International Journal of School Health

Published by: Kowsar

HIITing Health in School: Can High Intensity Interval Training Be a Useful and Reliable Tool for Health on a School-Based Enviroment? A Systematic Review

Rafael Zapata-Lamana ORCID 1 , Igor Cigarroa Cuevas 2 , Victor Fuentes 2 , Claudio Soto Espindola 2 , Eva Parrado Romero 3 , Carlos Sepulveda 4 , 5 and Matias Monsalves-Alvarez ORCID 4 , 6 , *
Authors Information
1 Escuela de Educación, Universidad de Concepción, Chile
2 Escuela de Kinesiologia,Facultad de Salud, Universidad Santo Tomas, Chile
3 Laboratorio de Psicología del Deporte, Universidad Autónoma de Barcelona, España
4 Laboratorio de Investigación en Nutrición y Actividad Física, LABINAF, Instituto de Nutrición y Tecnología de los Alimentos INTA, Universidad de Chile
5 Laboratorio de Ciencias del Ejercicio, Clínica MEDS, Santiago, Chile
6 Docente Escuela de Educación, Programa de Postgrado, Facultad de Humanidades, Universidad Mayor, Chile
Article information
  • International Journal of School Health: July 31, 2019, 6 (3); e89829
  • Published Online: September 14, 2019
  • Article Type: Systematic Review
  • Received: January 23, 2019
  • Revised: August 28, 2019
  • Accepted: September 2, 2019
  • DOI: 10.5812/intjsh.89829

How to Cite: Zapata-Lamana R, Cigarroa Cuevas I, Fuentes V, Soto Espindola C, Parrado Romero E, et al. HIITing Health in School: Can High Intensity Interval Training Be a Useful and Reliable Tool for Health on a School-Based Enviroment? A Systematic Review, Int J School Health. 2019 ; 6(3):e89829. doi: 10.5812/intjsh.89829.

Copyright © 2019, International Journal of School Health. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Objectives
3. Data Sources
4. Study Selection
5. Data Extraction
6. Results
7. Discussion
  • 1. Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25 Suppl 3:1-72. doi: 10.1111/sms.12581. [PubMed: 26606383].
  • 2. Rodriguez-Ayllon M, Cadenas-Sanchez C, Esteban-Cornejo I, Migueles JH, Mora-Gonzalez J, Henriksson P, et al. Physical fitness and psychological health in overweight/obese children: A cross-sectional study from the ActiveBrains project. J Sci Med Sport. 2018;21(2):179-84. doi: 10.1016/j.jsams.2017.09.019. [PubMed: 29031643].
  • 3. Khan NA, Hillman CH. The relation of childhood physical activity and aerobic fitness to brain function and cognition: A review. Pediatr Exerc Sci. 2014;26(2):138-46. doi: 10.1123/pes.2013-0125. [PubMed: 24722921].
  • 4. WHO. Global recommendations on physical activity for health. 2019. Available from:
  • 5. Colley RC, Carson V, Garriguet D, Janssen I, Roberts KC, Tremblay MS. Physical activity of Canadian children and youth, 2007 to 2015. Health Rep. 2017;28(10):8-16.
  • 6. Aguilar-Farias N, Cortinez-O'Ryan A, Sadarangani KP, Von Oetinger A, Leppe J, Valladares M, et al. Results from Chile's 2016 report card on physical activity for children and youth. J Phys Act Health. 2016;13(11 Suppl 2):S117-23. doi: 10.1123/jpah.2016-0314. [PubMed: 27848748].
  • 7. Carlson JA, Saelens BE, Kerr J, Schipperijn J, Conway TL, Frank LD, et al. Association between neighborhood walkability and GPS-measured walking, bicycling and vehicle time in adolescents. Health Place. 2015;32:1-7. doi: 10.1016/j.healthplace.2014.12.008. [PubMed: 25588788]. [PubMed Central: PMC5576349].
  • 8. Fredriksen PM, Hjelle OP, Mamen A, Meza TJ, Westerberg AC. The health Oriented pedagogical project (HOPP) - a controlled longitudinal school-based physical activity intervention program. BMC Public Health. 2017;17(1):370. doi: 10.1186/s12889-017-4282-z. [PubMed: 28454531]. [PubMed Central: PMC5410047].
