Original Research ARTICLE
A 4-Week Intervention Involving Mobile-Based Daily 6-Minute Micro-Sessions of Functional High-Intensity Circuit Training Improves Strength and Quality of Life, but Not Cardio-Respiratory Fitness of Young Untrained Adults
- 1Integrative and Experimental Exercise Science and Training, Institute for Sport Sciences, University of Würzburg, Würzburg, Germany
- 2Institute for Sport Sciences, University of Würzburg, Würzburg, Germany
- 3The Swedish Winter Sports Research Centre, Mid Sweden University, Östersund, Sweden
- 4School of Kinesiology, The University of British Columbia, Vancouver, BC, Canada
- 5School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
The present study was designed to assess the psycho-physiological responses of physically untrained individuals to mobile-based multi-stimulating, circuit-like, multiple-joint conditioning (CircuitHIIT) performed either once (1xCircuitHIIT) or twice (2xCircuitHIIT) daily for 4 weeks. In this single-center, two-arm randomized, controlled study, 24 men and women (age: 25 ± 5 years) first received no training instructions for 4 weeks and then performed 4 weeks of either 1xCircuitHIIT or 2xCircuitHIIT (5 men and 7 women in each group) daily. The 1xCircuitHIIT and 2xCircuitHIIT participants carried out 90.7 and 85.7% of all planned training sessions, respectively, with average heart rates during the 6-min sessions of 74.3 and 70.8% of maximal heart rate. Body, fat and fat-free mass, and metabolic rate at rest did not differ between the groups or between time-points of measurement. Heart rate while running at 6 km⋅h-1 declined after the intervention in both groups. Submaximal and peak oxygen uptake, the respiratory exchange ratio and heart rate recovery were not altered by either intervention. The maximal numbers of push-ups, leg-levers, burpees, 45°-one-legged squats and 30-s skipping, as well as perception of general health improved in both groups. Our 1xCircuitHIIT or 2xCircuitHIIT interventions improved certain parameters of functional strength and certain dimensions of quality of life in young untrained individuals. However, they were not sufficient to enhance cardio-respiratory fitness, in particular peak oxygen uptake.
Low levels of cardiorespiratory fitness (CRF) and physical activity (PA) are two major independent risk factors for both cardiovascular disease (CVD) and all-cause mortality (Blair et al., 1989; DeFina et al., 2015). Programs designed to improve cardiovascular, metabolic and psychological health involving repeated short-to-long bouts of high-intensity exercise with intervals of recovery (referred to as high-intensity interval training or HIIT) have begun to replace those based on low-intensity high-volume exercise (Kessler et al., 2012; Elliott et al., 2014; Little and Francois, 2014; Gielen et al., 2015; Schmitt et al., 2016). In addition to encompassing an unlimited number of protocols with different work-to-rest ratios, orders of loading and distributions of training intensity, HIIT requires less time and perceived lack of time appears to be a major reason for not exercising (Godin et al., 1994).
Accumulating evidence indicates that low-volume HIIT (e.g., 4–6 30-s cycle sprints separated by ∼4 min of recovery or 10 60-s work bouts at a constant intensity that elicits ∼90% of maximal heart rate, separated by 60 s of recovery) induces physiological remodeling in several ways that improve metabolic control in skeletal muscle, as well as cardiovascular function (Gibala et al., 2012). Such metabolic improvement is beneficial to numerous individuals, including previously sedentary, overweight individuals in whom insulin sensitivity can be improved by this type of exercise (Whyte et al., 2010).
As has shown to be the case for traditional endurance-based HIIT, the relatively novel functional training/fitness involving multi-stimulating, circuit-like, multiple-joint, high-intensity exercise (CircuitHIIT) improves body composition, as well as cardiovascular and functional fitness and certain aspects of quality of life (Sperlich et al., 2017). Improved CRF (e.g., maximal oxygen uptake) and muscular strength are associated with improved dimensions of health (Nikander et al., 2010; Thomas et al., 2017) and fewer premature deaths (Bouchard et al., 2015). However, although time-saving bouts of sprint-based HIIT enhance certain dimensions of health, this type of training is extremely demanding; may not be safe, tolerable or appealing for certain individuals (Gibala et al., 2012); and may not improve whole-body strength.
Mobile web-based technology is growing rapidly and now offers more than 100,000 applications (Modave et al., 2015) designed to improve various aspects of health and physical fitness (Sama et al., 2014; Modave et al., 2015). Digital technology may effectively reduce the length of contact time between individuals seeking care and health or exercise professionals (Atkinson and Gold, 2002) and thereby the costs involved. Numerous mobile apps presently available, especially in iTunes and Google Play, support a variety of CircuitHIIT-like exercises lasting 5–8 min, micro-sessions which may, if performed for approximately 75 min each week (i.e., approximately twice a day), be in line with current recommendations for improving and maintaining physical fitness and health (Garber et al., 2011).
