Skip to main content
Top
Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

High Intensity Interval- vs Resistance or Combined- Training for Improving Cardiometabolic Health in Overweight Adults (Cardiometabolic HIIT-RT Study): study protocol for a randomised controlled trial

Authors: Robinson Ramírez-Vélez, Alejandra Hernandez, Karem Castro, Alejandra Tordecilla-Sanders, Katherine González-Ruíz, Jorge Enrique Correa-Bautista, Mikel Izquierdo, Antonio García-Hermoso

Published in: Trials | Issue 1/2016

Login to get access

Abstract

Background

Although evidence shows the positive health effects of physical activity, most of the adult population in Colombia are sedentary. It is, therefore, important to implement strategies that generate changes in lifestyle behaviours. This protocol describes a study in which we will compare the effects of 12 weeks of high-intensity interval training (HIIT), resistance training (RT) or combined training (HIIT + RT) on the improvement of body composition, endothelial function, blood pressure, blood lipids, and cardiorespiratory fitness in a cohort of sedentary, overweight adults (aged 30–50 years).

Methods/design

Sixty sedentary, overweight adults attending primary care in Bogotá, Colombia will be included in a factorial randomised controlled trial. Participants will be randomly assigned to the following intervention groups: (1) non-exercise group: usual care with dietary support, (2) HIIT group: 4 × 4-min intervals at 85–95 % maximum heart rate (HRmax) (with the target zone maintained for at least 2 minutes), interspersed with a 4-min recovery period, at 65 % HRmax, (3) RT group: completing a resistance circuit (including upper and lower muscle groups) as many times as needed according to subject’s weight until an expenditure of 500 kcal at 40–80 % of one-rep max (1RM) has been achieved, and (4) combined group: HIIT + RT. The primary end point for effectiveness is vascular function as measured by flow-mediated vasodilatation 1 week after the end of exercise training.

Discussion

The results of this study will provide new information about the possible effect of the programme in improving the cardiometabolic health of overweight adults, making a more efficient use of an adult’s resources over time.

