Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Université Clermont Auvergne, EA 3533, Clermont-Ferrand, 63171, France.
Clermont-Ferrand University Hospital, Biostatistics Unit (DRCI), Clermont-Ferrand, 63000, France.
Exp Physiol. 2020 Sep;105(9):1470-1490. doi: 10.1113/EP088654. Epub 2020 Jul 21.
What is the topic of this review? A meta-analysis of the efficacy of high intensity interval training (HIIT) in reducing weight, total fat mass (FM) and (intra)-abdominal FM in normal-weight and overweight/obese women before and after menopause. What advances does it highlight? HIIT programmes in women significantly decrease body weight and total and abdominal FM. Their effects are more evident in pre- than in postmenopausal women. Cycling HIIT seems more effective than running, especially in postmenopausal women, and training interventions longer than 8 weeks comprising three sessions a week should be promoted.
High-intensity interval training (HIIT) is a stimulating modality for reducing body weight and adipose tissue. The purpose of this meta-analysis was to assess the efficacy of HIIT in reducing weight, total fat mass (FM) and (intra)-abdominal FM in normal-weight and overweight/obese women before and after menopause. A structured electronic search was performed to find all publications relevant to our review. Stratified analyses were made of hormonal status (pre- vs. postmenopausal state), weight, HIIT modalities (cycling vs. running), programme duration (< or ≥8 weeks) and the methods used to measure body composition (dual-energy X-ray absorptiometry vs. computed tomography, Magnetic Resonance Imaging and others). A total of 38 studies involving 959 subjects were included. Our meta-analysis showed that overall HIIT programmes significantly decrease weight, total and abdominal FM in women. Both normal weight and overweight/obese women lost total FM after HIIT protocols whereas HIIT was only effective in decreasing abdominal FM in women with excess adiposity. When pre- and postmenopausal women were considered separately, the effect of HIIT on weight, total and abdominal FM were only significant before menopause. Cycling HIIT seemed more effective than running, especially in postmenopausal women, and training interventions longer than 8 weeks comprising three sessions were more efficient. HIIT is a successful strategy to lose weight and FM in normal weight and overweight/obese women. However, further studies are still needed to draw meaningful conclusions about the real effectiveness of HIIT protocols in postmenopausal women.
本综述的主题是什么？高强度间歇训练（HIIT）在减轻绝经前和绝经后正常体重和超重/肥胖女性体重、总脂肪量（FM）和（腹）内 FM 方面的疗效的荟萃分析。它强调了哪些进展？HIIT 方案可显著降低女性体重和总脂肪量及腹内脂肪量。其在绝经前女性中的效果比绝经后更为明显。与跑步相比，自行车 HIIT 似乎更有效，尤其是在绝经后女性中，应提倡每周进行 3 次、每次 3 次、持续 8 周以上的训练干预。
高强度间歇训练（HIIT）是一种刺激方式，可以减轻体重和脂肪组织。本荟萃分析的目的是评估 HIIT 在减轻绝经前和绝经后正常体重和超重/肥胖女性体重、总脂肪量（FM）和（腹）内 FM 方面的疗效。我们进行了结构化的电子检索，以查找与我们的综述相关的所有出版物。对激素状态（绝经前与绝经后状态）、体重、HIIT 方式（自行车与跑步）、方案持续时间（<8 周与≥8 周）以及身体成分测量方法（双能 X 射线吸收法与计算机断层扫描、磁共振成像和其他方法）进行分层分析。共有 38 项研究涉及 959 名受试者。我们的荟萃分析表明，总体而言，HIIT 方案可显著降低女性体重、总脂肪量和腹内脂肪量。正常体重和超重/肥胖女性在接受 HIIT 方案后均会减少总 FM，而 HIIT 仅对超重/肥胖女性的腹部 FM 有效。当分别考虑绝经前和绝经后女性时，HIIT 对体重、总脂肪量和腹内脂肪量的影响仅在绝经前显著。与跑步相比，自行车 HIIT 似乎更有效，尤其是在绝经后女性中，而持续时间超过 8 周、包括 3 次的训练干预更为有效。HIIT 是减轻正常体重和超重/肥胖女性体重和 FM 的有效策略。然而，仍需要进一步的研究来得出关于 HIIT 方案在绝经后女性中的实际有效性的有意义的结论。
