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Thirty-five participants were randomly assigned to one of three groups: a HIIT-only group (HSM), a HIIT plus low-intensity training group (HSM\u2009+\u2009LIT), and a control group maintaining regular training. The intervention included 10 HIIT sessions (5\u2009\u00d7\u20094\u00a0min at 90\u201395% maximum heart rate) over 7 days, with HSM\u2009+\u2009LIT completing an additional 30\u00a0min of low-intensity training after each session. Physiological exercise testing (PET) was conducted at baseline, 3-, 7-, and 14-days post-intervention. On days 2 and 7 during the intervention, HIIT sessions were supervised in both morning and afternoon, and venous blood samples were collected at rest, immediately post-exercise, and 30\u00a0min post-exercise to measure cfDNA for 90 and 222\u00a0bp fragments. Correlations between cfDNA and physiological exercise variables such as peak power output (PPO), running velocity at lactate threshold (LT), and VO\u2082\n                      <jats:sub>max<\/jats:sub>\n                      were analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      cfDNA\n                      <jats:sup>90<\/jats:sup>\n                      (10.4-fold,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and cfDNA\n                      <jats:sup>222<\/jats:sup>\n                      (12.4-fold,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) increased significantly after PET. In addition, cfDNA\n                      <jats:sup>90<\/jats:sup>\n                      (17.1-fold,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and cfDNA\n                      <jats:sup>222<\/jats:sup>\n                      (20.2-fold,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) increased after HIIT, both remaining significantly elevated 30\u00a0min post-HIIT (both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). cfDNA\n                      <jats:sup>90<\/jats:sup>\n                      concentrations were higher in afternoon (22.4-fold) compared to morning HIIT sessions (17.2-fold,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). A significant interaction effect was found between group and measurement point for cfDNA\n                      <jats:sup>90<\/jats:sup>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and cfDNA\n                      <jats:sup>222<\/jats:sup>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with higher concentrations in HSM\u2009+\u2009LIT compared to HSM 30\u00a0min post-HIIT. cfDNA\n                      <jats:sup>90<\/jats:sup>\n                      showed moderate correlations with PPO (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.48,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), LT (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.36,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and VO\n                      <jats:sub>\u2082max<\/jats:sub>\n                      (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.30,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). cfDNA\n                      <jats:sup>222<\/jats:sup>\n                      correlated moderately with VO\n                      <jats:sub>\u2082max<\/jats:sub>\n                      (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.34,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and slightly with PPO (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05). No chronic changes in cfDNA were observed throughout the study period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>cfDNA is a reliable marker for detecting acute exercise-induced stress. However, the potential of cfDNA for detecting chronic adaptations in short-term, high-intensity interval training settings, such as a HIIT shock cycle, appears limited thus far.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Trial registration<\/jats:italic>\n                      clinicaltrials.gov, NCT05067426. Registered 05 October 2021\u2014Retrospectively registered,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT05067426\" ext-link-type=\"uri\">https:\/\/clinicaltrials.gov\/ct2\/show\/NCT05067426<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1186\/s40798-025-00923-9","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:43:30Z","timestamp":1763732610000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute and Chronic Effects of a High-Intensity Interval Training Shock Microcycle on Cell-Free DNA: A Randomized Controlled Trial"],"prefix":"10.1186","volume":"11","author":[{"given":"Aleksandar","family":"Tomaskovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilmann","family":"Strepp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Leonhard","family":"St\u00f6ggl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmo W. 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Both verbal and written consent was obtained from all study participants for this study. The study was conducted in accordance with the Declaration of Helsinki. Note that Blumkaitis et al. [\n                      \n                      ] published a small subset of cfDNA data from the first physiological exercise testing (T1), while the data from the intervention and post-intervention periods are entirely new. Selected physiological exercise variables used for correlation analyses in the present study were previously published by Strepp et al. [\n                      \n                      ].","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"Aleksandar Tomaskovic, Tilmann Strepp, Thomas Leonhard St\u00f6ggl, Elmo W. I. Neuberger, Perikles Simon, and Nils Haller declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"132"}}