Whole-body Electromyostimulation plus Caloric Restriction in
                    Metabolic Syndrome

Bellia, Alfonso; Ruscello, Bruno; Bolognino, Rolando; Briotti, Gianluca; Gabrielli, Paolo; Silvestri, Adriano; Rosazza, Cristina; Ambruoso, Francesca; Lombardo, Mauro; Bernardini, Andrea; Calabrese, Cosimo; Lauro, Davide; D’Ottavio, S

doi:10.1055/a-1171-2003

Cited by 10 publications

(53 citation statements)

References 40 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%

See 4 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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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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Visceral fat loss by whole‐body electromyostimulation is attenuated in male and absent in female older Non‐Insulin‐Dependent diabetes patients

Houdijk

Bos

Verduin

et al. 2022

Endocrino Diabet & Metabol

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Introduction: Type 2 diabetes and its reversal correlate with increases and decreases in visceral fat (VF). Resistance exercise reduces VF in healthy persons, but little is known in type 2 diabetes. Muscle contractions induced by whole-body electromyostimulation (WB-EMS) provide a very effective form of resistance training. We hypothesized that WB-EMS reduces VF and improves plasma glucose measures in older non-insulin dependent diabetes mellitus (NIDDM) males and females. Methods: A four-arm age-matched case control study was done on WB-EMS twice a week in older NIDDM patients (27 males, 18 females) compared with controls (15 males, 15 females). VAT area (VAT, cm 2 ), total fat mass (TFM, kg) and lean body mass (LBM, kg) were assessed by DEXA-scanning. HbA1c, fasting glucose and plasma lipoproteins were measured at baseline and after 4 months.Results: Baseline control VAT was higher in males than females (140.5 ± 35.6 vs. 96.7 ± 42.3, p < .001). In NIDDM, VAT was higher with no significant sex difference (206.5 ± 65.0 vs. 186.5 ± 60.5). In controls, WBEMS reduced VAT in males and females to similar extent (−16.9% and −16.4%, p < .001 vs. baseline) and in preference to TFM (−9.2% and −3.6%) or body weight loss (−2.8 and −2.1%). In NIDDM, VF loss was attenuated in males (−7.3%, p < .01) but completely absent in females. WBEMS reduced HbA1c and cholesterol and increased HDL levels (all p < .05) only in male NIDDM Conclusions: WBEMS induced VF loss in healthy older males and females an effect strongly attenuated in male and completely absent in female NIDDM patients. This questions the effectiveness of muscle contraction-induced VF lipolysis in NIDDM.Sex differences may dictate the success of resistance training in NIDDM, a subject that needs to be addressed in future studies.

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Acute Effects of Whole-Body Electrostimulation Combined with Stretching on Lower Back Pain

et al. 2023

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Data from recent studies suggest that whole-body electromyostimulation (WB-EMS) is a time-effective and tailored intervention for chronic lower back pain (CLBP). The aim of this non-randomized controlled study was to compare the efficacy of a WB-EMS training and the association between WB-EMS specific training with passive stretching (Well Back System, [WBS]) on CLBP. Forty patients with CLBP, 43-81 years old, were assigned to one of the two groups: WB-EMS (n=20) and WB-EMS+WBS (n=20). Both groups completed 12 sessions (8 weeks) WB-EMS protocol (2 x 20 minutes/week). The second group performed core-specific exercises with WB-EMS plus 6 extra stretching sessions (30 minutes each). Primary study endpoints were based on changes on visual analogue scale (VAS) and changes on Oswestry Low Back Disability Questionnaire (ODI). Secondary study endpoints were percentage changes of maximum trunk flexion (Sit & Reach, [SR]) and changes on assumption of painkillers. Both interventions significantly improved VAS, ODI and SR values (p range: 0.04; <0.001). However, the change of VAS (-46% vs -17%, p<0.001), ODI (-53% vs -17%, p<0.001), and SR (+7 vs +3 cm, p=0.001) were significantly higher in the WB-EMS+WBS group compared to the WB-EMS group. The working method with WB-EMS+WBS can be a joint-friendly, individualized form to decrease CLBP.

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Whole-body Electromyostimulation plus Caloric Restriction in Metabolic Syndrome

Cited by 10 publications

References 40 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

Visceral fat loss by whole‐body electromyostimulation is attenuated in male and absent in female older Non‐Insulin‐Dependent diabetes patients

Acute Effects of Whole-Body Electrostimulation Combined with Stretching on Lower Back Pain

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