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Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial

Charles Winn, Kelly Mackintosh Orcid Logo, William Eddolls, Gareth Stratton Orcid Logo, Andrew M. Wilson, Melitta McNarry Orcid Logo, Gwyneth Davies Orcid Logo

Journal of Sport and Health Science, Volume: 10, Issue: 4, Pages: 488 - 498

Swansea University Authors: Charles Winn, Kelly Mackintosh Orcid Logo, William Eddolls, Gareth Stratton Orcid Logo, Melitta McNarry Orcid Logo, Gwyneth Davies Orcid Logo

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DOI (Published version): 10.1016/j.jshs.2019.05.009

Abstract

BackgroundHigher levels of cardiorespiratory fitness are associated with reduced asthma severity and increased quality of life in those with asthma. Therefore, the purpose of this study was to evaluate the effectiveness of a 6-month high-intensity interval training (HIIT) intervention in adolescents...

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Published in: Journal of Sport and Health Science
ISSN: 2095-2546
Published: Elsevier BV 2021
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Therefore, the purpose of this study was to evaluate the effectiveness of a 6-month high-intensity interval training (HIIT) intervention in adolescents with and without asthma.MethodsA total of 616 adolescents (334 boys; 13.0 &#xB1; 1.1 years; 1.57 &#xB1; 0.10m; 52.6 &#xB1; 12.9kg, mean &#xB1; SD), including 155 with asthma (78 boys), were recruited as part of a randomized control trial from 5 schools (4 control, 1 intervention). The 221 intervention participants (116 boys; 47 asthma) completed 6 months of school-based HIIT (30mins, 3 times per week, 10&#x2013;30s bouts at &gt;90% age-predicted maximum heart rate with equal rest). At baseline, mid-intervention, post-intervention and 3-month follow-up, measurements for 20-metre shuttle run, body mass index (BMI), lung function, Pediatric Quality of Life Inventory, Paediatric Asthma Quality of Life Questionnaire and Asthma Control Questionnaire were collected. Additionally, 69 adolescents (21 boys; 36 asthma) also completed an incremental ramp test. For analysis, each group's data (intervention and control) was divided into those with and without asthma.ResultsParticipants with asthma did not differ from their peers in any parameter of aerobic fitness, at any time-point, but were characterised by a greater BMI. The intervention elicited a significant improvement in maximal aerobic fitness but no change in sub-maximal parameters of aerobic fitness, lung function or quality of life, irrespective of asthma status. Those in the intervention group maintained their BMI, whereas BMI significantly increased in the control group throughout the 6-month period.ConclusionsHIIT represents an effective tool for improving aerobic fitness and maintaining BMI in adolescents, irrespective of asthma status. 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spelling 2021-12-01T11:55:50.1266832 v2 49612 2019-03-19 Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial c06badc5ccb752878ad3bdd04a7d9a1c Charles Winn Charles Winn true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 417a327e5afb7838f7a462e69a86207d William Eddolls William Eddolls true false 6d62b2ed126961bed81a94a2beba8a01 0000-0001-5618-0803 Gareth Stratton Gareth Stratton true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 92d69cf8519a334ced3f55142c811d95 0000-0003-1218-1008 Gwyneth Davies Gwyneth Davies true false 2019-03-19 FGSEN BackgroundHigher levels of cardiorespiratory fitness are associated with reduced asthma severity and increased quality of life in those with asthma. Therefore, the purpose of this study was to evaluate the effectiveness of a 6-month high-intensity interval training (HIIT) intervention in adolescents with and without asthma.MethodsA total of 616 adolescents (334 boys; 13.0 ± 1.1 years; 1.57 ± 0.10m; 52.6 ± 12.9kg, mean ± SD), including 155 with asthma (78 boys), were recruited as part of a randomized control trial from 5 schools (4 control, 1 intervention). The 221 intervention participants (116 boys; 47 asthma) completed 6 months of school-based HIIT (30mins, 3 times per week, 10–30s bouts at >90% age-predicted maximum heart rate with equal rest). At baseline, mid-intervention, post-intervention and 3-month follow-up, measurements for 20-metre shuttle run, body mass index (BMI), lung function, Pediatric Quality of Life Inventory, Paediatric Asthma Quality of Life Questionnaire and Asthma Control Questionnaire were collected. Additionally, 69 adolescents (21 boys; 36 asthma) also completed an incremental ramp test. For analysis, each group's data (intervention and control) was divided into those with and without asthma.ResultsParticipants with asthma did not differ from their peers in any parameter of aerobic fitness, at any time-point, but were characterised by a greater BMI. The intervention elicited a significant improvement in maximal aerobic fitness but no change in sub-maximal parameters of aerobic fitness, lung function or quality of life, irrespective of asthma status. Those in the intervention group