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BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Process evaluation of school-based high-intensity interval training interventions for children and adolescents: a systematic review and meta-analysis of randomized controlled trials

Authors: Yong Liu, Curtis A. Wadey, Alan R. Barker, Craig A. Williams

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Several systematic reviews have been published to investigate the effectiveness of high-intensity interval training (HIIT) in schools. However, there has been limited attention given to understanding the functioning of the intervention processes, which is of paramount importance for interpreting and translating the intervention effectiveness. The aim of this systematic review is to determine the extent to which process evaluation is measured in school-based HIIT interventions and to explore the effects of process evaluation and intervention characteristics on cardiorespiratory fitness (CRF), body composition, muscular strength, and blood pressure.

Methods

A comprehensive search was conducted in SPORT Discus (EBSCOhost), Web of Science, Scopus, Medline (Ovid) and Cochrane Central Register of Controlled Trials. The extent to which process evaluation is measured was narratively reported, alongside with the guidance of process evaluation of complex interventions by UK Medical Research Council. Meta-analyses and meta-regressions were conducted to determine the effects of process evaluation and intervention characteristics to the intervention outcomes.

Results

The literature search identified 77 studies reporting on 45 school-based HIIT interventions. In total, five interventions reported process evaluation in a section or in a separate study, and only one intervention adopted a process evaluation framework. On average, 6 out of 12 process evaluation measures were reported in all interventions. Subgroup analyses did not indicate any beneficial treatment effects for studies with process evaluation group, whereas all pooled data and studies without process evaluation group showed significant improvement for CRF and body composition.

Conclusion

Process evaluation is frequently omitted in the literature of school-based HIIT in children and adolescents. Although reporting of process evaluation measures may not directly associate with better intervention outcomes, it allows accurate interpretation of intervention outcomes, thereby enhancing the generalisability and dissemination of the interventions.
Appendix
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Literature
1.
Neil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021;9:CD007651.PubMed
2.
He Z, Wu H, Yu F, Fu J, Sun S, Huang T, et al. Effects of Smartphone-Based Interventions on Physical Activity in Children and Adolescents: Systematic Review and Meta-analysis. JMIR Mhealth Uhealth. 2021;9(2):e22601.PubMedPubMedCentralCrossRef
3.
Chaput JP, Willumsen J, Bull F, Chou R, Ekelund U, Firth J, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. Int J Behav Nutr Phys Act. 2020;17(1):141.PubMedPubMedCentralCrossRef
4.
Carter T, Pascoe M, Bastounis A, Morres ID, Callaghan P, Parker AG. The effect of physical activity on anxiety in children and young people: a systematic review and meta-analysis. J Affect Disord. 2021;285:10–21.PubMedCrossRef
5.
Aubert S, Barnes JD, Demchenko I, Hawthorne M, Abdeta C, Abi Nader P, et al. Global Matrix 4.0 Physical Activity Report Card Grades for Children and Adolescents: Results and Analyses From 57 Countries. J Phys Act Health. 2022;19(11):700–28.PubMedCrossRef
6.
Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021;7(1):e000960.PubMedCrossRef
7.
Hollis JL, Williams AJ, Sutherland R, Campbell E, Nathan N, Wolfenden L, et al. A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons. Prev Med. 2016;86:34–54.PubMedCrossRef
8.
Brazendale K, Beets MW, Weaver RG, Pate RR, Turner-McGrievy GM, Kaczynski AT, et al. Understanding differences between summer vs. school obesogenic behaviors of children: the structured days hypothesis. Int J Behav Nutr Phys Act. 2017;14(1):100.PubMedPubMedCentralCrossRef
9.
Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54). BMJ. 2012;345:e5888.PubMedCrossRef
10.
Love R, Adams J, van Sluijs EMF. Are school-based physical activity interventions effective and equitable? A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity. Obes Rev. 2019;20(6):859–70.PubMedPubMedCentralCrossRef
11.
Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis. Br J Sports Med. 2015;49(19):1253–61.PubMedCrossRef
12.
Hall WJ, Schneider M, Thompson D, Volpe SL, Steckler A, Hall JM, et al. School factors as barriers to and facilitators of a preventive intervention for pediatric type 2 diabetes. Transl Behav Med. 2014;4(2):131–40.PubMedCrossRef
13.
Ekkekakis P, Vallance J, Wilson PM, Ewing Garber C. Extraordinary claims in the literature on high-intensity interval training (HIIT): III. Critical analysis of four foundational arguments from an interdisciplinary lens. Psychol Sport Exerc. 2023;66:102399.PubMedCrossRef
14.
Lubans DR, Eather N, Smith JJ, Beets MW, Harris NK. Scaling-up Adolescent High-Intensity Interval Training Programs for Population Health. Exerc Sport Sci Rev. 2022;50(3):128–36.PubMedCrossRef
15.