  • 9. Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V. School-based interventions on childhood obesity: A meta-analysis. Am J Prev Med. 2009;37(5):418-27. doi: 10.1016/j.amepre.2009.07.012. [PubMed: 19840696].
  • 10. Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR. High-intensity interval training for improving health-related fitness in adolescents: A systematic review and meta-analysis. Br J Sports Med. 2015;49(19):1253-61. doi: 10.1136/bjsports-2014-094490. [PubMed: 26089322].
  • 11. Gibala MJ, Little JP, Macdonald MJ, Hawley JA. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol. 2012;590(5):1077-84. doi: 10.1113/jphysiol.2011.224725. [PubMed: 22289907]. [PubMed Central: PMC3381816].
  • 12. Buchheit M, Laursen PB. High-intensity interval training, solutions to the programming puzzle: Part I: Cardiopulmonary emphasis. Sports Med. 2013;43(5):313-38. doi: 10.1007/s40279-013-0029-x. [PubMed: 23539308].
  • 13. Logan GR, Harris N, Duncan S, Schofield G. A review of adolescent high-intensity interval training. Sports Med. 2014;44(8):1071-85. doi: 10.1007/s40279-014-0187-5. [PubMed: 24743929].
  • 14. Garcia-Hermoso A, Cerrillo-Urbina AJ, Herrera-Valenzuela T, Cristi-Montero C, Saavedra JM, Martinez-Vizcaino V. Is high-intensity interval training more effective on improving cardiometabolic risk and aerobic capacity than other forms of exercise in overweight and obese youth? A meta-analysis. Obes Rev. 2016;17(6):531-40. doi: 10.1111/obr.12395. [PubMed: 26948135].
  • 15. Martinez N, Kilpatrick MW, Salomon K, Jung ME, Little JP. Affective and enjoyment responses to high-intensity interval training in overweight-to-obese and insufficiently active adults. J Sport Exerc Psychol. 2015;37(2):138-49. doi: 10.1123/jsep.2014-0212. [PubMed: 25996105].
  • 16. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1. doi: 10.1186/2046-4053-4-1. [PubMed: 25554246]. [PubMed Central: PMC4320440].
  • 17. Zapata Lamana R, Cigarroa Cuevas I, Monsalves Álvarez M, Soto Espíndola C, Fuentes Figueroa V. A systematic review of high intensity interval training (HIIT) on school-based interventions. PROSPERO; 2018. Available from:
  • 18. Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. doi: 10.1136/bmj.d5928. [PubMed: 22008217]. [PubMed Central: PMC3196245].
  • 19. Sterne JA, Hernan MA, Reeves BC, Savovic J, Berkman ND, Viswanathan M, et al. ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016;355. i4919. doi: 10.1136/bmj.i4919. [PubMed: 27733354]. [PubMed Central: PMC5062054].
  • 20. Weston KL, Azevedo LB, Bock S, Weston M, George KP, Batterham AM. Effect of novel, school-based high-intensity interval training (HIT) on cardiometabolic health in adolescents: Project FFAB (fun fast activity blasts) - an exploratory controlled before-and-after trial. PLoS One. 2016;11(8). e0159116. doi: 10.1371/journal.pone.0159116. [PubMed: 27486660]. [PubMed Central: PMC4972319].
  • 21. Fernández I, Vásquez H, Vega J, Ubeda C. Efecto de un programa de entrenamiento intermitente de alta intensidad en niños con sobrepeso y obesidad en Arica, Chile. Interciencia. 2017;42(3):181-5.
  • 22. Logan GR, Harris N, Duncan S, Plank LD, Merien F, Schofield G. Low-active male adolescents: A dose response to high-intensity interval training. Med Sci Sports Exerc. 2016;48(3):481-90. doi: 10.1249/MSS.0000000000000799. [PubMed: 26484952].
  • 23. Ma JK, Le Mare L, Gurd BJ. Four minutes of in-class high-intensity interval activity improves selective attention in 9- to 11-year olds. Appl Physiol Nutr Metab. 2015;40(3):238-44. doi: 10.1139/apnm-2014-0309. [PubMed: 25675352].
