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dc.contributorFaculty of Health and Social Sciencesen_US
dc.contributor.advisorHuang, Meizhen (RS)en_US
dc.creatorWang, Quan-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/14188-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic Universityen_US
dc.rightsAll rights reserveden_US
dc.titleEffects of low-volume high-intensity interval training versus moderate-intensity continuous training on physical performance in older adults with possible sarcopeniaen_US
dcterms.abstractBackground: Sarcopenia is an aging-related geriatric syndrome characterized by progressive decline in muscle mass and function. Recently, a preliminary stage termed "possible sarcopenia" has been introduced. This stage is characterized by reduced muscle strength or diminished physical performance even when muscle mass is within the normal range. The definition of possible sarcopenia underscores the critical need for an early intervention. Due to the lack of effective pharmaceutical treatments, exercise emerges as the most accessible intervention for managing sarcopenia. High-intensity interval training (HIIT), a time-efficient aerobic training, has gained increasing popularity due to its positive effects on physiological outcomes, such as muscle strength and physical functions, in various populations. However, the effects of HIIT on older adults with possible sarcopenia remain underexplored.en_US
dcterms.abstractObjective: This study aimed to investigate the effects of a 7-week HIIT and moderate-intensity continuous aerobic training (MICT, i.e., traditional endurance exercise) on physical performance in older adults with possible sarcopenia. We hypothesized that HIIT would provide greater physical benefits over MICT and would be generally well-tolerated by older adults.en_US
dcterms.abstractMethod: Participants were randomly allocated to the HIIT or MICT group in a 1:1 ratio, with both groups training three times per week over a 7-week period. The HIIT protocol consisted of five bouts of 1-minute high-intensity intervals (77%–90% HRmax) interspersed with 1-minute recovery periods, totaling 15 minutes of exercise per session with warm-up and cool-down, which could be defined as one set of low-volume training (approximately 13 minutes of active training). The MICT protocol involved moderate intensity (65%–76% HRmax) training lasting 20 minutes, totaling 25 minutes of exercise per session including warm-up and cool-down. Evaluations were conducted at baseline, after 4 weeks, and at the end of the 7-week intervention, and follow-up at 1 month and 3 months after the end of intervention. The primary outcome was the five times sit-to-stand test (5STS). Secondary outcomes were the 10-meter walking test, grip strength, the functional reach test, the Exercise Enjoyment Scale (EES), and the Physical Activity Enjoyment Scale (PACES) for affective valence. Data analysis was conducted following the intention-to-treat principle. A two-way time × group repeated analysis of variance was adopted.en_US
dcterms.abstractResults: Thirty older adults (age [mean ± standard deviation]: 65.97 ± 3.72 years) were randomly allocated to the HIIT (n = 15) or MICT (n = 15) group. The results revealed a significant time × group interaction effect of the 5STS completion time (p = 0.034, η² = 0.136) and comfortable walking speed (p = 0.018, η² = 0.156). Post-hoc analysis showed that the 5STS time was significantly greater in the HIIT group than in the MICT group after 7 weeks of training (HIIT: 9.35 seconds, MICT: 9.92 seconds; p = 0.037) and 3-month follow-up (HIIT: 9.59 seconds, MICT: 10.17 seconds; p = 0.043), but not after 4 weeks of training. The comfortable walking speed was significantly greater in the HIIT group than in the MICT group only after 7 weeks of training (HIIT: 1.10 m/s, MICT: 1.03 m/s; p = 0.031). The PACES and EES scores were significantly higher in the HIIT group than in the MICT group throughout the study.en_US
dcterms.abstractConclusion: The findings suggest that a 7-week HIIT program is a time-efficient intervention that can significantly improve physical performance in older adults with possible sarcopenia compared with MICT. The HIIT group participants also reported greater exercise enjoyment than the MICT participants.en_US
dcterms.extentxiv, 140 pages : color illustrationsen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2025en_US
dcterms.educationalLevelDHScen_US
dcterms.educationalLevelAll Doctorateen_US
dcterms.accessRightsrestricted accessen_US

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Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/14188