Malik, Williams CA, Weston KL, Barker AR. Perceptual Responses to High- and Moderate-Intensity Interval Exercise in Adolescents. Medicine & Science in Sports & Exercise. 2018;50(5):1021–30.CrossRef
16.
Hay J, Maximova K, Durksen A, Carson V, Rinaldi RL, Torrance B, et al. Physical Activity Intensity and Cardiometabolic Risk in Youth. ARCH PEDIATR ADOLESC MED. 2012;166(NO 11):1022–9.PubMedCrossRef
17.
Carson V, Rinaldi RL, Torrance B, Maximova K, Ball GDC, Majumdar SR, et al. Vigorous physical activity and longitudinal associations with cardiometabolic risk factors in youth. Int J Obes. 2014;38(1):16–21.CrossRef
18.
Duncombe SL, Barker AR, Bond B, Earle R, Varley-Campbell J, Vlachopoulos D, et al. School-based high-intensity interval training programs in children and adolescents: A systematic review and meta-analysis. PLoS One. 2022;17(5):e0266427.PubMedPubMedCentralCrossRef
19.
Bauer N, Sperlich B, Holmberg HC, Engel FA. Effects of High-Intensity Interval Training in School on the Physical Performance and Health of Children and Adolescents: A Systematic Review with Meta-Analysis. Sports Med Open. 2022;8(1):50.PubMedPubMedCentralCrossRef
20.
Zapata-Lamana R, Cigarroa Cuevas I, Fuentes V, Soto Espindola C, Parrado Romero E, Sepulveda C, et al. HIITing Health in School: Can High Intensity Interval Training Be a Useful and Reliable Tool for Health on a School-Based Enviroment? A Systematic Review. Int J School Health. 2019;6(3):1–10.
21.
Delgado-Floody P, Latorre-Román P, Jerez-Mayorga D, Caamaño-Navarrete F, García-Pinillos F. Feasibility of incorporating high-intensity interval training into physical education programs to improve body composition and cardiorespiratory capacity of overweight and obese children: A systematic review. J Exerc Sci Fit. 2019;17(2):35–40.PubMedCrossRef
22.
da Silva Bento AF, Páez LC, de Mendonça Raimundo AM. School-based high-intensity interval training programs for promoting physical activity and fitness in adolescents: A systematic review. J Teach Phys Educ. 2021;41(2):288–300.
23.
Bond B, Weston KL, Williams CA, Barker AR. Perspectives on high-intensity interval exercise for health promotion in children and adolescents. Open Access J Sports Med. 2017;8:243–65.PubMedPubMedCentralCrossRef
24.
Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350:h1258.PubMedPubMedCentralCrossRef
25.
McIntyre SA, Francis JJ, Gould NJ, Lorencatto F. The use of theory in process evaluations conducted alongside randomized trials of implementation interventions: A systematic review. Transl Behav Med. 2020;10(1):168–78.PubMed
26.
Hariton E, Locascio JJ. Randomised controlled trials - the gold standard for effectiveness research: Study design: randomised controlled trials. BJOG. 2018;125(13):1716.PubMedPubMedCentralCrossRef
27.
Grant A, Treweek S, Dreischulte T, Foy R, Guthrie B. Process evaluations for cluster-randomised trials of complex interventions: a proposed framework for design and reporting. Trials. 2013;14:15.PubMedPubMedCentralCrossRef
28.
Baranowski T, Stables G. Process Evaluations of the 5-a-Day Projects. Health Educ Behav. 2000;27(2):157–66.PubMedCrossRef
29.
Linnan L, Steckler A. Process Evaluation for Public Health Interventions and Research. Jossey-Bass. 2002:1–24.
30.
Ma J, Lander N, Eyre ELJ, Barnett LM, Essiet IA, Duncan MJ. It’s Not Just What You Do but the Way You Do It: A Systematic Review of Process Evaluation of Interventions to Improve Gross Motor Competence. Sports Med. 2021;51(12):2547–69.PubMedCrossRef
31.
Seral-Cortes M, De Miguel-Etayo P, Zapata P, Miguel-Berges ML, Moreno LA. Effectiveness and process evaluation in obesity and type 2 diabetes prevention programs in children: a systematic review and meta-analysis. BMC Public Health. 2021;21(1):348.PubMedPubMedCentralCrossRef
32.
Getachew-Smith H, King AJ, Marshall C, Scherr CL. Process Evaluation in Health Communication Media Campaigns: A Systematic Review. Am J Health Promot. 2022;36(2):367–78.PubMed
33.
Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Pollock E, Kennedy SG, et al. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial. Prev Med Rep. 2015;2:973–9.PubMedPubMedCentralCrossRef
34.
