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International Journal of Environmental Research and Public Health logoLink to International Journal of Environmental Research and Public Health
. 2021 Jun 14;18(12):6431. doi: 10.3390/ijerph18126431

Effect of High-Intensity Interval Training and Intermittent Fasting on Body Composition and Physical Performance in Active Women

Alejandro Martínez-Rodríguez 1,2,*, Jacobo A Rubio-Arias 3, José M García-De Frutos 4, Manuel Vicente-Martínez 5, Thomas P Gunnarsson 6
Editors: Daniel Catalan, Andrea Langbecker
PMCID: PMC8296247  PMID: 34198554

Abstract

Nutritional strategies may have an effect on body composition and physical performance. Intermittent fasting (IF) is an eating pattern that cycles between periods of eating and fasting in specified time periods. Moreover, it is a common strategy among members of the athlete population that are looking for weight loss. However, this strategy may negatively affect physical performance, as compared to other weight loss strategies. The main purpose of this research was to use a cross-over design to study the effects of HIIT, with or without intermittent fasting, on muscular and anaerobic performance in 14 active women (27 ± 6 y). To assess performance, body composition (anthropometry), hand-grip strength, and counter-movement jump (CMJ) height was measured, and a 30 s Wingate test was completed assessed. HIIT + IF reduced fat mass (1 kg, p < 0.05, d = 1.1; 1.5%, p < 0.01, d = 1.0) and increased CMJ height (6.2 cm, p < 0.001, d = 1.8). In addition, the change in CMJ height in HIIT + IF was higher over HIIT (5.2 cm, p < 0.001, d = 1.9). In conclusion, intermittent fasting could be a nutritional strategy to decrease fat mass and increase jumping performance. However, longer duration programs would be necessary to determine whether other parameters of muscle performance could be positively affected by IF.

Keywords: nutrition, diet, exercise, health promotion

1. Introduction

Weight loss and improved body composition (decreased body fat and/or increased muscle mass) through physical activity and dietary modifications can help decrease the risk of overweight-related diseases [1]. Intermittent fasting (IF), i.e., a dietary strategy including periods of normal food and beverage consumption interspersed with periods of energy-intake suppression or fasting [2], is considered an alternative to daily caloric restriction, a broad term that encompasses a number of specific fasting protocols [3]. The aim is to create a net reduction in energy intake that makes it lower than energy expenditure, triggering adaptive cellular responses that improve glucose regulation, increasing resistance to stress [4]. In a recent systematic review, authors have demonstrated that during fasting, cells activate pathways that enhance intrinsic defenses against oxidative and metabolic stress and eliminate or repair damaged molecules, thus creating a state of negative energy balance and inducing weight loss [5].

These programs typically lead in energy modification or restriction, but these are not necessarily updated every day. In this sense, protocols of intermittent fasting can be grouped into three categories: alternate-day fasting, all-day fasting, and time-restricted eating [3]. Alternate-day fasting involves alternating between days of ad libitum feeding and fasting days, which usually consist of a single meal containing approximately 25% of daily caloric needs. Full-day fasting is perhaps the simplest form of intermittent fasting and usually consists of one or two days of complete fasting per week plus ad libitum feeding on the other days [6]. Time-restricted feeding involves following the same feeding routine each day, with a set number of hours designated as the fasting window and the remaining hours as the feeding window [7]. Thus, involving a training program is needed to validate this dietary strategy on its ability to preserve performance and study it changes on body composition.

High-intensity interval training (HIIT) is defined as repeated, intense efforts performed at an intensity eliciting >85% of maximal hear rate, interspersed with periods of recovery from low- or moderate-intensity exercise (active recovery) or complete rest [2,8,9]. The duration can be from 10 s to 6 min and is performed with a work-to-rest ratio of 1:1–3:1 [9]. In this sense, HIIT has been shown to be a time-efficient strategy to promote a number of beneficial physiological adaptations, including enhanced maximum oxygen consumption (VO2max) [10,11], increased fat oxidation [12,13], improved exercise capacity [11], increased insulin sensitivity [14], and improvements in body composition [15] in adult women.

The effects of a period of HIIT with intermittent fasting based on time-restricted eating have never been investigated, and it is not known whether intermittent fasting affects the outcome of HIIT in regards to body composition and physical performance. In the last ten years, HIIT has been presented as a popular method and form of training even for sedentary or active people seeking its healthy effects on cardiorespiratory and metabolic levels [16,17,18]. Although the number of publications on this subject has increased, the regulation of HIIT has not yet been sufficiently studied [19] due to the number of variables that can be manipulated: intensity and duration of effort and pause, work to rest ratio, type of pause (active or passive), number and duration of the series, and duration and type of recovery between series. Therefore, the purpose of this study was to compare the body composition and physical performance effects of HIIT, with or without intermittent fasting intervention, in active women. We hypothesized that HIIT combined with IF might contribute to enhance body composition as well as physical performance in active women.

2. Materials and Methods

2.1. Study Design

A cross-over design was used to compare the effects of 2 × 8 weeks of high-intensity interval training, without (HIIT) or with (HIIT + IF) intermittent fasting, on body composition and performance. The two intervention phases were separated by more than two weeks during which participants did not carry out programmed activity, in order not to alter the experimental phase.

A comparative and randomized cross-over experimental design was used to identify the effects of high-intensity interval training, without (HIIT) or with (HIIT + IF) intermittent fasting, on body composition and performance. All participants randomly performed two trainings (HIIT or HIIT + IF). In a first phase, participants were assigned either to the HIIT (n = 7) or HIIT + IF (n = 7) group. In the second phase, participants carried out the training that they had not performed in the first phase. The two intervention phases were separated by more than two weeks during which participants did not carry out programmed activity, in order not to alter the experimental phase (Figure 1).

Figure 1.

Figure 1

Flow diagram of cross-over study design.