Trial registration

ClinicalTrials.gov ID: NCT02715063. Registered on 8 March 2016.
Appendix
Available only for authorised users
Literature
1.
go back to reference Selassie M, Sinha AC. The epidemiology and aetiology of obesity: a global challenge. Best Pract Res Clin Anaesthesiol. 2011;25:1–9.CrossRefPubMed Selassie M, Sinha AC. The epidemiology and aetiology of obesity: a global challenge. Best Pract Res Clin Anaesthesiol. 2011;25:1–9.CrossRefPubMed
2.
go back to reference Saydah S, Bullard KM, Cheng Y, et al. Trends in cardiovascular disease risk factors by obesity level in adults in the United States, NHANES 1999-2010. Obesity (Silver Spring). 2014;22:1888–95.CrossRef Saydah S, Bullard KM, Cheng Y, et al. Trends in cardiovascular disease risk factors by obesity level in adults in the United States, NHANES 1999-2010. Obesity (Silver Spring). 2014;22:1888–95.CrossRef
3.
go back to reference Kaplan RC, Avilés-Santa ML, Parrinello CM, et al. Body mass index, sex, and cardiovascular disease risk factors among Hispanic/Latino adults: Hispanic community health study/study of Latinos. J Am Heart Assoc. 2014;3(4). Kaplan RC, Avilés-Santa ML, Parrinello CM, et al. Body mass index, sex, and cardiovascular disease risk factors among Hispanic/Latino adults: Hispanic community health study/study of Latinos. J Am Heart Assoc. 2014;3(4).
4.
go back to reference von Eyben FE, Mouritsen E, Holm J, et al. Intra-abdominal obesity and metabolic risk factors: a study of young adults. Int J Obes. 2003;27:941–9.CrossRef von Eyben FE, Mouritsen E, Holm J, et al. Intra-abdominal obesity and metabolic risk factors: a study of young adults. Int J Obes. 2003;27:941–9.CrossRef
5.
go back to reference Kagawa M, Byrne NM, Hills AP. Comparison of body fat estimation using waist:height ratio using different ‘waist’ measurements in Australian adults. Br J Nutr. 2008;100:1135–41.CrossRefPubMed Kagawa M, Byrne NM, Hills AP. Comparison of body fat estimation using waist:height ratio using different ‘waist’ measurements in Australian adults. Br J Nutr. 2008;100:1135–41.CrossRefPubMed
6.
go back to reference World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity, 3–5 June 1997, Geneva, WHO/NUT/NCD/98.1. Geneva: WHO; 1998. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity, 3–5 June 1997, Geneva, WHO/NUT/NCD/98.1. Geneva: WHO; 1998.
7.
go back to reference Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97.
8.
go back to reference Despres JP. Body fat distribution and risk of cardiovascular disease: an update. Circulation. 2012;126:1301–13.CrossRefPubMed Despres JP. Body fat distribution and risk of cardiovascular disease: an update. Circulation. 2012;126:1301–13.CrossRefPubMed
10.
go back to reference Lemieux I, Lamarche B, Couillard C, et al. Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: the Quebec Cardiovascular Study. Arch Intern Med. 2001;161:2685–92.CrossRefPubMed Lemieux I, Lamarche B, Couillard C, et al. Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: the Quebec Cardiovascular Study. Arch Intern Med. 2001;161:2685–92.CrossRefPubMed
11.
go back to reference Gander JC, Sui X, Hébert JR, et al. Association of cardiorespiratory fitness with coronary heart disease in asymptomatic men. Mayo Clin Proc. 2015;90:1372–9.CrossRefPubMedPubMedCentral Gander JC, Sui X, Hébert JR, et al. Association of cardiorespiratory fitness with coronary heart disease in asymptomatic men. Mayo Clin Proc. 2015;90:1372–9.CrossRefPubMedPubMedCentral
12.
go back to reference Kokkinos P, Myers J. Exercise and physical activity: clinical outcomes and applications. Circulation. 2010;122:1637–48.CrossRefPubMed Kokkinos P, Myers J. Exercise and physical activity: clinical outcomes and applications. Circulation. 2010;122:1637–48.CrossRefPubMed
13.
go back to reference Pedersen BK, Saltin B. Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25:1–72.CrossRefPubMed Pedersen BK, Saltin B. Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25:1–72.CrossRefPubMed