Martínez-Vizcaíno V, Soriano-Cano A, Garrido-Miguel M, Cavero-Redondo I, de Medio EP, Madrid VM, et al. The effectiveness of a high-intensity interval games intervention in schoolchildren: A cluster-randomized trial. Scand J Med Sci Sports. 2022;32(4):765–81.PubMedCrossRef
35.
Ricci JM, Currie KD, Astorino TA, Erickson K, Pfeiffer KA. Program Evaluation and Preliminary Efficacy of Fitness and Skill-Based High-Intensity Interval Training in Physical Education. Res Q Exerc Sport. 2023;94(4):1042–52.
36.
Harris N, Warbrick I, Atkins D, Vandal A, Plank L, Lubans DR. Feasibility and Provisional Efficacy of Embedding High-Intensity Interval Training Into Physical Education Lessons: A Pilot Cluster-Randomized Controlled Trial. Pediatr Exerc Sci. 2021;33(4):186–95.PubMedCrossRef
37.
Kennedy SG, Leahy AA, Smith JJ, Eather N, Hillman CH, Morgan PJ, et al. Process Evaluation of a School-Based High-Intensity Interval Training Program for Older Adolescents: The Burn 2 Learn Cluster Randomised Controlled Trial. Children (Basel). 2020;7(12):299.PubMedPubMedCentral
38.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Med. 2021;18(3):e1003583.PubMedPubMedCentralCrossRef
39.
Higgins J, Thomas J, Chandler J, Cumpston M, Li TJ, Page M, et al. Cochrane Handbook for Systematic Reviews of Interventions: The Cochrane Collaboration and John Wiley & Sons Ltd; 2019.
40.
Buchheit M, Laursen PB. High-intensity interval training, solutions to the programming puzzle. Part II: anaerobic energy, neuromuscular load and practical applications. Sports Med. 2013;43(10):927–54.PubMedCrossRef
41.
Sampson M, McGowan J, Cogo E, Grimshaw J, Moher D, Lefebvre C. An evidence-based practice guideline for the peer review of electronic search strategies. J Clin Epidemiol. 2009;62(9):944–52.PubMedCrossRef
42.
43.
Wassenaar TM, Wheatley CM, Beale N, Nichols T, Salvan P, Meaney A, et al. The effect of a one-year vigorous physical activity intervention on fitness, cognitive performance and mental health in young adolescents: the Fit to Study cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2021;18(1):1–15.CrossRef
44.
Harris N, Warbrick I, Fleming T, Borotkanics R, Atkins D, Lubans D. Impact of high-intensity interval training including Indigenous narratives on adolescents’ mental health: a cluster-randomised controlled trial. Aust N Z J Public Health. 2022;46(6):794–9.PubMedCrossRef
45.
Oliveira RS, Barker AR, Kranen SH, Debras F, Williams CA. Effects of High-Intensity Interval Training on the Vascular and Autonomic Components of the Baroreflex at Rest in Adolescents. Pediatr Exerc Sci. 2021:1–7.
46.
Martinez-Vizcaino V, Soriano-Cano A, Garrido-Miguel M, Cavero-Redondo I, de Medio EP, Madrid VM, et al. The effectiveness of a high-intensity interval games intervention in schoolchildren: a cluster randomized trial. Scand J Med Sci Sports. 2021.
47.
Logan GR, Harris N, Duncan S, Plank LD, Merien F, Schofield G. Low-Active Male Adolescents: A Dose Response to High-Intensity Interval Training. Med Sci Sports Exerc. 2016;48(3):481–90.PubMedCrossRef
48.
Engel FA, Wagner MO, Schelhorn F, Deubert F, Leutzsch S, Stolz A, et al. Classroom-Based Micro-Sessions of Functional High-Intensity Circuit Training Enhances Functional Strength but Not Cardiorespiratory Fitness in School Children-A Feasibility Study. Front Public Health. 2019;7:291.PubMedPubMedCentralCrossRef
49.
Ruiz-Ariza A, Suárez-Manzano S, López-Serrano S, Martínez-López EJ. The effect of cooperative high-intensity interval training on creativity and emotional intelligence in secondary school: A randomised controlled trial. Eur Phys Educ Rev. 2017;25(2):355–73.CrossRef
50.
Lubans DR, Smith JJ, Eather N, Leahy AA, Morgan PJ, Lonsdale C, et al. Time-efficient intervention to improve older adolescents’ cardiorespiratory fitness: findings from the “Burn 2 Learn” cluster randomised controlled trial. Br J Sports Med. 2020;55(13):751–8.PubMedCrossRef
51.
