This study compared the effect of the same running distance of HIIT and MICT on fat reduction after 10 weeks and continued to investigated their maintenance after 6-week training cessation. Our results confirmed that while both HIIT and MICT perform comparable effect on inhibiting the increase of VAT, SCAT and serum lipid profiles including TG and LDL-C, HIIT exhibited a superior effect on continuing to inhibit the increase of VAT and SCAT during training cessation in high-fat diet rats. Consistent with our hypothesis, the adaptions inhibiting fat enlargement induced by training continued to maintain when the training ended[18, 19]. Higher intensity training is more advantageous in maintaining the inhibition of fat accumulation[20] than MICT due to the higher activity of lipolysis. These findings provide a practical guidance for retraining following the interruption of physical activity.
Effect of 10-week training
In our study, 10-week HIIT and MICT had comparable effect on weight control in high-fat diet rats with the former saving almost half of time than the latter which has also been shown in other studies[21–23]. For individuals who are obesity/overweight, high-intensity interval exercise is a time-efficient strategy for inhibiting the increase of VAT mass than MICT, resulting from decreased postprandial insulin levels and increased fat oxidation after exercise as suggested by a recent meta-analysis[24, 25]. However, due to the genetic polymorphisms, sensitivity to obesity varies despite the high-fat diet. There may be inter-individual variability in fat loss caused by training and interruption of regular physical activity, which hasn’t been rule out in this study[26, 27].
Central obesity is characterized by excess abdominal fat. Visceral adipose tissue is a key risk factor for type Ⅱ diabetes and cardiovascular disease[20]. In our study, both HIIT and MICT significantly inhibited the increase of VAT mass during the 10-week training intervention. The primary source of triglycerides in adipocytes is the intake of free fatty acids (FFA) and the lipoprotein lipase (LPL) is a key protein to hydrolyze the TG into FFA in the capillaries of skeletal muscle or adipose tissue and then been transported into the cytoplasm[28]. ATGL is the main enzyme involved in the initial step of fat mobilization hydrolyzing TG into diglycerides and FFA. Only HIIT upregulated the expression of ATGL after the ten-week training period. In line with our result, the existing literature suggests that chronic HIIT can be more effectively increase the activity of ATGL in white adipose tissue than MICT[8, 29].
In the present study, current data didn’t clearly elucidate the fat reduction of relatively shorter HIIT. Previous researches have confirmed that during the process of vigorous intensity training, fatty acid mobilization from adipose tissue may be suppressed. The reason for the similar influence on fat reduction may be that HIIT consumes more fat after exercise, called exercise-post oxygen consumption (EPOC)[30, 31]. Studies have shown that the lipolytic activity in HIIT still maintained higher after 3h and 24h of exercise than the rest[16, 29]. Therefore, observing the changes in fat after training suspension also aims to examine the EPOC following a very long period of training on fat hydrolysis.
Chronic high-fat diet resulted in increased body weight. The obesity/overweight occurs when the energy intake exceeds the energy expenditure[32]. Regular exercise and caloric restriction are effective strategies for fat reduction[33, 34]. Long-term and acute HIIT were associated with lower appetite than MICT and maintained this effect after the suspension of training but neither training type affected the total food intake[35, 36]. Moreover, our results (Table 1) showed that the weight control may not be solely attributed to the unchanged caloric intake and non-exercise physical activity.
Effect of 6-week detraining
Individuals who are obese/overweight may discontinue training due to time constraints or negative affective valence, potentially reversing the benefits of exercise[11, 37]. Studies examining the effect of HIIT after detraining remain limited, with few focusing on the fat rebound. However, these studies have indicated that HIIT may have a greater or similar effect on maintaining the body weight compared with long-term sedentary[11, 36, 38, 39]. In our study, both exercise groups maintained the inhibition of weight gain after detraining. As the inactivity duration prolongs, it becomes increasingly challenging for high-fat diet rats to overcome the metabolic adaptations formed in the exercise period[7].