2.2. Participants

Fourteen active, normal-weight women (age: 27 ± 6 years old, height: 167 ± 6 cm, weight: 58.9 ± 6.2 kg) participated in the study. Inclusion criteria were: (1) no muscular, ligamentous, bone, nerve, or joint pathology incompatible with the training program; (2) no present cardiovascular or cardiorespiratory problems; and (3) physically active in the last 5 years, according to the American College of Sports Medicine (ACSM) definition [20]. Members of the physically active population were considered to be those who perform physical exercises or general vigorous training at least 3 times a week on non-consecutive days. The exclusion criteria were: (1) following pharmacological treatment or supplement (including the ingestion of stimulants such as caffeine); and (2) performing other sports activities that may influence the study results during their participation in the study. All participants were assessed in the same menstrual cycle phase (late follicular, after the menstruation reported by the subjects) to avoid the effects of menstrual cycle phase on body composition and physical performance [21].

Ethics approval was granted by Ethics Committee of San Antonio Catholic University of Murcia (identifier: CE061811). All participants provided written informed consent prior to inclusion. All study procedures were conducted following the principles of the Declaration of Helsinki. The study was registered as a clinical trial in Clinicaltrial.gov (identifier: NCT04404413).

2.3. Body-Composition Assessment

Body-composition assessment was performed following standardized protocol [22], which included for subjects: basal assessment after 12 h overnight fasting, wearing minimal clothes (underwear), and participating in no exercise 24 h before the assessment. Anthropometric measurements were performed as body-composition assessment (fat mass, muscle mass, and residual mass). Restricted profile was performed by a Level 3 ISAK criterion anthropometrist following International Society for the Advancement of Kinanthropometry (ISAK) guidelines. Body mass and height measurements were performed using a digital scale with 0.1 kg accuracy (Tanita BC-545, Tokyo, Japan) and 0.1 cm accuracy stadiometer (SECA 213, Hamburg, Germany). Skinfolds, girths, and breadths were measured using professional anthropometric equipment (Smartmet, Jalisco, Mexico). Body-composition masses were estimated using validated equations. Carter’s equation was used to estimate fat mass [23], Lee’s equation to estimate muscle mass [24], and residual mass was obtained by difference.

2.4. Physical Performance Assessment

2.4.1. Hand-Grip Strength

Hand-grip strength test was performed as an indicator of overall strength [25]. This test was conducted using a hydraulic hand-held dynamometer (Jamar, Preston, Jackson, Cape Girardeau County, MO, USA) with a 0.1 kg accuracy. During the test, subjects kept a standardized position (standing up, with the elbow in full extension) for 2–3 s of maximal pressure. All the subjects repeated the test twice with each hand, alternately. The researchers recorded the best score from the two attempts [26].

2.4.2. Counter-Movement Jump

In the counter-movement jump (CMJ) test, the participants performed a maximum vertical jump starting from a standing position with arm swing not allowed. In addition, the subjects were required to flex their knees to a 90° angle. Moreover, to make sure the execution of the CMJ was correct, participants performed several familiarization trials before the testing session, and the protocol was standardized [27]. For the measurement of the CMJ [28], a contact platform was used (Chronojump Boscosystem, Barcelona, Spain) whose reliability and validity has been demonstrated [29]. Flight time was used to calculate the jump height. Participants performed three trials with 30 s of recovery period between them. The best jump was used for the subsequent analysis [30,31].

2.4.3. Wingate Anaerobic 30 s Cycling Test

Subjects performed a Wingate Anaerobic 30 s cycling test with a validated cycloergometer (Monark 894E, Vansbro, Sweden). A 1-day (24 h) interval was required between the test and the training. Subjects were instructed to take these three tests at the same time of the day. Subjects were given a 5-min standard warm-up prior to the Wingate test [32], including two 3–5 min all-out sprints and a constant warm-up at 1 W/kg BM. Following a 5-min warm-up, the Wingate test was conducted according to the standard method of Bar–Or [33]. Peak power (PP) and mean power (MP) of the test were calculated via Monark Anaerobic Testing software (Version: 3.3.0.0). For statistics and results, relative MP (RMP) and relative PP (RPP) were estimated (W/Kg of subject body mass).

2.5. Nutrition Program: Intermittent Fasting

All individuals in both groups followed the same dietary/nutritional intermittent fasting program (intervention) and calorie intake adapted to their energy requirements. The overall balance of the diet was isocaloric, and no energy restriction was initially prescribed.

Intermittent fasting intervention consisted of a time-restricted feeding done every other day. Participants were instructed to not eat in <14 h of the day before, and consume breakfast as soon as possible after waking and to continue to eat following the diet intervals throughout the remainder of the day. The goal of the intermittent fasting based on time-restricted feeding was to promote fat loss while still providing adequate nutritional support for muscular and performance adaptations.

During the control period, the subjects had to follow their usual dietary intake based on a Mediterranean diet. However, during the intermittent fasting intervention, the participants restricted their habitual diet schedule for three alternate days one week and four alternate days the other week. The rest of the days, participants’ dietary intakes were the same as they were at the control period of the study without changes to caloric intake or distribution of meals. Dietary intake during the intervention periods were recorded, including the meal distribution schedule. All subjects kept their dietary, lifestyle, and training habits before the intervention program.

Energy intake was assessed using a 7-day food record, including cooking techniques and meal distribution. Diet information was analyzed using Dietsource software 3.0 (Novartis, Barcelona, Spain). Prior to the study, subjects received written information regarding food intake and timing. In addition, participants received a lesson in nutritional education before starting the nutrition program in order to be able to follow the intermittent fasting program during the intervention period without problems. During the intervention periods, subjects could contact the dietician at any time to resolve any doubts about the dietary programs. In both periods, distribution of macronutrients was the same. Protein ingestion was 1.8–2 g/kg of body mass [34,35,36], carbohydrate ingestion was 5–8 g/kg of body mass [34,35,36], and lipid intake was 1–1.2 g/kg of body mass [37].

