Solving the High-Intensity Multimodal Training Prescription Puzzle

How to harness the power of the world's most efficient workout

You've probably seen them at your local gym—the small groups moving through what looks like a whirlwind of exercises, flipping tires, swinging kettlebells, and performing bodyweight movements with barely a rest between sets. This isn't just another fitness fad; it's part of a training revolution sweeping the fitness world.

What Exactly is High-Intensity Multimodal Training?

Imagine combining the heart-pumping intensity of a sprint session with the muscle-building power of weightlifting, all packaged into a single, time-efficient workout.

HIMT Definition

By definition, HIMT encompasses "all styles of high-intensity combined aerobic, resistance and/or bodyweight exercise" performed at a vigorous intensity 1 . What makes HIMT unique isn't just its intensity, but how it blends different exercise modalities into a seamless, integrated experience.

The HIMT Family Tree

You might know HIMT by some of its other names—CrossFit®, high-intensity functional training (HIFT), circuit training, or bodyweight high-intensity interval training 1 . Researchers have identified at least 85 different terms used to describe these training methods in scientific studies 1 .

Traditional Gym Sessions

Typically separate cardio and strength training

HIIT

Focuses primarily on cardiovascular exercises like cycling or running

HIMT

Combines strength, cardio, and often bodyweight exercises in varied combinations

Time Efficiency

HIMT offers a time-efficient solution for people struggling to fit both aerobic and resistance training into their busy schedules 6 .

Enjoyment & Motivation

Beyond efficiency, participants often report finding these workouts more enjoyable and motivating than traditional exercise routines 8 , potentially leading to better long-term adherence.

The Prescription Puzzle: Why Getting HIMT Right Matters

As HIMT's popularity exploded in gyms and fitness centers, scientists noticed a troubling pattern: we didn't really know how to consistently prescribe these workouts for optimal results. The very characteristics that made HIMT appealing—its variety, intensity, and complexity—also made it incredibly difficult to study and standardize.

The Core Problem

Researchers termed it "previous heterogeneity in exercise prescription and reporting" 1 . In plain language: everyone was doing HIMT differently, and everyone was describing it differently too.

Consequences of Inconsistency
  • Studies couldn't be properly compared
  • We didn't know which elements were most important for results
  • Personal trainers lacked evidence-based guidelines
  • Potential risks couldn't be properly managed
The Solution

The research community needed to map this uncharted territory—and that's exactly what a team of scientists set out to do through a comprehensive systematic mapping review 1 .

Inside the Groundbreaking HIMT Mapping Review

Cracking the Code: Methodology

To solve the HIMT puzzle, researchers conducted an exhaustive analysis of the existing scientific literature, following rigorous systematic review standards 1 . Their approach was both massive and meticulous:

Data Collection

37,090 records initially retrieved from multiple databases

Study Selection

220 studies meeting inclusion criteria for detailed review

Protocol Analysis

246 individual HIMT protocols analyzed against established exercise reporting templates

Analysis Framework

The team employed a categorical analysis framework based on:

  • Consensus on Exercise Reporting Template (CERT)
  • Applied Research Model for the Sport Sciences (ARMSS) 1

This allowed them to systematically examine every aspect of how HIMT was being prescribed and reported across the scientific literature.

Focus Areas:
Prescriptive considerations Health outcomes Performance outcomes

Startling Discoveries: What the Mapping Revealed

The results of this massive undertaking revealed a field in its infancy, characterized by enthusiasm but lacking standardization.

Aspect Analyzed Finding Significance
Terms used for HIMT 85 unique terms Field fragmentation complicating communication
Most common format Consistent exercise selection in circuits Practical preference for structured variability
Intensity reporting Inconsistent and often below guidelines Questionable whether "high-intensity" truly high
Key Finding

Perhaps most surprisingly, the review found that "a large proportion of studies prescribed 'high-intensity' exercise at a level lower than the American College of Sports Medicine criteria for high-intensity" 1 . This raised important questions about what exactly constituted "high intensity" in many HIMT programs.

