Peer Review History

Original SubmissionAugust 20, 2024
Decision Letter - Jeremy B. Coquart, Editor

PONE-D-24-35383Effects of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory and exercise capacity in patients with coronary artery disease: a systematic review and meta-analysisPLOS ONE

Dear Dr. Yue,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Nov 08 2024 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Prof. Jeremy B. Coquart, Ph.D.

Academic Editor

PLOS ONE

Journal Requirements:

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at 

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

2. Thank you for stating the following financial disclosure: 

"Project number: XJLL2023007;

 Funded by: The Fourth People's Hospital of Chengdu;

 Sponsor: Dongmei Wu(Writing – original draft);Yuchuan Yue (Preparation of the manuscript)"

Please state what role the funders took in the study.  If the funders had no role, please state: ""The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."" 

If this statement is not correct you must amend it as needed. 

Please include this amended Role of Funder statement in your cover letter; we will change the online submission form on your behalf.

3. As required by our policy on Data Availability, please ensure your manuscript or supplementary information includes the following: 

A numbered table of all studies identified in the literature search, including those that were excluded from the analyses.  

For every excluded study, the table should list the reason(s) for exclusion.  

If any of the included studies are unpublished, include a link (URL) to the primary source or detailed information about how the content can be accessed. 

A table of all data extracted from the primary research sources for the systematic review and/or meta-analysis. The table must include the following information for each study: 

Name of data extractors and date of data extraction 

Confirmation that the study was eligible to be included in the review.  

All data extracted from each study for the reported systematic review and/or meta-analysis that would be needed to replicate your analyses. 

If data or supporting information were obtained from another source (e.g. correspondence with the author of the original research article), please provide the source of data and dates on which the data/information were obtained by your research group. 

If applicable for your analysis, a table showing the completed risk of bias and quality/certainty assessments for each study or outcome.  Please ensure this is provided for each domain or parameter assessed. For example, if you used the Cochrane risk-of-bias tool for randomized trials, provide answers to each of the signalling questions for each study. If you used GRADE to assess certainty of evidence, provide judgements about each of the quality of evidence factor. This should be provided for each outcome.  

An explanation of how missing data were handled. 

This information can be included in the main text, supplementary information, or relevant data repository. Please note that providing these underlying data is a requirement for publication in this journal, and if these data are not provided your manuscript might be rejected.  

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: No

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: No

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Hello,

Thanks for submitting your manuscript titled Effects of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory and exercise capacity in patients with coronary artery disease: a systematic review and meta-analysis

to this journal. It is a well written manuscript however I have following observations and comments

1. The abstract mentions significantly better outcomes with treadmill as compared to cycle ergometry but the methods or results does not mention the parameters based on which the same was concluded. Hence it would be advisable either to remove this in abstract or substantiate it with the data in the results

2. P value for various parameters mentioned significant in comparison is mentioned >0.05 and though we understand it is the p value for interaction and not for test of significance, it needs to be mentioned explicitly how the significance was concluded as mentioning P value >0.05 in the same line without clarifying on the same makes it confusing.

3. Please review and add flowchart of methods of meta analysis

Thanks

Reviewer #2: Define PeakVO2 in the keywords rather than using an abbreviation.

In the ‘results’ section of the abstract, most of the abbreviations are not defined. This part is difficult to understand/read.

The corresponding author should use a professional email address: 1903222804@qq.com

The first paragraph of the introduction is long and not interesting because it is very general. I would recommend getting to physical activity more quickly.

In the introduction, the authors justify their study by explaining that the literature on the topic lacks precision on the duration of programmes, but to compare the 2 exercise modalities the most important thing is not the duration of the programmes (4 vs 16 weeks), but also the intensity and duration and frequency of session. MICT can be at 50, 60, 70% VO2peak and, depending on the studies, HIIT can also vary from 40 to 110% VO2peak. Similarly, the duration of the session (28 min vs 40 min) or the frequency (1 vs 5 session/week) is also important... Without these analyses, the conclusions are likely to be erroneous (see table 2).

In the method, it is surprising to see that 1668 were identified in June, and that the paper was submitted at the beginning of September, just three months later... with 153 which were evaluated for full-text reading.

The authors should clearly indicate how the Boolean operators were used to combine the keywords/concepts. It would be interesting to clearly indicate the ‘phrase’ used/inserted (in PubMed…), so that we can check. At the moment, I'm finding that the number of articles is very different from the number mentioned by the authors.

In my opinion, in general, the method needs to be developed. Although I am familiar with the PRISMA standards, it is not currently possible to replicate this meta-analysis. Each stage of procedure must be detailed.

In the results section, there are far too many figures. The article contains 10 figures, some of which include 4 sub-figures.

In the discussion, the authors should take into account the heterogeneity of the studies, and therefore be more cautious.

**********

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Dr Kamal Sharma

Reviewer #2: No

**********

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Revision 1

Response Letter

Dear editors and reviewers,

We are very grateful for your constructive comments and suggestions for our manuscripts entitled “Effects of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory and exercise capacity in patients with coronary artery disease: a systematic review and meta-analysis”(ID:PONE-D-24-35383).Your comments are very valuable and helpful for improving our manuscripts.in the following,the responses to all the comment are provided one by one.

We have tried our best to make all the revisions clear,and we hope that the revised manuscript can satisfy the requirements for publication.

The main revisions in the new manuscript are:

Reply to the editors suggestions for article modification

1.This study was modified according to the format template for viewing PLOS ONE, which meets the format requirements of PLOS ONE.

