Effects of whole-body electromyostimulation on health indicators of older people: Systematic review and meta-analysis of randomized trials

Oliveira, Túlio Medina Dutra de; Felício, Diogo Carvalho; Filho, José Elias; Fonseca, Diogo Simões; Durigan, João Luíz Quagliotti; Malaguti, Carla

doi:10.1016/j.jbmt.2022.03.010

Cited by 11 publications

(10 citation statements)

References 51 publications

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“…As demonstrated in previous studies (Bloeckl et al, 2022;de Oliveira et al, 2022), WB-EMS has considerable potential to be an option for conventional training for older people who exercise below-recommended doses to impact strength and muscular hypertrophy positively. Moreover, WB-EMS seems to contribute to and overcome disabling conditions or functional limitations even due to reasons of time or motivation.…”

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confidence: 71%

“…Our recent systematic review ( de Oliveira et al, 2022 ) compiled data on 283 older people aged 69 and 83 with metabolic syndrome, sarcopenic obesity, and sedentary lifestyles. Based on a subgroup analysis of our meta-analysis, it was possible to observe some differences in health-related outcomes between training with WB-EMS performed at different time points with or without the addition of protein supplementation, which is recommended by the European Working Group on Sarcopenia in Older People (EWGSOP) ( Cruz-Jentoft et al, 2019 ).…”

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confidence: 99%

“…These findings suggest that isolated training with WB-EMS, at least in older people, is promising when implemented in the long-term and, therefore, depends on good acceptability and adherence in this population. It is worth mentioning that the exercise protocols of the studies included for the analysis of these outcomes are very similar in terms of parameters, weekly frequency, intensity, dosage, and type of supplementation, which are reflected in the absence of indirectness and inconsistency, facilitating the interpretation of the results ( de Oliveira et al, 2022 ).…”

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confidence: 99%

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Commentary: Editorial—Whole-body electromyostimulation: A training technology to improve health and performance in humans? volume II

Oliveira

Machado²,

Garcia³

et al. 2022

Front. Physiol.

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confidence: 71%

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confidence: 99%

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confidence: 99%

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Commentary: Editorial—Whole-body electromyostimulation: A training technology to improve health and performance in humans? volume II

Oliveira

Machado²,

Garcia³

et al. 2022

Front. Physiol.

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“…rigen auch das Vibrationstraining zu Nutze [45], welches hier nicht besprochen wird. Schlüsselpunkte ▪ Hohe Reizfrequenz zeigt sich einer niedrigen überlegen.…”

Section: Reviewunclassified

(Trainings-)Methodische Empfehlungen eines körperlichen Trainings zur Verbesserung der Knochenfestigkeit

et al. 2023

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ZusammenfassungDie Belastungskomponenten bestimmen die Ausrichtung der Trainingsreize und sind somit maßgebend für die Wirkung eines Trainingsprotokolls auf die Knochenfestigkeit. In Anlehnung an die klassische Trainingswissenschaft ist eine Klassifizierung der Belastungskomponenten in Reizhöhe („strain-magnitude“), Reizrate („strain-rate“), Wiederholungsanzahl („cycle number“), Reizdauer, Reizfrequenz, Reizdichte und Trainingshäufigkeit nachvollziehbar und anwendbar. Zusammenfassend weisen intensitätsorientierte Trainingsprogramme, die mit hoher Reizhöhe und -rate und kurzer Reizdauer im dynamischen Modus mindestens zweimal/Woche appliziert werden, die höchste osteoanabole Potenz auf. Die Anzahl der Wiederholungen spielt bei der Anwendung hoher Reizintensitäten eine geringe Rolle. Reizintensitäten im Grenzbereich oder (leicht) unter der mechanischen Reizschwelle können möglicherweise über eine Erhöhung der Wiederholungsanzahl auf ein überschwelliges Niveau angehoben werden. Ähnliches gilt für die Reizfrequenz im Spektrum der willkürlichen Aktivierung (<5 Hz). Die Reizdichte bezieht ihre Relevanz aus der Desensibilisierungsproblematik des Knochens nach häufiger überschwelliger Reizsetzung. Regelmäßige Entlastungsphasen zur Resensibilisierung des Knochengewebes können im Rahmen blockperiodisierter Trainingsprogramme Raum für die Adressierung anderer relevanter Trainingsziele ohne relevante mechanische Belastung bieten.

