Effects of Whole-Body Electromyostimulation Associated with Dynamic Exercise on Functional Capacity and Heart Rate Variability After Bariatric Surgery: a Randomized, Double-Blind, and Sham-Controlled Trial

Ricci, Paula Angélica; Thommazo-Luporini, Luciana Di; Jürgensen, Soraia Pilon; André, Larissa Delgado; Haddad, Guilherme Focchi; Arena, Ross; Silva, Audrey Borghi

doi:10.1007/s11695-020-04724-9

Cited by 21 publications

(53 citation statements)

References 48 publications

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“…Authors of trials that were potentially eligible were contacted by e-mail for any missing data (e.g., mean change of BMD or SD) or for clarification of the study design, intervention, or study outcomes. Five out of seven authors responded to our queries (Vatter, 2010;Schink et al, 2018;Ludwig et al, 2019;Bellia et al, 2020;Ricci et al, 2020).…”

Section: Literature Search and Study Selectionmentioning

confidence: 99%

“…Full descriptive details of the studies included are shown in Table 2. Sixteen studies were included in this systematic review and meta-analysis, comprising 19 individual training groups based on our eligibility criteria (Kemmler et al, 2010a(Kemmler et al, ,b, 2014(Kemmler et al, , 2016c(Kemmler et al, ,d, 2018aVatter, 2010;Kemmler and von Stengel, 2013;Schink et al, 2018;Weissenfels et al, 2018;Jee, 2019;Bellia et al, 2020;Kim and Jee, 2020;Ludwig et al, 2020;Ricci et al, 2020). A total of 897 participants (WB-EMS: n = 565, control group: n = 332) took part in the included studies.…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…A total of 897 participants (WB-EMS: n = 565, control group: n = 332) took part in the included studies. Sample size in the study arms ranged from 10 (Bellia et al, 2020;Ricci et al, 2020) to 134 participants (Vatter, 2010) in the WB-EMS group and from 10 (Vatter, 2010;Ricci et al, 2020) to 38 (TEST IIIstudy; Kemmler et al, 2014Kemmler et al, , 2015 participants in the control group (CG). The mean age ranged from 23 (Jee, 2019) to 77 years (FranSO-study; Kemmler et al, 2018a,b), FORMOsA-study (Kemmler et al, 2016c,d), and the mean body mass index (BMI, kg/m 2 ) varied from 22 (Jee, 2019) to 38.2 kg/m 2 (Ricci et al, 2020).…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…However, independently of this aspect, WB-EMS can be classified predominately as a resistance type exercise. Correspondingly, most studies determined the effect of WB-EMS on lean body mass (LBM), muscle strength, and function (e.g., Kemmler et al, 2014Kemmler et al, , 2016bAmaro-Gahete et al, 2019a;Jee, 2019;Pano-Rodriguez et al, 2020a), but also on body fat (e.g., Vatter, 2010;Kemmler et al, 2018a;Schink et al, 2018;Jee, 2019;Bellia et al, 2020;Ricci et al, 2020) and less frequently, albeit largely successfully, to address cardiometabolic parameters (e.g., Kemmler et al, 2016c,d;Jee, 2018;Bellia et al, 2020) and metabolism (e.g., Kemmler et al, 2010bKemmler et al, , 2012. In parallel, although several studies focus on athletic performance in younger adults (e.g., Filipovic et al, 2016Filipovic et al, , 2019Amaro-Gahete et al, 2018b;D'Ottavio et al, 2019;Wirtz et al, 2019;Ludwig et al, 2020), the vast majority of WB-EMS trials address the health and fitness domain in predominately untrained, middleaged to older adults (Kemmler et al, 2020b).…”

Section: Introductionmentioning

confidence: 99%

“…2 At least when applying the more popular concept with low to negligible workloads. Kemmler et al, 2014;Schink et al, 2018;Weissenfels et al, 2018;Jee, 2019;Ludwig et al, 2019;Willert et al, 2019;Bellia et al, 2020;Ricci et al, 2020). However, in order to generate decisive evidence, a meta-analysis was seen as the most adequate study type (Kemmler et al, 2020a).…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Whole-Body Electromyostimulation (WB-EMS) on Body Composition and Muscle Strength in Non-athletic Adults. A Systematic Review and Meta-Analysis

