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Published in: BMC Sports Science, Medicine and Rehabilitation 1/2023

Open Access 01-12-2023 | Research article

Impact of high intensity interval exercise with and without heat stress on cardiovascular and aerobic performance: a pilot study

Authors: Alexs A. Matias, Isabelle F. Albin, Leah Glickman, Peter A. Califano, Justin M. Faller, Gwenael Layec, Stephen J. Ives

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2023

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Abstract

Background

Heat stress during aerobic exercise training may offer an additional stimulus to improve cardiovascular function and performance in a cool-temperate environment. However, there is a paucity of information on the additive effects of high-intensity interval exercise (HIIE) and acute heat stress. We aimed to determine the effects of HIIE in combination with acute heat stress on cardiovascular function and exercise performance.

Methods

Twelve active (peak O2 consumption [VO2peak]: 47 ± 8 ml·O2/min/kg) young adults were counterbalanced to six sessions of HIIE in hot (HIIE-H, 30 ± 1 °C, 50 ± 5% relative humidity [RH]) or temperate conditions (HIIE-T, 20 ± 2 °C, 15 ± 10% RH). Resting heart rate (HR), HR variability (HRV), central (cBP) and peripheral blood pressure (pBP), peripheral mean arterial pressure (pMAP), pulse wave velocity (PWV), VO2peak, and 5-km treadmill time-trial were measured pre- and post-training.

Results

Resting HR and HRV were not significantly different between groups. However, expressed as percent change from baseline, cSBP (HIIE-T: + 0.9 ± 3.6 and HIIE-H: -6.6 ± 3.0%, p = 0.03) and pSBP (HIIE-T: -2.0 ± 4.6 and HIIE-H: -8.4 ± 4.7%, p = 0.04) were lower in the heat group. Post-training PWV was also significantly lower in the heat group (HIIE-T: + 0.4% and HIIE-H: -6.3%, p = 0.03). Time-trial performance improved with training when data from both groups were pooled, and estimated VO2peak was not significantly different between groups (HIIE-T: 0.7% and HIIE-H: 6.0%, p = 0.10, Cohen’s d = 1.4).