Improvement in neuromuscular function through aerobic exercise is associated with other health benefits, including reduced lower-back pain (Cortell-Tormo et al., 2018), enhanced bone density (Petersen et al., 2017), better body composition (Cholewa et al., 2017) and more favorable psychological perception (e.g., self-satisfaction, self-esteem and body image) (Sothern et al., 1999). In this context, short-term (i.e., 4-week) resistance training has been proven to improve the one-repetition concentric strength of sedentary, healthy men by 19% (Raue et al., 2005), as well as to elevate the maximal isometric torque of both healthy men and women (Mayhew et al., 1995).
Micro-sessions of CircuitHIIT may offer one approach to circumventing lack of time as a reason for not exercising (Godin et al., 1994). However, a recent systematic review highlighted the fact that physical activity promoted by smart phones leads to heterogeneous outcomes (Bort-Roig et al., 2014) and does not apply evidence-based guidelines to aerobic and resistance training (Knight et al., 2015). Thus, although promoted extensively online, surprisingly little scientific evaluation of the effect of web-based interventions, including CircuitHIIT, on cardiorespiratory and metabolic functions, body composition, functional strength and quality of life of untrained individuals is presently available.
Therefore, we have compared here the psycho-physiological responses of physically untrained individuals to a web-based multi-stimulating, circuit-like, multiple-joint conditioning program (CircuitHIIT) performed either once (1xCircuitHIIT) or twice (2xCircuitHIIT) daily for 4 weeks.
Materials and Methods
For this single-center, two-arm randomized, controlled study, 24 men and women (major baseline characteristics are summarized in Table 1) were recruited via social media and bulletins. They were assigned randomly to perform a 6-min web-based micro-session of functional high-intensity circuit training, individually designed on the basis of their peak oxygen uptake at baseline, either once (1xCircuitHIIT) or twice (2xCircuitHIIT) (5 men and 7 women in each case) daily for 4 weeks. T-test analysis of VO2peak prior to the intervention demonstrated no difference in this respect between the two groups (p = 0.75; T = 0.32).
All were informed in detail about the design of the study, including the potential risks and benefits, before providing their written consent to participate. The inclusion criteria were an age of 18–40 years; lack of any frequent participation in endurance or strength exercise programs for at least 6 months prior to the study; no daily intake of medication; and for inclusion in the analysis, completion of at least 80% of the training sessions.
All procedures were conducted in accordance with the Declaration of Helsinki and the experimental protocol was approved by the ethical review board of the Sport Science Institute of the University of Würzburg.
Overall Study Design
Two to 3 days prior to (T0) and 2 days after the 4-week baseline period (T1), as well as two to 3 days following the 4-week CircuitHIIT intervention (T2), all underwent assessment of body composition, a treadmill ramp test designed to assess cardiorespiratory and metabolic variables, and numerous tests of functional movement and strength, as well as filling in a questionnaire concerning quality of life (Figure 1).
FIGURE 1. The study design, including testing prior to (T0) and after (T1) the baseline period and following the intervention (T2).
Each of the 4 weeks of intervention involved a different 6-min micro-session of CircuitHIIT. After each week, each participant received a web-based video (designed for use either on a desktop computer or smartphone/tablet) of an instructor carrying out functional CircuitHIIT movements [for details, see (www.sportsandscience.de, 2017a,b,c,d)] and were instructed to follow these movements with high-intensity, with monitoring of this intensity by heart rate. The 2xCircuitHIIT group was instructed to recover for 2–3 h between the two sessions on the same day. All sessions and other free-time activities were monitored by a multi-sensor device worn on the wrist (Polar V800, Polar Electro Oy, Kempele, Finland).
Anthropometric Data and Body Composition
Height while standing barefoot was measured with a folding yardstick. Body, fat and fat-free mass, as well as metabolic rate at rest were assessed with a four-electrode bio-impedance scale (Model 1609N; Tanita Corp., Tokyo, Japan) and the body-mass-index (BMI; in kg⋅m-2) then calculated. Since dehydration may affect such bio-impedance analysis, all participants were instructed to drink 500 mL of water 1 h before these measurements.
