Evidence map›Paper›PMID 40721737›Full record

ArticleEuropean review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity2025

Supramaximal high-intensity interval training for older adults in a community setting: a pragmatic feasibility study.

Erik Frykholm, Beatrice Pettersson, Mattias Hedlund, Maria Wiklund, Bengt Johansson, Carl-Johan Boraxbekk, Erik Rosendahl, Nina Lindelöf

Abstract read
In one paragraph

Article in European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Erik Frykholm *Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden. erik.frykholm@umu.se.ORCID http://orcid.org/0000-0002-3212-4708
Beatrice Pettersson *Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Mattias HedlundDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Maria WiklundDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Bengt JohanssonDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Carl-Johan BoraxbekkInstitute for Clinical Medicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Erik RosendahlDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Nina LindelöfDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSupramaximal high-intensity interval training (HIT) programmes can be challenging to replicate outside research settings. This study aimed to explore its feasibility for older adults in a community setting, incorporating perspectives from exercise participants and instructors.

methodsA pragmatic feasibility study using a convergent mixed- methods design involving four exercise instructors from one training facility and 21 older adult exercise participants (14 women, age-range 65-78). The previously used HIT programme consisted of 20-minute sessions that included a warm-up, ten 6-second intervals, and cool-down. Instructors first adapted the programme around these core components to their setting and then conducted 25 sessions. Both qualitative (individual interviews) and quantitative (estimated maximal oxygen consumption, estimated 6-second power, exercise- related motivation, and self-efficacy) data were collected and analysed (content analysis and descriptive statistics) in parallel. A taxonomy for implementation outcomes was used as an analytical matrix.

resultsExperiences of both participants and instructors revealed that the structure of the training was regarded as engaging, enjoyable, and supportive for establishing routines and promoting ownership of training progression. Participants found personalised and motivating approaches to engage with the programme and confidence in their abilities grew. Changes in exercise-related motivation and self-efficacy showed individual variation without a group trend. Participants who completed the intervention showed a positive median change in estimated 6-second power and maximal oxygen consumption, although individual responses varied. Experienced challenges included coordinating tasks during intervals and confidence in managing the programme. Barriers to fidelity and to scale-up were related to the practical complexity and fixed structure.

conclusionsSupramaximal HIT can be implemented for older adults in a community setting with appropriate support, including individualised watt-based intensity and structured progression. The findings highlight how participants took ownership of their intensity progression, enabling them to challenge their limits. However, the fixed structure and complexity in managing short intervals may pose barriers to broader adoption. To enhance feasibility and scalability, simplifying interval management and providing clear, structured guidance are recommended. These insights help refine and optimize supramaximal HIT implementation for older adults in community settings.

trial registrationOpen Science Framework 31 January 2023 ( https://doi.org/10.17605/OSF.IO/B7T2G ).

Indexed as

AgedAgeingHIT/HIITImplementationVery vigorous exercise

Identifiers

PMID40721737
PMCPMC12302583

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.