B&G Bewegungstherapie und Gesundheitssport 2019; 35(02): 93-99
DOI: 10.1055/a-0860-1012
Praxis
© Georg Thieme Verlag KG Stuttgart · New York

Definition und Steuergrößen von (Hoch-)intensivem Intervalltraining in Bewegungstherapie & Gesundheitssport

Definition and parameters of high intensity interval training in exercise therapy and therapeutic sports
Christoph Zinner
1   Hessische Hochschule für Polizei und Verwaltung, Wiesbaden
,
Billy Sperlich
2   Integrative & Experimentelle Trainingswissenschaft, Institut für Sportwissenschaft, Julius-Maximilians-Universität Würzburg
› Author Affiliations
Further Information

Publication History

Publication Date:
09 April 2019 (online)

Zusammenfassung

Aufgrund ähnlicher und teilweise sogar höherer zentraler und periphererer Trainingsanpassungen im Vergleich zu niedrig-intensivem aerobem Ausdauertraining ist der Einsatz von Hochintensivem Intervalltraining (HIIT) seit einigen Jahren zum Standard in der Rehabilitation einiger Krankheitsbilder geworden. Welche Parameter zur Intensitätssteuerung während HIIT eingesetzt werden (können), hängt stark vom jeweiligen Krankheitsbild des Patienten ab. Klassische einfache physiologische Parameter sind die Herzfrequenz und die Herzfrequenzreserve. Hiermit wird das Training zumeist als % der maximalen Herzfrequenz bzw. Herzfrequenzreserve gesteuert. Kostengünstig einzusetzen sind Skalen des subjektiven Belastungsempfindens. Sollten diese einfachen Parameter nicht nutzbar sein, besteht die Möglichkeit, die maximale Leistung / Geschwindigkeit aus einem Stufentest als Orientierungsgröße zu nutzen.

Summary

Due to comparable central and peripheral physiological training adaptation from moderate intensity continuous exercise (MICE) and high intensity interval training (HIIT), the implementation of HIIT protocols has increasingly developed into an applied exercise mode in rehabilitation of various illnesses. The important parameters for training prescription are highly dependent on the clinical picture of the patient. The classical physiological parameters used to prescribe training intensity are the heart rate as well as the heart rate reserve; with training prescription as percentage of maximal heart rate and heart rate reserve, respectively. The alternative is the rating of perceived exertion during exercise. Additionally, the peak power output and / or maximal running velocity achieved during incremental testing are a decent benchmark to determine exercise intensities for training.