Rank Outcome Category Examples
1 Cardiovascular health VO₂ max, heart rate variables
2 Perceptual outcomes Enjoyment, motivation, perceived exertion
3 Body composition Body fat percentage, muscle mass
4 Biochemical outcomes Blood lactate, hormone levels
Research Design Insights

The mapping review also revealed that a "large proportion of previous HIMT research was experimental in design" 1 , indicating that while the field was growing rapidly, it was still establishing its foundational evidence base.

The Scientist's Toolkit: Essential Tools for Cracking the HIMT Code

So how do researchers study something as complex as HIMT? The mapping review identified key tools and methods that are essential for proper HIMT prescription and research.

Tool Category Specific Tools Purpose & Function
Intensity Monitoring Heart rate monitors, RPE scales Ensure exercise meets high-intensity thresholds
Training Variables Rep counts, timed circuits, work-to-rest ratios Standardize and replicate protocols
Outcome Measures VO₂ max testing, body composition scans, strength tests Quantify training effects
Reporting Guidelines CERT template, PRISMA-ScR Standardize research reporting
CERT Template

The Consensus on Exercise Reporting Template (CERT) emerged as particularly important—this checklist helps researchers completely describe their exercise interventions, ensuring that studies can be properly understood, evaluated, and replicated 1 .

Intensity Measurement

For measuring intensity, researchers rely on both objective tools like heart rate monitors (with high-intensity defined as >77% heart rate maximum) and subjective measures like the Rating of Perceived Exertion (RPE) scale 6 .

Outcome Assessment

When it comes to outcomes, the toolkit is diverse because HIMT itself targets multiple fitness domains simultaneously. From blood lactate tests that measure metabolic stress to jump height measurements that assess power output.

Solving the Puzzle: Where Do We Go From Here?

The mapping review doesn't just identify problems—it charts a clear path forward for both researchers and fitness professionals.

Future Research Priorities

1. Standardized Reporting

Researchers should follow established guidelines like CERT to improve reporting rigor 1 . This would allow for meaningful comparisons between studies and more confident conclusions about what works.

2. Practitioner Involvement

The review calls for "actively involv[ing] practitioners in implementation studies to improve ecological validity" 1 . In other words, we need to bridge the gap between laboratory research and real-world application.

3. Relevant Outcome Measures

Future studies should focus on "outcome measures [that] should be accessible in practice and reflect common training goals of participants" 1 . This means measuring what matters to actual HIMT participants, not just what's easiest to measure in a lab.

Practical Applications for Today

While the research continues to evolve, the current evidence suggests several practical guidelines for those designing or participating in HIMT programs:

Intensity Matters

Ensure workouts truly meet high-intensity criteria through proper monitoring

Quality Over Jargon

Don't get caught up in branded terminology—focus on the fundamental principles of exercise selection, volume, and intensity

Context is Key

Factors like supervision, location, and group dynamics may be as important as the exercises themselves

Balance Variety and Consistency

While HIMT thrives on variation, tracking progress requires some consistency in exercises and measurements

Natural Movement Patterns

The research also hints at why HIMT has proven so popular despite the scientific uncertainties: it aligns with how people naturally prefer to move. As one research group noted, young people "naturally engage in intermittent activities" and often find high-intensity exercise enjoyable 8 .

The Future of Fitness: Unlocking HIMT's Full Potential

The systematic mapping review represents a crucial first step in transforming HIMT from a popular trend into an evidence-based training method.

Positive Effects

Previous studies have "demonstrated positive effects of HIMT on health and performance outcomes" 1 , including improvements in cardiovascular health, body composition, and muscular fitness 6 .

Enjoyment & Adherence

The enjoyment and motivation associated with HIMT participation 8 suggest it could be a powerful tool for combating the problem of exercise adherence.

Time Efficiency

In a world where lack of time remains a primary barrier to regular physical activity 9 , time-efficient workouts that people actually enjoy could be transformative for public health.

The HIMT prescription puzzle hasn't been fully solved yet, but we now have the pieces spread out on the table—and researchers are starting to see how they fit together.

As the science progresses, we move closer to being able to consistently prescribe the right combination of exercises, intensity, and volume to help everyone from elite athletes to weekend warriors achieve their fitness goals more efficiently and enjoyably than ever before.

References