Review Article

The Effect of High-Intensity Interval Training on Exercise Capacity in Patients with Coronary Artery Disease: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

StudySample sizeAgesTraining protocolsProgram duration
T/C (M/F)T/CHIITMICT

Cardozo et al., 201523 (14, 9)/48 (34, 14)T: 56 ± 1210 bouts ∗ 2 min (>90% HRpeak)30 min of continuous training (at 70 to 75% of HRpeak)16 weeks
C: 62 ± 12Each interval: 2 min (<60% HRpeak)

Choi et al., 201823 (21, 2)/21 (18,)T: 60 ± 114 bouts ∗ 4 min (at 85–100% of the HRpeak)28 min of continuous training (at 60 to 70% of HRpeak)9-10 weeks
C: 62.8 ± 11.9Each interval: 3 min (at 50–60% of the HRpeak)

Conraads et al., 201585 (NA)/89 (NA)NA4 bouts ∗ 4 min (at 85–90% of peak VO237 min of continuous training (at least 60–70% of peak VO2, at least 65–75% of HRpeak)12 weeks
90–95% of HRpeak, 15–17 Borg scale, and shortness of breath)
Each interval: 3 min (at 50–70% of HRpeak)

Currie et al.,201311 (NA)/11 (NA)T: 63 ± 8Part 1 (week 1–4): 10 bouts ∗ 1 min (at 89% of PPO pre)Part1 (week 1–4): 30 min of continuous training (at 58% of PPOpre)12 weeks
C: 66 ± 8Part 2 (week 5–8): 10 bouts ∗ 1 min (at 102% of PPOpre)
Part 3 (week 9–12): 10 bouts ∗ 1 min (at 110% of PPOpre)Part 2 (week 5–8): 40 min of continuous training (at 58% of PPOpre)
Each interval: 1 min (at 10% of PPOpre)Part 3 (week 9–12): 50 min of continuous training (at 58% of PPOpre)

Currie et al., 20149 (9)/10 (9, 1)T: 62 ± 11
C: 68 ± 8
Part 1 (month 1): 10 bouts ∗ 1 min (at 85% of PPOpre)Part 1 (month 1): 30 min of continuous training (at 57% PPOpre)24 weeks
Part 2 (month 2): 10 bouts ∗ 1 min (at 100% of PPOpre)
Part 3 (month 3): 10 bouts ∗ 1 min (at 108% of PPOpre)Part 2 (month 2): 40 min of continuous training (at 57% PPOpre)
Part 4 (month 4–6): 10 bouts ∗ 1 min (at 121% of PPOpre)Part 3 (month–3): 50 min of moderate-intensity exercise (at 57% PPOpre)
Each interval: 1 min (at 10% of PPOpre)Part 4 (month4–6): min of continuous training (at 78% PPOpre)

Dunford et al., 20219/11 (Total: 18/2)Total: 61 ± 73 bouts ∗ 90 s stairs climbing30 min of continuous training (at 60–80% HRpeak)12 weeks
Each interval: walking 90 s

Jaureguizar et al., 201636 (33, 3)/36 (28, 8)T: 58 ± 11
C: 58 ± 11
Part 1 (week 1): HIIT: 15 bouts ∗ 20 s (50% of the maximum load reached in the first SRT)Part 1: MICT: 15 mins (at (VT1)8 weeks
Each interval: 40 s (10% of the maximum load reached in the first SRT)Part 2 (2 w): MICT: 20 mins (at VT1)
Part 2 (week 2): HIIT: 20 bouts ∗ 20  s (50% of the maximum load reached in the first SRT)Part 3 (3 w): MICT: 25 mins at (VT1)
Each interval: 40 s (10% of the maximum load reached in the first SRT)Part4 (4 w): MICT: 30 mins at (VT1)
Part 3 (week 3): HIIT: 25 bouts  ∗ 20 s (50% of the maximum load reached in the first SRT)Part 5 (5–8 w): MICT: 30 mins at (VT1+10%)
Each interval: 40 s (10% of the maximum load reached in the first SRT)
Part 4 (week 4): HIIT: 30 bouts ∗ 20 s (50% of the maximum load reached in the first SRT)
Each interval: 40 s (10% of the maximum load reached in the first SRT)
Part5 (week 5–8): HIIT: 30 bouts ∗ 20 s (50% of the maximum load reached in the second SRT)

Keteyian et al., 201436 (33, 3)/36 (28, 8)T: 58 ± 11
C: 58 ± 11
4 bouts of 4 min (at 80–90% of the heart rate reserve)30 min of continuous training (at 60% to 80% of heart rate reserve)2 weeks
Each interval: 3 min (at 60–70% of the heart rate reserve)

Kim 202023 (18, 5)/24 (16, 8)T: 60 ± 114 bouts ∗ 4 min (at 95–100% of the HRR)First part: 3 bouts ∗ 8 min (at 85% of the HRR)6 weeks
C: 62.8 ± 11.9Each interval: 3 min (at 60% of the HRR)Each interval: 3 min (at 40% of the HRR)

Moholdt et al., 200928 (24, 4)/31 (24, 7)T: 60.2 ± 6.94 bouts ∗ 4 min (at 90% of the HRpeak)46 min of continuous training (at least 70% of HRpeak)4 weeks
C: 62.0 ± 7.6Each interval: 3 min (70% of the HRpeak)

Moholdt et al., 201230 (25, 5)/59 (49, 10)T: 56.7 ± 10.44 bouts ∗ 4 min (at 85–95% HRpeak)Usual care exercise: 60 min of aerobic exercises12 weeks
C: 57.7 ± 9.3Each interval: 1 min (70% HRpeak)

Pattyn et al., 201680 (76, 4)/83 (76, 7)T: 57.4 ± 8.74 bouts of 4 min (at 85–95% of the HRpeak)37 min of continuous training (at least 70–75% of HRpeak)12 weeks
C: 59.9 ± 9.2Each interval: 3 min (50%–70% of the HRpeak)

Prado et al., 201617(14, 3)/18 (14, 4)T: 56.5 ± 2.77 bouts ∗ 3 min (at RCP)50 min of continuous training (at VAT)12 weeks
C: 61.3 ± 2.2Each interval: 3 min (at VAT)

Rocco et al., 201217(14, 3)/20 (15, 5)T: 56.5 ± 3.07 bouts ∗ 3 min (at RCP)50 min of continuous training (at VAT)12 weeks
C: 62.3 ± 2.0)Each interval: 3 min (at VAT)

Rognmo et al., 20048(6, 2)/9(8, 1)T: 62.9 ± 11.24 bouts ∗ 4 min (at 80–90% oVO2peak (85–95% of HRpeak)41 min of continuous training (at 50–60% of VO2 peak)10 weeks
C: 61.2 ± 7.3Each interval: 3 min (at 50–60% of VO2peak)

Warburton et al., 20057(NA)/7(NA)T: 55.9 ± 715 bouts ∗ 2 min (at 90% of heart rate/VO2reserve (range 85% to 95%))30 min of continuous training (at 65% of heart rate/VO2reserve)16 weeks
C: 57 ± 8Each interval: 2 min (at 40% of heart rate/VO2reserve (range 35% to 45%))