McNarry MA, Lewis MJ, Wade N, Davies GA, Winn C, Eddolls WTB, et al. Effect of asthma and six-months high-intensity interval training on heart rate variability during exercise in adolescents. J Sports Sci. 2019;37(19):2228–35.PubMedCrossRef
52.
Moreau D, Kirk IJ, Waldie KE. High-intensity training enhances executive function in children in a randomized, placebo-controlled trial. ELife. 2017;6.
53.
Takehara K, Togoobaatar G, Kikuchi A, Lkhagvasuren G, Lkhagvasuren A, Aoki A, et al. Exercise Intervention for Academic Achievement Among Children: A Randomized Controlled Trial. Pediatrics. 2021;148(5):1–10.CrossRef
54.
Wan X, Wang W, Liu J, Tong T. Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol. 2014;14:135.PubMedPubMedCentralCrossRef
55.
Popowczak M, Rokita A, Kozlenia D, Domaradzki J. The high-intensity interval training introduced in physical education lessons decrease systole in high blood pressure adolescents. Sci Rep. 2022;12(1):1974.PubMedPubMedCentralCrossRef
56.
Sterne JAC, Savovic J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.PubMedCrossRef
57.
Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.): Hillsdale, NJ: Erlbaum; 1988.
58.
59.
StataCorp. Stata Statistical Software: Release 17. College Station, TX: StataCorp LLC; 2021.
60.
Wheatley C, Beale N, Wassenaar T, Graham M, Eldridge E, Dawes H, et al. Fit to Study: Reflections on designing and implementing a large-scale randomized controlled trial in secondary schools. Trends Neurosci Educ. 2020;20:100134.PubMedPubMedCentralCrossRef
61.
Sharp CA, McNarry MA, Eddolls WTB, Koorts H, Winn CON, Mackintosh KA. Identifying facilitators and barriers for adolescents participating in a school-based HIIT intervention: the eXercise for asthma with commando Joe’s® (X4ACJ) programme. BMC Public Health. 2020;20(1):1–11.CrossRef
62.
Alberto A. 24 sessions of monitored cooperative high-intensity interval training improves attention-concentration and mathematical calculation in secondary school. J Phys Educ Sport. 2018;18(3):1572–82.
63.
Winn CON, Mackintosh KA, Eddolls WTB, Stratton G, Wilson AM, McNarry MA, et al. Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe’s (R) (X4ACJ) trial. J Sport Health Sci. 2021;10(4):488–98.PubMedCrossRef
64.
McNarry MA, Lester L, Ellins EA, Halcox JP, Davies G, Winn CON, et al. Asthma and high-intensity interval training have no effect on clustered cardiometabolic risk or arterial stiffness in adolescents. Eur J Appl Physiol. 2021;121(7):1967–78.PubMedPubMedCentralCrossRef
65.
McNarry MA, Winn CON, Davies GA, Eddolls WTB, Mackintosh KA. Effect of High-Intensity Training and Asthma on the V O2 Kinetics of Adolescents. Med Sci Sports Exerc. 2020;52(6):1322–9.PubMedCrossRef
66.
Winn CO, Mackintosh KA, Eddolls WT, Stratton G, Wilson AM, Rance JY, Doull IJ, McNarry MA, Davies GA. Perceptions of asthma and exercise in adolescents with and without asthma. J Asthma. 2018;55(8):868–76.
67.
68.
Martínez SR, Ríos LJC, Tamayo IM, Almeida LG, López-Gomez MA, Jara CC. An After-School, high-intensity, interval physical activity programme improves health-related fitness in children. Motriz Revista Educacao Fisica. 2016;22(4):359–67.CrossRef
69.
Leahy AA, Eather N, Smith JJ, Hillman CH, Morgan PJ, Plotnikoff RC, et al. Feasibility and Preliminary Efficacy of a Teacher-Facilitated High-Intensity Interval Training Intervention for Older Adolescents. Pediatr Exerc Sci. 2019;31(1):107–17.PubMedCrossRef
70.
Leahy AA, Eather N, Smith JJ, Hillman C, Morgan PJ, Nilsson M, et al. School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial. BMJ Open. 2019;9(5):e026029.PubMedPubMedCentralCrossRef
71.
Leahy AA, Michels MFI, Eather N, Hillman CH, Shigeta TT, Lubans DR, et al. Feasibility of test administration and preliminary findings for cognitive control in the Burn 2 learn pilot randomised controlled trial. J Sports Sci. 2020;38(15):1708–16.PubMedCrossRef
72.
Mavilidi MF, Mason C, Leahy AA, Kennedy SG, Eather N, Hillman CH, et al. Effect of a Time-Efficient Physical Activity Intervention on Senior School Students’ On-Task Behaviour and Subjective Vitality: the “Burn 2 Learn” Cluster Randomised Controlled Trial. Educ Psychol Rev. 2021;33(1):299–323.CrossRef
73.