  • 24. Huerta Ojeda A, Galdames Maliqueo S, Cataldo Guerra M, Barahona Fuentes G, Rozas Villanueva T, Caceres Serrano P. [Effects of a high intensity interval training on the aerobic capacity of adolescents]. Rev Med Chil. 2017;145(8):972-9. Spanish. doi: 10.4067/s0034-98872017000800972. [PubMed: 29189854].
  • 25. Camacho-Cardenosa A, Brazo-Sayavera J, Camacho-Cardenosa M, Marcos-Serrano M, Timon R, Olcina G. Effects of high intensity interval training on fat mass parameters in adolescents. Rev Esp Salud Publica. 2016;90:e1-9. [PubMed: 27869113].
  • 26. Costigan SA, Eather N, Plotnikoff RC, Hillman CH, Lubans DR. High-intensity interval training for cognitive and mental health in adolescents. Med Sci Sports Exerc. 2016;48(10):1985-93. doi: 10.1249/MSS.0000000000000993. [PubMed: 27187097].
  • 27. Morris A, Cramb R, Dodd-Reynolds CJ. Food intake and appetite following school-based high-intensity interval training in 9-11-year-old children. J Sports Sci. 2018;36(3):286-92. doi: 10.1080/02640414.2017.1302599. [PubMed: 28294700].
  • 28. Buchan DS, Ollis S, Young JD, Cooper SM, Shield JP, Baker JS. High intensity interval running enhances measures of physical fitness but not metabolic measures of cardiovascular disease risk in healthy adolescents. BMC Public Health. 2013;13:498. doi: 10.1186/1471-2458-13-498. [PubMed: 23705968]. [PubMed Central: PMC3666892].
  • 29. Lambrick D, Westrupp N, Kaufmann S, Stoner L, Faulkner J. The effectiveness of a high-intensity games intervention on improving indices of health in young children. J Sports Sci. 2016;34(3):190-8. doi: 10.1080/02640414.2015.1048521. [PubMed: 26009003].
  • 30. Harris NK, Dulson DK, Logan GRM, Warbrick IB, Merien FLR, Lubans DR. Acute responses to resistance and high-intensity interval training in early adolescents. J Strength Cond Res. 2017;31(5):1177-86. doi: 10.1519/JSC.0000000000001590. [PubMed: 27537411].
  • 31. Delgado-Floody P, Espinoza-Silva M, Garcia-Pinillos F, Latorre-Roman P. Effects of 28 weeks of high-intensity interval training during physical education classes on cardiometabolic risk factors in Chilean schoolchildren: A pilot trial. Eur J Pediatr. 2018;177(7):1019-27. doi: 10.1007/s00431-018-3149-3. [PubMed: 29680994].
  • 32. Griew P, Page A, Thomas S, Hillsdon M, Cooper AR. The school effect on children's school time physical activity: The PEACH Project. Prev Med. 2010;51(3-4):282-6. doi: 10.1016/j.ypmed.2010.06.009. [PubMed: 20600261].
  • 33. Wilson AN, Olds T, Lushington K, Parvazian S, Dollman J. Active school lesson breaks increase daily vigorous physical activity, but not daily moderate to vigorous physical activity in elementary school boys. Pediatr Exerc Sci. 2017;29(1):145-52. doi: 10.1123/pes.2016-0057. [PubMed: 27428266].
  • 34. Laursen PB. Training for intense exercise performance: High-intensity or high-volume training? Scand J Med Sci Sports. 2010;20 Suppl 2:1-10. doi: 10.1111/j.1600-0838.2010.01184.x. [PubMed: 20840557].
  • 35. Boer PH, Meeus M, Terblanche E, Rombaut L, Wandele ID, Hermans L, et al. The influence of sprint interval training on body composition, physical and metabolic fitness in adolescents and young adults with intellectual disability: A randomized controlled trial. Clin Rehabil. 2014;28(3):221-31. doi: 10.1177/0269215513498609. [PubMed: 23963438].
  • 36. Barker AR, Day J, Smith A, Bond B, Williams CA. The influence of 2 weeks of low-volume high-intensity interval training on health outcomes in adolescent boys. J Sports Sci. 2014;32(8):757-65. doi: 10.1080/02640414.2013.853132. [PubMed: 24404861].
