Physical Therapy Corner: Is HIIT Really Better Than Low-Intensity Cardio for Weight Loss?

Posted 4/1/2020 in Physical Therapy Corner | 746 view(s) | 0 comment(s)

Is HIIT Really Better Than Low-Intensity Cardio for Weight Loss?

By Jos Dorrestein, PT, MHS
High-intensity interval training (HIIT) is all the rage these days. There is a lot of hype about HIIT cardio, mainly because it supposedly burns more calories in less time. In fact a 2018 global survey of fitness trends ranked HIIT No. 1 (when comparing emerging fitness trends), based on the responses of over 4,000 exercise professionals around the world.

Although Physical Activity Guidelines traditionally recommend about 30 minutes of vigorous activity five days a week to maximize fat loss, HIIT experts maintain that less exercise is equally as effective if the intensity level is high enough.

Is HIIT cardio too good to be true? Can you slash a 20-minute jogging session into a 3-minute session of jumping jacks to have the same results? Let's look at HIIT cardio in greater detail and see how it holds up to regular steady-state cardio while analyzing if it is better for fat loss than steady-state.

What is HIIT cardio?
HIIT is all about high intensity. This means for each cardio session, you do several short bursts of exercise interspersed with slower intervals. For example you sprint as fast as you can for two minutes and then slow down to a jog for the next two minutes, and then repeat this sequence.
There are several ways you can do HIIT cardio. You can do a running routine with sprint intervals, skipping routine or incorporate other compound movements. For example, you can do intervals of Burpees or Jumping Jacks with slow jogging between each. Most HIIT routines consist of movements that can be done from anywhere like Mountain Climbers, Squat Jumps, Burpees, etc.

How HIIT differs from steady-state cardio
The biggest distinction between steady-state cardio and HIIT is the intensity and duration. In HIIT cardio, you use 80-90% of your maximum heart rate for a shorter period. When you're doing HIIT cardio, you shouldn't be able to hold a conversation.

With steady-state cardio, you use only about 50-60% of your maximum heart rate for at least 45 minutes. You should be able to hold a regular conversation while exercising without feeling too breathless.

Another important distinction is that HIIT cardio is mainly an anaerobic activity. This means your body uses stored glucose in the muscles without relying too much on oxygen. Here your oxygen demand is greater than the oxygen supply, so your body has to release energy without oxygen. This also means that you will feel tired more quickly because anaerobic exercise releases a lot of lactic acids (a waste product of anaerobic energy release mechanism). Think about how breathless and tired you feel after a sprint as opposed to a long-distance run.

Steady-state or LISS (low-intensity steady state) cardio is aerobic. This means that it relies on oxygen to release energy. The energy release is moderate, steady over a long duration. Long-distance running, for example, is aerobic and counts as steady-state cardio.

The final most important distinction to make is the type of muscles each of them uses. HIIT cardio relies more on your fast-twitch muscles. These are the type of muscles used for short, intense bursts of exercise. LISS cardio relies on slow-twitch muscles, which are used for endurance exercises. Slow-twitch muscles are a lot leaner than fast-twitch muscles, which is why sprinters look a lot more muscular than long-distance runners. So, doing HIIT cardio will make you look a little more muscular than LISS cardio.

 Which one is more effective at a fat loss?
Ultimately the big question for anyone on a weight loss journey is which method is more effective at fat loss. Many research studies have been conducted on this topic in the last decade.

In one study, a group of 43 women (18-22 years) were split into groups—one who did HIIT, another doing LISS for several weeks and a third control group who did no exercise. Body mass, body fat percentage and abdominal subcutaneous fat were all measured in the exercise groups. The results showed that the HIIT group achieved similar levels of fat loss to the LISS group, in half the amount of time. The average duration for the HIIT group was 36 minutes, while it was 68 minutes for the moderate cardio group.

In another 2012 study of 38 overweight men, impressive reductions in body fat were achieved through a HIIT program. They followed a 20-minute HIIT session for 12 weeks. The study also showed that aerobic capacity (max energy consumption) improved by 15% for the HIIT group.

 Another 2011 study concluded that not only does HIIT cardio reduce body fat considerably in a short time, but it is also even more effective for diabetic individuals. Diabetic individuals showed greater reductions in subcutaneous fat. It is especially beneficial for diabetics because HIIT seems to significantly improve insulin resistance by as much as 36%.
So what would a HIIT program look like?
There is no set way of designing a HIIT program, but here is a suggestion. If weight loss is your goal, I recommend doing a HIIT program 4x/wk a week with two days of regular cardio workout and one day of “rest” which could be yoga, stretching exercises, meditation, etc. This is what the program would look like:
DAY 1: 6 minutes of cardio activities like rowing, elliptical trainer or UBE (upper body ergometer) at 50-60% of maximum exercise heart rate, 4 upper body exercises like lat. pulls, seated chest press, rows, triceps extension for 15 reps (~20 secs) with 40 secs of rest, do these exercises consecutively. This constitutes one circuit, do 3-4 circuits.
DAY 2: cardio for 30 min at 50-60% of maximum heart rate
DAY 3: 6 min of cardio activities like treadmill walking, stair stepper, stationary bicycle at 50-60% of maximum heart rate, 4 lower body exercises like squats, supine hamstring curls with bridges, lunges, monster walks with theraband for 15 reps each (~20 secs each) with 40 secs of rest, do these exercises consecutively. This constitutes one circuit, do 3-4 circuits.
DAY 4: cardio for 30 min as day 2
DAY 5: same as day 1, but substitute the arm exercises with push-ups, chin ups, biceps curls and pec flies.
DAY 6: same as day 3, but substitute the leg exercises with side lunges with band, single leg stepdowns off a 6” step, Romanian dead lifts, jumps
DAY 7: “rest” which includes yoga, stretching exercises, etc.
This workout includes only 30-40 minutes of exercises 6 days a week. This is suitable for people who haven’t worked out previously. If these workouts are perceived as easy, you can increase the cardio time portion to 8minutes and/or add exercises; instead of 4 do 6 exercises. With the cardio portion being 8 min now and doing 6 exercises, the program takes about 56 minutes. While the exercise heart rate during the cardio portion should not exceed 50-60% of the maximum exercise heart rate, during the exercise portion of the circuit the heart rate may go up to 80-90% of the maximum exercise heart rate.
If you can’t commit to this program due to time constraints, try at least for 3 days a week of the HIIT program. For the exercises, substitute whole body exercises like burpees, jumping jacks, squat ’n reach with barbells, sit-ups, bird dogs, arm and leg lifts in prone, etc.
Make sure you warm up before you start a HIIT (or any exercise) program. Focus on dynamic stretching like agility ladder exercises, heel to toe lifts, high kicks, lunges with trunk rotations, etc. for about 5 minutes. Exercise heart rate during warm-up should not exceed 40% of maximum exercise heart rate.
The goal with the HIIT program for weight loss is losing about 2 lbs a week. More than that is not feasible and not desirable. 
Before you start any exercise program, check with your health care provider first such as our highly trained and skilled physical therapists at Achieve Sports Medicine.


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