Valkenborghs SR, Hillman CH, Al-Iedani O, Nilsson M, Smith JJ, Leahy AA, et al. Effect of high-intensity interval training on hippocampal metabolism in older adolescents. Psychophysiology. 2022;59(11):e14090.PubMedPubMedCentralCrossRef
74.
Mucci P, Baquet G, Nourry C, Deruelle F, Berthoin S, Fabre C. Exercise testing in children: comparison in ventilatory thresholds changes with interval-training. Pediatr Pulmonol. 2013;48(8):809–16.PubMedCrossRef
75.
Nourry C, Deruelle F, Guinhouya C, Baquet G, Fabre C, Bart F, et al. High-intensity intermittent running training improves pulmonary function and alters exercise breathing pattern in children. Eur J Appl Physiol. 2005;94(4):415–23.PubMedCrossRef
76.
Baquet G, Guinhouya C, Dupont G, Nourry C, Berthoin S. Effects of a short-term interval training program on physical fitness in prepubertal children. J Strength Cond Res. 2004;18(4):708–13.PubMed
77.
Baquet G, Gamelin F, Mucci P, Thevenet D, Paraagh VE, Berthoin S. Continuous vs. interval aerobic training in 8-11-year-old children. J Strength Cond Res. 2010;24(5):1381–8.PubMedCrossRef
78.
Ángel Latorre-Román P, Berrios-Aguayo B, Aragón-Vela J, Pantoja-Vallejo A. Effects of a 10-week active recess program in school setting on physical fitness, school aptitudes, creativity and cognitive flexibility in elementary school children. A randomised-controlled trial. J Sports Sci. 2021;39(11):1277–86.
79.
Chuensiri N, Suksom D, Tanaka H. Effects of High-Intensity Intermittent Training on Vascular Function in Obese Preadolescent Boys. Child Obes. 2018;14(1):41–9.
80.
Camacho-Cardenosa A, Brazo-Sayavera J, Camacho-Cardenosa M, Marcos-Serrano M, Timón R, Olcina G. Effects of High Intensity Interval Training on Fat Mass Parameters in Adolescents. Rev Esp Salud Publica. 2016;90:e1–9.PubMed
81.
Racil G, Ben Ounis O, Hammouda O, Kallel A, Zouhal H, Chamari K, et al. Effects of high vs. moderate exercise intensity during interval training on lipids and adiponectin levels in obese young females. Eur J Appl Physiol. 2013;113(10):2531–40.PubMedCrossRef
82.
Stenman M, Pesola AJ, Laukkanen A, Haapala EA. Effects of Two-Week High-Intensity Interval Training on Cognition in Adolescents – A Randomized Controlled Pilot Study. Hum Mov. 2017;18(2):15–20.
83.
Costigan S, Eather N, Plotnikoff R, Hillman C, Lubans D. High intensity interval training on cognitive and mental health in adolescents. J Sci Med Sport. 2017;20:e108–9.CrossRef
84.
Costigan SA, Ridgers ND, Eather N, Plotnikoff RC, Harris N, Lubans DR. Exploring the impact of high intensity interval training on adolescents’ objectively measured physical activity: Findings from a randomized controlled trial. J Sports Sci. 2018;36(10):1087–94.PubMedCrossRef
85.
Takehara K, Ganchimeg T, Kikuchi A, Gundegmaa L, Altantsetseg L, Aoki A, et al. The effectiveness of exercise intervention for academic achievement, cognitive function, and physical health among children in Mongolia: a cluster RCT study protocol. BMC Public Health. 2019;19(1):697.PubMedPubMedCentralCrossRef
86.
Larsen MN, Nielsen CM, Orntoft C, Randers MB, Helge EW, Madsen M, et al. Fitness Effects of 10-Month Frequent Low-Volume Ball Game Training or Interval Running for 8–10-Year-Old School Children. Biomed Res Int. 2017;2017:2719752.PubMedPubMedCentralCrossRef
87.
Elbe A-M, Wikman JM, Zheng M, Larsen MN, Nielsen G, Krustrup P. The importance of cohesion and enjoyment for the fitness improvement of 8–10-year-old children participating in a team and individual sport school-based physical activity intervention. Eur J Sport Sci. 2017;17(3):343–50.PubMedCrossRef
88.
Larsen MN, Nielsen CM, Helge EW, Madsen M, Manniche V, Hansen L, et al. Positive effects on bone mineralisation and muscular fitness after 10 months of intense school-based physical training for children aged 8–10 years: the FIT FIRST randomised controlled trial. Br J Sports Med. 2016;52(4):254–60.PubMedCrossRef
89.