14.
go back to reference Li T, Wei S, Shi Y, et al. The dose-response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies. Br J Sports Med. 2016;50:339–45.CrossRefPubMed Li T, Wei S, Shi Y, et al. The dose-response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies. Br J Sports Med. 2016;50:339–45.CrossRefPubMed
15.
go back to reference Henkel K, Reimers CD, Knapp G, et al. Physical training for neurological and mental diseases. Nervenarzt. 2014;85:1521–8.CrossRefPubMed Henkel K, Reimers CD, Knapp G, et al. Physical training for neurological and mental diseases. Nervenarzt. 2014;85:1521–8.CrossRefPubMed
17.
18.
go back to reference Ramos JS, Dalleck LC, Tjonna AE, et al. The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: a systematic review and meta-analysis. Sports Med. 2015;45:679–92.CrossRefPubMed Ramos JS, Dalleck LC, Tjonna AE, et al. The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: a systematic review and meta-analysis. Sports Med. 2015;45:679–92.CrossRefPubMed
19.
go back to reference Dyakova EY, Kapilevich LV, Shylko VG, et al. Physical exercise associated with NO production: signaling pathways and significance in health and disease. Front Cell Dev Biol. 2015;3:19.CrossRefPubMedPubMedCentral Dyakova EY, Kapilevich LV, Shylko VG, et al. Physical exercise associated with NO production: signaling pathways and significance in health and disease. Front Cell Dev Biol. 2015;3:19.CrossRefPubMedPubMedCentral
20.
go back to reference Oudegeest-Sander MH, Thijssen DH, Smits P, et al. Association of fitness level with cardiovascular risk and vascular function in older non exercising individuals. J Aging Phys Act. 2015;23:417–24.CrossRefPubMed Oudegeest-Sander MH, Thijssen DH, Smits P, et al. Association of fitness level with cardiovascular risk and vascular function in older non exercising individuals. J Aging Phys Act. 2015;23:417–24.CrossRefPubMed
21.
22.
go back to reference Gibala MJ, Little JP, Macdonald MJ, et al. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol. 2012;590:1077–84.CrossRefPubMedPubMedCentral Gibala MJ, Little JP, Macdonald MJ, et al. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol. 2012;590:1077–84.CrossRefPubMedPubMedCentral
23.
go back to reference Gibala MJ, Little JP, van Essen M, et al. Short‐term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. J Physiol. 2006;575:901–11.CrossRefPubMedPubMedCentral Gibala MJ, Little JP, van Essen M, et al. Short‐term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. J Physiol. 2006;575:901–11.CrossRefPubMedPubMedCentral
24.
go back to reference Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Brit J Sport Med. 2013;48:1227–34.CrossRef Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Brit J Sport Med. 2013;48:1227–34.CrossRef
25.
go back to reference Gibala M. Molecular responses to high-intensity interval exercise. Appl Physiol Nutr Metab. 2009;34:428–32.CrossRefPubMed Gibala M. Molecular responses to high-intensity interval exercise. Appl Physiol Nutr Metab. 2009;34:428–32.CrossRefPubMed
26.
go back to reference Biddle SJ, Batterham AM. High-intensity interval exercise training for public health: a big HIT or shall we HIT it on the head? Int J Behav Nutr Phys Act. 2015;12:95.CrossRefPubMedPubMedCentral Biddle SJ, Batterham AM. High-intensity interval exercise training for public health: a big HIT or shall we HIT it on the head? Int J Behav Nutr Phys Act. 2015;12:95.CrossRefPubMedPubMedCentral
27.
go back to reference Montero D, Vinet A, Roberts CK. Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness. Int J Cardiol. 2015;178:69–76.CrossRefPubMed Montero D, Vinet A, Roberts CK. Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness. Int J Cardiol. 2015;178:69–76.CrossRefPubMed
28.