Conclusions

The addition of acute heat stress to HIIE elicited additive adaptations in only cardiovascular function compared to HIIE alone in active young adults in temperate conditions, thus providing evidence for its effectiveness as a strategy to amplify exercise-induced cardiovascular adaptations.
Literature
1.
go back to reference Lefferts WK, et al. Vascular and Central Hemodynamic Changes Following Exercise-Induced Heat Stress. Vascular Med (United Kingdom). 2015;20(3):222–9.CrossRef Lefferts WK, et al. Vascular and Central Hemodynamic Changes Following Exercise-Induced Heat Stress. Vascular Med (United Kingdom). 2015;20(3):222–9.CrossRef
2.
go back to reference Jentjens RLPG, Wagenmakers AJM, Jeukendrup AE. Heat stress increases muscle glycogen use but reduces the oxidation of ingested carbohydrates during exercise. J Appl Physiol. 2002;92(4):1562–72.PubMedCrossRef Jentjens RLPG, Wagenmakers AJM, Jeukendrup AE. Heat stress increases muscle glycogen use but reduces the oxidation of ingested carbohydrates during exercise. J Appl Physiol. 2002;92(4):1562–72.PubMedCrossRef
3.
go back to reference Tucker R, et al. Impaired exercise performance in the heat is associated with an anticipatory reduction in skeletal muscle recruitment. Pfllgers Archiv Eur J Physiol. 2004;448(4):422–30. Tucker R, et al. Impaired exercise performance in the heat is associated with an anticipatory reduction in skeletal muscle recruitment. Pfllgers Archiv Eur J Physiol. 2004;448(4):422–30.
4.
go back to reference Schlader ZJ, et al. Simultaneous assessment of motor and cognitive tasks reveals reductions in working memory performance following exercise in the heat. Temperature. 2021;1–13. Schlader ZJ, et al. Simultaneous assessment of motor and cognitive tasks reveals reductions in working memory performance following exercise in the heat. Temperature. 2021;1–13.
6.
go back to reference Sawka MN, et al. Integrated Physiological Mechanisms of Exercise Performance, Adaptation, and Maladaptation to Heat Stress. Compr Physiol. 2011:1883–1928. Sawka MN, et al. Integrated Physiological Mechanisms of Exercise Performance, Adaptation, and Maladaptation to Heat Stress. Compr Physiol. 2011:1883–1928.
7.
8.
go back to reference Gibson OR, et al. Cross-Adaptation: Heat and Cold Adaptation to Improve Physiological and Cellular Responses to Hypoxia. Sports Med. 2017;47(9):1751–68.PubMedPubMedCentralCrossRef Gibson OR, et al. Cross-Adaptation: Heat and Cold Adaptation to Improve Physiological and Cellular Responses to Hypoxia. Sports Med. 2017;47(9):1751–68.PubMedPubMedCentralCrossRef
9.
go back to reference Waldron M, et al. Effects of Heat Acclimation and Acclimatisation on Maximal Aerobic Capacity Compared to Exercise Alone in Both Thermoneutral and Hot Environments: A Meta-Analysis and Meta-Regression. Sports Med. 2021;51(7):1509–25.PubMedPubMedCentralCrossRef Waldron M, et al. Effects of Heat Acclimation and Acclimatisation on Maximal Aerobic Capacity Compared to Exercise Alone in Both Thermoneutral and Hot Environments: A Meta-Analysis and Meta-Regression. Sports Med. 2021;51(7):1509–25.PubMedPubMedCentralCrossRef
10.
go back to reference Schleh MW, Ruby BC, Dumke CL. Short term heat acclimation reduces heat stress, but is not augmented by dehydration. J Therm Biol. 2018;78:227–34.PubMedCrossRef Schleh MW, Ruby BC, Dumke CL. Short term heat acclimation reduces heat stress, but is not augmented by dehydration. J Therm Biol. 2018;78:227–34.PubMedCrossRef
12.
go back to reference Rendell RA, et al. Effects of 10 days of separate heat and hypoxic exposure on heat acclimation and temperate exercise performance. Am J Physiol Regul Integr Comp Physiol. 2017;313:191–201.CrossRef Rendell RA, et al. Effects of 10 days of separate heat and hypoxic exposure on heat acclimation and temperate exercise performance. Am J Physiol Regul Integr Comp Physiol. 2017;313:191–201.CrossRef
13.