Alonso-Fernández D, Fernández-Rodríguez R, Taboada-Iglesias Y, Gutiérrez-Sánchez Á. Impact of a HIIT protocol on body composition and VO2max in adolescents. Sci Sports. 2019;34(5):341–7.CrossRef
90.
McManus AM, Cheng CH, Leung MP, Yung TC, Macfarlane DJ. Improving aerobic power in primary school boys: a comparison of continuous and interval training. Int J Sports Med. 2005;26(9):781–6.PubMedCrossRef
91.
Racil G, Zouhal H, Elmontassar W, Abderrahmane AB, De Sousa MV, Chamari K, 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. 2016;41(1):103–9.PubMedCrossRef
92.
Lambrick D, Westrupp N, Kaufmann S, Stoner L, Faulkner J. The effectiveness of a high-intensity games intervention on improving indices of health in young children. J Sports Sci. 2016;34(3):190–8.PubMedCrossRef
93.
McNarry MA, Lambrick D, Westrupp N, Faulkner J. The influence of a six-week, high-intensity games intervention on the pulmonary oxygen uptake kinetics in prepubertal obese and normal-weight children. Appl Physiol Nutr Metab. 2015;40(10):1012–8.PubMedCrossRef
94.
Martínez-Vizcaíno V, Álvarez-Bueno C, Cavero-Redondo I, Pozuelo-Carrascosa DP, Garrido-Miguel M, Martínez-Hortelano JA, et al. MOVI-daFIT! Intervention: Rationale and design of a cluster randomized controlled trial testing the effects on improving adiposity, cognition, and subclinical atherosclerosis by increasing cardiorespiratory fitness in children. Medicine (Baltimore). 2019;98(9):e14737.PubMedCrossRef
95.
Haghshenas R, Jamshidi Z, Doaei S, Gholamalizadeh M. The Effect of a High-intensity Interval Training on Plasma Vitamin D Level in Obese Male Adolescents. Indian J Endocrinol Metab. 2019;23(1):72–5.PubMedPubMedCentralCrossRef
96.
Wassenaar TM, Wheatley CM, Beale N, Salvan P, Meaney A, Possee JB, et al. Effects of a programme of vigorous physical activity during secondary school physical education on academic performance, fitness, cognition, mental health and the brain of adolescents (Fit to Study): study protocol for a cluster-randomised trial. Trials. 2019;20(1):189.PubMedPubMedCentralCrossRef
97.
Tian X, Fu J, Tian J, Yang Y, Liang W, Fan W, et al. The Efficacy of Brief School-Based Exercise Programs in Improving Pubertal Bone Mass and Physical Fitness: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021;18(18):9648.PubMedPubMedCentralCrossRef
98.
Domaradzki J, Cichy I, Rokita A, Popowczak M. Effects of Tabata Training During Physical Education Classes on Body Composition, Aerobic Capacity, and Anaerobic Performance of Under-, Normal- and Overweight Adolescents. Int J Environ Res Public Health. 2020;17(3):876.PubMedPubMedCentralCrossRef
99.
Domaradzki J, Rokita A, Koźlenia D, Popowczak M. Optimal Values of Body Composition for the Lowest Risk of Failure in Tabata Training's Effects in Adolescents: A Pilot Study. Biomed Res Int. 2021:1–7.
100.
Domaradzki J, Koźlenia D, Popowczak M. Sex Moderated Mediation of the Musculoskeletal Fitness in Relationship between High-Intensive Interval Training Performing during Physical Education Classes and Cardiorespiratory Fitness in Healthy Boys and Girls. Biomed Res Int. 2022;2022:8760620.PubMedPubMedCentralCrossRef
101.
Domaradzki J, Kozlenia D, Popowczak M. The Mediation Role of Fatness in Associations between Cardiorespiratory Fitness and Blood Pressure after High-Intensity Interval Training in Adolescents. Int J Environ Res Public Health. 2022;19(3):1–14.
102.
Domaradzki J, Kozlenia D, Popowczak M. Prevalence of Positive Effects on Body Fat Percentage, Cardiovascular Parameters, and Cardiorespiratory Fitness after 10-Week High-Intensity Interval Training in Adolescents. Biology (Basel). 2022;11(3):424.PubMedPubMedCentral
103.
Domaradzki J, Kozlenia D, Popowczak M. The Relative Importance of Age at Peak Height Velocity and Fat Mass Index in High-Intensity Interval Training Effect on Cardiorespiratory Fitness in Adolescents: A Randomized Controlled Trial. Children (Basel). 2022;9(10):1554.PubMedPubMedCentral
104.
Domaradzki J, Kozlenia D, Popowczak M. Mediation effect of cardiorespiratory fitness on relationships between high-intensity interval training and body fat in overweight and obese adolescents. J Sports Med Phys Fitness. 2022;62(12):1735–41.PubMedCrossRef
105.