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“…The technology based on whole-body electromyostimulation (WB-EMS) is a time-efficient, non-invasive, and undemanding training modality involving the simultaneous stimulation of large muscle areas with dedicated individual intensity per muscle group while performing static or dynamic voluntary movements ( Kemmler et al, 2018 ). Electromyostimulation, which alters physiological recruitment patterns, favors the activation of fast motor units in addition to slow ones and offers advantages, particularly for elderly people ( Maffiuletti, 2010 ; de Oliveira et al, 2021 ); it has been shown that this methodology leads to significant improvements on sarcopenia, muscle mass and strength parameters ( de Oliveira et al, 2022 ). Therefore, combining electromyostimulation and functional movements allows a high intensity of active work with limited effort ( Pano-Rodriguez et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Whole body-electromyostimulation effects on serum biomarkers, physical performances and fatigue in Parkinson’s patients: A randomized controlled trial

Cagno

Buonsenso²,

Centorbi³

et al. 2023

Front. Aging Neurosci.

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BackgroundWhole-body electromyostimulation (WB-EMS) was never previously applied to Parkinson’s disease (PD) patients. This randomized controlled study aimed to find the most effective and safe WB-EMS training protocol for this population.MethodsTwenty-four subjects (age: 72.13 ± 6.20 years), were randomly assigned to three groups: a high-frequency WB-EMS strength training group (HFG) (rectangular stimulation at 85 Hz, 350 μs, 4 s stimulation/4 s rest), a low-frequency WB-EMS aerobic training group (LFG) (rectangular stimulation 7 Hz, 350 μs, with a continuous pulse duration), and an inactive control group (CG). Participants of the two experimental groups underwent 24 controlled WB-EMS training sessions, with a duration of 20 min each, during 12-week intervention. Serum growth factors (BDNF, FGF-21, NGF and proNGF), α-synuclein, physical performance and Parkinson’s Disease Fatigue Scale (PFS-16) responses were analyzed to evaluate the pre-post variation and differences among groups.ResultsSignificant interactions of Time*Groups were detected for BDNF (Time*Groups p = 0.024; Time*CG, b = −628, IC95% = −1,082/−174, p = 0.008), FGF-21 (Time*Groups p = 0.009; Time*LFG b = 1,346, IC95% = 423/2268, p = 0.005), and α-synuclein (Time*Groups p = 0.019; Time*LFG b = −1,572, IC95% = −2,952/−192, p = 0.026). Post hoc analyses and comparisons of ΔS (post–pre), performed independently for each group, showed that LFG increased serum BDNF levels (+ 203 pg/ml) and decreased α-synuclein levels (−1,703 pg/ml), while HFG showed the opposite effects (BDNF: −500 pg/ml; α-synuclein: + 1,413 pg/ml). CG showed a significant BDNF reduction over time. Both LFG and HFG showed significant improvements in several physical performance outcomes and the LFG showed better results than HFG. Concerning PFS-16, significant differences over time (b = −0.4, IC95% = −0.8/−0.0, p = 0.046) and among groups (among all groups p < 0.001) were found, and the LFG exhibited better results than the HFG (b = −1.0, IC95% = −1.3/−0.7, p < 0.001), and CG (b = −1.7, IC95% = −2.0/−1.4, p < 0.001) with this last one that worsened over time.ConclusionLFG training was the best choice for improving or maintaining physical performance, fatigue perception and variation in serum biomarkers.Clinical trial registrationhttps://www.clinicaltrials.gov/ct2/show/NCT04878679, identifier NCT04878679.

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Effects of whole-body electromyostimulation on health indicators of older people: Systematic review and meta-analysis of randomized trials

Cited by 11 publications

References 51 publications

Commentary: Editorial—Whole-body electromyostimulation: A training technology to improve health and performance in humans? volume II

Commentary: Editorial—Whole-body electromyostimulation: A training technology to improve health and performance in humans? volume II

(Trainings-)Methodische Empfehlungen eines körperlichen Trainings zur Verbesserung der Knochenfestigkeit

Whole body-electromyostimulation effects on serum biomarkers, physical performances and fatigue in Parkinson’s patients: A randomized controlled trial

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