In the present study, both training types didn’t alter the food intake and voluntary physical activity after training cessation which was in line with the Ahmadizad et al.[36] Though the HIIT decreased appetite, it didn’t change total energy intake after detraining. The unchanged food intake and voluntary physical activity may indicate the establishment of a new energy balance[7]. Weight control maintenance in our study couldn’t be explained by nutritional changes, it is possible that the effect of training on inhibiting the growth of body fat can still be maintained after training suspension.
The mass of adipose tissue reduced by the exercise in adulthood is more associated with the inhibition of hypertrophy rather than the inhibition of hyperplasia when performing moderate intensity aerobic training[13, 40]. In our study, the adipocyte number wasn’t the main reasons for inhibiting the increase of fat mass. However, the findings about the changes of adipocyte numbers after training cessation were inconsistent and the adipocyte numbers may increase to the pre-training level after detraining[13, 41]. Sertie et al.[42] found that a shorter detraining duration (4 week) after 8-week aerobic continuous training (1 h/day, 5 days/week, 8 weeks) increased the expression of PPARγ with the increased adipocyte numbers for standard diet rats. High-fat diet undertaking also lead to an increase in PPARγ expression[43] and we observed that the number of adipocytes increased after detraining but without significant difference in training groups. More detraining duration may stimulate the adipocyte proliferation.[44] What’s more, exhaustive exercise caused damaged to cellular DNA which accelerated the process of apoptosis and decreased the mature adipocyte numbers, thus, it may contribute to the reduction of adipose tissue mass and maintained it after training cessation[41, 45].
Regardless of the high-fat or standard diet, the response of the adipocyte diameter to discontinuing activity follows the same pattern to fat accretion.[44] In the present study, both HIIT and MICT inhibited the increase of adipose tissue mass accompanying the inhibition of increase in adipocyte areas after detraining. The inhibition of fat accumulation may disappear induced by the physical inactivity. A study conducted by Yasari et al.[46] found that obesity adult rats that detrained for 6 weeks after 8-week moderate continuous training completely increase the intrabdominal fat deposition resulting from the increase of adipocyte diameter compared with the sedentary rats. A shorter detraining duration (4 week) after 8-week aerobic continuous training (1 h/day, 5 days/week, 8 weeks) induced hypertrophy in both subcutaneous and visceral fat pad compared with the sedentary control in normal undertaking rats[42]. In terms of a series studies, Sertie et al. proved the mass of VAT rebounded after moderate intensity exercise. They observed that the proportion of glucose oxidation into fat and fat synthesis in adipose tissue increased after detraining while the lipolysis didn’t change significantly[41, 42, 47]. Agarwal et al.[48] also showed that discontinuing activity for 2 weeks after 6 weeks of moderate intensity training could not completely eliminate the beneficial effects of regular exercise and training cessation for a longer period of time may lead to a complete reversal of the beneficial effects. In the above studies, MICT with lower exercise intensity and less training time stimulated less lipolysis in VAT.
Higher intensity training may maintain longer duration of beneficial effects obtained in the training. After 12 weeks of moderate intensity continuous training, it can significantly reduce the levels of inflammatory factors such as IL-6 and TNF-α in obese participants, increased antioxidant capacity and promoted fat metabolism. However, this inhibitory effect returned to the level of pre-exercise after 4-week suspension[49]. The authors mentioned that exercise intensity is a detrimental factor influencing the fat reduction and its maintenance[49]. It is speculated that high-intensity training further reduced the level of inflammation than MICT and maintained better effect of the fat reduction obtained by detraining[49, 50]. Plasma nesfatin-1 (anorectic effects) in HIIT was higher and maintained it after 1-week training suspension which may be related to the improvement of insulin sensitivity[36]. Moghadasi et al. also demonstrated that insulin resistance which inhibited the lipolysis levels decreased after the suspension of high-intensity endurance training[51, 52]. High intensity exercise may prevent the dramatic decline in resting metabolic rates after the training hiatus that would result in only modest rebound of body fat mass.[53] Therefore, it is still possible for HIIT to maintain a good weight loss after discontinuing of training, which may be related to the longer duration of post-exercise effect.