2.6. Training Program

The HIIT intervention lasted for 2 × 8 weeks [38,39,40] and was interspersed by more than 2 weeks without training. In all sessions, subjects chose their own exercise intensity in response to a “maximal interval and session effort” [41]. The subjects performed the training three times per week, with the training sessions separated by 48 h [42,43,44]. Training sessions were supervised by a sports science graduate to ensure that the purpose of each training session was fulfilled in accordance to the interval and session effort. HIIT sessions lasted 40 min and were similar throughout the intervention period. The training session consisted of 3 × 10 repetitions of 30 s of aerobic exercises all out (cycling, rowing, and running) interspersed by 30 s of rest (passive recovery) [43]. The first set was performed on a cycle ergometer, (Technogym Bike Med Technogym SpA, Cesena, Italy) the second on a rowing ergometer (Model D, Concept 2, Morrisville, VT, USA), and the third on a motorized treadmill (Excite Run 1000 Med,Technogym SpA, Cesena, Italy).

2.7. Statistical Analyses

Statistical analysis was performed with the Statistical Package for the Social Sciences (SPSS, version 21, SPSS Inc., Chicago, IL, USA) in the Windows environment. Standard descriptive statistics were performed (mean and SDs). Descriptive data are presented as mean ± SD. For inferential analysis, a Shapiro–Wilk test was performed to establish the normality of sampling distribution. In addition, two-way analysis of covariance (ANOVA) with repeated measures was conducted to determine the main effects of time (training; pre- vs. post- intervention) and the two types of intervention (group; HIIT and HIIT + IF) as well as interaction of time and training. Effect size (ES) was calculated using partial eta-squared (ηp2). Threshold values for ES were ≥0.01 (small), ≥0.06 (moderate), ≥0.14 (large), and ≥2.0 (very large) [45]. Moreover, a Bonferroni post-hoc test was performed to analyse the effects of time on each type of training (HIIT and HIIT + IF). Additionally, Cohen’s d for repeated measures was estimated, threshold values for Cohen’s d ES were ≥0.1 (small), ≥0.3 (moderate), ≥1.2 (large) and ≥2.0 (very large) [46].

3. Results

Nutritional assessment of energy intake reported a caloric restriction (10–20% reduction in weekly energy intake) during the IF period. This restriction was not noticed by the athletes, who no reported feelings of having a calorie restriction in their diet.

Table 1 provides the summary statistics for anthropometry variables. A significant main effect for the training*group was observed in triceps (F = 7.407; p = 0.017), biceps (F = 4.937; p = 0.045), and leg skinfolds (F = 15.369; p = 0.002) and main group effect in waist (F = 11.220; p = 0.005).

Table 1.

Changes in anthropometric variables.

ANOVA Main Effects
Training Effects Group Effects Main Effects (Training x Group)
Variables Group Pre SD Post SD F p η2 p F p η2 p F p η2 p
Body mass (kg) HIIT 58.9 6.2 59 5.8 1.099 0.314 0.078 0.814 0.383 0.059 1.802 0.202 0.122
HIIT + IF 59.9 5.7 58.8 6.4
Skinfolds (mm) Factor Pre SD Post SD F p η2 p F p η2 p F p η2 p
Triceps HIIT 16.5 5 16.9 3.3 1.099 0.314 0.078 0.814 0.383 0.059 7.407 0.017 0.363
HIIT + IF 17 4.8 15.4 3.9
Subscapular HIIT 10.3 2.4 10.1 1.7 1.099 0.314 0.078 0.814 0.383 0.059 2.177 0.164 0.143
HIIT + IF 11.2 2.3 9.9 1.6
Biceps HIIT 5.1 2.3 5.5 2.4 3.402 0.088 0.207 1.968 0.215 0.116 4.937 0.045 0.275
HIIT + IF 6.5 2.4 5.0 2.1
Iliac crest HIIT 13.5 3.9 13.1 3.8 0.256 0.621 0.019 1.849 0.197 0.125 0.068 0.798 0.005
HIIT + IF 14.3 3.6 14.1 3.9
Supraspinal HIIT 10.9 4.7 10.8 3.5 0.825 0.380 0.060 0.066 0.801 0.005 0.852 0.373 0.062
HIIT + IF 11.3 4.1 10.3 3.3
Abdominal HIIT 12.9 2.5 12.9 2.7 0.552 0.471 0.041 1.099 0.314 0.078 0.333 0.574 0.025
HIIT + IF 13.6 3.4 13.1 3.1
Thigh HIIT 23.4 5.1 24.4 7.1 1.595 0.229 0.109 0.244 0.630 0.018 3.931 0.069 0.232
HIIT + IF 25.7 7.1 22.6 4.3
Leg HIIT 16.4 4.7 17.2 4.9 2.336 0.155 0.152 0.412 0.532 0.031 15.369 0.002 0.542
HIIT + IF 18.1 6 16.2 6
Girths (cm) Factor Pre SD Post SD F p η2 p F p η2 p F p η2 p
Arm (relaxed) HIIT 26.4 2.2 26.4 1.8 2.210 0.161 0.145 0.356 0.561 0.027 1.273 0.28 0.089
HIIT + IF 26.7 2.1 26.3 2.1
Arm (flexed and tensed) HIIT 26.6 1.9 26.5 1.9 0.095 0.763 0.007 0.295 0.596 0.022 0.470 0.505 0.035
HIIT + IF 26.3 1.9 26.2 1.9
Waist HIIT 68.5 3.8 68.6 3.8 3.954 0.068 0.233 11.220 0.005 0.463 3.382 0.089 0.206
HIIT + IF 68.2 3.7 67.1 3.5
Hip HIIT 95.9 4.4 95.8 7.5 0.723 0.411 0.053 0.204 0.659 0.015 0.684 0.423 0.05
HIIT + IF 96.9 6.4 95.7 6
Thigh HIIT 44.2 8.6 48.0 5.9 2.409 0.145 0.156 3.105 0.102 0.193 0.083 0.778 0.006
HIIT + IF 48.4 5.9 50.8 12.5
Calf HIIT 36.21 2.31 35.21 4.996 1.409 0.256 0.098 0.010 0.923 0.001 0.534 0.478 0.039
HIIT + IF 35.89 2.5 35.63 2.95

Pre, pre-intervention; Post, post-intervention; SD, standard deviation; HIIT, high-intensity interval training; IF, intermittent fasting.