The Treadmill Test
After running at 6 km⋅h-1 for 5 min on a treadmill (Mercury, h/p/Cosmos Sports & Medical GmbH, Nußdorf, Germany), submaximal heart rate, oxygen uptake and the respiratory exchange ratio were all evaluated. Thereafter, for determination of the peak values of these same parameters, the speed was increased by 1 km⋅h-1 each minute until exhaustion. As recommended earlier (Poole and Jones, 2017), a ramp test involving constant work at approximately 110% VO2peak was performed shortly thereafter for validation and the higher of the two values obtained considered to be VO2peak. Heart rate recovery (HRrecovery) was defined as the reduction in heart rate while standing still during the first 60 s after termination of the ramp test.
Throughout the testing, oxygen uptake, the respiratory exchange ratio and heart rate were monitored with an open circuit breath-by-breath gas and volume analyzer (Metamax 3B, Cortex Biophysik GmbH, Leipzig, Germany), employing standard algorithms to compensate for the delay between oxygen consumption and generation of the signal. All respiratory data and heart rates were averaged over 30-s intervals. The oxygen uptake at 6 km⋅h-1 was considered to be an indicator of running economy, as described elsewhere (Barnes and Kilding, 2015). Post-exercise heart rate recovery is considered to be a marker for general hemodynamic adjustments and this 60-s recovery is correlated to changes in training status (Daanen et al., 2012).
Functional Strength and 30-s Skipping
To test functional strength, all participants were asked to perform as many push-ups, leg-levers, burpees and 45°-one-legged squats in 1 min as they could (separated by 3 min of recovery). All of this functional testing was adopted from a previous study (Sperlich et al., 2017). Repeated testing on two different occasions (3 days apart; n = 10) revealed a good test-retest reliability based on the intraclass correlation coefficient (ranging from 0.93 to 0.98) and technical error measurement (ranging from 2.8 to 4.8%) results.
When performing the 45°-one-legged squat, all participants began in an upright position with both knees stretched (180°) and both hands on the waist with an elbow angle of approximately 90°. The participant was instructed to bend the knee of the leg he/she was standing on to 45° and avoid ground contact with the other foot. (A larger knee angle was not possible, since our untrained participants were not strong or stable enough). After bending, the participant returned to the upright position with both knees stretched (180°), thereby ending the cycle. This testing started with the right leg; after a 30-s break, the left leg was tested in the same manner and the average number of repetitions with both legs used for statistical analysis.
The push-ups at T0, T1 and T2 were performed in the same manner. When the participant was unable to raise his/her elongated torso and lower-body from the floor, he/she was allowed to perform subsequent push-ups while kneeling. One push-up began when the torso was lifted from the floor and ended when it touched the floor again.
During the leg lever test the participant lay stretched out on a fitness mat with both arms and hands held close in to the body. The cycle began with both legs, knees fully extended, being raised simultaneously to an angle of 60° at the hip. The cycle ended when both legs were lowered slightly without the heels touching the ground. Thereafter, this cycle was repeated, and the number of repetitions employed for statistical analysis.
A valid burpee began in the standing position, from which the participant moved into a squatting position with the two legs simultaneously kicking back, to land in a plank position on both hands and tiptoes. Then, the participant returned to the squat position and ended the burpee with a vertical jump. This cycle was repeated, and the number of repetitions employed for statistical analysis.
Skipping performance was assessed as the maximal number of skips during a 30-s period, as recorded by the OptoJump apparatus (MicroGate Srl, Bolzano, Italy).
Assessment of Quality of Life
At T0, T1, and T2, all completed the German version of the health-related quality of life questionnaire (SF-36), which has been confirmed to be both valid and reliable (Bullinger et al., 1995). This questionnaire assesses general and mental health, physical and social functioning, vitality, bodily pain, and the impact of physical and emotional limitations, with higher scores (0–100) reflecting better quality of life. The questionnaire was distributed to the participants by a member of our research group prior to physiological testing and later collected by the same person.
Monitoring Activity and Training
Collection of data on activity was initiated immediately after the first ramp test (T0) and terminated after the last ramp test approximately 8 weeks later (T2). Each individual wore a multisensory device (Polar V800, Polar Electro Oy, Kempele, Finland) on the wrist on which they usually wore a watch for the entire study period (with the exception of short intervals for charging). When the participants were not exercising, the Polar V800 instrument without a chest-belt recorded the number of steps and intensity of daily activities automatically, with a validity comparable to that of accelerometers (Hernandez-Vicente et al., 2016). During each session of CircuitHIIT they wore a chest-belt and activated monitoring of heart rate manually. Each participant uploaded all these data for web-based storage via the Polar Flow software. This software provides the number of steps taken daily, the number of waking hours spent sedentary each day [<1.5 metabolic equivalents (MET)], and the time spent performing light (1.5–3 MET), moderate (3–6 MET) and vigorous physical activity (>6 MET) each day. For the analysis of each CircuitHIIT session, we averaged the heart rate data from the last 2 min.