go back to reference Racil G, Zouhal H, Elmontassar W, et al. Plyometric exercise combined with high-intensity interval training improves metabolic abnormalities in young obese females more so than interval training alone. Appl Physiol Nutr Metab. 2015;41:103–9.CrossRefPubMed Racil G, Zouhal H, Elmontassar W, et al. Plyometric exercise combined with high-intensity interval training improves metabolic abnormalities in young obese females more so than interval training alone. Appl Physiol Nutr Metab. 2015;41:103–9.CrossRefPubMed
29.
go back to reference Ho SS, Dhaliwal SS, Hills AP, et al. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health. 2012;12:704.CrossRefPubMedPubMedCentral Ho SS, Dhaliwal SS, Hills AP, et al. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health. 2012;12:704.CrossRefPubMedPubMedCentral
30.
go back to reference Departamento Administrativo Nacional de Estadística (DANE). Los grupos étnicos de Colombia en el censo de 2005. Bogotá: Análisis de Resultados; 2007. p. 25–6. Departamento Administrativo Nacional de Estadística (DANE). Los grupos étnicos de Colombia en el censo de 2005. Bogotá: Análisis de Resultados; 2007. p. 25–6.
31.
go back to reference Lloyd-Jones DM, Hong Y, Labarthe D, American Heart Association Strategic Planning Task Force and Statistics Committee. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s Strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613.CrossRefPubMed Lloyd-Jones DM, Hong Y, Labarthe D, American Heart Association Strategic Planning Task Force and Statistics Committee. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s Strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613.CrossRefPubMed
33.
go back to reference Izquierdo M, Häkkinen K, Ibáñez J, et al. Effects of combined resistance and cardiovascular training on strength, power, muscle cross-sectional area, and endurance markers in middle-aged men. Eur J Appl Physiol. 2005;94:70–5.CrossRefPubMed Izquierdo M, Häkkinen K, Ibáñez J, et al. Effects of combined resistance and cardiovascular training on strength, power, muscle cross-sectional area, and endurance markers in middle-aged men. Eur J Appl Physiol. 2005;94:70–5.CrossRefPubMed
34.
go back to reference Ibañez J, Izquierdo M, Argüelles I, Forga L, Larrión JL, García-Unciti M, et al. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care. 2005;28:662–7.CrossRefPubMed Ibañez J, Izquierdo M, Argüelles I, Forga L, Larrión JL, García-Unciti M, et al. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care. 2005;28:662–7.CrossRefPubMed
35.
go back to reference Swinburn BA, Caterson I, Seidell JC, James WP. Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr. 2004;7:123–46.PubMed Swinburn BA, Caterson I, Seidell JC, James WP. Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr. 2004;7:123–46.PubMed
36.
go back to reference Ramírez-Vélez R. Postprandial lipemia induces endothelial dysfunction and higher insulin resistance in healthy subjects. Endocrinol Nutr. 2011;58:529–35.CrossRefPubMed Ramírez-Vélez R. Postprandial lipemia induces endothelial dysfunction and higher insulin resistance in healthy subjects. Endocrinol Nutr. 2011;58:529–35.CrossRefPubMed
37.
go back to reference Corretti MC, Anderson TJ, Benjamin EJ, International Brachial Artery Reactivity Task Force. International brachial artery reactivity task force. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the international brachial artery reactivity task force. J Am Coll Cardiol. 2002;39:257–65.CrossRefPubMed Corretti MC, Anderson TJ, Benjamin EJ, International Brachial Artery Reactivity Task Force. International brachial artery reactivity task force. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the international brachial artery reactivity task force. J Am Coll Cardiol. 2002;39:257–65.CrossRefPubMed
38.
go back to reference Ramírez-Vélez R, Romero M, Echeverri I, et al. A factorial randomized controlled trial to evaluate the effect of micronutrients supplementation and regular aerobic exercise on maternal endothelium-dependent vasodilatation and oxidative stress of the newborn. Trials. 2011;12:60.CrossRefPubMedPubMedCentral Ramírez-Vélez R, Romero M, Echeverri I, et al. A factorial randomized controlled trial to evaluate the effect of micronutrients supplementation and regular aerobic exercise on maternal endothelium-dependent vasodilatation and oxidative stress of the newborn. Trials. 2011;12:60.CrossRefPubMedPubMedCentral
