The Effect of Exercise Training Intensity on VO2max in Healthy Adults: An Overview of Systematic Reviews and Meta-Analyses.

This study aimed to evaluate systematic reviews and meta-analyses that have examined the effect of exercise training on VO₂max in healthy individuals at different intensities. Five databases were searched: EBSCOhost, MEDLINE/PubMed, SPORTDiscus, Web of Science, and Google Scholar. Eligibility criteria for selecting reviews included systematic reviews and meta-analyses of healthy adults that examined the effect of lower intensity training (LIT) and/or high intensity training (HIT) on VO₂max. Eleven reviews met the eligibility criteria. All reviews were of moderate-to-very strong methodological quality. The included reviews reported data from 179 primary studies with an average of 23 ± 10 studies per review. All reviews included in this overview showed that exercise training robustly increased VO₂max at all intensities. Three meta-analyses that compared LIT versus HIT protocols on VO₂max reported small/moderate beneficial effects for HIT over LIT; however, the beneficial effects of HIT on VO₂max appear to be moderated by training variables other than intensity (e.g., training impulse, interval length, training volume, and duration) and participants' baseline characteristics (e.g., age and fitness levels). Overall, evidence from this overview suggests that the apparent differences between LIT and HIT protocols on VO₂max were either small, trivial, or inconclusive, with several methodological considerations required to standardise research designs and draw definitive conclusions.