go back to reference Bittencourt MA, et al. Comparative effects of two heat acclimation protocols consisting of high-intensity interval training in the heat on aerobic performance and thermoregulatory responses in exercising rats. PLoS ONE. 2020;15(2):e0229335. Bittencourt MA, et al. Comparative effects of two heat acclimation protocols consisting of high-intensity interval training in the heat on aerobic performance and thermoregulatory responses in exercising rats. PLoS ONE. 2020;15(2):e0229335.
14.
go back to reference Sawka MN, et al. Effects of Acute Plasma Volume Expansion on Altering Exercise-Heat Performance. Eur J Appl Physiol. 1983;51:303–12.CrossRef Sawka MN, et al. Effects of Acute Plasma Volume Expansion on Altering Exercise-Heat Performance. Eur J Appl Physiol. 1983;51:303–12.CrossRef
15.
go back to reference Wardenaar FC, et al. A 5-day Heat Acclimation Program Improves Heat Stress Indicators While Maintaining Exercise Capacity. 2021.CrossRef Wardenaar FC, et al. A 5-day Heat Acclimation Program Improves Heat Stress Indicators While Maintaining Exercise Capacity. 2021.CrossRef
16.
go back to reference Willmott AGB, et al. Heat acclimation attenuates the increased sensations of fatigue reported during acute exercise-heat stress. Temperature. 2020;7(2):178–90.CrossRef Willmott AGB, et al. Heat acclimation attenuates the increased sensations of fatigue reported during acute exercise-heat stress. Temperature. 2020;7(2):178–90.CrossRef
17.
go back to reference Trachsel LD, et al. Cardiac function during heat stress: impact of short-term passive heat acclimation. Am J Physiol Heart Circ Physiol. 2020;319:753–64.CrossRef Trachsel LD, et al. Cardiac function during heat stress: impact of short-term passive heat acclimation. Am J Physiol Heart Circ Physiol. 2020;319:753–64.CrossRef
18.
19.
go back to reference Brunt VE, et al. Passive Heat Therapy Improves Cutaneous Microvascular Function in Sedentary Humans via Improved Nitric Oxide-Dependent Dilation. J Appl Physiol. 2016;121:716–23.PubMedPubMedCentralCrossRef Brunt VE, et al. Passive Heat Therapy Improves Cutaneous Microvascular Function in Sedentary Humans via Improved Nitric Oxide-Dependent Dilation. J Appl Physiol. 2016;121:716–23.PubMedPubMedCentralCrossRef
20.
go back to reference Brunt VE, et al. Passive Heat Therapy Improves Endothelial Function, Arterial Stiffness and Blood Pressure in Sedentary Humans. J Physiol. 2016;594(18):5329–42.PubMedPubMedCentralCrossRef Brunt VE, et al. Passive Heat Therapy Improves Endothelial Function, Arterial Stiffness and Blood Pressure in Sedentary Humans. J Physiol. 2016;594(18):5329–42.PubMedPubMedCentralCrossRef
21.
go back to reference Vlachopoulos C, et al. Association of Estimated Pulse Wave Velocity With Survival: A Secondary Analysis of SPRINT. JAMA Network Open. 2019:e1912831-e1912831. Vlachopoulos C, et al. Association of Estimated Pulse Wave Velocity With Survival: A Secondary Analysis of SPRINT. JAMA Network Open. 2019:e1912831-e1912831.
22.
go back to reference Keiser S, et al. Heat training increases exercise capacity in hot but not in temperate conditions: a mechanistic counter-balanced cross-over study. Am J Physiology-Heart Circ Physiol. 2015;309(5):H750–61.CrossRef Keiser S, et al. Heat training increases exercise capacity in hot but not in temperate conditions: a mechanistic counter-balanced cross-over study. Am J Physiology-Heart Circ Physiol. 2015;309(5):H750–61.CrossRef
23.
24.
go back to reference Batacan RB Jr, et al. Effects of high-intensity interval training on cardiometabolic health: a systematic review and meta-analysis of intervention studies. Br J Sports Med. 2017;51(6):494–503.PubMedCrossRef Batacan RB Jr, et al. Effects of high-intensity interval training on cardiometabolic health: a systematic review and meta-analysis of intervention studies. Br J Sports Med. 2017;51(6):494–503.PubMedCrossRef
25.