  • 37. Lazzer S, Tringali G, Caccavale M, De Micheli R, Abbruzzese L, Sartorio A. Effects of high-intensity interval training on physical capacities and substrate oxidation rate in obese adolescents. J Endocrinol Invest. 2017;40(2):217-26. doi: 10.1007/s40618-016-0551-4. [PubMed: 27639403].
  • 38. Issner JH, Mucka LE, Barnett D. Increasing positive health behaviors in adolescents with nutritional goals and exercise. J Child Fam Stud. 2016;26(2):548-58. doi: 10.1007/s10826-016-0585-4.
  • 39. Alvarez C, Ramirez-Campillo R, Ramirez-Velez R, Izquierdo M. Effects of 6-weeks high-intensity interval training in schoolchildren with insulin resistance: Influence of biological maturation on metabolic, body composition, cardiovascular and performance non-responses. Front Physiol. 2017;8:444. doi: 10.3389/fphys.2017.00444. [PubMed: 28706490]. [PubMed Central: PMC5489677].
  • 40. Baker JS, Buchan DS, Malina RM, Thomas NE. Benefits of high intensity anaerobic exercise for adolescents and school children. Br J Sports Med. 2019.
  • 41. Liu JH, Alderman BL, Song TF, Chen FT, Hung TM, Chang YK. A randomized controlled trial of coordination exercise on cognitive function in obese adolescents. Psychol Sport Exercise. 2018;34:29-38. doi: 10.1016/j.psychsport.2017.09.003.
  • 42. Walsh JJ, Dunlap C, Miranda J, Thorp DB, Kimmerly DS, Tschakovsky M, et al. Brief, high-intensity interval exercise improves selective attention in university students. Int J Exercise Sci. 2018;11(5):152-67.
  • 43. Anderson VA, Anderson P, Northam E, Jacobs R, Catroppa C. Development of executive functions through late childhood and adolescence in an Australian sample. Dev Neuropsychol. 2001;20(1):385-406. doi: 10.1207/S15326942DN2001_5. [PubMed: 11827095].
  • 44. Hartman E, Smith J, Houwen S, Visscher C. Skill-related physical fitness versus aerobic fitness as a predictor of executive functioning in children with intellectual disabilities or borderline intellectual functioning. Res Dev Disabil. 2017;64:1-11. doi: 10.1016/j.ridd.2017.03.001. [PubMed: 28288322].
  • 45. Merege Filho CAA, Alves CRR, Sepúlveda CA, Costa AS, Lancha Junior AH, Gualano B. Influência do exercício físico na cognição: Uma atualização sobre mecanismos fisiológicos. Revista Brasileira de Medicina do Esporte. 2014;20(3):237-41. doi: 10.1590/1517-86922014200301930.
  • 46. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: Exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58-65. doi: 10.1038/nrn2298. [PubMed: 18094706].
  • 47. Farah BQ, Ritti-Dias RM, Balagopal PB, Hill JO, Prado WL. Does exercise intensity affect blood pressure and heart rate in obese adolescents? A 6-month multidisciplinary randomized intervention study. Pediatr Obes. 2014;9(2):111-20. doi: 10.1111/j.2047-6310.2012.00145.x. [PubMed: 23447453].
  • 48. Lau PW, Wong del P, Ngo JK, Liang Y, Kim CG, Kim HS. Effects of high-intensity intermittent running exercise in overweight children. Eur J Sport Sci. 2015;15(2):182-90. doi: 10.1080/17461391.2014.933880. [PubMed: 25012183].
  • 49. Stork MJ, Banfield LE, Gibala MJ, Martin Ginis KA. A scoping review of the psychological responses to interval exercise: is interval exercise a viable alternative to traditional exercise? Health Psychol Rev. 2017;11(4):324-44. doi: 10.1080/17437199.2017.1326011. [PubMed: 28460601].
  • 50. Prochaska JO, DiClemente CC. Self change processes, self efficacy and decisional balance across five stages of smoking cessation. Prog Clin Biol Res. 1984;156:131-40. [PubMed: 6473420].
  • 51. Jebali T, Moalla W, Elloumi M, Padulo J, Baquet G, Chamari K. The relevant use of the traditional tunisian game ''raqassa'' for cardiovascular stimulation in schoolchildren. Biol Sport. 2013;30(3):219-25. doi: 10.5604/20831862.1059304. [PubMed: 24744492]. [PubMed Central: PMC3944567].

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