Modern toplumda bir norm hâline gelmiş olan hareketsizlik, birçok hastalık için risk faktörüdür. Fiziksel aktivite ve egzersiz için birçok engel bulunmakta olup, başlıca sebebi zaman eksikliğidir. Yaygın metabolik hastalıkların tedavisi ve yönetiminde rol oynayan egzersiz, sağlıklı yaşamın temel prensiplerinden biridir. Daha kısa egzersiz ve dinlenme süreleriyle uygulanan antrenman birimleri, aerobik fitness gelişimi için gelecek vaat eden bir egzersiz stratejisidir. Sağladığı kardiyovasküler, metabolik ve fiziksel yararları ile evrensel bir antrenman seçeneği olabilir. Bu derlemenin amacı, yüksek şiddetli aralıklı antrenman (HIIT) etkilerini; kardiyovasküler, metabolik ve performans yanıtlarıyla değerlendiren yapılmış araştırmalarla ilgili bir sistematik derleme sunabilmektir. Veri toplama yöntemi olarak, elektronik veri tabanları kullanılarak araştırma yapılmıştır. Tanımlanan çalışmalar, dâhil etme kriterlerini doğrulamak için eleştirel analiz ve önyargı değerlendirilmesinden sonra ayrıntılı olarak gözden geçirilmiştir. HIIT ve kardiyovasküler sağlıkla ilgili incelenen çalışmalarda, maksimal oksijen tüketim kapasitesi, kardiyovasküler toparlanma, kardiyorespiratuar fitness bileşenleri, kardiyovasküler risk faktörleri ve yaşam kalitesi parametreleri; HIIT ve metabolik sağlıkla ilgili incelenen çalışmalarda, vücut kompoziyonu, glisemik kontrol, insülin seviyeleri, vücut yağ yüzdesi, beden kitle indeksi, vücut ağırlığı, kan laktat cevapları, ortalama arteriyel ve sistolik kan basınçları, kalp atım hızı rezervi, yağ oksidasyonu, bazal aktivite düzeyleri, kemik mineral yoğunluğu, inhibitör kontrol, bilişsel sağlık; HIIT ve performansla ilgili incelenen çalışmalarda, aerobik performans parametreleri, mitokondriyal oksidatif kapasite, kapiller yoğunluk, kalp hızı değişimleri, maksimal oksijen kapasitesi, vücut kompozisyonu, eğlence oranları gibi parametreleri değerlendirmeye alınmıştır. Sonuç olarak HIIT uygulamalarının, kardiyovasküler, metabolik ve performans yanıtlarında etkili olduğunu gösteren araştırmalar gelecek için yol gösterici olabilecektir.
Anahtar Kelimeler: Fiziksel dayanıklılık; egzersiz; yüksek şiddetli aralıklı antrenman; hastalar
The physical inactivity, that has become a norm in the modern society, is a risk factor for many diseases. There are many obstacles to physical activity and exercise and the main reason is the lack of time. Exercise that has a role in the treatment and management of the common metabolic diseases is one of the main principles of a healthy life. The training units applied with shorter exercise and rest times are a promising exercise strategy for aerobic fitness development. It may be a universal exercise option owing to its cardiovascular, metabolic and physical advantages. The aim of this review is to present a systematic review about the previous studies assessing the effects of highintensity interval training (HIIT) together with the cardiovascular, metabolic and performance responses. As the data collection method, the study was conducted using the electronic databases. The identified studies were reviewed in detail after the critical analysis and bias assessment in order to verify the inclusion criteria. The maximum oxygen consumption capacity, cardiovascular recovery, cardiorespiratory fitness components, cardiovascular risk factors and life quality parameters were assessed in the studies examining HIIT and cardiovascular health. Body composition, glycemic control, insulin levels, body fat percentage, body mass index, body weight, blood lactate responses, average arterial and systolic blood pressures, heart rate reserve, fat oxidation, basal activity levels, bone mineral intensity, inhibitor control, and cognitive health were assessed in the studies examining with HIIT and metabolic health. Aerobic performance parameters, mitochondrial oxidative capacity, capillary intensity, heart rate changes, maximal oxygen capacity, body composition, and entertainment rates were assessed in the studies examining HIIT and performance. Consequently, the studies revealing that HIIT applications are effective in cardiovascular, metabolic and performance responses may be guiding for the future.
Keywords: Physical endurance; exercise; high-intensity interval training; patients
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