When the distribution of the data was examined with the Shapiro–Wilk test, this distribution was found to be non-normal in the case of physical activity and health-related quality of life (SF-36). Since further data transformation did not improve this situation, we continued with parametric testing. Repeated measures ANOVAs (time points: baseline and intervention for physical activity and T0, T1, T2 for all other variables) were performed with the physical activity, cardiorespiratory and metabolic parameters, body composition, functional strength and quality of life as the intra-subject factors and group (1xCircuitHIIT or 2xCircuitHIIT) as the inter-subject factor. An alpha of ρ < 0.05 with Bonferroni adjustment for multiple comparisons was considered significant. In addition, the values obtained were evaluated by calculating the effect size partial eta-square (ηp2). The means and standard deviations (SD) of all data sets were calculated and all statistical tests carried out in the SPSS 22.0 software package for Microsoft (SPSS Inc., Chicago, IL, United States).
Activity Measurements (Table 2)
For the 1xCircuitHIIT group, valid data (i.e., >480 min/day) were obtained for 19.2 ± 1.5 weekdays and 7.4 ± 1.2 weekend days during the 4-week baseline period and 18.8 ± 1.8 weekdays and 6.9 ± 1.4 weekend days during the 4-week intervention. The corresponding values for the 2xCircuitHIIT group were 18.5 ± 2.9 and 7.6 ± 1.2 vs. 18.9 ± 1.9 and 7.4 ± 1.3 days, respectively. The mean sedentary time and duration of light, moderate and vigorous physical activity are presented in Table 2.
TABLE 2. Activity parameters (means ± SD) for the 1xCircuitHIIT and 2xCircuitHIIT groups during the baseline (first 4-week) and intervention (second 4-week) periods.
The only difference between the intervention and baseline periods was that both groups performed more vigorous activity on all days of the week during the intervention.
Training Adherence and Heart Rate
During the intervention, participants in the 1xCircuitHIIT and 2xCircuitHIIT groups performed 90.7 and 85.7%, respectively, of all the planned training sessions, achieving 74.3 and 70.8% of maximal heart rate during these micro-sessions.
All of the parameters measured at T0, T1, and T2 with accompanying statistical analyses are presented in Tables 2–5. Body, fat and fat-free mass and metabolic rate at rest were the same for both groups and at all of these time-points (Table 3).
TABLE 3. Anthropometric parameters (means ± SD) for the 1xCircuitHIIT and 2xCircuitHIIT groups before (T0) and after (T1) the 4-week baseline period and following the 4-week intervention (T2).
Heart rate while running at 6 km/h declined with time (p = 0.017) in both groups. All other variables (i.e., submaximal oxygen uptake and the respiratory exchange ratio, as well as peak oxygen uptake and maximal heart rate) were unaltered (Table 4).
TABLE 4. Cardio-respiratory and metabolic parameters (means ± SD) for the 1xCircuitHIIT and 2xCircuitHIIT groups before (T0) and after (T1) the 4-week baseline period and following the 4-week intervention (T2).
The maximal numbers of push-ups, leg-levers, burpees, 45°-one-legged squats and 30-s skipping was greater at T2 than T1 for the participants in both groups, with no differences between 1xCircuitHIIT and 2xCircuitHIIT (Table 5).
TABLE 5. Tests of funtional strength (means ± SD) for the 1xCircuitHIIT and 2xCircuitHIIT groups before (T0) and after (T1) the 4-week baseline period and following the 4-week intervention (T2).
Perception of general health improved following both interventions (Table 6).
TABLE 6. Quality of life (SF36; arbitrary units, means ± SD) for the 1xCircuitHIIT and 2xCircuitHIIT groups before (T0) and after (T1) the 4-week baseline period and following the 4-week intervention (T2).
Our major novel findings here concerning the psycho-physiological responses of young untrained individuals to 4 weeks of either 1xCircuitHIIT or 2xCircuitHIIT were as follows: (1) Neither intervention influenced the number of steps taken daily or amount of sedentary time or light or moderate physical activity, but the amount of vigorous physical activity by both groups was higher during the intervention than baseline period. (2) Body composition remained unchanged. (3) With the exception of heart rate while running at 6 km/h, no cardiorespiratory or metabolic parameters differed between the time-points of measurements or between the groups. (4) All parameters related to functional strength were improved following both interventions. And, finally, (5) perception of general health was also better after both 1xCircuitHIIT and 2xCircuitHIIT.
