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Background:  Exercise training improves performance and biochemical parameters on average, but wide interindividual variability exists, with individuals classified as responders (R) or non-responders (NRs), especially between populations with higher or lower levels of insulin resistance. This study assessed the effects of high-intensity interval training (HIIT) and the prevalence of NRs in adult women with higher and lower levels of insulin resistance.   Methods:  Forty adult women were assigned to a HIIT program, and after training were analyzed in two groups; a group with higher insulin resistance (H-IR, 40 ± 6 years; BMI: 29.5 ± 3.7 kg/m 2 ;  n  = 20) and a group with lower insulin resistance (L-IR, 35 ± 9 years; 27.8 ± 2.8 kg/m 2 ;  n  = 20). Anthropometric, cardiovascular, metabolic, and performance variables were measured at baseline and after 10 weeks of training.   Results:  There were significant training-induced changes [delta percent (Δ%)] in fasting glucose, fasting insulin, and homeostasis model assessment of insulin resistance (HOMA-IR) scores in the H-IR group (−8.8, −26.5, −32.1%,  p  < 0.0001), whereas no significant changes were observed in the L-IR. Both groups showed significant pre-post changes in other anthropometric variables [waist circumference (−5.2,  p  < 0.010, and −3.8%,  p  = 0.046) and tricipital (−13.3,  p  < 0.010, and −13.6%,  p  < 0.0001), supra-iliac (−19.4,  p  < 0.0001, and −13.6%,  p  < 0.0001), and abdominal (−18.2,  p  < 0.0001, and −15.6%,  p  < 0.010) skinfold measurements]. Systolic blood pressure decreased significantly only in the L-IR group (−3.2%,  p  < 0.010). Both groups showed significant increases in 1RM LE  (+12.9,  p  < 0.010, and +14.7%,  p  = 0.045). There were significant differences in the prevalence of NRs between the H-IR and L-IR groups for fasting glucose (25 vs. 95%,  p  < 0.0001) and fasting insulin ( p  = 0.025) but not for HOMA-IR (25 vs. 45%,  p  = 0.185).   Conclusion:  Independent of the “magnitude” of the cardiometabolic disease (i.e., higher vs. lower insulin resistance), no differences were observed in the NRs prevalence with regard to improved HOMA-IR or to anthropometric, cardiovascular, and muscle performance co-variables after 10 weeks of HIIT in sedentary adult women. This research demonstrates the protective effect of HIIT against cardiometabolic disease progression in a sedentary population.

frontiers in physiology

Prevalence of Non-responders for Glucose Control Markers after 10 Weeks of High-Intensity Interval Training in Adult Women with Higher and Lower Insulin Resistance