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The Effects of High-Intensity Interval Training (HIIT) on Fall Risk Factors in Healthy Older Adults: A Systematic Review

Author

Listed:
  • Michal Elboim-Gabyzon

    (Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel)

  • Roie Buxbaum

    (Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel)

  • Roei Klein

    (Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel)

Abstract

High-intensity interval training (HIIT) improves functional capacity, muscle power and physical performance in older adults with and without comorbidities. The aim of this study was to explore the effectiveness of HIIT as a method for reducing major fall risk factors (balance, muscle strength and physical activity) in older adults. A systematic literature search was conducted following the PRISMA guidelines. A computerized search was conducted using electronic databases (PubMed, CINAHL, Cochrane Library, APA PsycInfo, Web of Science, Scopus, PEDro, and AgeLine) published up to July 2021. Eleven papers (9 studies) of moderate quality (mean of 5.5 in Pedro scale) involving 328 healthy older adults met the inclusion criteria. Studies were characterized by high heterogeneity in terms of methodology, HIIT modality and protocol, subject characteristics, and outcome measures. Results indicate that HIIT cannot be recommended as a single modality for fall prevention in older adults due to insufficient data and no consensus among the studies. HIIT appears to be a safe and well-tolerated supplement to proven fall prevention programs, due to its effects on lower limb strength reflected in functional performance tests, and on dynamic balance and subjective balance perception. However, caution is warranted following HIIT, especially after the first session, due to possible temporary instability.

Suggested Citation

  • Michal Elboim-Gabyzon & Roie Buxbaum & Roei Klein, 2021. "The Effects of High-Intensity Interval Training (HIIT) on Fall Risk Factors in Healthy Older Adults: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-28, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11809-:d:676569
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    References listed on IDEAS

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    1. Ismael Ballesta-García & Ignacio Martínez-González-Moro & Jacobo Á. Rubio-Arias & María Carrasco-Poyatos, 2019. "High-Intensity Interval Circuit Training Versus Moderate-Intensity Continuous Training on Functional Ability and Body Mass Index in Middle-Aged and Older Women: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(21), pages 1-17, October.
    2. Huei-Ling Chiu & Ting-Ting Yeh & Yun-Ting Lo & Pei-Jung Liang & Shu-Chun Lee, 2021. "The effects of the Otago Exercise Programme on actual and perceived balance in older adults: A meta-analysis," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-18, August.
    3. Paolo Bruseghini & Enrico Tam & Elisa Calabria & Chiara Milanese & Carlo Capelli & Christel Galvani, 2020. "High Intensity Interval Training Does Not Have Compensatory Effects on Physical Activity Levels in Older Adults," IJERPH, MDPI, vol. 17(3), pages 1-13, February.
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