PMID 39618097

Research
All papers

Effects of probiotic supplementation with high-intensity interval training on cardiorespiratory endurance and metabolism in Middle-Aged Obese Women

Question

Does combining probiotic supplementation with HIIT produce additive effects on anthropometry, cardiorespiratory endurance, glucose, and lipids in middle-aged women with obesity?

Summary

In middle-aged women with obesity, 8 weeks of treadmill HIIT improved time to exhaustion and modestly improved VO2max in the HIIT-only group, but the HIIT-only group also showed a small increase in waist circumference and fasting glucose. Combining HIIT with Lactiplantibacillus plantarum TWK10 probiotics improved time to exhaustion, reduced hip circumference, and appeared to offset the waist/glucose concerns. The study was small, self-monitored for HIIT, and diet/menstrual status were not tightly controlled.

Methodology

  • Middle-aged obese women, mostly office workers.
  • 47 participants.
  • Treadmill running.
  • Work intervals: 7 x 2 min.
  • Recovery: 1 min inactive rest.
  • Intensity: 85-90% vVO2max.
  • About 25 min.
  • 3 sessions/week.
  • 8 weeks.
  • Placebo-controlled, double-blind supplementation trial with four groups including HIIT and probiotic combinations.
  • Anthropometry, VO2max, Time to exhaustion, and Fasting blood glucose were tracked.

Outcomes

Time to exhaustion

TTE increased in HIIT and HIIT plus probiotic groups.

H p=0.026; HP p=0.032.

Improved

VO2max

VO2max increased significantly in the HIIT-only group.

36.0 to 37.0 mL/kg/min, p=0.015.

Improved

Anthropometry

HIIT-only waist circumference increased; HIIT plus probiotic hip circumference decreased; body weight and BMI were unchanged.

H waist p=0.030; HP hip p=0.035.

Mixed

Fasting glucose and lipids

HIIT-only fasting glucose increased but remained normal; TC, TG, and LDL-C did not significantly change.

H FBG p=0.029.

Mixed

Insights

  • In unaccustomed middle-aged women, jumping straight to 85-90% vVO2max may improve endurance before improving waist/body weight.
  • Diet and season can confound waist and weight interpretation.
  • Consider gradual ramp-up and knee symptom monitoring.

Limitations

  • Small sample
  • Women-only
  • Seasonal weight effects possible
  • No strict dietary control
  • Menstrual cycle and menopausal status not standardized
  • Self-monitored HIIT

Safety

  • All participants tolerated HIIT and supplementation.
  • One HIIT plus probiotic participant reported mild knee pain after the experiment, with no pain during sessions or measurements.