Effects of high-intensity interval training on improving arterial stiffness in Chinese female university students with normal weight obese: a pilot randomized controlled trial
Question
Can short-term HIIT improve body composition, blood pressure, lipid metabolism, and arterial stiffness indices in Chinese female university students with normal-weight obesity?
Summary
Chinese female university students with normal-weight obesity completed four weeks of coach-guided bodyweight HIIT five times per week. Compared with health-education control, HIIT improved body composition, blood pressure, lipids, and noninvasive arterial-stiffness indices, with no adverse exercise events reported.
Methodology
- Chinese female university students with normal-weight obesity
- 40 participants.
- Bodyweight circuit.
- Work intervals: 40 s per movement.
- Recovery: 20 s between movements; 1 min between bouts.
- Intensity: 90% HRmax.
- 10-min warm-up + 3 x 9-min circuits with rests + 10-min stretching.
- 5 sessions/week.
- 4 weeks after acclimatization.
- Pilot randomized controlled trial
- Body composition, Blood pressure, Lipids, and Arterial stiffness were tracked.
Outcomes
Body composition
HIIT improved multiple body-composition indices including BMI, body fat, skeletal muscle mass, fat-free mass, and InBody score.
Article reports statistically significant improvements after 4 weeks; exact p values by variable in tables.
Blood pressure
HIIT decreased resting HR and BP.
Article reports statistically significant decreases.
Lipids
HIIT reduced TC, TG, LDL, and TC/HDL and increased HDL.
Article reports significant improvements and normalization of several lipid indices.
Arterial stiffness
AVI and API decreased after HIIT, suggesting lower arterial-stiffness propensity.
Article reports AVI and API were markedly/significantly decreased to normal ranges.
Safety
No adverse exercise events were observed.
Insights
- A 40/20 bodyweight circuit can be delivered with an onboarding week and HR monitoring.
- High-frequency HIIT should include screening, warm-up, cooldown, and coach oversight.
Limitations
- Small pilot sample
- Higher control attrition
- Dietary intake not monitored
- No DXA
- No endothelial function/female hormone measures
- Fingerstick lipids instead of lab blood testing
Safety
- No muscle injury, overfatigue, syncope, palpitation, angina, abnormal BP fluctuation, nausea, vomiting, or dyspnea occurred during HIIT.
- Exercise risk assessment and acclimatization were emphasized.