In the current investigation adherence to the prescribed exercise program was quite high (>85% of all planned sessions), despite the fact that there was no social networking by our participants nor did we provide reminders via social media, a calendar for scheduling or encouragement when lapses occurred – all effective strategies in connection with mobile apps designed for weight loss (Pagoto et al., 2013). This high degree of adherence may reflect the fact that the intervention was relatively short, scientific, and detailed, as well as the fact that the individual sessions did not take much time. In this regards it was not unexpected that there was no change in the sedentary time or amounts of light and moderate physical activity.
Overall, the changes in functional strength were more pronounced than those in cardiorespiratory parameters. Although there is now a generally accepted definition of functional strength, we describe the training program employed here more specifically as multi-joint exercise designed to improve certain dimensions of strength and mobility in connection with everyday life, as well as the performance of specific sports. Depending on its intensity, duration and frequency, this type of strength training promotes the same changes in neuro-muscular structure and function as traditional strength training – i.e., release of inhibitory mechanisms, as well as improvements in intra- and intermuscular coordination (synchronization, recruitment and the rate coding of muscle fibers) and hypertrophic responses.
Although the hypertrophic response to eccentric and concentric signaling occurs immediately (Franchi et al., 2017), the gains in muscle protein mass may take several weeks (Moritani and deVries, 1979) or months (Zinner et al., 2017), depending on factors that include both training history and gender. Therefore, the improvement in functional strength caused by the present 4-week intervention (7.8–20.9 and 15.2–26.9% improvement with 1xCircuitHIIT and 2xCircuitHIIT, respectively) probably reflects neural adaptation. Indeed, functional resistance training improves, e.g., health-related quality of life and physical fitness in women with chronic low-back pain (Cortell-Tormo et al., 2018) and it would be desirable to investigate the potential beneficial effects of our CircuitHIIT in this context.
Interestingly, even though one group trained twice as much as the other, the parameters examined differed between them to only a small extent. Accordingly, from a practical point of view, a single 6-min daily session of functional CircuitHIIT as described here appears to improve functional strength by 7.8–20.9%.
In contrast to these gains in functional strength, no cardiorespiratory changes were evoked here by either 1xCircuitHIIT or 2xCircuitHIIT. Peak oxygen uptake, which limits ATP production via oxidative phosphorylation, is regarded as an integrative indicator of CRF and is closely associated with general health and premature death (Bassett and Howley, 2000; Bouchard et al., 2015). There may be several reasons why this important variable was unaltered by our interventions: First, these CircuitHIIT interventions consisted primarily of resistance training (i.e., squats, lunges, push-ups, etc.). Second, meta-analyses recommend that in order to improve VO2peak, a program of resistance circuit-based training should involve 14–30 sessions over a period of 6–12 weeks, with each session lasting at least 20–30 min at an exercise intensity of 60–90% of the one-repetition maximum (Munoz-Martinez et al., 2017). Thus, a recent intervention involving similar functional movements, but longer sessions (>60 min vs. 6 min) over a longer period (9 vs. 4 weeks) than ours enhanced VO2peak approximately 10% (Sperlich et al., 2017). Apparently, our intervention did not induce any central cardiovascular adaptations because both the individual sessions and overall length were too short and the overall intensities of 74.3 and 70.8% of peak heart rate during 1xCircuitHIIT and 2xCircuitHIIT, respectively, were not sufficiently high (i.e., approximately 90% of maximal heart rate).
This probably also explains the lack of any alteration in metabolism in response to our interventions. A reduction in the respiratory exchange ratio following a period of exercise is indicative of elevated lipid oxidation resulting from more extensive uptake of free fatty acids by working muscle, more efficient beta-oxidation, and down-regulation of glycolytic pathways (Dudley et al., 1987; Jansson and Kaijser, 1987; Brooks, 1997; Bergman and Brooks, 1999). Although endurance exercise increases fatty acid oxidation to a greater extent (Goodpaster et al., 2003; Berggren et al., 2004), even exercise of low-to-moderate intensity [i.e., ranging from 33 to 65% VO2max (Achten et al., 2002)] also has such a beneficial effect (Jones et al., 1980; Broeder et al., 1991; Romijn et al., 1993; Bergman and Brooks, 1999). The heart rates during our CircuitHIIT indicate that the mean intensity of this training (although not targeted) can be classified as “moderate.” Nevertheless, no changes in lipid or carbohydrate metabolism occurred, perhaps, once again, because the individual sessions and overall length of our interventions were too short.