However, no significant differences in the intervention-induced changes were observed between HIIT and HIIT + IF on skinfolds (Figure 2) and girths (Figure 3).

Figure 2.

Figure 2

Effects of training on skinfolds (mm; mean difference post-training vs. pre-training: mean ± standard deviation). d, effect size; significant differences between pre- and post-training, * = p < 0.05; ** = p < 0.01.

Figure 3.

Figure 3

Effects of training on girths (cm; mean difference post-training vs. pre-training: mean ± standard deviation). r, relaxed; t, tensed; d, effect size.

Concerning the body composition results, the significant main effect in the training * group was observed on fat mass (%, F = 14.084, p = 0.002; kg, F = 26.421, p < 0.001) (Table 2).

Table 2.

Changes in body composition.

ANOVA Main Effects
Training Effects Group Effects Main Effects (Time x Group)
Variable Group Pre SD Post SD F p η2 p F p η2 p F p η2 p
Fat mass (kg) HIIT 10.4 2.4 10.6 2.41 3.492 0.084 0.212 0.976 0.341 0.07 26.421 <0.001 0.67
HIIT + IF 11.2 2.7 10.2 2.6
Fat mass (%) HIIT 17.6 2.9 17.9 2.8 3.466 0.085 0.211 0.535 0.477 0.044 14.084 0.002 0.52
HIIT + IF 18.6 3.3 17.1 2.8
Muscle mass (kg) HIIT 21.0 2.2 20.81 2.83 0.684 0.423 0.05 1.797 0.203 0.121 1.632 0.224 0.112
HIIT + IF 21.0 1.9 21.8 2.7
Muscle mass (%) HIIT 35.7 2.5 35.3 3.5 1.083 0.317 0.077 0.994 0.337 0.071 3.111 0.101 0.193
HIIT + IF 35.2 2.9 37.2 4.9
Residual mass (kg) HIIT 18.1 2.9 18.17 2.1 0.392 0.542 0.029 0.241 0.631 0.018 0.737 0.406 0.054
HIIT + IF 18.3 3.4 17.4 3.7
Residual mass (%) HIIT 30.5 3.5 31.0 3.3 0.032 0.86 0.003 0.687 0.424 0.054 0.906 0.36 0.07
HIIT + IF 30.5 4.4 29.5 5.3

Pre, pre-intervention; Post, post-intervention; SD, standard deviation. Fat mass: Carter’s equation; Muscle mass: Lee’s equation; Residual mass: by difference. HIIT, high-intensity interval training; IF, intermittent fasting.

Additionally, the analysis of the pair comparison showed a significant decrease in the fat mass of the HIIT + IF group (%, p = 0.006, d = 1.0; kg, p = 0.003, d = 1.1) (Figure 4). However, no differences were observed between groups.

Figure 4.

Figure 4

Effects of training on body composition (mean difference post-training vs. pre-training: mean ± standard deviation). d, effect size, significant differences between pre- and post-training, * = p < 0.05.

Finally, significant interactions were observed in the strength of the left arm (training effects) and height of the jump CMJ (training, group and training*group) (Table 3).

Table 3.

Changes in muscular and anaerobic performance.

ANOVA Main Effects
Training Effects Group Effects Main Effects (Training x Group)
Group Pre SD Post SD F p η2 p F p η2 p F p η2 p
Left HGS (kg) HIIT 29.3 3.9 27.4 3.4 6.626 0.023 0.338 0.769 0.369 0.056 0.326 0.578 0.024
HIIT + IF 29.4 3.8 28.1 3.0
Right HGS (kg) HIIT 29.6 4.2 28.4 3.3 0.435 0.521 0.032 1.266 0.281 0.089 3.265 0.094 0.201
HIIT + IF 29.2 4.1 29.7 3.0
CMJ (cm) HIIT 17.5 4.3 18.5 3.9 30.21 <0.001 0.699 21.15 <0.001 0.662 22.46 <0.001 0.633
HIIT + IF 17.5 4.2 23.7 4.4
RMP (W) HIIT 148.4 27.9 149.1 28.5 0.07 0.795 0.005 13.000 0.003 0.5 0.003 0.955 0.000
HIIT + IF 134.6 30.9 135.0 20.9
RPP (W) HIIT 295.3 37.8 295.6 40.7 0.761 0.399 0.055 0.036 0.852 0.003 0.817 0.382 0.059
HIIT + IF 297.0 42.1 289.6 46.8

Pre, pre-intervention; Post, post-intervention; CMJ, counter-movement jump; SD, standard deviation; HGS, hand-grip strength; RMP, relative mean power; RPP, relative peak power; HIIT, high-intensity interval training; IF, intermittent fasting.

The HIIT + IF group showed a significant increase in CMJ jump height (35.43%, p < 0.001, d = 1.8). In addition, significant differences were observed between groups after training on CMJ (p < 0.001; d = 1.9) in favour of the HIIT + IF group and power in favour of the HIIT + IF group. On the other hand, differences were observed between groups before and after the training on RMP (W) (see Figure 5).

Figure 5.

Figure 5

Effects of training on performance (mean difference post-training vs. pre-training: mean ± standard deviation). d, effect size, *** = p < 0.001 significant differences between pre- and post-training; ### = p < 0.001 significant differences between groups after training.

4. Discussion

The aim of the present analysis was to compare the body composition and physical performance effects of HIIT or HIIT and IF in active women. Initially, authors hypothesized that HIIT and IF could improve their body-composition variables as well as physical performance. The main finding of the study was that a HIIT + IF training program lead to a significant decrease in fat mass and an increase in jumping performance. However, when the HIIT training program was not combined with IF, it did not induce a decrease in fat mass or improvements in jump height.

Taken together, our results suggest a moderate change in fat mass and its related variables, such as triceps, biceps and leg skinfolds, without significant differences post-intervention. The women participating in the study maintained the same caloric intake in both interventions. The only variation was the timing of the intakes where the HIIT + IF group performed intermittent fasting, for which the participants developed a decreased energy intake by themselves (10–20% of total energy intake).

