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Caffeine Optimizes HIIT Benefits on Obesity-associated Metabolic Adversity in Women.

Medicine and science in sports and exercise
August 1, 2020
Ahmad Alkhatib et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether HIIT, with or without caffeine supplementation, could ameliorate obesity-related adversities such as excessive body fat, metabolic endotoxemia, and reduced fitness in women with obesity.

Results Summary

HIIT alone reduced body fat, increased muscle mass, and improved fitness but also increased glucose and insulin levels and endotoxemia. Caffeine supplementation with HIIT mitigated these adverse effects while maintaining the benefits.

Population

24 women with obesity (BMI ≥ 27 kg/m², body fat ≥ 40%).

Effective Dosage

Caffeine (3 mg/kg body weight) before each training session.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (18)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-intensity interval training (HIIT) alone
increase
OGTT glucose at 90 min
women with obesity
-
increased
#1
high-intensity interval training (HIIT) alone
increase
OGTT insulin at 60 min
women with obesity
-
increased
#2
high-intensity interval training (HIIT) alone
increase
OGTT insulin
women with obesity
28.3%
induced 28.3% higher
#3
high-intensity interval training (HIIT) alone
increase
OGTT glucose
women with obesity
14.5%
induced 14.5% higher
#4
high-intensity interval training (HIIT) alone
increase
lipopolysaccharide endotoxins
women with obesity
31%
induced a 31% increase in
#5
high-intensity interval training (HIIT) with caffeine supplementation
decrease
OGTT glucose at 120 min
women with obesity
-
decreased
#6
high-intensity interval training (HIIT) with caffeine supplementation
decrease
OGTT glucose
women with obesity
19.1%
decreased OGTT glucose by 19.1%
#7
high-intensity interval training (HIIT) with caffeine supplementation
no change
OGTT insulin
women with obesity
-
without affecting
#8
high-intensity interval training (HIIT) with caffeine supplementation
no change
OGTT insulin
women with obesity
-
without changing
#9
high-intensity interval training (HIIT) with caffeine supplementation
no change
lipopolysaccharide endotoxins
women with obesity
-
did not affect
#10
high-intensity interval training (HIIT) alone
decrease
body fat percentage
women with obesity
-
reduced
#11
high-intensity interval training (HIIT) alone
increase
muscle mass
women with obesity
-
increased
#12
high-intensity interval training (HIIT) alone
decrease
testosterone
women with obesity
-
reduced
#13
high-intensity interval training (HIIT) alone
increase
cardiorespiratory and anaerobic capacity
women with obesity
-
increased
#14
high-intensity interval training (HIIT) with caffeine supplementation
decrease
body fat percentage
women with obesity
-
reduced
#15
high-intensity interval training (HIIT) with caffeine supplementation
increase
muscle mass
women with obesity
-
increased
#16
high-intensity interval training (HIIT) with caffeine supplementation
decrease
testosterone
women with obesity
-
reduced
#17
high-intensity interval training (HIIT) with caffeine supplementation
increase
cardiorespiratory and anaerobic capacity
women with obesity
-
increased
#18
Abstract

PURPOSE: We investigated whether obesity adversities such as excessive body fat, compensatory hyperinsulinemia, metabolic endotoxemia, irregular androgenicity, and reduced cardiorespiratory and anaerobic fitness are ameliorated by high-intensity interval training (HIIT) with or without caffeine supplementation in women with obesity. METHODS: Twenty-four women with obesity (Asian cutoff point body mass index ≥ 27 kg·m, body fat = 40%) were evenly randomized to caffeine (CAF) and placebo (PLA) trials for an 8-wk HIIT program (10 × 1-min sprints, interspersed by 1-min rest). CAF (3 mg·kg·bw) and PLA were supplemented before each training session. Body fat was assessed by dual-energy x-ray absorptiometry before and after training together with assessments of glucose tolerance (oral glucose tolerance test, or OGTT), lipopolysaccharide endotoxins, testosterone, cardiorespiratory, and anaerobic fitness. RESULTS: Significant interaction between HIIT and CAF was found for OGTT glucose and OGTT insulin levels (P = 0.001 and P = 0.049 respectively). HIIT-alone increased glucose at 90 min (P = 0.049) and OGTT insulin at 60 min (P = 0.038). Conversely, HIIT with CAF decreased OGTT glucose at 120 min (P = 0.024) without affecting OGTT insulin. HIIT-alone induced 28.3% higher OGTT insulin (effect size d = 0.59 for area under the curve) and 14.5% higher OGTT glucose (d = 0.28). Conversely, HIIT with CAF decreased OGTT glucose by 19.1% (d = 0.51 for area under the curve) without changing OGTT insulin. HIIT-alone effects on glycemia and insulinemia were concurrent with a 31% increase in lipopolysaccharide endotoxins (P = 0.07; d = 0.78; confidence interval, 5.7-8.7) in the PLA but not in CAF treatment (P = 0.99; d = 0.003; confidence interval, 6.5-10.6), although endotoxin level remained within the recommended healthy thresholds. Furthermore, either HIIT alone or with CAF reduced body fat percentage (P < 0.001, ANOVA main training effects), increased muscle mass (P = 0.002), reduced testosterone (P = 0.005), and increased cardiorespiratory and anaerobic capacity (P < 0.001). CONCLUSIONS: HIIT induces fat loss and decreases androgenicity in women with obesity. However, its side effects such as endotoxemia and hyperinsulinemia are ameliorated by caffeine supplementation.

Medical Subject Headings (MeSH)
AdolescentAdultBlood GlucoseBody Fat DistributionCaffeineCardiorespiratory FitnessEndotoxinsExercise TherapyFemaleHigh-Intensity Interval TrainingHumansInsulinLipopolysaccharidesObesityPhysical FitnessSingle-Blind MethodTestosteroneYoung Adult
Study Links
Quality Scores
Safety85
Efficacy80/10
Quality75/10
Citation Metrics
Total Citations9
Citations/Year1.8
Relative Citation Ratio0.70
NIH Percentile37.3%
Research Impact Scores
APT Score0.50
Weight Score2.20
Normalized Score0.81
Caffeine Optimizes HIIT Benefits on Obesity-associated Metab... | Panacea Index