Interestingly, 30-s skipping, which involves anaerobic metabolism (Quirk and Sinning, 1982), improved in both groups by 13.8–15.8%. Since rapid knee lifting is related to leg strength and neuro-muscular control (Trecroci et al., 2015), this improvement may reflect the gains in functional leg strength discussed above.
Our CircuitHIIT participants performed primarily resistance training (i.e., squats, lunges, push-ups, etc.) with very little rest. Therefore, it is not surprising that their functional strength increased. However, the magnitude of this increase (as much as 48% for certain parameters) with only 6-min micro-sessions of CircuitHIIT daily is remarkable.
Women who performed approximately 60 min of CircuitHIIT each week experienced more pain after the 9-week intervention (Sperlich et al., 2017). Indeed, high-intensity strength training with eccentric components such as those involved in multi-stimulating, circuit-like, multiple-joint training induces muscle soreness. Although we did not assess pain during each training session, our participants perceived no more pain after the 1x and 2xCircuitHIIT than during the baseline period. Furthermore, although the rate of injury associated with multi-stimulating, circuit-like, multiple-joint training is approximately 20% (Weisenthal et al., 2014), none of our participants in either group mentioned any severe injury. Finally, our 1xCircuitHIIT and 2x CircuitHIIT interventions both appeared to improve perception of general health.
From a methodological perspective, the web-based CircuitHIIT employed here was not customized to account for individual strengths and weaknesses, which would be desirable in connection with future applications. In addition, although the participants were instructed to perform the CircuitHIIT “all-out,” their heart rates revealed that the intensity of exercise was actually relatively “moderate.” We did not monitor ratings of perceived exertion after the CircuitHIIT, which should be done in future studies of this kind. In addition, we cannot be certain that the participants performed each exercise correctly, which is a general limitation of mobile-based exercise. Moreover, our home workouts were assessed by monitoring heart rate and we cannot entirely exclude the possibility that someone other than the participant him/herself was wearing the sensor. Furthermore, seasonal variation in free-living activity may explain in part the decline in submaximal heart rate from T0 to T1. In this study the groups were matched according to their VO2peak and not functional strength. Since the performances in functional strength were heterogenous among the participants (as evidence, e.g., by the standard deviation in Table 5) this might explain why no differences were detectable between groups. The current investigation was designed to assess the responses of, in particular, untrained individuals to mobile CircuitHIIT and future evaluation of more long-term responses (e.g., >10 weeks) is required.
Four weeks of either one or two 6-min micro-sessions of multi-stimulating, circuit-like, multiple-joint training daily improves certain parameters of functional strength and certain dimensions of quality of life in untrained individuals. However, such exercise programs do not enhance cardio-respiratory fitness, having no effect in particular on peak oxygen uptake.
All authors listed have made a substantial, direct and intellectual contribution to the work, and approved it for publication.
This publication was funded by the German Research Foundation (DFG) and the University of Wuerzburg in the funding program Open Access Publishing.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Achten, J., Gleeson, M., and Jeukendrup, A. E. (2002). Determination of the exercise intensity that elicits maximal fat oxidation. Med. Sci. Sports Exerc. 34, 92–97. doi: 10.1097/00005768-200201000-00015
Bassett, D. R. Jr., and Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med. Sci. Sports Exerc. 32, 70–84. doi: 10.1097/00005768-200001000-00012
Berggren, J. R., Hulver, M. W., Dohm, G. L., and Houmard, J. A. (2004). Weight loss and exercise: implications for muscle lipid metabolism and insulin action. Med. Sci. Sports Exerc. 36, 1191–1195. doi: 10.1249/01.MSS.0000074670.03001.98
Bergman, B. C., and Brooks, G. A. (1999). Respiratory gas-exchange ratios during graded exercise in fed and fasted trained and untrained men. J. Appl. Physiol. 86, 479–487. doi: 10.1152/jappl.1922.214.171.1249
Blair, S. N., Kohl, H. W. III, Paffenbarger, R. S. Jr., Clark, D. G., Cooper, K. H., and Gibbons, L. W. (1989). Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA 262, 2395–2401. doi: 10.1001/jama.1989.03430170057028
Bort-Roig, J., Gilson, N. D., Puig-Ribera, A., Contreras, R. S., and Trost, S. G. (2014). Measuring and influencing physical activity with smartphone technology: a systematic review. Sports Med. 44, 671–686. doi: 10.1007/s40279-014-0142-5
Broeder, C. E., Brenner, M., Hofman, Z., Paijmans, I. J. M., Thomas, E. L., and Wilmore, J. H. (1991). The metabolic consequences of low and moderate intensity exercise with or without feeding in lean and borderline obese males. Int. J. Obes. 15, 95–104.