Fasting strategies, with a greater compatibility with the human circadian rhythm that leads to positive effects on cardiometabolic health [47], have been shown to also be useful, on the one hand, in reducing glucose oxidation and, on the other hand, by increasing fatty-acid oxidation [48]. Therefore, this state of metabolic flexibility could have a greater impact on the reduction of fat mass in individuals. In this sense, studies with fasting interventions and without caloric restriction have observed significant differences in the decrease of fat mass (2–3%) in the study population [49]. In our case, the results of the present study show a reduction in the percentage of body fat at the end of HIIT and HIIT + IF intervention of −0.3% and 1.0%, respectively.

Although no significant changes were observed in these subcutaneous fat variables (skinfolds), the HIIT + IF group did show a significant decrease in waist circumference related to abdominal obesity [50]. The results, which obtained improved waist perimeter (reduction), are in line with other studies that show that intermittent fasting effectively and favorably altered cardiovascular variables [51], in this case, because of a decrease in the visceral adipose tissue.

Regarding time and the gender influence on the change in body composition with the same training, this may be explained because, as shown in other studies [52], regulating the circadian rhythm has a positive effect on body weight and energy metabolism in women.

In addition, as it has been presented in numerous epidemiological studies, waist circumference is associated with cardiometabolic risks and pathologies, which extensively negatively affect public health [53,54]. The absence of significant changes could be due to the fact that the interventions in which a significant reduction in fat mass was observed were of longer duration (>12 weeks) than those used in the present study (8 weeks) [49,55]. Although scientific publications present evidence of changes in body composition regarding fasting as a nutritional strategy in less than 8 weeks for elite male athletes (4-weeeks) [56], an 8-week duration does not appear to be a sufficient stimulus to promote metabolic flexibility in our study population (active women). Indeed, 4 weeks for active males are not enough to improve the body composition [57], but 6 weeks was enough to find positive changes in women over 60 years [58].

Thus, it appears that changes in body composition are related to both the time of application of the fasting strategy and the population in which it is applied. Regarding performance adaptations, two aspects were found to be highlighted. Although there were no significant increases in muscle mass in the HIIT + IF group, the results showed a significant decrease of the leg skinfold. Likewise, these women compared to those in the HIIT group also reported significant improvements in jumping performance.

These adaptations could have occurred due to the intermittent fasting: the pattern of intakes throughout the day were more concentrated in the daytime phase of the study. Intakes were close to training; therefore, these intakes seem to have provided more energy and nutrients both before and after training. This can be interpreted as meaning that, in HIIT with IF, intakes in sensitive phases close to training are more important [59] and that they can favor, to a greater extent, adaptations to HIIT and, consequently, an improvement of the CMJ in the participants who followed an HIIT + IF regimen.

It is important, however, to consider the current limitations of the study. Although postprandial responses and hormonal adaptations are based on circadian biorhythm, different styles of energy balance might affect and have more impact on the human metabolism. For that reason, in further research, it could be interesting to include an extra group in which to develop an IF with an energy restriction, which would probably have a greater effect on body-composition variables, but it will be interesting to study what happens with athlete performance in different variables. In addition, a hormonal study control could be necessary to study muscle and performance adaptations to the different interventions.

5. Conclusions

In conclusion, intermittent fasting might be considered an alternative feeding schedule regimen for active women to significantly decrease fat mass and increase jumping performance. Additionally, nutritional strategies must be supervised by professional nutritionist.

Author Contributions

Conceptualization, A.M.-R. and T.P.G.; data curation, J.M.G.-D.F. and M.V.-M.; formal analysis, A.M.-R. and J.A.R.-A.; investigation, A.M.-R., J.M.G.-D.F., and M.V.-M.; methodology, A.M.-R., J.A.R.-A., and T.P.G.; project administration, A.M.-R.; resources, J.M.G.-D.F.; software, A.M.-R., J.A.R.-A., and M.V.-M.; supervision, A.M.-R. and T.P.G.; validation, A.M.-R., J.A.R.-A., and T.P.G.; visualization, A.M.-R. and T.P.G.; writing—original draft, J.A.R.-A., J.M.G.-D.F., and M.V.-M.; writing—review and editing, A.M.-R. and T.P.G. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Ethics Committee of San Antonio Catholic University of Murcia (protocol code CE061811, and date of approval 29/06/2018).

Informed Consent Statement

Informed consent was obtained from all subjects involved in the study.

Data Availability Statement

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to privacy restrictions.

Conflicts of Interest

The authors declare no conflict of interest.