2.We supplemented our research with the help of funders: We are very grateful to the Chengdu Fourth People's Hospital for supporting our work, especially funders Wu Dongmei and Yue Yuchuan for their help in research design, financial support and manuscript preparation.

We have added the relevant information of Financial Disclosure:

Project number: XJLL2023007;

Funded by: The Fourth People's Hospital of Chengdu;

Funder: Dong mei Wu(Funders of this study);Yue Yuchuan (Funders of this study).

3.We have described in the manuscript a table of the authors, years and other necessary contents of the included documents in this study, as well as the reasons for the excluded documents. All the included and excluded documents do not include unpublished studies.

4.We have uploaded a risk and quality assessment table of literature bias conducted in this study, which includes the reasons for inclusion, in a supplementary document3,5.

Reply to the reviewer's suggestions for article modification

Reply to the reviewer 1

1.The content of treadmill and Cycle ergometer you mentioned has been deleted in the abstract.See page 2-3 for details.

2.According to your suggestion that the P-value of various parameters of significance is >0.05, we modified the corresponding expression in the article by consulting the relevant system evaluation of HIIT and MICT and based on the data analysis results of this study.Has been marked in the manuscript.

3.About the content of the flow chart you mentioned. We have revised and updated the flowchart content.See Fig 1 for details.

Reply to the reviewer 2

1.According to your definition of PeakVO2 in keywords, we have provided the full name in the keyword section.

2.Regarding the email address(1903222804@qq.com) you mentioned, I have consulted the corresponding author, and this is the only email address she used in the submission process.

3.In the preface you mentioned, we have simplified the epidemiology of cardiovascular diseases in the preface, in order to highlight the benefits of exercise on exercise ability of cardiovascular diseases and introduce the focus of this study.See page 3-5 for details.

4.According to your suggestion that HIIT and MICT should take into account the effects of different exercise intensity, duration, and frequency on PeakVO2, we sincerely appreciate your input. In response, we have extended the duration of each exercise session and increased the weekly frequency of both HIIT and MICT for subgroup analysis. You can find detailed information in the Fig8(c d) provided on the article page. However, due to variations in calculation/evaluation methods used for exercises with different intensities (such as HRmax, HRpeak, VO2max, and Workload), this study did not conduct subgroup analysis based on exercise intensity. Additionally, some evaluation methods had a varying number of indicators. For instance, only one study utilized VO2max as a measure of training intensity. Combining or conducting subgroup analysis using different calculation/evaluation methods could introduce heterogeneity in results or bias towards subgroups with more literature available. As we did not perform this specific subgroup analysis mentioned above, we have acknowledged this limitation in our explanation.

5.According to your PRISMA standard suggestions, we have added the specific details of each process in PRISMA, such as adding the location of images and supplementary files.

6.According to your suggestion, by referring to similar systematic evaluation and combining with the analysis of the results of this study, we have decided to include the pictures with publication bias in the attachment, and this decision will not increase the difficulty of understanding the full text.

7.According to your suggestions, this study has re-searched the following databases (Pubmed, Web of Science, Embase, Cochrane Library, CLNAHL) using the specified search terms. Based on the input from researchers Gao and Zhang, we included another researcher Zhu to collaborate in literature screening. During the screening process, we encountered a disagreement and sought advice from a fourth researcher Yue. Throughout the screening process, we retained and labeled documents that were included in the initial search while excluding others. We also compared documents from the first search with those from the second search. As of September 26th, a total of 1432 literatures were searched; however, no updated literature relevant to this systematic evaluation was found. The flow chart has been updated accordingly and Boolean operation symbols have been added to our search files. No filters were applied during retrieval.

8.Based on your suggestions, we added a more cautious interpretation of the results and discussion by referring to other studies and reviewing the discussion.

Sincerely,

Corresponding author.

Attachments
Attachment
Submitted filename: Response Letter..docx
Decision Letter - Jeremy B. Coquart, Editor

Effects of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory and exercise capacity in patients with coronary artery disease: a systematic review and meta-analysis

PONE-D-24-35383R1

Dear Dr. Yue,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice will be generated when your article is formally accepted. Please note, if your institution has a publishing partnership with PLOS and your article meets the relevant criteria, all or part of your publication costs will be covered. Please make sure your user information is up-to-date by logging into Editorial Manager at Editorial Manager® and clicking the ‘Update My Information' link at the top of the page. If you have any questions relating to publication charges, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Jeremy B. Coquart, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Hello,

The authors have addressed , revised and corrected the manuscript as per the review submitted. The manuscript is now improved and can be accepted in the revised format for publication.

Thanks

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Dr Kamal H sharma

**********

Formally Accepted
Acceptance Letter - Jeremy B. Coquart, Editor

PONE-D-24-35383R1

PLOS ONE

Dear Dr. Yue,

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now being handed over to our production team.

At this stage, our production department will prepare your paper for publication. This includes ensuring the following:

* All references, tables, and figures are properly cited

* All relevant supporting information is included in the manuscript submission,

* There are no issues that prevent the paper from being properly typeset

If revisions are needed, the production department will contact you directly to resolve them. If no revisions are needed, you will receive an email when the publication date has been set. At this time, we do not offer pre-publication proofs to authors during production of the accepted work. Please keep in mind that we are working through a large volume of accepted articles, so please give us a few weeks to review your paper and let you know the next and final steps.

Lastly, if your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

If we can help with anything else, please email us at customercare@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Professor Jeremy B. Coquart

Academic Editor

PLOS ONE

Open letter on the publication of peer review reports

PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.

We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.

Learn more at ASAPbio .