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This protocol provides an effective method for examining the effects of HIIT on several health markers in a diet-induced obesity model. The procedure draws from previous studies to allow for a more time-efficient method of examining multiple outcome variables, such as exercise training variables, appetite regulation markers, and invasive analyses of body composition3,7,8,18,23,24. The diet content, duration, and exercise intervention protocol were consistent with prior publications23,24. In this study, commercially available laboratory chow was purchased (see Table of Materials). The laboratory chow for the high-fat and control diets contained the same amount of protein and micronutrients. The carbohydrate and fat content of the diets were modified to provide a safe method of inducing obesity in the experimental group (see Table 1).
The 8 week obesity induction period used in the present study was modeled based on previous research showing significant changes in weight following the provision of commercial laboratory chow consisting of 45% kcal from fat (4.7 kcal/g), which represents the macronutrient breakdown found in the typical western diet23. Additionally, prior studies have demonstrated the effectiveness of an 8 week HIIT protocol on influencing food intake7,8, adipose profiles18,23, and muscle gain18. The results of the protocol described in this study were consistent with previous studies reporting that HIIT impacts appetite regulation, as well as compositional changes in adiposity and muscle mass.
A benefit of this protocol is that it maximizes the intensity of the exercise training in the animals and maintains maximum effort throughout the protocol. As the animals continuously learn how to use the treadmill proficiently and make fitness gains, the speed of the treadmill is increased accordingly relative to their performance. Furthermore, the use of the 5.0% inclination allows for the animals to reach maximum intensity in each session and throughout the protocol more quickly than would be accomplished without using inclination. As a result, the exercise performance is maximized for each workout and for the duration of the protocol.
During the study, one animal was unable to complete the experimental protocol due to illness, resulting in n = 39 animals completing the study, with only n = 9 rats in the HFD cohort. This protocol was initially designed to assess changes in cytokine profiles in response to exercise and diet, and the power analysis resulted greater than 90% power to identify a difference (p < 0.05) in the primary target cytokine (irisin). Future studies using this model should rely on unique power analyses to determine appropriate sample sizes.
This study was primarily designed to examine the physiologic outcomes of HIIT in a rodent model of diet-induced obesity and to maximize the intensity of exercise. This protocol was able to demonstrate variation in ADG and adiposity in response to diet and HIIT (Figure 6 and Figure 7). Future studies could specifically identify endocrine, myokine, and adipokine responses to HIIT. The elucidation of these mechanisms may prove beneficial in the treatment and prevention of obesity and its comorbidities.
This study also demonstrated the impact of diet and HIIT on feed intake. The results indicated that when the animals consumed a high-fat diet, the trained animals consumed more calories than the non-trained animals. In contrast, when the animals ate the control diet, the trained animals consumed less calories than the non-trained animals, demonstrating different appetite regulation responses depending on the composition of the diet. Therefore, strategies for weight loss that utilize HIIT may be less effective for those that simultaneously consume a high-fat diet, as they may be more likely to consume excess calories. In contrast, balanced macronutrient intake during HIIT may promote low calorie intake and, therefore, facilitate weight loss. This model can facilitate research efforts to develop a deeper understanding of the mechanisms behind energy balance and efforts to develop effective weight loss strategies.
Finally, this protocol demonstrated variation in cardiac tissue among the cohorts, reflecting adaptational changes in the body composition in response to diet and exercise training. These data suggest that obesity induction followed by HIIT may predispose individuals to myocardial hypertrophy without any accompanied alterations in hepatic size. Future analyses to determine the mechanisms behind these findings could be useful for investigating myocardial hypertrophy and the metabolic connections between obesity, HIIT, and cardiovascular disease.
The protocol described in this study has several limitations. First, the treadmill used in this study had five lanes, which allowed for five rats to be run at a single time. While this manner of executing the protocol was efficient, it was difficult for a single researcher to attend to each of the animals at once. There were occasions when it was difficult for the treadmill attendant to divide their attention among the multiple animals needing stimulation with bristle brushes. In the future, ensuring that more research personnel are available to assist with the training protocols will be a priority. Additionally, the five-lane treadmill model does not have the capability to measure gas exchange, and, therefore, the aerobic/anaerobic metabolism of the animals during the protocol could not be assessed. The company that provided the rodent treadmill (see Table of Materials) does offer a treadmill with the capability to measure gas exchange, but it is a single-lane treadmill and, therefore, would require significantly greater time and effort. That effort may be worthwhile, however, for investigators who need to measure or control for specific outcomes of indirect calorimetry. Additionally, there is very little evidence available regarding how the shock grid may impact exercise performance, which should be considered when interpreting the results from this model. Lastly, the exercise protocol described in this study was designed with young female Sprague-Dawley rats. Previous studies have shown sexually dimorphic effects, especially regarding HIIT and appetite regulation3,7. Although similar outcomes are anticipated, this protocol did not test animals of different species, ages, sexes, or health outcomes.
In comparison to prior models, this protocol demonstrates a more time-efficient method to evaluate a range of outcome variables. For instance, this protocol was able to identify interactions between HIIT and appetite regulation in a protocol that involved four training sessions per week for 8 weeks, in comparison to prior studies that involved five training sessions per week for 8 weeks24 or even 12 weeks of training8. Additionally, this study design allowed for the analysis of a variety of health markers, such as exercise data, markers of appetite regulation, and body composition. These markers, as well as the heart adaptations to exercise training, represent promising means of evaluating the training adaptations of the cardiovascular system as well. Measures of endothelial function, muscle fiber type composition, and cardiac myocyte hypertrophy could easily be added to further the understanding of these exercise-induced adaptations. Further, this protocol included performance-based escalations in intensity. This design allowed for the maximization of the training outcomes and ensured that the rats did not adapt to the exercise environment and approach a moderate-intensity continuous training model toward the end of the intervention. This is demonstrated in Figure 2; specifically, the sprint speeds of these animals were more than double the speeds achieved in previous publications, which went on to demonstrate many cardiovascular, skeletal muscle, and thermoregulatory adaptations consistent with HIIT interventions25.