Footnotes

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

  • 1.Donnelly J.E., Blair S.N., Jakicic J.M., Manore M.M., Rankin J.W., Smith B.K. American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med. Sci. Sports Exerc. 2009;41:459–471. doi: 10.1249/MSS.0b013e3181949333. [DOI] [PubMed] [Google Scholar]
  • 2.Patterson R.E., Sears D.D. Metabolic Effects of Intermittent Fasting. Annu. Rev. Nutr. 2017;37:371–393. doi: 10.1146/annurev-nutr-071816-064634. [DOI] [PubMed] [Google Scholar]
  • 3.Tinsley G.M., La Bounty P.M. Effects of intermittent fasting on body composition and clinical health markers in humans. Nutr. Rev. 2015;73:661–674. doi: 10.1093/nutrit/nuv041. [DOI] [PubMed] [Google Scholar]
  • 4.Hill J.O., Wyatt H.R., Peters J.C. Energy balance and obesity. Circulation. 2012;126:126–132. doi: 10.1161/CIRCULATIONAHA.111.087213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.de Cabo R., Mattson M.P. Effects of Intermittent Fasting on Health, Aging, and Disease. N. Engl. J. Med. 2019;381:2541–2551. doi: 10.1056/NEJMra1905136. [DOI] [PubMed] [Google Scholar]
  • 6.Brown J.E., Mosley M., Aldred S. Intermittent fasting: A dietary intervention for pre-vention of diabetes and cardiovascular disease? Br. J. Diabetes Vasc. Dis. 2013;13:68–72. doi: 10.1177/1474651413486496. [DOI] [Google Scholar]
  • 7.Rothschild J., Hoddy K.K., Jambazian P., Varady K.A. Time-restricted feeding and risk of metabolic disease: A review of human and animal studies. Nutr. Rev. 2014;72:308–318. doi: 10.1111/nure.12104. [DOI] [PubMed] [Google Scholar]
  • 8.Razenek R., Salassi J.W., Pinto N.M., Fleming J.D. Acute Cardiopulmonary and Metabolic Responses to High-Intensity Interval Training Protocols Using 60 s ofWork and 60 s Recovery. J. Strength Cond. Res. 2016;30:3014–3023. doi: 10.1519/JSC.0000000000001414. [DOI] [PubMed] [Google Scholar]
  • 9.Bangsbo J., Iaia F.M., Krustrup P. The Yo-Yo intermittent recovery test: A useful tool for evaluation of physical performance in intermittent sports. Sports Med. 2008;38:37–51. doi: 10.2165/00007256-200838010-00004. [DOI] [PubMed] [Google Scholar]
  • 10.Billat V. Interval training for performance: A scientific and empirical practice. Special recommendations for middle- and long-distance running. Part II: Anaerobic interval training. Sports Med. 2001;31:75–90. doi: 10.2165/00007256-200131020-00001. [DOI] [PubMed] [Google Scholar]
  • 11.Hazell T.J., Macpherson R.E., Gravelle B.M., Lemon P.W. 10 or 30-s sprint interval training bouts enhance both aerobic and anaerobic performance. Eur. J. Appl. Physiol. 2010;110:153–160. doi: 10.1007/s00421-010-1474-y. [DOI] [PubMed] [Google Scholar]
  • 12.Talanian J.L., Galloway S.D., Heigenhauser G.J., Bonen A., Spriet L.L. Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women. J. Appl. Physiol. 2007;102:1439–1447. doi: 10.1152/japplphysiol.01098.2006. [DOI] [PubMed] [Google Scholar]
  • 13.Astorino T.A., Roberson D.W. Efficacy of acute caffeine ingestion for short-term high-intensity exercise performance: A systematic review. J. Strength Cond. Res. 2010;24:257–265. doi: 10.1519/JSC.0b013e3181c1f88a. [DOI] [PubMed] [Google Scholar]
  • 14.Tjønna A.E., Lee S.J., Rognmo Ø., Stølen T.O., Bye A., Haram P.M., Loennechen J.P., Al-Share Q.Y., Skogvoll E., Slørdahl S.A. Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: A pilot study. Circulation. 2008;118:346–354. doi: 10.1161/CIRCULATIONAHA.108.772822. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Hazell T.J., Hamilton C.D., Olver T.D., Lemon P.W. Running sprint interval training induces fat loss in women. Appl. Physiol. Nutr. Metab. 2014;39:944–950. doi: 10.1139/apnm-2013-0503. [DOI] [PubMed] [Google Scholar]
  • 16.Kemi O.J., Wisloff U. High-intensity aerobic exercise training improves the heart in health and disease. J. Cardiopulm. Rehabil. Prev. 2010;30:2–11. doi: 10.1097/HCR.0b013e3181c56b89. [DOI] [PubMed] [Google Scholar]
  • 17.Gibala M.J., Little J.P., MacDonald M.J., Hawley J.A. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J. Physiol. 2012;590:1077–1084. doi: 10.1113/jphysiol.2011.224725. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Guiraud T., Nigam A., Gremeaux V., Meyer P., Juneau M., Bosquet L. High-intensity interval training in cardiac rehabilitation. Sports Med. 2012;42:587–605. doi: 10.2165/11631910-000000000-00000. [DOI] [PubMed] [Google Scholar]
  • 19.Tschakert G., Kroepfl J., Mueller A., Moser O., Groeschl W., Hofmann P. How to regulate the acute physiological response to “aerobic” high-intensity interval exercise? J. Sports Sci. Med. 2015;14:9–36. [PMC free article] [PubMed] [Google Scholar]
  • 20.Martin S.B., Morrow J.R., Jackson A.W., Dunn A.L. Variables related to meeting the CDC/ACSM physical activity guidelines. Med. Sci. Sports Exerc. 2000;32:2087–2092. doi: 10.1097/00005768-200012000-00019. [DOI] [PubMed] [Google Scholar]
  • 21.Bruinvels G., Burden R.J., McGregor A.J., Ackerman K.E., Dooley M., Richards T., Pedlar C. Sport, exercise and the menstrual cycle: Where is the research. Br. J. Sports Med. 2017;51:487–488. doi: 10.1136/bjsports-2016-096279. [DOI] [PubMed] [Google Scholar]
  • 22.Madden A.M., Smith S. Body composition and morphological assessment of nutritional status in adults: A review of anthropometric variables. J. Hum. Nutr. Diet. 2016;29:7–25. doi: 10.1111/jhn.12278. [DOI] [PubMed] [Google Scholar]
  • 23.Carter J.E.L. The Heath-Carter Somatotype Method. 3rd ed. San Diego State University Syllabus Service; San Diego, CA, USA: 1980. [Google Scholar]
