Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Resultsof the randomized controlled FORMOsA-sarcopenic obesity study

Kemmler, Wolfgang; Teschler, Marc; Weißenfels, Anja; Bębenek, Marek; Stengel, Simon von; Kohl, Matthias; Freiberger, Ellen; Goisser, Sabine; Jakob, Franz; Sieber, Cornel; Engelke, Klaus

doi:10.1007/s00198-016-3662-z

Cited by 99 publications

(183 citation statements)

References 38 publications

Supporting

Mentioning

177

Contrasting

Unclassified

Order By: Relevance

“…Revisiting the primary hypothesis of the study, the fact that despite comparable high and significant effects on muscle mass in both WB-EMS groups, Kemmler et al33 suggested that the mechanism of WB-EMS effects on cardiometabolic risk factors may not be necessarily muscle-induced. Indeed, the traditional belief of a generally beneficial effect of muscle tissue on cardiometabolic risk34 is vague.…”

Section: Discussionmentioning

confidence: 95%

Impact of whole body electromyostimulation on cardiometabolic risk factors in older women with sarcopenic obesity: the randomized controlled FORMOsA-sarcopenic obesity study

Wittmann¹,

Sieber²,

Stengel³

et al. 2016

CIA

View full text Add to dashboard Cite

BackgroundSarcopenic obesity (SO) is characterized by a combination of low muscle and high fat mass with an additive negative effect of both conditions on cardiometabolic risk. The aim of the study was to determine the effect of whole-body electromyostimulation (WB-EMS) on the metabolic syndrome (MetS) in community-dwelling women aged ≥70 years with SO.MethodsThe study was conducted in an ambulatory university setting. Seventy-five community-dwelling women aged ≥70 years with SO living in Northern Bavaria, Germany, were randomly allocated to either 6 months of WB-EMS application with (WB-EMS&P) or without (WB-EMS) dietary supplementation (150 kcal/day, 56% protein) or a non-training control group (CG). WB-EMS included one session of 20 min (85 Hz, 350 μs, 4 s of strain–4 s of rest) per week with moderate-to-high intensity. The primary study endpoint was the MetS Z-score with the components waist circumference (WC), mean arterial pressure (MAP), triglycerides, fasting plasma glucose, and high-density lipoprotein cholesterol (HDL-C); secondary study endpoints were changes in these determining variables.ResultsMetS Z-score decreased in both groups; however, changes compared with the CG were significant (P=0.001) in the WB-EMS&P group only. On analyzing the components of the MetS, significant positive effects for both WB-EMS groups (P≤0.038) were identified for MAP, while the WB-EMS group significantly differed for WC (P=0.036), and the WB-EMS&P group significantly differed for HDL-C (P=0.006) from the CG. No significant differences were observed between the WB-EMS groups.ConclusionThe study clearly confirms the favorable effect of WB-EMS application on the MetS in community-dwelling women aged ≥70 years with SO. However, protein-enriched supplements did not increase effects of WB-EMS alone. In summary, we considered this novel technology an effective and safe method to prevent cardiometabolic risk factors and diseases in older women unable or unwilling to exercise conventionally.

show abstract

Section: Discussionmentioning

confidence: 95%

Impact of whole body electromyostimulation on cardiometabolic risk factors in older women with sarcopenic obesity: the randomized controlled FORMOsA-sarcopenic obesity study

Wittmann¹,

Sieber²,

Stengel³

et al. 2016

CIA

View full text Add to dashboard Cite

show abstract

“…However, our recent studies determined that drawing lots and thus randomizing “oneself” boosted acceptance of a nonfavored study group, a very important aspect in nonblindable intervention studies [38, 39]. …”

Section: Discussionmentioning

confidence: 99%

Protein Supplementation to Augment the Effects of High Intensity Resistance Training in Untrained Middle-Aged Males: The Randomized Controlled PUSH Trial

