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Does incorporating high intensity interval training in physical education classes improve fitness outcomes of students? A cluster randomized controlled trial

Petra Jurić, Dean Dudley, Peter Petocz

2023Preventive Medicine Reports18 citationsDOIOpen Access PDF

Abstract

The aim of this study was to determine the efficacy of a high intensity interval training (HIIT) intervention lasting 12 weeks on fitness (cardiorespiratory fitness, muscular strength, muscular endurance, power, speed, flexibility, and balance) and adiposity of 10- to 15-year-old students implemented during their physical education (PE). The focus of this study was to compare two approaches to increasing fitness level among school-aged children, one approach focusing on regular PE sessions in accordance with the curriculum and another one on regular PE classes augmented by HIIT. A cluster-randomized controlled trial was conducted (February-May 2022, Zagreb, Croatia). The total number of students across both groups was 207. General linear models were used to compare fitness and adiposity changes in both groups based on Eurofit test battery. A significant effect of the HIIT intervention was present for the 20-meter shuttle run test (p = 0.001; d = 0.31). The effect of the intervention compared to the control was estimated as an additional 181.2 m, 95 %CI (70.4 to 292.0). An additional intention-to-treat (ITT) analysis showed that the effect of the HIIT intervention on 20-meter shuttle run test remained statistically significant (p = 0.011), though the magnitude of the estimated effect was reduced from 181.2 m; SE = 55.4 to 119.6 m; SE = 46.4. Whilst it appears HIIT had the opposite of the expected effect on body fat percentiles, the effect on body composition was inconsistent. The intervention is registered at the Australian New Zealand Clinical Trials Registry (ANZCTR) [ACTRN12622000209796].

Topics & Concepts

Cardiorespiratory fitnessMulti-stage fitness testMedicinePhysical therapyPhysical fitnessHigh-intensity interval trainingRandomized controlled trialPhysical educationCluster randomised controlled trialPercentileAnthropometryTest (biology)VO2 maxPhysical strengthConfidence intervalMathematicsHeart rateStatisticsInternal medicineBlood pressurePaleontologyMedical educationBiologyCardiovascular and exercise physiologySports Performance and TrainingPhysical Activity and Health