Bullinger, M., Kirchberger, I., and Ware, J. (1995). Der deutsche SF-36 Health Survey Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z. Gesundh. Wiss. 3, 21–36. doi: 10.1007/BF02959944
Cholewa, J. M., Rossi, F. E., Macdonald, C., Hewins, A., Gallo, S., Micenski, A., et al. (2017). The effects of moderate- versus high-load resistance training on muscle growth, body composition, and performance in collegiate women. J. Strength Cond. Res. doi: 10.1519/JSC.0000000000002048 [Epub ahead of print].
Cortell-Tormo, J. M., Sanchez, P. T., Chulvi-Medrano, I., Tortosa-Martinez, J., Manchado-Lopez, C., Llana-Belloch, S., et al. (2018). Effects of functional resistance training on fitness and quality of life in females with chronic nonspecific low-back pain. J. Back Musculoskelet. Rehabil. 31, 95–105. doi: 10.3233/BMR-169684
Daanen, H. A., Lamberts, R. P., Kallen, V. L., Jin, A., and Van Meeteren, N. L. (2012). A systematic review on heart-rate recovery to monitor changes in training status in athletes. Int. J. Sports Physiol. Perform. 7, 251–260. doi: 10.1123/ijspp.7.3.251
DeFina, L. F., Haskell, W. L., Willis, B. L., Barlow, C. E., Finley, C. E., Levine, B. D., et al. (2015). Physical activity versus cardiorespiratory fitness: two (partly) distinct components of cardiovascular health? Prog. Cardiovasc. Dis. 57, 324–329. doi: 10.1016/j.pcad.2014.09.008
Elliott, A. D., Rajopadhyaya, K., Bentley, D. J., Beltrame, J. F., and Aromataris, E. C. (2014). Interval training versus continuous exercise in patients with coronary artery disease: a meta-analysis. Heart Lung Circ. 24, 149–157. doi: 10.1016/j.hlc.2014.09.001
Franchi, M. V., Reeves, N. D., and Narici, M. V. (2017). Skeletal muscle remodeling in response to eccentric vs. concentric loading: morphological, molecular, and metabolic adaptations. Front. Physiol. 8:447. doi: 10.3389/fphys.2017.00447
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., et al. (2011). American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med. Sci. Sports Exerc. 43, 1334–1359. doi: 10.1249/MSS.0b013e318213fefb
Gibala, M. J., Little, J. P., Macdonald, M. J., and Hawley, J. A. (2012). Physiological adaptations to low-volume, high-intensity interval training in health and disease. J. Physiol. 590, 1077–1084. doi: 10.1113/jphysiol.2011.224725
Gielen, S., Laughlin, M. H., O’conner, C., and Duncker, D. J. (2015). Exercise training in patients with heart disease: review of beneficial effects and clinical recommendations. Prog. Cardiovasc. Dis. 57, 347–355. doi: 10.1016/j.pcad.2014.10.001
Godin, G., Desharnais, R., Valois, P., Lepage, L., Jobin, J., and Bradet, R. (1994). Differences in perceived barriers to exercise between high and low intenders: observations among different populations. Am. J. Health Promot. 8, 279–385. doi: 10.4278/0890-1171-8.4.279
Goodpaster, B. H., Katsiaras, A., and Kelley, D. E. (2003). Enhanced fat oxidation through physical activity is associated with improvements in insulin sensitivity in obesity. Diabetes Metab. Res. Rev. 52, 2191–2197. doi: 10.2337/diabetes.52.9.2191
Kessler, H. S., Sisson, S. B., and Short, K. R. (2012). The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports Med. 42, 489–509. doi: 10.2165/11630910-000000000-00000
Knight, E., Stuckey, M. I., Prapavessis, H., and Petrella, R. J. (2015). Public health guidelines for physical activity: is there an app for that? A review of android and apple app stores. JMIR Mhealth Uhealth 3:e43. doi: 10.2196/mhealth.4003
Mayhew, T. P., Rothstein, J. M., Finucane, S. D., and Lamb, R. L. (1995). Muscular adaptation to concentric and eccentric exercise at equal power levels. Med. Sci. Sports Exerc. 27, 868–873. doi: 10.1249/00005768-199506000-00011
Modave, F., Bian, J., Leavitt, T., Bromwell, J., Harris III, C., and Vincent, H. (2015). Low quality of free coaching apps with respect to the american college of sports medicine guidelines: a review of current mobile apps. JMIR Mhealth Uhealth 3:e77. doi: 10.2196/mhealth.4669
