STUDY PROTOCOL Open Access
The effect of home-based low-volume,
high-intensity interval training on
cardiorespiratory fitness, body composition
and cardiometabolic health in women of
normal body mass and those with
overweight or obesity: protocol for a
randomized controlled trial
Emmanuel Frimpong
1
, Chloe Dafkin
1
, Janine Donaldson
2
, Aletta Maria Esterhuyse Millen
3
and
Rebecca Mary Meiring
1,4*
Abstract
Background: There is a high prevalence of women in South Africa with overweight and obesity which is
associated with an increased risk of cardiometabolic disorders. Perceived barriers such as lack of time and
motivation reduce engagement in beneficial activity behaviours for health. High-intensity interval training (HIIT) is a
time-efficient and effective way to improve cardiometabolic risk profile regardless of a loss in body mass or change
in body composition. This randomized controlled trial aims to determine the effects on cardiorespiratory fitness,
body composition and cardiometabolic health and feasibility of a home-based 14-week HIIT program in women
with overweight/obesity or normal body mass.
Methods: One hundred and twenty women (18–40 years old) with a body mass index between 20 and 35 kg/m
2
,
will be stratified according to their BMI (normal, BMI 20–24.9 kg/m
2
; or high BMI ≥25 kg/m
2
) and randomized into a
HIIT exercising group (HIIT) or a non-exercising control group (CON). HIIT participants will perform exercises for 11
min/session six times per week for a period of 14 weeks. The 2 × 4 HIIT protocol will require a work phase of own-
body weight exercise lasting 2 minutes (85% VO
2
peak), repeated four times and separated by a one-minute active
rest phase (65% VO
2
peak). CON participants will be asked to maintain their normal habitual lifestyle. Outcomes of
cardiorespiratory fitness, body composition, echocardiography, central blood pressure, arterial stiffness and
biomarkers of cardiometabolic health will be measured before and after the 14-week intervention. Every 4 weeks
during the intervention, an objective estimation of compliance to the study protocol will be assessed by measuring
participant physical activity over 7 days using an Actigraph GT3X accelerometer.
(Continued on next page)
© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
* Correspondence: rebecca.meiring@auckland.ac.nz
1
Movement Physiology Research Laboratory, School of Physiology, Faculty of
Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
4
Department of Exercise Sciences, Faculty of Science, The University of
Auckland, Building 907-228, Suiter Street, Newmarket, Auckland 1023, New
Zealand
Full list of author information is available at the end of the article
Frimpong et al. BMC Sports Science, Medicine and Rehabilitation (2019) 11:39
https://doi.org/10.1186/s13102-019-0152-6