Obesity Clinical Trial
Official title:
Microvascular and Metabolic Effects of High-intensity Interval Training (HIIT) and Intermittent Fasting (FAST) in Overweight or Obese, Sedentary Women With Cardiometabolic Risk Factors: HIIT-FAST, a Randomized Clinical Trial
The study investigates the effects of high intensity interval training (HIIT) versus continuous training (CT), combined or not with fasting, on capillary density, microvascular function, cardiometabolic risk markers, functional capacity, and quality of life, in overweight or obese sedentary women with cardiometabolic risk factors. The use of HIIT could promote greater improvements in these parameters than CT. Furthermore, the positive effects of exercise may increase when it is performed in the fasting state, compared to exercise performed in the fed state.
Physical inactivity and increased caloric intake play important roles in the pathophysiology
of obesity. Increases of physical activity and modifications of eating behaviors are
first-line interventions which, however, are not easily implemented, and lack of time to
exercise and difficulties in coping with different diets are common reasons for failure.
High-intensity interval training (HIIT) is a "faster" alternative to moderate-intensity
continuous training (CT). Conversely, intermittent fasting is also an alternative to more
complex diets, as it restricts caloric intake to a specified period of time without major
diet composition changes. The combination of HIIT and fasting may therefore provide
incremental benefits.
Sedentary women aged ≥ 30 years and ≤50 years, with body mass index ≥25 kg/m2 and
cardiometabolic risk factors, will be randomized to HIIT performed in the fasting state, HIIT
performed in the fed state, CT in the fasting state or CT in the fed state. Cardiometabolic
parameters, anthropometric indices, cardiorespiratory fitness, quality of life and
microvascular function (cutaneous capillary density and microvascular reactivity evaluated by
laser speckle contrast imaging) will be evaluated before the initiation of the interventions
and 4 weeks thereafter.
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