THE EFFECT OF EXERCISE INTENSITY ON PERCEIVED POST-EXERCISE APPETITE A Thesis Submitted to the Graduate Faculty of the North Dakota State University of Agriculture and Applied Science By Megan Marie Groen In Partial Fulfillment of the Requirements for the Degree of MASTER OF SCIENCE Major Department: Health, Nutrition, and Exercise Sciences June 2015 Fargo, North Dakota North Dakota State University Graduate School Title The Effect of Exercise Intensity on Perceived Appetite Post-Exercise By Megan Marie Groen The Supervisory Committee certifies that this disquisition complies with North Dakota State University’s regulations and meets the accepted standards for the degree of MASTER OF SCIENCE SUPERVISORY COMMITTEE: Donna J.Terbizan Chair Ardith Brunt Harlene Hatterman-Valenti Approved: 7/6/15 Margaret Fitzgerald Date Department Chair ABSTRACT The purpose of this study was to investigate whether there is a greater reduction in appetite following a high intensity interval training (HIIT) exercise session compared to a steady-state exercise (SSE) exercise session. Six subjects completed all three trials in a random, counterbalanced order, measuring subjects’ perceived appetites throughout the trial. HIIT was 10 two-minute bouts of high- intensity exercise separated by one minute rest, SSE was 30 minutes moderate intensity exercise, and control was 40 minutes rest. Eleven visual analog scale (VAS) surveys were completed to measure perceived appetite and taste preferences. HIIT significantly lowered appetite scores compared to the control trial immediately after exercise: “how hungry do you feel” (p = 0.0476); “how satisfied do you feel?” (p = 0.0116); “how full do you feel?” (p = 0.0225). No other significance was found. These results strengthen previous research that HIIT may lead to greater suppression of appetite immediately following exercise. iii ACKNOWLEDGEMENTS I would like to give a big thanks to my advisor, Dr. Donna Terbizan, for all of her time, help, and dedication in the writing process from start to finish. I would also like to thank my remaining committee members, Dr. Ardith Brunt and Dr. Harlene Hatterman-Valenti, for all of the time they put in to make this process possible. Lastly I want to thank Su Hua, who helped me run all the statistics on my data, and all of the subjects who took the time to participate in my study. iv TABLE OF CONTENTS ABSTRACT ................................................................................................................................... iii ACKNOWLEDGEMENTS ........................................................................................................... iv LIST OF TABLES ........................................................................................................................ vii LIST OF FIGURES ..................................................................................................................... viii LIST OF ABBREVIATIONS ........................................................................................................ ix CHAPTER 1. INTRODUCTION ....................................................................................................1 1.1. Introduction to the Problem .....................................................................................1 1.2. Purpose of the Study ................................................................................................2 1.3. Research Questions ..................................................................................................3 1.4. Limitations ...............................................................................................................3 1.5. Key Terms ................................................................................................................3 CHAPTER 2. LITERATURE REVIEW .........................................................................................5 2.1. Purpose of the Study ................................................................................................5 2.2. Introduction ..............................................................................................................5 2.3. What is HIIT? ..........................................................................................................6 2.4. Benefits of HIIT .......................................................................................................9 2.5. Neuropeptides, Appetite and HIIT .........................................................................14 2.6. Exercise Intensity and Energy Intake/Appetite ......................................................17 2.7. Pre-Exercise Food Intake .......................................................................................20 2.8. Measuring Appetite ................................................................................................20 2.9. Summary ................................................................................................................21 CHAPTER 3. METHODS .............................................................................................................23 v 3.1. Purpose of the Study ..............................................................................................23 3.2. Introduction to Methods .........................................................................................23 3.3. Subjects ..................................................................................................................23 3.4. Procedures ..............................................................................................................24 