Panteleimon (
Mar 12, 2022 22 tweets 7 min read Read on X
We haven't done a HIIT-related thread in a while, but today I was inspired by this new meta-analysis on Sprint Interval Training (SIT), so here we go. I will teach you how you too can say incredible, mind-bending things and get them past the reviewers (in Frontiers, but still...)
What did the meta find? (1) The worst you'll feel during SIT does not differ from the worst you'll feel during moderate-intensity continuous exercise (MICE), and (2) enjoyment of SIT and MICE does not differ.
Now, you don't need to be an expert to understand that these claims are made up and patently false. Anyone who has done a Wingate test knows that this is one of the most brutal, most violently unpleasant physical experiences, so imagine doing several of these back-to-back.
Yet, here are the data -- and you can't argue with data, can you? As you can see, the diamond crosses the zero line, indicating no difference between SIT and moderate-intensity continuous exercise for the worst feeling during exercise! How is this possible? Stick around, kids.
The first thing you have to do is start giving new meanings to words. Like "sprint" does not really mean "sprint," "high intensity" does not really mean "high intensity," and so on. It's a little Orwellian but it works when your readers are gullible or share your agenda.
So, what is "legit" SIT? Depends on who you ask and when you ask them. What argument are they trying to make at the time? One of the tricks of this business is that you have to learn to speak from both sides of your mouth -- while keeping a straight face. It ain't easy.
If you want to convince your readers that SIT is physiologically effective, you say that SIT involves "all out" effort, and a workload that exceeds the workload associated with VO2max. And a good example of SIT is a Wingate test (30s against resistance of 7.5% of body weight).
For example, when you want to be certain you'll find physiological adaptations, you set a workload to the equivalent of 250% of VO2peak. And you forget to mention anything about adverse events, like nausea, lightheadedness, or vomiting.
But obviously you know that average people can't do this stuff without barfing or passing out. And when you're in the right frame of mind, you may even admit it publicly. "SIT" per se is not safe, tolerable, or appealing / sustainable in "real life."
So, now you have to start making up stuff. You say that "SIT" is no longer "SIT," it's something kinder and gentler. So, you reduce the duration of each interval to 20 sec and the resistance to 5% of body weight. This brings "SIT" down to the "vigorous" range (RPE 14-17 by ACSM).
This is because you know one simple but important thing: even if your intensity is "all out," physiological intensity (e.g., VO2) can't rise to 90-100% in 20-30 seconds.
Exercise physiologists know about the dynamics of physiological parameters, such as VO2, at the onset of severe exercise. Even if the workload increases in square-wave fashion, physiological parameters take several seconds of minutes to rise to meet the demand.
One thing we learned from Tabata is that, if you want to reach ~100% VO2peak within a short period (e.g., 20 sec), you need to set the workload to a level that corresponds to 170% VO2peak.
The problem, of course, is that even young and athletic participants cannot finish more than 2 of these 20-sec intervals at a workload corresponding to 170% VO2peak. I guess only Japanese exercise-science students can do 7-8 intervals, but no one else.
So, let's return to the studies that allegedly showed that doing SIT does not make you feel any worse than doing moderate-intensity continuous exercise... and let's look at only a couple of their tricks: (a) intensity and (b) timing of affect assessments. Are you ready?
You will notice 2 things. (1) None of the studies tested "SIT" but rather various shortened or lighter versions of doubtful physiological effectiveness. (2) Affect was assessed during recovery, NOT during the high-intensity intervals, in an effort to capture the "relief" effect.
Look. Niven et al. (2018) had 6-sec intervals and asked participants how they felt only AFTER the intervals were over and participants were in recovery.
Olney et al. (2018) had 20-sec intervals and asked participants how they felt -- you guessed it -- only AFTER the intervals were over and participants were in recovery.
Songsorn et al. (2020) had 20-sec intervals and asked participants how they felt -- you guessed it -- only AFTER the intervals were over and participants were in recovery.
Stork et al. (2018) had 20-sec intervals and asked participants how they felt -- you guessed it -- only AFTER the intervals were over and participants were in recovery.
To recap: if you want to show that SIT and moderate-intensity exercise feel about the same, remember: (1) don't use "SIT" but something short that barely raises physiological intensity to vigorous level for a few seconds, and (2) ask people how they feel only AFTER they're done.
OK, enough for now. Some other day, I will show you how you can find that enjoyment is about the same after SIT and moderate exercise. Enjoyment has its own little tricks. Lots of "fun" (pun intended).