go back to reference Atakan MM, et al. Effects of high-intensity interval training (HIIT) and sprint interval training (SIT) on fat oxidation during exercise: a systematic review and meta-analysis. Br J Sports Med. 2022;56:988–96. Atakan MM, et al. Effects of high-intensity interval training (HIIT) and sprint interval training (SIT) on fat oxidation during exercise: a systematic review and meta-analysis. Br J Sports Med. 2022;56:988–96.
26.
go back to reference Keating SE, et al. A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity. Obes Rev. 2017;18(8):943–64.PubMedCrossRef Keating SE, et al. A systematic review and meta-analysis of interval training versus moderate-intensity continuous training on body adiposity. Obes Rev. 2017;18(8):943–64.PubMedCrossRef
27.
go back to reference Weston KS, Wisloff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Br J Sports Med. 2014;48(16):1227–34.PubMedCrossRef Weston KS, Wisloff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Br J Sports Med. 2014;48(16):1227–34.PubMedCrossRef
28.
go back to reference Reeve T, et al. Impairment of cycling capacity in the heat in well-trained endurance athletes after high-intensity short-term heat acclimation. Int J Sports Physiol Perf. 2019;14(8):1058–65.CrossRef Reeve T, et al. Impairment of cycling capacity in the heat in well-trained endurance athletes after high-intensity short-term heat acclimation. Int J Sports Physiol Perf. 2019;14(8):1058–65.CrossRef
29.
go back to reference Lloyd A, et al. Interaction between environmental temperature and hypoxia on central and peripheral fatigue during high-intensity dynamic knee extension. J Appl Physiol. 2016;120(6):567–79.PubMedCrossRef Lloyd A, et al. Interaction between environmental temperature and hypoxia on central and peripheral fatigue during high-intensity dynamic knee extension. J Appl Physiol. 2016;120(6):567–79.PubMedCrossRef
30.
go back to reference Karlsen A, et al. Heat acclimatization does not improve VO2max or cycling performance in a cool climate in trained cyclists. Scand J Med Sci Sports. 2015;25:269–76.PubMedCrossRef Karlsen A, et al. Heat acclimatization does not improve VO2max or cycling performance in a cool climate in trained cyclists. Scand J Med Sci Sports. 2015;25:269–76.PubMedCrossRef
31.
go back to reference McCleave EL, et al. Temperate Performance Benefits after Heat, but Not Combined Heat and Hypoxic Training. Open Publication UTS Scholars. 2017;49(3):509–17. McCleave EL, et al. Temperate Performance Benefits after Heat, but Not Combined Heat and Hypoxic Training. Open Publication UTS Scholars. 2017;49(3):509–17.
32.
go back to reference Tucker LA, Lecheminant JD, Bailey BW. Test-retest reliability of the Bod Pod: the effect of multiple assessments. Percept Mot Skills. 2014;118(2):563–70.PubMedCrossRef Tucker LA, Lecheminant JD, Bailey BW. Test-retest reliability of the Bod Pod: the effect of multiple assessments. Percept Mot Skills. 2014;118(2):563–70.PubMedCrossRef
33.
go back to reference Matias A, et al. Rehydrating efficacy of maple water after exercise-induced dehydration. J Int Soc Sports Nutr. 2019;16(1). Matias A, et al. Rehydrating efficacy of maple water after exercise-induced dehydration. J Int Soc Sports Nutr. 2019;16(1).
34.
go back to reference Moss JN, et al. Short-term isothermic heat acclimation elicits beneficial adaptations but medium-term elicits a more complete adaptation. Eur J Appl Physiol. 2020;120(1):243–54.PubMedCrossRef Moss JN, et al. Short-term isothermic heat acclimation elicits beneficial adaptations but medium-term elicits a more complete adaptation. Eur J Appl Physiol. 2020;120(1):243–54.PubMedCrossRef
35.
go back to reference Crouter SE, et al. Accuracy and reliability of the ParvoMedics TrueOne 2400 and MedGraphics VO2000 metabolic systems. Eur J Appl Physiol. 2006;98(2):139–51.PubMedCrossRef Crouter SE, et al. Accuracy and reliability of the ParvoMedics TrueOne 2400 and MedGraphics VO2000 metabolic systems. Eur J Appl Physiol. 2006;98(2):139–51.PubMedCrossRef
36.
go back to reference Fox SM, Naughton JP, Haskell WL. Physical activity and the prevention of coronary heart disease. Ann Clin Res. 1971;3(6):404–32.PubMed Fox SM, Naughton JP, Haskell WL. Physical activity and the prevention of coronary heart disease. Ann Clin Res. 1971;3(6):404–32.PubMed
