AUTHOR=Hedlund Mattias , Lindelöf Nina , Johansson Bengt , Boraxbekk Carl-Johan , Rosendahl Erik 

TITLE=Development and Feasibility of a Regulated, Supramaximal High-Intensity Training Program Adapted for Older Individuals

JOURNAL=Frontiers in Physiology

VOLUME=10

YEAR=2019

URL=https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2019.00590

DOI=10.3389/fphys.2019.00590

ISSN=1664-042X

ABSTRACT=<p><bold>Background:</bold> High-intensity training (HIT) with extremely short intervals (designated here as supramaximal HIT) is a time-efficient training method for health and performance. However, a protocol for regulation and control of intensity is missing, impeding implementation in various groups, such as older individuals.</p><p><bold>Methods:</bold> This study presents the development and characteristics of a novel training protocol with regulated and controlled supramaximal intervals adapted for older people. Using both quantitative and qualitative analyses, we explored the feasibility of the program, performed in a group training setting, with physically active older individuals (aged 65–75, <italic>n</italic> = 7; five women). The developed supramaximal HIT program consisted of 10 × 6 s cycle sprint intervals with ∼1 min of active recovery with the following key characteristics: (1) an individual target power output was reached and maintained during all intervals and regulated and expressed as the percentage of the estimated maximum mean power output for the duration of the interval (i.e., 6 s); (2) pedaling cadence was standardized for all participants, while resistance was individualized; and (3) the protocol enabled controlled and systematic adjustments of training intensity following standardized escalation criteria.</p><p><bold>Aim:</bold> Our aim was to test the feasibility of a novel training regimen with regulated and controlled supramaximal HIT, adapted for older people. The feasibility criteria for the program were to support participants in reaching a supramaximal intensity (i.e., power output &gt; 100% of estimated VO<sub>2</sub> max), avoid inducing a negative affective response, and have participants perceive it as feasible and acceptable.</p><p><bold>Results:</bold> All feasibility criteria were met. The standardized escalation procedure provided safe escalation of training load up to a supramaximal intensity (around three times the power output at estimated VO<sub>2</sub> max). The participants never reported negative affective responses, and they perceived the program as fun and feasible.</p><p><bold>Conclusion:</bold> This novel program offers a usable methodology for further studies on supramaximal HIT among older individuals with different levels of physical capacity. Future research should explore the effects of the program in various populations of older people and their experiences and long-term adherence compared with other forms of training.</p>