Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial
Question
Can brief HIIT sessions be embedded into the school day, and what preliminary effects do aerobic and resistance-aerobic HIIT have on adolescent fitness, body composition, and motivation?
Summary
In one Australian secondary school, short 8-10 minute HIIT sessions embedded into PE and lunchtime were feasible and enjoyable. The resistance-and-aerobic program showed small cardiorespiratory fitness effects and both HIIT formats improved some body-size measures, but this was a small pilot.
Methodology
- Year 9 and 10 students from one coeducational secondary school in Newcastle, Australia
- 65 participants.
- Bodyweight resistance and cardio exercises.
- Work intervals: 30 seconds.
- Recovery: 30 seconds.
- Intensity: Designed as HIIT; average HR including warm-up/cooldown was 77.58% HRmax in RAP.
- 8 minutes in weeks 1-3, 9 minutes in weeks 4-6, 10 minutes in weeks 7-8.
- 3 sessions per week.
- 8 weeks.
- Pilot three-arm randomized controlled trial
- Cardiorespiratory fitness, Body composition, Muscular fitness, and Feasibility were tracked.
Outcomes
CRF
The resistance-aerobic program showed a small favorable cardiorespiratory fitness effect versus control; the aerobic-only program showed trivial effects.
RAP vs control difference 5.2 PACER laps, 95% CI -4.2 to 14.7, d=0.4; estimated VO2max effect favored RAP by about 5.9 mL/kg/min.
Body size
Both HIIT groups showed moderate favorable effects on BMI and waist circumference.
BMI effects AEP -0.27 kg/m2 and RAP -0.28 kg/m2, both d=-0.53; waist AEP -1.5 cm d=-0.5 and RAP -2.1 cm d=-0.7, p=0.024 for RAP.
Muscular fitness
No meaningful muscular-fitness effects were detected.
Push-up and standing long-jump effects were not meaningful in the pilot results.
Feasibility
Recruitment, retention, attendance, and enjoyment supported feasibility.
Consent 86%, retention 90.8%, attendance 2.2 of 3 sessions/week, enjoyment 4.2/5 among 31/43 intervention students.
Insights
- Very short school-day HIIT sessions can be embedded into PE and lunchtime with good retention.
- Choice, music, partner format, certificates, and visible HR feedback were used to support enjoyment.
- Bodyweight resistance plus cardio may be more promising than aerobic-only HIIT for adolescent CRF.
Limitations
- Pilot trial from one school.
- Small sample with more boys than girls.
- Field fitness tests rather than gold-standard laboratory measures.
- No objective accounting for physical activity outside the intervention.
- No DXA or laboratory strength testing.
Safety
- The NXML sections reviewed did not report adverse events.