  • 24.Lee R.C., Wang Z., Heo M., Ross R., Janssen I., Heymsfield S.B. Total-body skeletal muscle mass: Development and cross-validation of anthropometric prediction models. Am. J. Clin. Nutr. 2000;72:796–803. doi: 10.1093/ajcn/72.3.796. [DOI] [PubMed] [Google Scholar]
  • 25.Wang Y.C., Bohannon R.W., Li X., Sindhu B., Kapellusch J. Hand-Grip Strength: Normative Reference Values and Equations for Individuals 18 to 85 Years of Age Residing in the United States. J. Orthop. Sports Phys. Ther. 2018;48:685–693. doi: 10.2519/jospt.2018.7851. [DOI] [PubMed] [Google Scholar]
  • 26.Pizzigalli L., Micheletti Cremasco M., LA Torre A., Rainoldi A., Benis R. Hand grip strength and anthropometric characteristics in Italian female national basketball teams. J. Sports Med. Phys. Fit. 2017;57:521–528. doi: 10.23736/S0022-4707.16.06272-1. [DOI] [PubMed] [Google Scholar]
  • 27.García-Pinillos F., Ruiz-Ariza A., Moreno del Castillo R., Latorre-Román P.Á. Impact of limited hamstring flexibility on vertical jump, kicking speed, sprint, and agility in young football players. J. Sports Sci. 2015;33:1293–1297. doi: 10.1080/02640414.2015.1022577. [DOI] [PubMed] [Google Scholar]
  • 28.Bosco C., Luhtanen P., Komi P.V. A simple method for measurement of mechanical power in jumping. Eur. J. Appl. Physiol. Occup. Physiol. 1983;50:273–282. doi: 10.1007/BF00422166. [DOI] [PubMed] [Google Scholar]
  • 29.De Blas X. Ph.D. Thesis. Universitat Ramon Llull; Barcelona, Spain: 2012. Proyecto Chronojump-Boscosystem. Herramienta Informática Libre para el Estudio Cinemático del Salto Vertical: Medición del Tiempo, Detección del Ángulo de f Lexión sin Marcadores y Elaboración de Tablas de Percentiles [Chronojump-Boscosystem Project: Free Tool to Study Kinematics Data on Vertical Jump: Time Measurement, Markerless Flexion Angle Detection and Percentile Data] [Google Scholar]
  • 30.Müller D.C., Izquierdo M., Boeno F.P., Aagaard P., Teodoro J.L., Grazioli R., Radaelli R., Bayer H., Neske R., Pinto R.S., et al. Adaptations in mechanical muscle function, muscle morphology, and aerobic power to high-intensity endurance training combined with either traditional or power strength training in older adults: A randomized clinical trial. Eur. J. Appl. Physiol. 2020;120:1165–1177. doi: 10.1007/s00421-020-04355-z. [DOI] [PubMed] [Google Scholar]
  • 31.Rubio-Arias J.Á., Ramos-Campo D.J., Esteban P., Martínez F., Jiménez J.F. Effect of 6-weeks WBVT on the behaviour of the lower limb muscle fibres during vertical jumping. J. Sports Sci. 2018;36:398–406. doi: 10.1080/02640414.2017.1309059. [DOI] [PubMed] [Google Scholar]
  • 32.Ziemann E., Grzywacz T., Łuszczyk M., Laskowski R., Olek R.A., Gibson A.L. Aerobic and anaerobic changes with high-intensity interval training inactive college-aged men. J. Strength Cond. Res. 2011;25:1104. doi: 10.1519/JSC.0b013e3181d09ec9. [DOI] [PubMed] [Google Scholar]
  • 33.Bar-Or O. The Wingate anaerobic test an update on methodology, reliability and validity. Sports Med. 1987;4:381–394. doi: 10.2165/00007256-198704060-00001. [DOI] [PubMed] [Google Scholar]
  • 34.Thomas D.T., Erdman K.A., Burke L.M. American College of Sports Medicine Joint Position Statement. Nutrition and Athletic Performance. Med. Sci. Sports Exerc. 2016;48:543–568. doi: 10.1249/MSS.0000000000000852. [DOI] [PubMed] [Google Scholar]
  • 35.Dobrowolski H., Karczemna A., Włodarek D. Nutrition for Female Soccer Players-Recommendations. Medicina. 2020;56:28. doi: 10.3390/medicina56010028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.Condo D., Lohman R., Kelly M., Carr A. Nutritional Intake, Sports Nutrition Knowledge and Energy Availability in Female Australian Rules Football Players. Nutrients. 2019;11:971. doi: 10.3390/nu11050971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Martinez-Rodriguez A., Vicente-Salar N., Montero-Carretero C., Cervello E., Roche E. Nutritional strategies to reach the weight category in judo and karate athletes. Arch. Budo. 2015;11:381–391. [Google Scholar]
  • 38.Catenacci V.A., Pan Z., Ostendorf D., Brannon S., Gozansky W.S., Mattson M.P., Martin B., MacLean P.S., Melanson E.L., Troy Donahoo W. A randomized pilot study comparing zero-calorie alternate-day fasting to daily caloric restriction in adults with obesity. Obesity. 2016;24:1874–1883. doi: 10.1002/oby.21581. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Cho A.R., Moon J.Y., Kim S., An K.Y., Oh M., Jeon J.Y., Jung D.H., Choi M.H., Lee J.W. Effects of alternate day fasting and exercise on cholesterol metabolism in overweight or obese adults: A pilot randomized controlled trial. Metabolism. 2019;93:52–60. doi: 10.1016/j.metabol.2019.01.002. [DOI] [PubMed] [Google Scholar]
  • 40.Hutchison A.T., Liu B., Wood R.E., Vincent A.D., Thompson C.H., O’Callaghan N.J., Wittert G.A., Heilbronn L.K. Effects of Intermittent Versus Continuous Energy Intakes on Insulin Sensitivity and Metabolic Risk in Women with Overweight. Obesity. 2019;27:50–58. doi: 10.1002/oby.22345. [DOI] [PubMed] [Google Scholar]
  • 41.Seiler S., Jøranson K., Olesen B.V., Hetlelid K.J. Adaptations to aerobic interval training: Interactive effects of exercise intensity and total work duration. Scand. J. Med. Sci. Sports. 2013;23:74–83. doi: 10.1111/j.1600-0838.2011.01351.x. [DOI] [PubMed] [Google Scholar]
  • 42.Buchheit M., Laursen P.B. High-intensity interval training, solutions to the programming puzzle: Part I: Cardiopulmonary emphasis. Sports Med. 2013;43:313–338. doi: 10.1007/s40279-013-0029-x. [DOI] [PubMed] [Google Scholar]
