# Acute effects of resistance-type and cycling-type high-intensity interval training on arterial stiffness, cardiac autonomic modulation and cardiac biomarkers

PMID: 38212817
Journal: BMC sports science, medicine & rehabilitation
Published: 2024-01-11
Authors: Wang T, Mao J, Bo S, Zhang L, Li Q

## Question

Do cycling-type and resistance-type HIIT sessions with similar duration and intensity produce different acute effects on arterial stiffness, cardiac autonomic modulation, systolic blood pressure, and cardiac biomarkers in healthy young men?

## Summary

In a randomized crossover study, 11 healthy active young men performed both cycling-type HIIT and resistance-type HIIT. Both protocols used 10 one-minute work intervals with one-minute recoveries after a 10-minute warmup. Resistance-type HIIT used loaded back squats and cycling-type HIIT used a cycle ergometer. The squat-based protocol reduced cardio-ankle vascular index more immediately after exercise, while both protocols produced similar temporary changes in heart-rate variability and cardiac biomarkers that returned or moved toward baseline by 30-35 minutes.

## Population

- Eleven healthy active young male undergraduate physical education students from Beijing, China.
- Sample size: 11
- Age: 21.36 +/- 2.46 years
- Sex: Men only
- Fitness level: Active; at least two systematic training sessions per week; VO2max 46.06 +/- 9.29 mL/kg/min
- Health status: Healthy young men

## Methodology

- Randomized crossover acute exercise trial
- Acute single-session comparison with at least one-week washout between HIIT modes
- Laboratory at Capital University of Physical Education and Sports, Beijing, China
- Randomized and controlled study design.

## Protocol

- R-HIIT.
- Modality: Behind-the-neck barbell back squats.
- Work intervals: 60 seconds.
- Recovery: 60 seconds.
- Sets or repetitions: 10 intervals, up to 30 squat repetitions per work interval.
- Intensity: 20% bodyweight barbell load; metronome 60 beats/min; eccentric phase 1 second and concentric phase as fast as possible; RPE-matched to C-HIIT.
- Session duration: 10-minute warmup plus 19-minute exercise intervention.
- Frequency: Single acute session.
- Program length: Single acute bout.
- Progression: None.
- C-HIIT.
- Modality: Cycle ergometer.
- Work intervals: 60 seconds at 90% peak power output.
- Recovery: 60 seconds active recovery at 25% peak power output.
- Sets or repetitions: 10 intervals.
- Intensity: 90% PPO during work; 25% PPO during recovery; cadence 60-65 rpm.
- Session duration: 10-minute warmup plus 19-minute exercise intervention.
- Frequency: Single acute session.
- Program length: Single acute bout.
- Progression: None.

## Outcomes

### Average CAVI
Status: improved
Both protocols reduced CAVI immediately and 30 minutes after exercise; R-HIIT produced a larger immediate reduction than C-HIIT.

Time x group interaction P = 0.019, partial eta squared 0.182; time main effect P < 0.001, partial eta squared 0.729; immediate R-HIIT versus C-HIIT difference -0.60 +/- 0.30, P = 0.043, d = 0.924

### Systolic blood pressure
Status: mixed
SBP changed acutely over time after both HIIT modes and returned near baseline by 30 minutes, with no significant mode difference.

Interaction P = 0.179; group P = 0.580; time P = 0.001, partial eta squared 0.304

### Heart-rate variability
Status: mixed
lnHF and lnRMSSD decreased and LF/HF increased immediately after both protocols; parasympathetic markers remained below baseline at 30 minutes, with no significant mode differences.

lnHF time P < 0.001, partial eta squared 0.782; lnRMSSD time P < 0.001, partial eta squared 0.693; LF/HF time P = 0.001, partial eta squared 0.302; no significant interactions or group effects

### Cardiac troponin-T
Status: mixed
cTnT increased 5 minutes after both protocols and was not different from resting value by 35 minutes; no mode difference was observed.

Interaction P = 0.293; group P = 0.804; time P = 0.023, partial eta squared 0.193

### NT-proBNP
Status: mixed
NT-proBNP increased 5 minutes after both protocols and was not different from resting value by 35 minutes; no mode difference was observed.

Interaction P = 0.208; group P = 0.789; time P = 0.001, partial eta squared 0.334

## Practical Insights

- A 10 x 60-second, 1:1 work-rest HIIT structure can be delivered through both cycling and resistance exercise, but acute vascular responses may differ by mode.
- Squat-based loaded R-HIIT may not be a broadly safe default despite favorable acute CAVI response in healthy young men.
- Brief HIIT can temporarily suppress HRV recovery markers; programming should allow recovery after intense sessions.
- Acute biomarker findings in healthy active men should not be used as clinical safety claims for higher-risk users.

## Limitations

- Acute-only intervention
- Very small sample
- All participants were healthy active young men
- No long-term training outcomes
- Only one R-HIIT exercise mode was tested
- No longer cTnT follow-up beyond 35 minutes
- No explicit adverse-event reporting found

## Safety And Adherence

- No explicit adverse-event results were found in the extracted full text.
- Cardiac biomarkers increased transiently after both HIIT modes and returned to non-different-from-baseline values by 35 minutes.
- HRV parasympathetic markers were still below baseline at 30 minutes after exercise.
- The authors cautioned that the behind-the-neck squat R-HIIT protocol may cause lower-body overexertion.

## Original Sources

- [PubMed](https://pubmed.ncbi.nlm.nih.gov/38212817/) (pubmed)
- [DOI](https://doi.org/10.1186/s13102-024-00806-8) (doi)
- [PMC full text](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785405/) (full text)

## Agent Guidance

Preserve the paper-level scope of this note. Do not generalize beyond the population, protocol, measured outcomes, and limitations above.