 
  • Literatur

  • 1 Organization WH. Global action plan on physical activity 2018–2030: more active people for a healthier world. 2018
  • 2 Laukkanen JA, Zaccardi F, Khan H. et al. Long-term Change in Cardiorespiratory Fitness and All-Cause Mortality: A Population-Based Follow-up Study. Mayo Clinic proceedings 2016; 91: 1183-1188 . doi:10.1016/j.mayocp.2016.05.014
  • 3 Hambrecht R, Niebauer J, Fiehn E. et al. Physical training in patients with stable chronic heart failure: effects on cardiorespiratory fitness and ultrastructural abnormalities of leg muscles. J Am Coll Cardiol 1995; 25: 1239-1249 . doi:0735-1097(94)00568-B [pii]
  • 4 Stoggl T, Sperlich B. Polarized training has greater impact on key endurance variables than threshold, high intensity, or high volume training. Front Physiol 2014; 5: 33 . doi:10.3389/fphys.2014.00033
  • 5 Engel FA, Sperlich B. High-intensity interval training for young athletes. Wien Med Wochenschr 2014; 164: 228-238 . doi:10.1007/s10354-014-0277-x
  • 6 Sperlich B, De Marees M, Koehler K. et al. Effects of 5 weeks of high-intensity interval training vs. volume training in 14-year-old soccer players. J Strength Cond Res 2011; 25: 1271-1278 . doi:10.1519/JSC.0b013e3181d67c38
  • 7 Sperlich B, Zinner C, Heilemann I. et al. High-intensity interval training improves VO(2peak), maximal lactate accumulation, time trial and competition performance in 9-11-year-old swimmers. European journal of applied physiology 2010; 110: 1029-1036 . doi:10.1007/s00421-010-1586-4
  • 8 Messler CF, Holmberg HC, Sperlich B. Multimodal Therapy Involving High-Intensity Interval Training Improves the Physical Fitness, Motor Skills, Social Behavior, and Quality of Life of Boys With ADHD: A Randomized Controlled Study. J Atten Disord 2016 . doi:10.1177/1087054716636936
  • 9 Schmitt J, Lindner N, Reuss-Borst M. et al. A 3-week multimodal intervention involving high-intensity interval training in female cancer survivors: a randomized controlled trial. Physiological reports 2016; 4 . doi:10.14814/phy2.12693
  • 10 Gomes Neto M, Duraes AR, Conceicao LSR. et al. High intensity interval training versus moderate intensity continuous training on exercise capacity and quality of life in patients with heart failure with reduced ejection fraction: A systematic review and meta-analysis. International journal of cardiology 2018; 261: 134-141 . doi:10.1016/j.ijcard.2018.02.076
  • 11 Weston KS, Wisloff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. British journal of sports medicine 2014; 48: 1227-1234 . doi:10.1136/bjsports-2013-092576
  • 12 Guiraud T, Nigam A, Gremeaux V. et al. High-intensity interval training in cardiac rehabilitation. Sports Med 2012; 42: 587-605 . doi:10.2165/11631910-000000000-00000
  • 13 Juneau M, Hayami D, Gayda M. et al. Provocative issues in heart disease prevention. Can J Cardiol 2014; 30: S401-409 . doi:10.1016/j.cjca.2014.09.014
  • 14 Wasserman K, McIlroy MB. Detecting the Threshold of Anaerobic Metabolism in Cardiac Patients during Exercise. Am J Cardiol 1964; 14: 844-852
  • 15 Beaver WL, Wasserman K, Whipp BJ. A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol 1986; 60: 2020-2027
  • 16 Sjodin B, Jacobs I. Onset of blood lactate accumulation and marathon running performance. Int J Sports Med 1981; 2: 23-26 . doi:10.1055/s-2008-1034579
  • 17 Urhausen A, Coen B, Weiler B. et al. Individual anaerobic threshold and maximum lactate steady state. International journal of sports medicine 1993; 14: 134-139 . doi:10.1055/s-2007-1021157
  • 18 Mader A, Heck H. A theory of the metabolic origin of “anaerobic threshold”. Int J Sports Med 1986; 7 Suppl 1 : 45-65
  • 19 Stegmann H, Kindermann W, Schnabel A. Lactate kinetics and individual anaerobic threshold. International journal of sports medicine 1981; 2: 160-165 . doi:10.1055/s-2008-1034604
  • 20 Kindermann W, Simon G, Keul J. The significance of the aerobic-anaerobic transition for the determination of work load intensities during endurance training. Eur J Appl Physiol Occup Physiol 1979; 42: 25-34
  • 21 Davis JA, Vodak P, Wilmore JH. et al. Anaerobic threshold and maximal aerobic power for three modes of exercise. J Appl Physiol 1976; 41: 544-550
  • 22 Coyle EF, Feltner ME, Kautz SA. et al. Physiological and biomechanical factors associated with elite endurance cycling performance. Med Sci Sports Exerc 1991; 23: 93-107
  • 23 Conconi F, Ferrari M, Ziglio PG. et al. Determination of the anaerobic threshold by a noninvasive field test in runners. J Appl Physiol 1982; 52: 869-873
  • 24 Orie J, Hofman N, de Koning JJ. et al. Thirty-eight years of training distribution in Olympic speed skaters. Int J Sports Physiol Perform 2014; 9: 93-99 . doi:10.1123/IJSPP.2013-0427
  • 25 Seiler KS, Kjerland GO. Quantifying training intensity distribution in elite endurance athletes: is there evidence for an “optimal” distribution? Scand J Med Sci Sports 2006; 16: 49-56 . doi:10.1111/j.1600-0838.2004.00418.x
  • 26 Fiskerstrand A, Seiler KS. Training and performance characteristics among Norwegian international rowers 1970-2001. Scand J Med Sci Sports 2004; 14: 303-310 . doi:10.1046/j.1600-0838.2003.370.x