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More from @Ekkekakis

Mar 28, 2024
Kahneman and exercise science? What is the relevance of the scientific legacy of the great Israeli psychologist and Nobel laureate to the science of physical activity? It's much more than you think. A thread -- and a tribute...
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Let's start from this. Imagine that you bring together the world's best physical activity epidemiologists, experts in physical activity assessment, exercise physiologists, and sports medicine physicians. You put them in a room at the @WHO headquarters and ask them to develop the next physical activity guidelines. What are they going to come up with?Image
In the absence of input from the behavioral sciences, the team will likely follow what I call the "common sense approach" to developing physical activity guidelines. For example, analyze the @WHO guidelines. The part at the top gives the rationale for physical activity. Image
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Nov 8, 2023
In November 2020, my students and I discovered a completely fake meta-analysis, now cited more than 100 times. I notified @Hindawi but, as shown below, they have no intention to act. Each year, on the anniversary of the discovery, I re-post this thread... Image
This is the meta-analysis in question, supposedly summarizing RCTs examining the effects of exercise in patients with chronic renal failure. Note that the APC for "BioMed Research International" is $2,550.

doi.org/10.1155/2017/7…
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Also note that @WileyGlobal bought @Hindawi in 2021 for $298 million, evidently unbothered by the fact that @Hindawi is generally not considered a reputable scientific publisher.

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Read 17 tweets
Oct 8, 2023
Steve Blair, an iconic figure in the field of exercise science over the past four decades, has passed away at the age of 84. He is leaving behind an enormous legacy. I would like to share a few thoughts... Image
In my mind, Blair was the last of the trio of physical activity epidemiologists that gave our field a prominent place in contemporary medicine and public health. We lost Jerry Morris on Oct 28, 2009. We lost Ralph Paffenbarger on Jul 9, 2007. We lost Steve Blair on Oct 6, 2023. Image
Parenthetically, if you are interested, the @ACSMNews has a wonderful 22-minute video at the YouTube link below, featuring a conversation with Blair and Paffenbarger. Highly recommended.


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Read 23 tweets
Dec 14, 2022
This sort of headlines (what you thought you knew is actually false) are becoming increasingly common. While we can debate their scientific value, one thing is for sure: they are *wonderful* training opportunities for Kinesiology / Exercise Science students. Let's take a look... Image
The first thing to note is that these headlines are happening against the backdrop of tremendous activity in the dementia field following the flop of Aducanumab (Aduhelm). Now, there is lecanemab, also a monoclonal antibody, with similar side-effects (brain swelling, bleeding). Image
So, let's look at the study in question. The MEDEX (Mindfulness, Education, and Exercise) randomized controlled trial ($3M) aimed to compare mindfulness-based stress reduction and exercise, alone or in combination, with a control intervention (health ed).

doi.org/10.1001/jama.2… Image
Read 25 tweets
Aug 10, 2022
Today is the first formal step toward the culmination of a 10-year process of trying to analyze and comprehend the phenomenon of HIIT within exercise science. Paper II (from a set of 6) with @NBTiller is the first to become available online (DM for PDF).

doi.org/10.1123/kr.202… Image
In this paper, @NBTiller and I address the increasing prevalence of "spin" by examining 4 extraordinary claims that appeared in the HIIT research literature and subsequently made a splash as media headlines. We dissect the underlying research used as the basis for these claims. Image
What we find is a narrative that has run amok, becoming disconnected from the data; blatant neglect of basic methodological and statistical principles; serious errors of reporting; a striking absence of critical appraisal by journals, university press offices, and the mass media.
Read 5 tweets
Aug 10, 2022
When you read that power calculations determined that a sample size of "8 per group" sufficed to provide 80% power, do you get a queasy feeling in your stomach? Like something ain't right? And does the paper start to smell fishy all of a sudden? Don't you get the urge to verify?
So, your stomach would be correct. Let's set aside for a moment that expecting 50% superiority from an 8-week intervention is kind-of ludicrous. Since 50% of 15 is 7.5, comparing 15±5 to 22.5±5 gives d=0.61, which requires 43 per group (not 8) to reach 80% power.
Then, you read that VO2peak changed from 22.6±8.2 to 24.7±7.9 (+2.1 ml) in one group and from 23.2±5.4 to 26.7±5.8 (+3.5 ml) in the other but "improvements in CRF" were "larger" in the latter group (with N=10 per group). Don't you get a strange feeling that those means are close?
Read 11 tweets

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