Boddy LM, Stratton G, Hackett AF, George KP. The effectiveness of a ‘short, sharp, shock’ high intensity exercise intervention in 11- and 12-year-old Liverpool schoolgirls. Arch Ex Health Dis. 2010;1:19–25.
106.
McManus A, Armstrong N, William CA. Effect of training on the aerobic power and anaerobic performance of prepubertal girls. Acta Paediatr. 1997;86:456–9.PubMedCrossRef
107.
Reyes Amigo TR, Labisa-Palmeira A. Moderators of the effect of high-intensity and moderate-intensity games in schoolchildren on cardiorespiratory fitness and body composition. Motricidade. 2020;16(2):156–69.
108.
Reyes-Amigo T, Molina JS, Martinez Mera G, De Souza LJ, Ibarra Mora J, Soto-SÁNchez J. Contribution of high and moderate-intensity physical education classes to the daily physical activity level in children. J Phys Educ Sport. 2021;21(1):29–35.
109.
Cao M, Tang Y, Zou Y. Integrating High-Intensity Interval Training into a School Setting Improve Body Composition, Cardiorespiratory Fitness and Physical Activity in Children with Obesity: A Randomized Controlled Trial. J Clin Med. 2022;11(18):5436.PubMedPubMedCentralCrossRef
110.
Meng C, Yucheng T, Shu L, Yu Z. Effects of school-based high-intensity interval training on body composition, cardiorespiratory fitness and cardiometabolic markers in adolescent boys with obesity: a randomized controlled trial. BMC Pediatr. 2022;22(1):112.PubMedPubMedCentralCrossRef
111.
Bogataj S, Trajkovic N, Cadenas-Sanchez C, Sember V. Effects of School-Based Exercise and Nutrition Intervention on Body Composition and Physical Fitness in Overweight Adolescent Girls. Nutrients. 2021;13(1):238.PubMedPubMedCentralCrossRef
112.
Gamelin F-X, Baquet G, Berthoin S, Thevenet D, Nourry C, Nottin S, et al. Effect of high intensity intermittent training on heart rate variability in prepubescent children. Eur J Appl Physiol. 2009;105(5):731–8.PubMedCrossRef
113.
Ketelhut S, Kircher E, Ketelhut SR, Wehlan E, Ketelhut K. Effectiveness of Multi-activity, High-intensity Interval Training in School-aged Children. Int J Sports Med. 2020;41(4):227–32.PubMedCrossRef
114.
Cvetković N, Stojanović E, Stojiljković N, Nikolić D, Milanović Z. Effects of a 12 Week Recreational Football and High-Intensity Interval Training on Physical Fitness in Overweight Children. Physical Education and Sport: Facta Universitatis, Series; 2018.CrossRef
115.
Cvetković N, Stojanović E, Stojiljković N, Nikolić D, Scanlan AT, Milanović Z. Exercise training in overweight and obese children: Recreational football and high-intensity interval training provide similar benefits to physical fitness. Scand J Med Sci Sports. 2018;28:18–32.PubMedCrossRef
116.
Racil G, Coquart JB, Elmontassar W, Haddad M, Goebel R, Chaouachi A, et al. Greater effects of high-compared with moderate-intensity interval training on cardio-metabolic variables, blood leptin concentration and ratings of perceived exertion in obese adolescent females. Biol Sport. 2016;33(2):145–52.PubMedPubMedCentralCrossRef
117.
Abassi W, Ouerghi N, Nikolaidis PT, Hill L, Racil G, Knechtle B, Feki M, Bouassida A. Interval training with different intensities in overweight/obese adolescent females. Int J Sports Med. 2022;43(05):434–43.
118.
Abassi W, Ouerghi N, Ghouili H, Haouami S, Bouassida A. Greater effects of high- compared with moderate-intensity interval training on thyroid hormones in overweight/obese adolescent girls. Horm Mol Biol Clin Investig. 2020;41(4).
119.
Williams RA, Dring KJ, Morris JG, Sunderland C, Nevill ME, Cooper SB. Effect of two-weeks of school-based sprint training on physical fitness, risk factors for cardiometabolic diseases and cognitive function in adolescent girls: A randomized controlled pilot trial. Front Sports Act Living. 2022;4:884051.PubMedPubMedCentralCrossRef
120.
Bossmann T, Woll A, Wagner I. Effects of Different Types of High-Intensity Interval Training (HIIT) on Endurance and Strength Parameters in Children and Adolescents. Int J Environ Res Public Health. 2022;19(11):6855.PubMedPubMedCentralCrossRef
121.