39.
go back to reference Ramírez-Vélez R, Aguilar AC, Mosquera M, et al. Clinical trial to assess the effect of physical exercise on endothelial function and insulin resistance in pregnant women. Trials. 2009;10:104.CrossRefPubMedPubMedCentral Ramírez-Vélez R, Aguilar AC, Mosquera M, et al. Clinical trial to assess the effect of physical exercise on endothelial function and insulin resistance in pregnant women. Trials. 2009;10:104.CrossRefPubMedPubMedCentral
40.
go back to reference Malik M, Bigger J, Camm A, et al. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996;17:354–81.CrossRef Malik M, Bigger J, Camm A, et al. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996;17:354–81.CrossRef
41.
go back to reference Ring M, Eriksson MJ, Zierath JR, et al. Arterial stiffness estimation in healthy subjects: a validation of oscillometric (Arteriograph) and tonometric (SphygmoCor) techniques. Hypertens Res. 2014;37:999–1007.CrossRefPubMed Ring M, Eriksson MJ, Zierath JR, et al. Arterial stiffness estimation in healthy subjects: a validation of oscillometric (Arteriograph) and tonometric (SphygmoCor) techniques. Hypertens Res. 2014;37:999–1007.CrossRefPubMed
42.
go back to reference Topouchian JA, El Assaad MA, Orobinskaia LV, et al. Validation of two automatic devices for self-measurement of blood pressure according to the International Protocol of the European Society of Hypertension: the Omron M6 (HEM-7001-E) and the Omron R7 (HEM 637-IT). Blood Press Monit. 2006;11:165–71.CrossRefPubMed Topouchian JA, El Assaad MA, Orobinskaia LV, et al. Validation of two automatic devices for self-measurement of blood pressure according to the International Protocol of the European Society of Hypertension: the Omron M6 (HEM-7001-E) and the Omron R7 (HEM 637-IT). Blood Press Monit. 2006;11:165–71.CrossRefPubMed
43.
go back to reference Marfell-Jones M, Olds T, Stewart A. International standards for anthropometric assessment. Potchefstroom: ISAK; 2006. Marfell-Jones M, Olds T, Stewart A. International standards for anthropometric assessment. Potchefstroom: ISAK; 2006.
44.
go back to reference Ring EFJ, Ammer K. The technique of infra red imaging in medicine. Thermol Int. 2000;10:7–14. Ring EFJ, Ammer K. The technique of infra red imaging in medicine. Thermol Int. 2000;10:7–14.
46.
go back to reference Álvarez-Gallardo IC, Soriano-Maldonado A, Segura-Jiménez V, et al. International FItness Scale (IFIS): construct validity and reliability in women with fibromyalgia: The al-Ándalus Project. Arch Phys Med Rehabil. 2016;97:395–404.CrossRefPubMed Álvarez-Gallardo IC, Soriano-Maldonado A, Segura-Jiménez V, et al. International FItness Scale (IFIS): construct validity and reliability in women with fibromyalgia: The al-Ándalus Project. Arch Phys Med Rehabil. 2016;97:395–404.CrossRefPubMed
47.
go back to reference Español-Moya MN, Ramírez-Vélez R. Psychometric validation of the International FItness Scale (IFIS) in Colombian youth. Rev Esp Salud Publica. 2014;88:271–8.CrossRefPubMed Español-Moya MN, Ramírez-Vélez R. Psychometric validation of the International FItness Scale (IFIS) in Colombian youth. Rev Esp Salud Publica. 2014;88:271–8.CrossRefPubMed
48.
go back to reference Ortega FB, Sánchez-López M, Solera-Martínez M, et al. Self-reported and measured cardiorespiratory fitness similarly predict cardiovascular disease risk in young adults. Scand J Med Sci Sports. 2013;23(6):749–57.CrossRefPubMed Ortega FB, Sánchez-López M, Solera-Martínez M, et al. Self-reported and measured cardiorespiratory fitness similarly predict cardiovascular disease risk in young adults. Scand J Med Sci Sports. 2013;23(6):749–57.CrossRefPubMed
49.
