Int J Sports Med 2025; 46(03): 207-216
DOI: 10.1055/a-2456-4054
Clinical Sciences

Intensity and enjoyment of play-based HIIT in children and adolescents with obesity

1   Department of Materials and Production, Aalborg University, Aalborg, Denmark (Ringgold ID: RIN1004)
2   Center for Mathematical Modeling of Knee Osteoarthritis, Aalborg University, Aalborg, Denmark (Ringgold ID: RIN1004)
,
CharlotteNørkjær Eggertsen
3   Department of Pediatrics and Adolescent Medicine, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
4   Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
5   Department of Clinical Medicine, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
JeppeBech Pedersen
6   Department of Health Science and Technology, Aalborg University, Aalborg, Denmark (Ringgold ID: RIN1004)
,
Stine Christiansen
3   Department of Pediatrics and Adolescent Medicine, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
EsbenThyssen Vestergaard
7   Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark (Ringgold ID: RIN11297)
8   Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark (Ringgold ID: RIN11297)
,
Søren Hagstrøm
3   Department of Pediatrics and Adolescent Medicine, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
5   Department of Clinical Medicine, Aalborg University Hospital, Aalborg, Denmark (Ringgold ID: RIN53141)
,
Ryan Godsk Larsen
9   Health Science and Technology, Aalborg University, Aalborg, Denmark (Ringgold ID: RIN1004)
› Author Affiliations

Supported by: TrygFonden 149852
Supported by: Danish Regions R201-A4487
Supported by: Svend Andersens Foundation and Memorial legatee for Carpenter Jørgen Holm and wife Elisa F. Hansen 20094
Supported by: Steno Diabetes Center North Denmark Clinical Trial: Registration number (trial ID):NCT05465057,Trial registry: ClinicalTrials.gov(http://www.clinicaltrials.gov/),Type of Study: Part of an RCT
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Abstract

High-intensity interval training (HIIT) has been suggested as an effective treatment approach of childhood obesity. The objective of the present study was to examine intensity, enjoyment, and perceived exertion of a 4x4-minute play-based HIIT program for children and adolescents with obesity. 83 participants (42.2% girls, 12.3±1.5 years, 57.8% boys, 12.0±1.6 years) completed a 12-week intervention comprising three weekly sessions. After nine sessions (weeks 2, 6, and 11), participants rated perceived exertion (RPE) with a Borg scale and enjoyment of activities using the Physical Activity Enjoyment Scale (PACES). Heart rate (HR) was recorded to assess time spent in high- and moderate-intensity. Participants spent more time in high-intensity during strength-based (P=0.004) and running-based (P=0.007) activities compared to ball games, and more time was spent in moderate-intensity during ball games compared to strength-based (P=0.033) and running-based (P=0.028) activities. Overall, boys spent more time in moderate-intensity than girls (P=0.007). Participants rated RPE lower for ball games than for strength-based (P<0.001) and running-based (P<0.001) activities. Boys rated running-based activities more enjoyable than girls (P=0.021). Exercise intensity and RPE vary by activity in HIIT for children and adolescents with obesity. Ball games led to less high-intensity time and were seen as less exhausting. No differences in RPE or enjoyment were found over time.



Publication History

Received: 28 June 2024

Accepted after revision: 29 October 2024

Accepted Manuscript online:
29 October 2024

Article published online:
02 December 2024

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