  • 27 Dekerle J, Vanhatalo A, Burnley A. Determination of critical power from a single test. Sci Sport 2008; 23: 231-238 . doi:DOI 10.1016/j.scispo.2007.06.015
  • 28 Stoggl TL, Sperlich B. The training intensity distribution among well-trained and elite endurance athletes. Front Physiol 2015; 6: 295 . doi:10.3389/fphys.2015.00295
  • 29 Borg G. Perceived exertion as an indicator of somatic stress. Scandinavian journal of rehabilitation medicine 1970; 2: 92-98
  • 30 Helgerud J, Hoydal K, Wang E. et al. Aerobic high-intensity intervals improve VO2max more than moderate training. Med Sci Sports Exerc 2007; 39: 665-671 . doi:10.1249/mss.0b013e3180304570
  • 31 Wenger HA, Bell GJ. The interactions of intensity, frequency and duration of exercise training in altering cardiorespiratory fitness. Sports Med 1986; 3: 346-356
  • 32 Laursen PB, Jenkins DG. The scientific basis for high-intensity interval training: optimising training programmes and maximising performance in highly trained endurance athletes. Sports Med 2002; 32: 53-73
  • 33 Buchheit M, Laursen PB. High-intensity interval training, solutions to the programming puzzle: Part I: cardiopulmonary emphasis. Sports Med 2013; 43: 313-338 . doi:10.1007/s40279-013-0029-x
  • 34 Gibala MJ, Little JP, van Essen M. et al. Short-term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. J Physiol 2006; 575: 901-911 . doi:jphysiol.2006.112094 [pii]
  • 35 Billat LV. Interval training for performance: a scientific and empirical practice. Special recommendations for middle- and long-distance running. Part I: aerobic interval training. Sports Med 2001; 31: 13-31
  • 36 Billat VL, Slawinski J, Bocquet V. et al. Intermittent runs at the velocity associated with maximal oxygen uptake enables subjects to remain at maximal oxygen uptake for a longer time than intense but submaximal runs. Eur J Appl Physiol 2000; 81: 188-196 . doi:10.1007/s004210050029
  • 37 Darden E. The New High Intensity Training: The Best Muscle-Building System You’ve. Never Tried: Rodale Books; 2004
  • 38 Wilmore JH, Haskell WL. Use of the heart rate-energy expenditure relationship in the individualized prescription of exercise. Am J Clin Nutr 1971; 24: 1186-1192 . doi:10.1093/ajcn/24.9.1186
  • 39 Zinner C, Sperlich B. Marathon Running: Physiology, Psychology, Nutrition and Training Aspects. 1st ed.. Aufl. Heidelberg: Springer; 2016
  • 40 [Anonym]. General principles of exercise prescription. In: Thompson W, Gordon N, Pescatello L. , Hrsg. ACSM´s guidelines for exercise testing and prescription. Philadelphia: Wolters Kluwer / Lippincott Williams & Wilkins; 2010: 152-182
  • 41 Durstine J, Moore G, Painter P. et al. ACSM’s exercise management for persons with chronic diseases and disabilities. Champaign, IL, USA: Human Kinetics; 2009
  • 42 Rehabilitation AAoCaP. Guidelines for cardiac rehabilitation and secondary prevention programs. Champaign, IL, USA: Human Kinetics; 2004
  • 43 Karvonen J, Vuorimaa T. Heart rate and exercise intensity during sports activities. Practical application. Sports Med 1988; 5: 303-311 . doi:10.2165/00007256-198805050-00002
  • 44 Swain DP, Leutholtz BC, King ME. et al. Relationship between % heart rate reserve and % VO2 reserve in treadmill exercise. Med Sci Sports Exerc 1998; 30: 318-321
  • 45 da Cunha FA, Farinatti Pde T, Midgley AW. Methodological and practical application issues in exercise prescription using the heart rate reserve and oxygen uptake reserve methods. J Sci Med Sport 2011; 14: 46-57 . doi:10.1016/j.jsams.2010.07.008
  • 46 Goodman LS, McKenzie DC, Taunton JE. et al. Ventilatory threshold and training heart rate in exercising cardiac patients. Can J Sport Sci 1988; 13: 220-224
  • 47 Nieuwland W, Berkhuysen MA, Van Veldhuisen DJ. et al. Individual assessment of intensity-level for exercise training in patients with coronary artery disease is necessary. Int J Cardiol 2002; 84: 15-20 ; discussion 20-11. doi:S0167527302000591 [pii]
  • 48 Tabet JY, Meurin P, Ben Driss A. et al. Determination of exercise training heart rate in patients on beta-blockers after myocardial infarction. Eur J Cardiovasc Prev Rehabil 2006; 13: 538-543 . doi:10.1097/01.hjr.0000209813.05573.4d
  • 49 Robertson RJ, Noble BJ. Perception of physical exertion: methods, mediators, and applications. Exerc Sport Sci Rev 1997; 25: 407-452
  • 50 Duking P, Fuss FK, Holmberg HC et al. Recommendations for Assessment of the Reliability, Sensitivity, and Validity of Data Provided by Wearable Sensors Designed for Monitoring Physical Activity. JMIR Mhealth Uhealth 2018; 6: e102 . doi:10.2196/mhealth.9341
  • 51 Zinner C, Morales-Alamo D, Ortenblad N. et al. The Physiological Mechanisms of Performance Enhancement with Sprint Interval Training Differ between the Upper and Lower Extremities in Humans. Front Physiol 2016; 7: 426 . doi:10.3389/fphys.2016.00426
  • 52 Tipton CM, Franklin BA. The language of exercise. . In: Tipton CM, Sawka MN, Tate CA. et al, Hrsg. ACSM´s advanced exercise physiology. Philadelphia: Lippincott Williams & Wilkins; 2006: 3-10