go back to reference Balke B, Ware RW. An experimental study of physical fitness of Air Force personnel. U S Armed Forces Med J. 1959;10:675–88.PubMed Balke B, Ware RW. An experimental study of physical fitness of Air Force personnel. U S Armed Forces Med J. 1959;10:675–88.PubMed
50.
go back to reference Barry VW, Baruth M, Beets MW, et al. Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis. 2014;56:382–90.CrossRefPubMed Barry VW, Baruth M, Beets MW, et al. Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis. 2014;56:382–90.CrossRefPubMed
51.
go back to reference Edvardsen E, Scient C, Hansen BH, et al. Reference values for cardiorespiratory response and fitness on the treadmill in a 20- to 85-year-old population. Chest. 2013;144:241–8.CrossRefPubMed Edvardsen E, Scient C, Hansen BH, et al. Reference values for cardiorespiratory response and fitness on the treadmill in a 20- to 85-year-old population. Chest. 2013;144:241–8.CrossRefPubMed
52.
go back to reference Marinov B, Kostianev S, Turnovska T. Modified treadmill protocol for evaluation of physical fitness in pediatric age group-comparison with Bruce and Balke protocols. Acta Physiol Pharmacol Bulg. 2003;27:47–51.PubMed Marinov B, Kostianev S, Turnovska T. Modified treadmill protocol for evaluation of physical fitness in pediatric age group-comparison with Bruce and Balke protocols. Acta Physiol Pharmacol Bulg. 2003;27:47–51.PubMed
53.
go back to reference American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 8th ed. Baltimore: Wolters Kluwer; 2010. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 8th ed. Baltimore: Wolters Kluwer; 2010.
54.
go back to reference Jaric S, Mirkov D, Markovic G. Normalizing physical performance tests for body size: a proposal for standardization. J Strength Cond Res. 2005;19:467–74.PubMed Jaric S, Mirkov D, Markovic G. Normalizing physical performance tests for body size: a proposal for standardization. J Strength Cond Res. 2005;19:467–74.PubMed
55.
go back to reference Brzycki M. Strength testing—predicting a one-rep max from reps-to-fatigue. J Phys Educ Recreat Dance. 1993;64:88–90.CrossRef Brzycki M. Strength testing—predicting a one-rep max from reps-to-fatigue. J Phys Educ Recreat Dance. 1993;64:88–90.CrossRef
56.
go back to reference Mangine GT, Hoffman JR, Gonzalez AM, et al. The effect of training volume and intensity on improvements in muscular strength and size in resistance-trained men. Physiol Rep. 2015;3:e12472.CrossRefPubMedPubMedCentral Mangine GT, Hoffman JR, Gonzalez AM, et al. The effect of training volume and intensity on improvements in muscular strength and size in resistance-trained men. Physiol Rep. 2015;3:e12472.CrossRefPubMedPubMedCentral
57.
go back to reference Besson H, Brage S, Jakes RW, et al. Estimating physical activity energy expenditure, sedentary time, and physical activity intensity by self-report in adults. Am J Clin Nutr. 2010;91:106–14.CrossRefPubMed Besson H, Brage S, Jakes RW, et al. Estimating physical activity energy expenditure, sedentary time, and physical activity intensity by self-report in adults. Am J Clin Nutr. 2010;91:106–14.CrossRefPubMed
58.
go back to reference Ramírez-Vélez R, Agredo-Zuñiga RA, Jerez-Valderrama AM. The reliability of preliminary normative values from the short form health survey (SF-12) questionnaire regarding Colombian adults. Rev Salud Publica (Bogota). 2010;12:807–19. Ramírez-Vélez R, Agredo-Zuñiga RA, Jerez-Valderrama AM. The reliability of preliminary normative values from the short form health survey (SF-12) questionnaire regarding Colombian adults. Rev Salud Publica (Bogota). 2010;12:807–19.
59.
go back to reference Hashimoto M, Akishita M, Eto M, et al. The impairment of flow-mediated vasodilatation in obese men with visceral fat accumulation. Int J Obes Relat Metab Disord. 1998;22:477–84.CrossRefPubMed Hashimoto M, Akishita M, Eto M, et al. The impairment of flow-mediated vasodilatation in obese men with visceral fat accumulation. Int J Obes Relat Metab Disord. 1998;22:477–84.CrossRefPubMed
60.
