Both HIIT and MICT effectively improve VAC in young obese women, as measured by the PWV/GLS ratio.
- HIIT demonstrates a superior effect on VAC when assessed by the elastance-derived Ea/Ees ratio.
- The PWV/GLS ratio may be a more sensitive and integrated marker for detecting exercise-induced improvements in VAC compared to Ea/Ees.
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