Gordon · International journal of environmental research and public health 2021 · randomized crossover trial · n=16

A Comparison of the Gluco-Regulatory Responses to High-Intensity Interval Exercise and Resistance Exercise.

Cited 10 times in the scientific literature.

Level 2 - randomized trial

Individual randomized crossover trial

PubMed 33401694 · doi:10.3390/ijerph18010287 · record verified 2026-08-26

What was done

Sixteen recreationally active adults (8 males, 8 females; mean age 22 ± 7 years) participated in a randomized crossover study with a 7-day washout period between trials. In an overnight-fasted state, participants completed either high-intensity interval exercise (twelve 30-second cycling intervals at 80% peak power with 90-second active recovery) or duration-matched resistance exercise (4 sets of 10 repetitions across 3 lower-limb exercises at 80% 1-RM). Blood samples were collected every 30 minutes for 2 hours post-exercise to evaluate gluco-regulatory and cortisol responses.

What was found

There was a statistically significant time-by-intervention interaction for blood glucose (p = 0.02), with post-exercise glucose averaging 0.7 ± 0.7 mmol/L higher after interval cycling than after resistance exercise. Cortisol concentration over time was also significantly different between interventions (p = 0.03), averaging 70 ± 103 ng/mL higher following interval exercise compared to resistance exercise (p = 0.015).

Why it matters

These findings indicate that acute high-intensity interval exercise induces a transient spike in glucose and cortisol that does not occur with heavy resistance exercise. This helps clarify how exercise modality influences acute gluco-regulatory mechanisms in fasting conditions.

Limits

The sample size was small (n = 16) and restricted to young, healthy, recreationally active adults, limiting generalizability to populations with impaired glucose tolerance or diabetes. The study measured only acute responses up to 2 hours post-exercise in a fasted state, without assessing long-term glycemic control, insulin levels, or postprandial responses.

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