McKay H, Naylor PJ, Lau E, Gray SM, Wolfenden L, Milat A, et al. Implementation and scale-up of physical activity and behavioural nutrition interventions: an evaluation roadmap. Int J Behav Nutr Phys Act. 2019;16(1):102.PubMedPubMedCentralCrossRef
122.
123.
Montgomery P, Underhill K, Gardner F, Operario D, Mayo-Wilson E. The Oxford Implementation Index: a new tool for incorporating implementation data into systematic reviews and meta-analyses. J Clin Epidemiol. 2013;66(8):874–82.PubMedPubMedCentralCrossRef
124.
Coates AM, Joyner MJ, Little JP, Jones AM, Gibala MJ. A Perspective on High-Intensity Interval Training for Performance and Health. Sports Med. 2023;53(Suppl 1):85–96.PubMedPubMedCentralCrossRef
125.
Liu Y, Williams CA, Weston KL, Duncombe SL, Malik AA, Barker AR. Validation and calibration for embedding rating of perceived exertion into high-intensity interval exercise in adolescents: a lab-based study. Pediatric Exercise Sci. 2024;1(aop):1–7.
126.
Duncombe SL, Stylianou M, Price L, Walker JL, Barker AR. Making a HIIT: Methods for quantifying intensity in high-intensity interval training in schools and validity of session rating of perceived exertion. J Sports Sci. 2023;41(18):1678–86.
127.
Eather N, Babic M, Riley N, Costigan SA, Lubans DR. Impact of Embedding High-Intensity Interval Training in Schools and Sports Training on Children and Adolescent’s Cardiometabolic Health and Health-Related Fitness: Systematic Review and Meta-Analysis. J Teach Phys Educ. 2022:1–13.
128.
Savovic J, Turner RM, Mawdsley D, Jones HE, Beynon R, Higgins JPT, et al. Association Between Risk-of-Bias Assessments and Results of Randomized Trials in Cochrane Reviews: The ROBES Meta-Epidemiologic Study. Am J Epidemiol. 2018;187(5):1113–22.PubMedCrossRef
129.
Lane C, McCrabb S, Nathan N, Naylor PJ, Bauman A, Milat A, et al. How effective are physical activity interventions when they are scaled-up: a systematic review. Int J Behav Nutr Phys Act. 2021;18(1):16.PubMedPubMedCentralCrossRef
130.
Kennedy SG, Sanders T, Estabrooks PA, Smith JJ, Lonsdale C, Foster C, et al. Implementation at-scale of school-based physical activity interventions: A systematic review utilizing the RE-AIM framework. Obes Rev. 2021;22(7):e13184.PubMedCrossRef
131.
García-Hermoso A, Cerrillo-Urbina AJ, Herrera-Valenzuela T, Cristi-Montero C, Saavedra JM, Martínez-Vizcaíno V. Is high-intensity interval training more effective on improving cardiometabolic risk and aerobic capacity than other forms of exercise in overweight and obese youth? A meta-analysis. Obesity Rev. 2016;17(6):531–40.CrossRef
132.
Liu J, Zhu L, Su Y. Comparative Effectiveness of High-Intensity Interval Training and Moderate-Intensity Continuous Training for Cardiometabolic Risk Factors and Cardiorespiratory Fitness in Childhood Obesity: A Meta-Analysis of Randomized Controlled Trials. Front Physiol. 2020;11:214.PubMedPubMedCentralCrossRef
133.
Leahy AA, Mavilidi MF, Smith JJ, Hillman CH, Eather N, Barker D, et al. Review of High-Intensity Interval Training for Cognitive and Mental Health in Youth. Med Sci Sports Exerc. 2020;52(10):2224–34.PubMedCrossRef
134.
McKay BR, Paterson DH, Kowalchuk JM. Effect of short-term high-intensity interval training vs. continuous training on O2 uptake kinetics, muscle deoxygenation, and exercise performance. J Appl Physiol (1985). 2009;107(1):128–38.PubMedCrossRef
135.
Schaun GZ, Pinto SS, Silva MR, Dolinski DB, Alberton CL. Whole-Body High-Intensity Interval Training Induce Similar Cardiorespiratory Adaptations Compared With Traditional High-Intensity Interval Training and Moderate-Intensity Continuous Training in Healthy Men. J Strength Cond Res. 2018;32(10):2730–42.PubMedCrossRef
136.
McGill E, Marks D, Er V, Penney T, Petticrew M, Egan M. Qualitative process evaluation from a complex systems perspective: A systematic review and framework for public health evaluators. PLoS Med. 2020;17(11):e1003368.PubMedPubMedCentralCrossRef
Metadata
Title
Process evaluation of school-based high-intensity interval training interventions for children and adolescents: a systematic review and meta-analysis of randomized controlled trials
Authors
Yong Liu
Curtis A. Wadey
Alan R. Barker
Craig A. Williams
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17786-6

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