What we have already investigated was that sprint interval training with intensity more than 100%V̇O2max and HIIT reduced more abdominal visceral fat mass accompanied by the release of serum growth hormone and epinephrine[23]. Acute HIIT increased the activity of hormone-sensitive triglyceride lipase (HSL) for at least 12h compared with MICT which may be the one of the reasons for the EPOC and reducing fat[16]. Due to the limitations of experimental conditions, the current studies show that the volume of oxygen consumption after HIIT are greater than that of the MICT with equivalent work-done and the duration of EPOC in HIIT lasting for more than 24h [30, 54, 55]is longer than MICT. Similarly, we can speculate that the reason for HIIT has a better maintenance than MICT after the end of detraining may be that the EPOC level of HIIT is greater than that of MICT after the suspension of training. And the increase of lipolytic enzyme activity for a longer period until the end of detraining may contributes to the EPOC[55]. Visceral adipose tissue is harmful to our health. Interestingly, we observed that the great maintenance (inhibit the increase of VAT and SCAT mass) carried into the period of training cessation, furthermore, the inhibition in HIIT was superior than MICT. We prolonged the detraining duration and further investigated the lipolytic activity and found that the expression of ATGL was still higher than MICT after the 6-week training cessation in VAT. Bae et al.[56] also showed that 6-week moderate intensity treadmill training reduced the visceral fat area of high-fat-diet rats compared with the long-term sedentary after 8 weeks of suspension accompanied by the increased expression of ATGL and other lipid droplet-related signaling proteins decreasing lipolytic rates[57]. Compared with MICT, HIIT has been confirmed the superior influence in VAT reduction and the training cessation preserve the reduction possibly for the higher activity of lipolytic in our study[24].
In our study, HIIT and MICT reduced TG and LDL-C after 10-week training. Neither HIIT nor MICT improved the TC and HDL-C. After detraining, HIIT and MICT maintained the improvement of TG and LDL-C. Few studies have found significant changes in all serum lipid profiles after training and detraining[58, 59]. Higher intensity intermittent exercise leads to more decreased level of LPL and ATGL expression after cessation of training and may therefore reduce the LDL catabolism[59]. Similar to our study, Dinari et al., [19]found that the effect of MICT on improving LDL-C in diabetic rats was maintained after 4-week detraining. Compared with nonlinear resistance training, 12 weeks of high intensity aerobic interval training (3 times/week, running protocols:4×4min, 90%HRmax, interval:3min, 65%HRmax) increased HDL-C for middle-aged obese men and remained no rebound after 4-week detraining which had a stronger anti-coronary heart disease effect and proved that higher intensity had a better lipid-lowering effect[39]. HDL was the most sensitive parameters to aerobic exercise. Most studies show that HIIT may be better in improving HDL compared with MICT after training cessation[59–61]. Kodama et al.[62] showed that there would be significant increase on serum HDL when the exercise duration was more than 120 minutes or the external work-done was at least 900kcal per week. Low volume exercise may be the reason why HIIT and MICT had no effect on HDL in our study. The increased energy demand during exercise and the utilization of triglycerides as fuel leading to a decrease in TG which was maintained after training cessation[59].
Several limitations to this study still need to be acknowledged. First, due to the genetic polymorphism the sensitivity of obesity in high-diet rats in this study was not the same. And they were not analyzed for the subcutaneous and visceral adipose fat and blood lipid profile before the start of exercise which may affect the reliability of our results. Secondly, we didn’t perform the gas metabolism analysis during the training and detraining in this study and whether the better maintenance of HIIT is related to the higher metabolic rates after interruption needs further investigation. Finally, we only investigated the effect of detraining of MICT/HIIT from the organ and tissue level but the mechanism at the molecular level could not be further studied. For instance, the other lipase, activity of fatty acid synthesis and other mechanisms related to the insulin resistance, inflammation and others.