37.
go back to reference Driller M, Brophy-Williams N, Walker A. The Reliability of a 5km Run Test on a Motorized Treadmill. Meas Phys Educ Exerc Sci. 2017;21(3):121–6.CrossRef Driller M, Brophy-Williams N, Walker A. The Reliability of a 5km Run Test on a Motorized Treadmill. Meas Phys Educ Exerc Sci. 2017;21(3):121–6.CrossRef
38.
go back to reference Weltman A, et al. Percentages of Maximal Heart Rate, Heart Rate Reserve, and V̇O2 peak for Determining Endurance Training Intensity in Sedentary Women*. Int J Sports Med. 1989;10(03):212–6.PubMedCrossRef Weltman A, et al. Percentages of Maximal Heart Rate, Heart Rate Reserve, and V̇O2 peak for Determining Endurance Training Intensity in Sedentary Women*. Int J Sports Med. 1989;10(03):212–6.PubMedCrossRef
39.
40.
go back to reference Wingfield GL, et al. The effect of high versus low intensity heat acclimation on performance and neuromuscular responses. J Therm Biol. 2016;58:50–9.PubMedCrossRef Wingfield GL, et al. The effect of high versus low intensity heat acclimation on performance and neuromuscular responses. J Therm Biol. 2016;58:50–9.PubMedCrossRef
41.
go back to reference Sinnreich R, et al. Five Minute Recordings of Heart Rate Variability for Population Studies: Repeatability and Age-Sex Characteristics. Heart. 1998;80:156–62.PubMedPubMedCentralCrossRef Sinnreich R, et al. Five Minute Recordings of Heart Rate Variability for Population Studies: Repeatability and Age-Sex Characteristics. Heart. 1998;80:156–62.PubMedPubMedCentralCrossRef
42.
go back to reference Hernandez-Vicente A, et al. Validity of the Polar H7 Heart Rate Sensor for Heart Rate Variability Analysis during Exercise in Different Age, Body Composition and Fitness Level Groups. Sensors (Basel). 2021;21(3):902. Hernandez-Vicente A, et al. Validity of the Polar H7 Heart Rate Sensor for Heart Rate Variability Analysis during Exercise in Different Age, Body Composition and Fitness Level Groups. Sensors (Basel). 2021;21(3):902.
43.
go back to reference Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017;5. Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017;5.
44.
go back to reference Gambassi BB, et al. A validation study of a smartphone application for heart rate variability assessment in asymptomatic adults. Am J Cardiovasc Dis. 2020;10(3):219–29.PubMedPubMedCentral Gambassi BB, et al. A validation study of a smartphone application for heart rate variability assessment in asymptomatic adults. Am J Cardiovasc Dis. 2020;10(3):219–29.PubMedPubMedCentral
45.
go back to reference Castagna F, et al. Validity and Reliability of a Next Generation Non-Invasive Blood Pressure Monitor in Patients with Continuous-Flow Left Ventricular Assist Device. J Heart Lung Transplant. 2016;35(4):S326–7. Castagna F, et al. Validity and Reliability of a Next Generation Non-Invasive Blood Pressure Monitor in Patients with Continuous-Flow Left Ventricular Assist Device. J Heart Lung Transplant. 2016;35(4):S326–7.
46.
go back to reference Weiss W, et al. Oscillometric Estimation of Central Blood Pressure: Validation of the Mobil-O-Graph in Comparison with the SphygmoCor device. Blood Press Monit. 2012;17(3):128–31.PubMedCrossRef Weiss W, et al. Oscillometric Estimation of Central Blood Pressure: Validation of the Mobil-O-Graph in Comparison with the SphygmoCor device. Blood Press Monit. 2012;17(3):128–31.PubMedCrossRef
47.
go back to reference Weber T, et al. Validation of a Brachial Cuff-Based Method for Estimating Central Systolic Blood Pressure. Hypertension. 2011;58(5):825–32.PubMedCrossRef Weber T, et al. Validation of a Brachial Cuff-Based Method for Estimating Central Systolic Blood Pressure. Hypertension. 2011;58(5):825–32.PubMedCrossRef
48.
