Type 2 & other diabetes

High-intensity interval training improves insulin sensitivity in individuals with prediabetes

Eur J EndocrinolPublished Randomised controlled trial

Authors' conclusion

Twelve weeks of low-volume HIIT training can improve glucose control and induces adaptations in skeletal muscle important for metabolic health in individuals with prediabetes.

Study context

Population
Sedentary individuals with prediabetes; women n = 36; age 60.8 ± 11.3 years; BMI 31.6 ± 4.4 kg/m²; FPG 6.6 ± 0.8 mmol/L; HbA1c 5.7 ± 0.4%
Participants
70 individuals
Comparison
Low-volume high-intensity interval training (HIIT), HIIT + walking, or walking vs no training
Primary endpoint
Insulin sensitivity assessed by OGTT
Follow-up
12 weeks
Methodological details4-arm
  • 4-arm

Primary result

As reported in the abstract

Peripheral insulin sensitivity (Cederholm index)
Each group vs controlETD, % (95% CI)
HIITsignificantly improved
18.5(7.4–28.3)
HIIT + walkingsignificantly improved
15.7(4.4–25.6)
Walking
9.4(−2.5 to 19.9)

Further findings

OutcomeETD (%) (95% CI)
Whole-body insulin sensitivity (Matsuda index) · 12 weeksHIIT + walkingvs Control28.0 (10.3–42.3)
Whole-body insulin sensitivity (Matsuda index) · 12 weeksWalkingvs Control42.3 (28.3–53.5)
Whole-body insulin sensitivity (Matsuda index) · 12 weeksHIITvs Control17.0 (−4.0 to 33.7)

Skeletal muscle proteins for mitochondrial capacity and glucose uptake

Most improved with HIIT + walking; no significant effects with walking alone

Original publication

High-intensity interval training improves insulin sensitivity in individuals with prediabetes. Eur J Endocrinol. Published 16 April 2025. doi:10.1093/ejendo/lvaf004

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