3.5. Research Design.....................................................................................................26 3.6. Statistical Analysis .................................................................................................26 CHAPTER 4. THE EFFECT OF EXERCISE INTENSITY ON PERCEIVED APPETITE POST-EXERCISE .........................................................................................................................27 4.1. Introduction ............................................................................................................27 4.2. Methods..................................................................................................................28 4.3. Results ....................................................................................................................31 4.4. Discussion ..............................................................................................................35 4.5. Conclusion and Application ...................................................................................38 4.6. References ..............................................................................................................38 CHAPTER 5. DISCUSSION .........................................................................................................41 REFERENCES ..............................................................................................................................43 APPENDIX A. IRB APPROVAL .................................................................................................50 APPENDIX B. GPAQ ...................................................................................................................51 APPENDIX C. PAR-Q FORM ......................................................................................................54 APPENDIX D. FOOD LOG ..........................................................................................................55 APPENDIX E. VAS SURVEY .....................................................................................................56 vi LIST OF TABLES Table Page 1. VAS scores (mm) for question 1 “How hungry do you feel?” ..........................................32 2. VAS scores (mm) for question 2 “How satisfied do you feel?” ........................................32 3. VAS scores (mm) for question 3 “How full do you feel?” ................................................33 4. VAS scores (mm) for question 4 “How much do you think you can eat?” .......................33 5. VAS scores (mm) for question 5 “Would you like to eat something sweet? ....................34 6. VAS scores (mm) for question 6 “Would you like to eat something salty?” ....................34 7. VAS scores (mm) for question 7 “Would you like to eat something savory?” .................35 8. VAS scores (mm) for question 8 “Would you like to eat something fatty?” ....................35 vii LIST OF FIGURES Figure Page 1. VAS survey to measure perceived appetite .......................................................................30 viii LIST OF ABBREVIATIONS GPAQ .....................................Global Physical Activity Questionnaire HIIT........................................High Intensity Interval Training HRM ......................................Heart Rate Maximum IRB .........................................Institutional Review Board PAR-Q....................................Physical Activity Readiness Questionnaire SSE .........................................Steady-State Exercise VAS........................................Visual Analogue Scale ix CHAPTER 1. INTRODUCTION 4.5. Introduction to the Problem The increasing prevalence of individuals who are overweight, obese, and extremely obese is a growing public health problem in the United States. Data from the National Health and Nutrition Examination Survey (NHANES) showed that the prevalence of obese adult (ages 20 or higher) Americans in 1960-1962 was 13.4% (Hensrud & Klein, 2006). Data from NHANES in 2003-2004 showed that 66.3% of adult Americans were overweight or obese (Hensrud & Klein, 2006). A more recent study showed that the prevalence of obesity seems to have leveled off, with no significant increases in prevalence between 2003-2004 and 2009-2010, however these numbers are still too high and obesity remains an issue (Ogden, Carroll, Kit, & Flegal, 2014). Obesity is defined as an excess of body fat (Hensrud & Klein, 2006). Body Max Index (BMI) is a common tool used to assess if an individual is overweight or obese. A BMI of 25-29.9 is considered overweight, and a BMI greater than 30 is classified as obese (Deighton, Zahra, & Stensel, 2012; Hensrud & Klein, 2006). Obesity that develops when energy intake exceeds energy expenditure over a long period of time (Deighton et al., 2012) highlights the importance of regular exercise. Low levels of physical activity, or a sedentary lifestyle, have been associated with an increased risk of obesity (Hensrud & Klein, 2006). It has been found that more than 60% of the U.S. population does not perform regular exercise or physical activity, and that 25% of the population is considered sedentary (Hensrud & Klein, 2006). One of the most common reasons stated for not exercising regularly is a “lack of time” (Trost, Owen, Bauman, Sallis, & Brown, 2002). When considering this along with the growing prevalence of obesity, it is important to find alternatives to the more traditional moderate aerobic exercise. Moderate aerobic, or steady-state exercise (SSE), consists of aerobic activity at a moderate intensity, 1
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