Wittke

Stengel

Hettchen

et al. 2017

BioMed Research International

View full text Add to dashboard Cite

High intensity (resistance exercise) training (HIT) defined as a “single set resistance exercise to muscular failure” is an efficient exercise method that allows people with low time budgets to realize an adequate training stimulus. Although there is an ongoing discussion, recent meta-analysis suggests the significant superiority of multiple set (MST) methods for body composition and strength parameters. The aim of this study is to determine whether additional protein supplementation may increase the effect of a HIT-protocol on body composition and strength to an equal MST-level. One hundred and twenty untrained males 30–50 years old were randomly allocated to three groups: (a) HIT, (b) HIT and protein supplementation (HIT&P), and (c) waiting-control (CG) and (after cross-over) high volume/high-intensity-training (HVHIT). HIT was defined as “single set to failure protocol” while HVHIT consistently applied two equal sets. Protein supplementation provided an overall intake of 1.5–1.7 g/kg/d/body mass. Primary study endpoint was lean body mass (LBM). LBM significantly improved in all exercise groups (p ≤ 0.043); however only HIT&P and HVHIT differ significantly from control (p ≤ 0.002). HIT diverges significantly from HIT&P (p = 0.017) and nonsignificantly from HVHIT (p = 0.059), while no differences were observed for HIT&P versus HVHIT (p = 0.691). In conclusion, moderate to high protein supplementation significantly increases the effects of a HIT-protocol on LBM in middle-aged untrained males.

show abstract

“…A total of 21 studies have investigated its influence on physical fitness and health in trained and untrained individuals, and in patients who cannot perform conventional modalities of exercise because of physical or mental illness . Most of these studies (n = 10) have examined the role of whole‐body electromyostimulation training on body composition parameters, showing that this training modality induced a generally decrease of FM and a generally increase of LM in (a) sedentary older men and women with sarcopenic obesity (all of them aged > 70 years old), (b) in sedentary older women with obesity (aged > 70 years old), (c) in moderately trained male runners, (d) in sedentary healthy men (aged 30‐50 years old), and (e) in moderately trained healthy women (aged > 55 years old) . In addition, a study conducted in sedentary older women with osteopenia (aged > 70 years old) suggested that a 54‐week whole‐body electromyostimulation training program could be an option for maintaining BMD …”

Section: Introductionmentioning

confidence: 99%

Effects of different exercise training programs on body composition: A randomized control trial

Amaro‐Gahete

De‐la‐O

Ruiz

et al. 2019

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

We aimed to investigate the effects of different exercise training programs on body composition parameters in sedentary middle‐aged adults. A total of 89 middle‐aged adults (53.5 ± 4.9 years old; ~53% women) participated in the FIT‐AGEING study. A 12‐week randomized controlled trial was performed with a parallel group design. The participants were randomly assigned to (a) a concurrent training based on physical activity recommendation from the World Health Organization group (PAR group), (b) a high‐intensity interval training group (HIIT group), and (c) a high‐intensity interval training group adding whole‐body electromyostimulation group (WB‐EMS group). A significant decrease of fat body mass, fat body mass index, and visceral adipose tissue was observed in all training modalities compared to the control group (all P ≤ 0.001). There was a significant increase in lean body mass in the HIIT group as well as in the WB‐EMS group compared to the control group and the PAR group (all P ≤ 0.044), whereas an increment of lean body mass index was only observed in the WB‐EMS group compared to the control group and the PAR group (all P ≤ 0.042). A significant increase of bone mineral content was observed in the WB‐EMS group compared to the control group (P = 0.015), while no changes were found in the PAR group and in the HIIT group compared to the control group (all P ≥ 0.2). Our findings suggest that PAR, HIIT, and WB‐EMS can be used as a strategy to improve body composition parameters, obtaining slightly better results with the application of WB‐EMS.

show abstract

Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Resultsof the randomized controlled FORMOsA-sarcopenic obesity study

Abstract: WB-EMS is a safe and attractive method for increasing muscle mass and functional capacity in this cohort of women 70+ with SO; however, the effect on body fat is minor. Protein-enriched supplements did not increase effects of WB-EMS alone.

Cited by 99 publications

References 38 publications

Impact of whole body electromyostimulation on cardiometabolic risk factors in older women with sarcopenic obesity: the randomized controlled FORMOsA-sarcopenic obesity study

Impact of whole body electromyostimulation on cardiometabolic risk factors in older women with sarcopenic obesity: the randomized controlled FORMOsA-sarcopenic obesity study

Protein Supplementation to Augment the Effects of High Intensity Resistance Training in Untrained Middle-Aged Males: The Randomized Controlled PUSH Trial

Effects of different exercise training programs on body composition: A randomized control trial

Contact Info

Product

Resources

About