et al. 2021

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This systematic review and meta-analysis set out to determine the efficacy on whole-body electromyostimulation (WB-EMS) on body composition and strength parameters in non-athletic cohorts. A systematic review of the literature according to the PRISMA statement included (a) controlled trials, (b) WB-EMS trials with at least one exercise and one control group, (c) WB-EMS as primary physical intervention, (d) WB-EMS with at least six electrodes covering most muscle groups, (e) non-athletic cohorts. We searched eight electronic databases up to June 30, 2020, without language restrictions. Standardized mean differences (SMD) for muscle mass parameters, total body fat mass, maximum leg extension, and trunk extension strength were defined as outcome measures. In summary, 16 studies with 19 individual WB-EMS groups representing 897 participants were included. Studies vary considerably with respect to age, BMI, and physical conditions. Impulse protocols of the studies were roughly comparable, but training frequency (1–5 sessions/week) and intervention length (6–54 weeks) differed between the studies. SMD average was 1.23 (95%-CI: 0.71–1.76) for muscle mass, 0.98 (0.74–1.22) for maximum leg, and 1.08 (0.78–1.39) for maximum trunk extension strength changes (all p < 0.001). SMD for body fat changes (−0.40, [−0.98 to 0.17]), however, did not reach significance. I2 and Q-statistics revealed substantial heterogeneity of muscle and fat mass changes between the trials. However, rank and regression tests did not indicate positive evidence for small-study bias and funnel plot asymmetries. This work provided further evidence for significant, large-sized effects of WB-EMS on muscle mass and strength parameters, but not on body fat mass.Clinical Trial Registration:ClinicalTrials.gov, PROSPERO; ID: CRD42020183059.

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Section: Literature Search and Study Selectionmentioning

confidence: 99%

Section: Study and Participant Characteristicsmentioning

confidence: 99%

Section: Study and Participant Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Whole-Body Electromyostimulation (WB-EMS) on Body Composition and Muscle Strength in Non-athletic Adults. A Systematic Review and Meta-Analysis

et al. 2021

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Different exercise training modalities similarly improve heart rate variability in sedentary middle-aged adults: the FIT-AGEING randomized controlled trial

et al. 2022

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Purpose This study aimed to investigate the influence of different exercise training modalities on heart rate variability (HRV) in sedentary middle-aged adults; and to study whether changes in health-related outcomes (i.e., body composition and cardiometabolic risk) are associated with those hypothetical HRV changes in sedentary middle-aged adults. Methods A total of 66 middle-aged adults (53.6 ± 4.4 years old; 50% women) were enrolled in the FIT-AGEING study. We conducted a 12-week randomized controlled trial. The participants were randomly assigned to 4 groups: (a) a control group (no exercise); (b) a physical activity recommendation from the World Health Organization group (PAR); (c) a high-intensity interval training group (HIIT); and (d) a high-intensity interval training group adding whole-body electromyostimulation (HIIT + EMS). Results All exercise training modalities induced changes in HRV parameters (all P ≤ 0.001) without statistical differences between them (all P > 0.05). We found associations between changes in body composition and cardiometabolic risk and exercise-related changes in HRV. Conclusion Our results suggest that different exercise interventions (i.e., PAR, HIIT and HIIT + EMS) induced an enhancement of HRV in sedentary middle-aged adults. Our findings support the notion that exercise-related changes in HRV are associated with changes in body composition and cardiometabolic risk after the intervention program Clinical trial registry NCT03334357 (ClinicalTrials.gov). November 7, 2017 retrospectively registered.

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How Does Fat Mass Change in the First Year After Bariatric Surgery? A Systemic Review and Meta-Analysis

et al. 2021

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Effects of Whole-Body Electromyostimulation Associated with Dynamic Exercise on Functional Capacity and Heart Rate Variability After Bariatric Surgery: a Randomized, Double-Blind, and Sham-Controlled Trial

Cited by 21 publications

References 48 publications

Efficacy of Whole-Body Electromyostimulation (WB-EMS) on Body Composition and Muscle Strength in Non-athletic Adults. A Systematic Review and Meta-Analysis

Efficacy of Whole-Body Electromyostimulation (WB-EMS) on Body Composition and Muscle Strength in Non-athletic Adults. A Systematic Review and Meta-Analysis

Different exercise training modalities similarly improve heart rate variability in sedentary middle-aged adults: the FIT-AGEING randomized controlled trial

How Does Fat Mass Change in the First Year After Bariatric Surgery? A Systemic Review and Meta-Analysis

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