  • 43.Follador L., Alves R.C., Ferreira S.D., Buzzachera C.F., Andrade V.S., Garcia E.D., Osiecki R., Barbosa S.C., Oliveira L.M., Silva S.G. Physiological, Perceptual, and Affective Responses to Six High-Intensity Interval Training Protocols. Percept. Mot. Skills. 2018;125:329–350. doi: 10.1177/0031512518754584. [DOI] [PubMed] [Google Scholar]
  • 44.Lunt H., Draper N., Marshall H.C., Logan F.J., Hamlin M.J., Shearman J.P., Cotter J.D., Kimber N.E., Blackwell G., Frampton C.M. High intensity interval training in a real world setting: A randomized controlled feasibility study in overweight inactive adults, measuring change in maximal oxygen uptake. PLoS ONE. 2014;9:e92651. doi: 10.1371/journal.pone.0083256. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 45.Richardson-John T.E. Eta squared and partial eta squared as measures of effect size in educational research. Educ. Res. Rev. 2011;6:135–147. doi: 10.1016/j.edurev.2010.12.001. [DOI] [Google Scholar]
  • 46.Hopkins W.G., Marshall S.W., Batterham A.M., Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med. Sci. Sports Exerc. 2009;41:3–13. doi: 10.1249/MSS.0b013e31818cb278. [DOI] [PubMed] [Google Scholar]
  • 47.Kunduraci Y.E., Ozbek H. Does the Energy Restriction Intermittent Fasting Diet Alleviate Metabolic Syndrome Biomarkers? A Randomized Controlled Trial. Nutrients. 2020;12:3213. doi: 10.3390/nu12103213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Goodpaster B.H., Sparks L.M. Metabolic Flexibility in Health and Disease. Cell Metab. 2017;25:1027–1036. doi: 10.1016/j.cmet.2017.04.015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.de Oliveira-Maranhão-Pureza I.R., da Silva-Junior A.E., Silva-Praxedes D.R., Lessa-Vasconcelos L.G., de Lima-Macena M., Vieira de Melo I.S., de Menezes Toledo Florêncio T.M., Bueno N.B. Effects of time-restricted feeding on body weight, body composition and vital signs in low-income women with obesity: A 12-month randomized clinical trial. Clin. Nutr. 2021;40:759–766. doi: 10.1016/j.clnu.2020.06.036. [DOI] [PubMed] [Google Scholar]
  • 50.Sandoval-Insausti H., Jiménez-Onsurbe M., Donat-Vargas C., Rey-García J., Banegas J.R., Rodríguez-Artalejo F., Guallar-Castillón P. Ultra-Processed Food Consumption Is Associated with Abdominal Obesity: A Prospective Cohort Study in Older Adults. Nutrients. 2020;12:2368. doi: 10.3390/nu12082368. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Zuo L., He F., Tinsley G.M., Pannell B.K., Ward E., Arciero P.J. Comparison of High-Protein, Intermittent Fasting Low-Calorie Diet and Heart Healthy Diet for Vascular Health of the Obese. Front. Physiol. 2016;29:350. doi: 10.3389/fphys.2016.00350. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 52.Amstrup A.K., Sikjaer T., Pedersen S.B., Heickendorff L., Mosekilde L., Rejnmark L. Reduced fat mass and increased lean mass in response to 1 year of melatonin treatment in postmenopausal women: A randomized placebo-controlled trial. Clin. Endocrinol. 2016;84:342–347. doi: 10.1111/cen.12942. [DOI] [PubMed] [Google Scholar]
  • 53.Lucas R.W.D.C., Nassif P.A.N., Tabushi F.I., Nassif D.S.B., Ariede B.L., Brites-Neto J., Malafaia O. Can stature, abdominal perimeter and BMI index predict possible cardiometabolic risk in future obesity? Arq. Bras. Cir. Dig. 2020;33:1529. doi: 10.1590/0102-672020200002e1529. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Ruiz-Moreno M.I., Vilches-Perez A., Gallardo-Escribano C., Vargas-Candela A., Lopez-Carmona M.D., Pérez-Belmonte L.M., Ruiz-Moreno A., Gomez-Huelgas R., Bernal-Lopez M.R. Metabolically Healthy Obesity: Presence of Arterial Stiffness in the Prepubescent Population. Int. J. Environ. Res. Public Health. 2020;17:6995. doi: 10.3390/ijerph17196995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 55.Hottenrott K., Werner T., Hottenrott L., Meyer T.P., Vormann J. Exercise Training, Intermittent Fasting and Alkaline Supplementation as an Effective Strategy for Body Weight Loss: A 12-Week Placebo-Controlled Double-Blind Intervention with Overweight Subjects. Life. 2020;10:74. doi: 10.3390/life10050074. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Moro T., Tinsley G., Longo G., Grigoletto D., Bianco A., Ferraris C., Guglielmetti M., Veneto A., Tagliabue A., Marcolin G., et al. Time-restricted eating effects on performance, immune function, and body composition in elite cyclists: A randomized controlled trial. J. Int. Soc. Sports Nutr. 2020;17:65. doi: 10.1186/s12970-020-00396-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 57.Stratton M.T., Tinsley G.M., Alesi M.G., Hester G.M., Olmos A.A., Serafini P.R., Modjeski A.S., Mangine G.T., King K., Savage S.N., et al. Four Weeks of Time-Restricted Feeding Combined with Resistance Training Does Not Differentially Influence Measures of Body Composition, Muscle Performance, Resting Energy Expenditure, and Blood Biomarkers. Nutrients. 2020;12:1126. doi: 10.3390/nu12041126. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 58.Domaszewski P., Konieczny M., Pakosz P., Bączkowicz D., Sadowska-Krępa E. Effect of a Six-Week Intermittent Fasting Intervention Program on the Composition of the Human Body in Women over 60 Years of Age. Int. J. Environ. Res. Public Health. 2020;17:4138. doi: 10.3390/ijerph17114138. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 59.Ivy J.L., Goforth H.W., Jr., Damon B.M., McCauley T.R., Parsons E.C., Price T.B. Early postexercise muscle glycogen recovery is enhanced with a carbohydrate-protein supplement. J. Appl. Physiol. 2002;93:337–344. doi: 10.1152/japplphysiol.00394.2002. [DOI] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to privacy restrictions.


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