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Supramaximal high-intensity interval training improves heart rate variability in older adults: a randomized controlled trial
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0002-3212-4708
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0001-6206-3099
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention.ORCID iD: 0000-0003-0976-6910
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2026 (English)In: Physiological Reports, E-ISSN 2051-817X, Vol. 14, no 12, article id e70910Article in journal (Refereed) Published
Abstract [en]

Heart rate variability (HRV), a marker of cardiovascular health, declines with aging and physical inactivity. We compared the effects of supramaximal high-intensity interval training (HIT) with brief intervals and moderate-intensity training (MIT) on HRV in non-exercising older adults. Sixty-eight participants were randomized to 12 weeks of supervised cycling performed twice weekly: supramaximal HIT (10 × 6-s intervals) or MIT (3 × 8-min intervals), with training intensity individually prescribed and progressively increased over the intervention using external power output. HRV was assessed using time-domain indices (SDNN, RMSSD, and LnRMSSD) and resting heart rate from 5-min segments, derived from 10-min recordings collected in participants' homes on seven consecutive days at baseline and follow-up. Between-group differences in change favored supramaximal HIT for SDNN (5.4 ms [95% CI: 1.1–9.7]), RMSSD (3.5 ms [0.7–6.3]), and LnRMSSD (0.15 [0.01–0.28]). Within-group changes showed an increase in RMSSD in the HIT group (2.0 ms [0.1–4.0]) and a decrease in SDNN in the MIT group (−3.1 ms [−6.2 to −0.1]). Resting heart rate did not differ between groups. In conclusion, supramaximal HIT induced more favorable HRV adaptations than MIT in non-exercising older adults.

Place, publisher, year, edition, pages
John Wiley & Sons, 2026. Vol. 14, no 12, article id e70910
Keywords [en]
aging, autonomic function, heart rate variability, interval training, parasympathetic activity, vagal tone
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:umu:diva-256591DOI: 10.14814/phy2.70910ISI: 001794428800001PubMedID: 42304847Scopus ID: 2-s2.0-105042083218OAI: oai:DiVA.org:umu-256591DiVA, id: diva2:2086746
Funder
Swedish Research Council, 2017-00912Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-00159The Kamprad Family FoundationThe Dementia Association - The National Association for the Rights of the DementedFoundation for the Memory of Ragnhild and Einar LundströmThe Kempe FoundationsUmeå UniversityAvailable from: 2026-07-15 Created: 2026-07-15 Last updated: 2026-07-15Bibliographically approved

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Frykholm, ErikBoman-Häggbom, JesperHolmberg, HenrikJohansson, BengtLevik Sandström, SofiSimonsson, EmmaWiklund, UrbanRosendahl, ErikHedlund, Mattias

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Frykholm, ErikBoman-Häggbom, JesperHolmberg, HenrikJohansson, BengtLevik Sandström, SofiSimonsson, EmmaWiklund, UrbanRosendahl, ErikHedlund, Mattias
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Department of Community Medicine and RehabilitationDepartment of Epidemiology and Global HealthDepartment of Diagnostics and InterventionUmeå Centre for Functional Brain Imaging (UFBI)
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