maintained their BMI, whereas BMI significantly increased in the control group throughout the 6-month period.ConclusionsHIIT represents an effective tool for improving aerobic fitness and maintaining BMI in adolescents, irrespective of asthma status. HIIT was well tolerated by those with asthma, who evidenced a similar aerobic fitness to their healthy peers and responded equally well to a HIIT programme. Journal Article Journal of Sport and Health Science 10 4 488 498 Elsevier BV 2095-2546 Body mass index, Cardiorespiratory fitness, Intermittent exercise, Intervention, Quality of life 1 7 2021 2021-07-01 10.1016/j.jshs.2019.05.009 COLLEGE NANME Science and Engineering - Faculty COLLEGE CODE FGSEN Swansea University This work was funded by the Asthma UK Centre for Applied Research (AUK-AC-2012-01) and Swansea University Medical School. 2021-12-01T11:55:50.1266832 2019-03-19T09:33:19.9468656 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Charles Winn 1 Kelly Mackintosh 0000-0003-0355-6357 2 William Eddolls 3 Gareth Stratton 0000-0001-5618-0803 4 Andrew M. Wilson 5 Melitta McNarry 0000-0003-0813-7477 6 Gwyneth Davies 0000-0003-1218-1008 7 49612__20852__4c5ea42c924244ab82172cfa630e5d66.pdf 49612.pdf 2021-09-15T15:03:48.1927607 Output 509641 application/pdf Version of Record true This is an open access article under the CC BY-NC-ND license true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
spellingShingle Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
Charles Winn
Kelly Mackintosh
William Eddolls
Gareth Stratton
Melitta McNarry
Gwyneth Davies
title_short Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
title_full Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
title_fullStr Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
title_full_unstemmed Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
title_sort Effect of high-intensity interval training in adolescents with asthma: The eXercise for Asthma with Commando Joe's® (X4ACJ) trial
author_id_str_mv c06badc5ccb752878ad3bdd04a7d9a1c
bdb20e3f31bcccf95c7bc116070c4214
417a327e5afb7838f7a462e69a86207d
6d62b2ed126961bed81a94a2beba8a01
062f5697ff59f004bc8c713955988398
92d69cf8519a334ced3f55142c811d95
author_id_fullname_str_mv c06badc5ccb752878ad3bdd04a7d9a1c_***_Charles Winn
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
417a327e5afb7838f7a462e69a86207d_***_William Eddolls
6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
92d69cf8519a334ced3f55142c811d95_***_Gwyneth Davies
author Charles Winn
Kelly Mackintosh
William Eddolls
Gareth Stratton
Melitta McNarry
Gwyneth Davies
author2 Charles Winn
Kelly Mackintosh
William Eddolls
Gareth Stratton
Andrew M. Wilson
Melitta McNarry
Gwyneth Davies
format Journal article
container_title Journal of Sport and Health Science
container_volume 10
container_issue 4
container_start_page 488
publishDate 2021
institution Swansea University
issn 2095-2546
doi_str_mv 10.1016/j.jshs.2019.05.009
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description BackgroundHigher levels of cardiorespiratory fitness are associated with reduced asthma severity and increased quality of life in those with asthma. Therefore, the purpose of this study was to evaluate the effectiveness of a 6-month high-intensity interval training (HIIT) intervention in adolescents with and without asthma.MethodsA total of 616 adolescents (334 boys; 13.0 ± 1.1 years; 1.57 ± 0.10m; 52.6 ± 12.9kg, mean ± SD), including 155 with asthma (78 boys), were recruited as part of a randomized control trial from 5 schools (4 control, 1 intervention). The 221 intervention participants (116 boys; 47 asthma) completed 6 months of school-based HIIT (30mins, 3 times per week, 10–30s bouts at >90% age-predicted maximum heart rate with equal rest). At baseline, mid-intervention, post-intervention and 3-month follow-up, measurements for 20-metre shuttle run, body mass index (BMI), lung function, Pediatric Quality of Life Inventory, Paediatric Asthma Quality of Life Questionnaire and Asthma Control Questionnaire were collected. Additionally, 69 adolescents (21 boys; 36 asthma) also completed an incremental ramp test. For analysis, each group's data (intervention and control) was divided into those with and without asthma.ResultsParticipants with asthma did not differ from their peers in any parameter of aerobic fitness, at any time-point, but were characterised by a greater BMI. The intervention elicited a significant improvement in maximal aerobic fitness but no change in sub-maximal parameters of aerobic fitness, lung function or quality of life, irrespective of asthma status. Those in the intervention group maintained their BMI, whereas BMI significantly increased in the control group throughout the 6-month period.ConclusionsHIIT represents an effective tool for improving aerobic fitness and maintaining BMI in adolescents, irrespective of asthma status. HIIT was well tolerated by those with asthma, who evidenced a similar aerobic fitness to their healthy peers and responded equally well to a HIIT programme.
published_date 2021-07-01T04:00:46Z
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