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257, p = 0.374, n = 6 and (Δ = -0.341, p = 0.078, n = 159), respectively]. Discussion A significant improvement in V ˙ O2max was evident following MISS, but not HIIT exercise in women with PCOS. This contrasts with previous literature in healthy and clinical cohorts that report superior benefits of HIIT. Therefore, based on available moderate-quality evidence, HIIT exercise does not provide superior outcomes in V ˙ O2max compared with MISS, although larger high-quality interventions are needed to fully address this. Add