go back to reference Jakeman J, Adamson S, Babraj J. Extremely Short Duration High-Intensity Training Substantially Improves Endurance Performance in Triathletes. Appl Physiol Nutr Metab. 2012;37(5):976–81.PubMedCrossRef Jakeman J, Adamson S, Babraj J. Extremely Short Duration High-Intensity Training Substantially Improves Endurance Performance in Triathletes. Appl Physiol Nutr Metab. 2012;37(5):976–81.PubMedCrossRef
49.
go back to reference Kavaliauskas M, Steer TP, Babraj JA. Cardiorespiratory Fitness and Aerobic Performance Adaptations to a 4-week Sprint Interval Training in Young Healthy Untrained Females. Sport Sci Health. 2017;13(1):17–23.PubMedCrossRef Kavaliauskas M, Steer TP, Babraj JA. Cardiorespiratory Fitness and Aerobic Performance Adaptations to a 4-week Sprint Interval Training in Young Healthy Untrained Females. Sport Sci Health. 2017;13(1):17–23.PubMedCrossRef
50.
go back to reference Nybo L, Rasmussen P, Sawka MN. Performance in the Heat—Physiological Factors of Importance for Hyperthermia‐Induced Fatigue. Compr Physiol. 2014;657–689. Nybo L, Rasmussen P, Sawka MN. Performance in the Heat—Physiological Factors of Importance for Hyperthermia‐Induced Fatigue. Compr Physiol. 2014;657–689.
51.
go back to reference Périard JD, Racinais S, Sawka MN. Adaptations and Mechanisms of Human Heat Acclimation: Applications for Competitive Athletes and Sports. Scand J Med Sci Sports. 2015;25(S1):20–38.PubMedCrossRef Périard JD, Racinais S, Sawka MN. Adaptations and Mechanisms of Human Heat Acclimation: Applications for Competitive Athletes and Sports. Scand J Med Sci Sports. 2015;25(S1):20–38.PubMedCrossRef
52.
go back to reference Laukkanen T, et al. Acute Effects of Sauna Bathing on Cardiovascular Function. J Human Hypertension. 2018:p. undefined. Laukkanen T, et al. Acute Effects of Sauna Bathing on Cardiovascular Function. J Human Hypertension. 2018:p. undefined.
53.
go back to reference Buchheit M, et al. Physiological and Performance Adaptations to an In-Season Soccer Camp in the Heat: Associations with Heart Rate and Heart Rate Variability. Scand J Med Sci Sports. 2011;21(6):1–9.CrossRef Buchheit M, et al. Physiological and Performance Adaptations to an In-Season Soccer Camp in the Heat: Associations with Heart Rate and Heart Rate Variability. Scand J Med Sci Sports. 2011;21(6):1–9.CrossRef
54.
go back to reference Laurent S, et al. Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients. Hypertension. 2001;37:1236–41.PubMedCrossRef Laurent S, et al. Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients. Hypertension. 2001;37:1236–41.PubMedCrossRef
55.
go back to reference Hunter SD, et al. The Effect of Bikram Yoga on Arterial Stiffness in Young and Older Adults. J Altern Complement Med. 2013;19(12):930–4.PubMedCrossRef Hunter SD, et al. The Effect of Bikram Yoga on Arterial Stiffness in Young and Older Adults. J Altern Complement Med. 2013;19(12):930–4.PubMedCrossRef
56.
go back to reference Hunter SD, et al. Impact of Hot Yoga on Arterial Stiffness and Quality of Life in Overweight/Obese Adults. J Phys Act Health. 2016;13(12):1360–3.PubMedCrossRef Hunter SD, et al. Impact of Hot Yoga on Arterial Stiffness and Quality of Life in Overweight/Obese Adults. J Phys Act Health. 2016;13(12):1360–3.PubMedCrossRef
57.
58.
59.
go back to reference Kirby NV, Lucas SJE, Lucas RAI. Nine-, but not four-days heat acclimation improves self-paced endurance performance in females. Front Physiol. 2019;10(MAY). Kirby NV, Lucas SJE, Lucas RAI. Nine-, but not four-days heat acclimation improves self-paced endurance performance in females. Front Physiol. 2019;10(MAY).
Metadata
Title
Impact of high intensity interval exercise with and without heat stress on cardiovascular and aerobic performance: a pilot study
Authors
Alexs A. Matias
Isabelle F. Albin
Leah Glickman
Peter A. Califano
Justin M. Faller
Gwenael Layec
Stephen J. Ives
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Sports Science, Medicine and Rehabilitation / Issue 1/2023
Electronic ISSN: 2052-1847
DOI
https://doi.org/10.1186/s13102-023-00682-8

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