go back to reference Hashimoto M, Kozaki K, Eto M, et al. Association of coronary risk factors and endothelium-dependent flow-mediated dilatation of the brachial artery. Hypertens Res. 2000;23:233–8.CrossRefPubMed Hashimoto M, Kozaki K, Eto M, et al. Association of coronary risk factors and endothelium-dependent flow-mediated dilatation of the brachial artery. Hypertens Res. 2000;23:233–8.CrossRefPubMed
61.
go back to reference Ramírez-Velez R, Aguilar de Plata AC, Hernán Ramirez J. Physiological changes in endothelial function following vigorous exercise. Rev Clin Esp. 2010;210:420–1.CrossRefPubMed Ramírez-Velez R, Aguilar de Plata AC, Hernán Ramirez J. Physiological changes in endothelial function following vigorous exercise. Rev Clin Esp. 2010;210:420–1.CrossRefPubMed
62.
go back to reference Ramírez-Vélez R, Aguilar de Plata AC, Escudero MM, et al. Influence of regular aerobic exercise on endothelium-dependent vasodilation and cardiorespiratory fitness in pregnant women. J Obstet Gynaecol Res. 2011;37:1601–8.CrossRefPubMed Ramírez-Vélez R, Aguilar de Plata AC, Escudero MM, et al. Influence of regular aerobic exercise on endothelium-dependent vasodilation and cardiorespiratory fitness in pregnant women. J Obstet Gynaecol Res. 2011;37:1601–8.CrossRefPubMed
63.
go back to reference Idoate F, Ibañez J, Gorostiaga EM, et al. Weight-loss diet alone or combined with resistance training induces different regional visceral fat changes in obese women. Int J Obes (Lond). 2011;35:700–13.CrossRef Idoate F, Ibañez J, Gorostiaga EM, et al. Weight-loss diet alone or combined with resistance training induces different regional visceral fat changes in obese women. Int J Obes (Lond). 2011;35:700–13.CrossRef
64.
go back to reference Ibáñez J, Izquierdo M, Martínez-Labari C, et al. Resistance training improves cardiovascular risk factors in obese women despite a significative decrease in serum adiponectin levels. Obesity (Silver Spring). 2010;18:535–41.CrossRef Ibáñez J, Izquierdo M, Martínez-Labari C, et al. Resistance training improves cardiovascular risk factors in obese women despite a significative decrease in serum adiponectin levels. Obesity (Silver Spring). 2010;18:535–41.CrossRef
65.
go back to reference Kleinbaum DG, Kupper LL, Muller KE, Nizam A. Applied regression analysis and other multivariable methods. Pacific Grove: Dubury Press; 1998. Kleinbaum DG, Kupper LL, Muller KE, Nizam A. Applied regression analysis and other multivariable methods. Pacific Grove: Dubury Press; 1998.
66.
67.
go back to reference Rivera JA, Barquera S, Gonzalez-Cossio T, et al. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev. 2004;62:S149–57.CrossRefPubMed Rivera JA, Barquera S, Gonzalez-Cossio T, et al. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev. 2004;62:S149–57.CrossRefPubMed
68.
go back to reference Fisberg M, Kovalskys I, Gómez G, ELANS Study Group. Latin American Study of Nutrition and Health (ELANS): rationale and study design. BMC Public Health. 2016;16:93.CrossRefPubMedPubMedCentral Fisberg M, Kovalskys I, Gómez G, ELANS Study Group. Latin American Study of Nutrition and Health (ELANS): rationale and study design. BMC Public Health. 2016;16:93.CrossRefPubMedPubMedCentral
69.
go back to reference Kohl 3rd HW, Craig CL, Lambert EV, Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380:294–305.CrossRefPubMed Kohl 3rd HW, Craig CL, Lambert EV, Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380:294–305.CrossRefPubMed
Metadata
Title
High Intensity Interval- vs Resistance or Combined- Training for Improving Cardiometabolic Health in Overweight Adults (Cardiometabolic HIIT-RT Study): study protocol for a randomised controlled trial
Authors
Robinson Ramírez-Vélez
Alejandra Hernandez
Karem Castro
Alejandra Tordecilla-Sanders
Katherine González-Ruíz
Jorge Enrique Correa-Bautista
Mikel Izquierdo
Antonio García-Hermoso
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1422-1

Other articles of this Issue 1/2016

Trials 1/2016 Go to the issue