Munoz-Martinez, F. A., Rubio-Arias, J. A., Ramos-Campo, D. J., and Alcaraz, P. E. (2017). Effectiveness of resistance circuit-based training for maximum oxygen uptake and upper-body one-repetition maximum improvements: a systematic review and meta-analysis. Sports Med. 47, 2553–2568. doi: 10.1007/s40279-017-0773-4
Nikander, R., Sievanen, H., Heinonen, A., Daly, R. M., Uusi-Rasi, K., and Kannus, P. (2010). Targeted exercise against osteoporosis: a systematic review and meta-analysis for optimising bone strength throughout life. BMC Med. 8:47. doi: 10.1186/1741-7015-8-47
Petersen, B. A., Hastings, B., and Gottschall, J. S. (2017). Low load, high repetition resistance training program increases bone mineral density in untrained adults. J. Sports Med. Phys. Fitness 57, 70–76. doi: 10.23736/S0022-4707.16.05697-8
Raue, U., Terpstra, B., Williamson, D. L., Gallagher, P. M., and Trappe, S. W. (2005). Effects of short-term concentric vs. eccentric resistance training on single muscle fiber MHC distribution in humans. Int. J. Sports Med. 26, 339–343. doi: 10.1055/s-2004-821041
Romijn, J. A., Coyle, E. F., Sidossis, L. S., Gastaldelli, A., Horowitz, J. F., Endert, E., et al. (1993). Regulation of endogenous fat and carbohydrate metabolism in relation to exercise intensity and duration. Am. J. Physiol. 265, E380–E391. doi: 10.1152/ajpendo.1993.265.3.E380
Schmitt, J., Lindner, N., Reuss-Borst, M., Holmberg, H. C., and Sperlich, B. (2016). A 3-week multimodal intervention involving high-intensity interval training in female cancer survivors: a randomized controlled trial. Physiol. Rep. 4:e12693. doi: 10.14814/phy2.12693
Sothern, M. S., Loftin, M., Suskind, R. M., Udall, J. N., and Blecker, U. (1999). The health benefits of physical activity in children and adolescents: implications for chronic disease prevention. Eur. J. Pediatr. 158, 271–274. doi: 10.1007/s004310051070
Sperlich, B., Wallmann-Sperlich, B., Zinner, C., Von Stauffenberg, V., Losert, H., and Holmberg, H. C. (2017). Functional high-intensity circuit training improves body composition, peak oxygen uptake, strength, and alters certain dimensions of quality of life in overweight women. Front. Physiol. 8:172. doi: 10.3389/fphys.2017.00172
Thomas, R. J., Kenfield, S. A., and Jimenez, A. (2017). Exercise-induced biochemical changes and their potential influence on cancer: a scientific review. Br. J. Sports Med. 51, 640–644. doi: 10.1136/bjsports-2016-096343
Weisenthal, B. M., Beck, C. A., Maloney, M. D., Dehaven, K. E., and Giordano, B. D. (2014). Injury rate and patterns among CrossFit athletes. Orthop. J. Sports Med. 2:2325967114531177. doi: 10.1177/2325967114531177
Whyte, L. J., Gill, J. M., and Cathcart, A. J. (2010). Effect of 2 weeks of sprint interval training on health-related outcomes in sedentary overweight/obese men. Metabolism 59, 1421–1428. doi: 10.1016/j.metabol.2010.01.002
Keywords: aerobic fitness, body composition, functional training, mHealth, power training, V800, wearable, Web-based apps
Citation: Sperlich B, Hahn L-S, Edel A, Behr T, Helmprobst J, Leppich R, Wallmann-Sperlich B and Holmberg H-C (2018) A 4-Week Intervention Involving Mobile-Based Daily 6-Minute Micro-Sessions of Functional High-Intensity Circuit Training Improves Strength and Quality of Life, but Not Cardio-Respiratory Fitness of Young Untrained Adults. Front. Physiol. 9:423. doi: 10.3389/fphys.2018.00423
Received: 15 November 2017; Accepted: 04 April 2018;
Published: 09 May 2018.
Edited by:Belén Feriche, Universidad de Granada, Spain
Reviewed by:Igor Štirn, University of Ljubljana, Slovenia
Jose Lopez Chicharro, Complutense University of Madrid, Spain
Enrique G. Artero, University of Almería, Spain
Copyright © 2018 Sperlich, Hahn, Edel, Behr, Helmprobst, Leppich, Wallmann-Sperlich and Holmberg. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Billy Sperlich, email@example.com