Osteoporosis International

, Volume 27, Issue 11, pp 3261–3270 | Cite as

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

  • W. Kemmler
  • M. Teschler
  • A. Weissenfels
  • M. Bebenek
  • S. von Stengel
  • M. Kohl
  • E. Freiberger
  • S. Goisser
  • F. Jakob
  • C. Sieber
  • K. Engelke
Original Article

Abstract

Summary

The effect of whole body-electromyostimulation in community-dwelling women ≥70 with sarcopenic obesity was heterogeneous, with high effects on muscle mass, moderate effects on functional parameters, and minor effects on fat mass. Further, we failed to determine a supportive effect of additional protein-enriched dietary supplementation in this albeit predominately well-nourished group.

Introduction

The aim of the study was to determine the effect of whole-body electromyostimulation (WB-EMS) on sarcopenic obesity (SO) in community-dwelling women more than 70 years with sarcopenic obesity.

Methods

Seventy-five community-dwelling women ≥70 years with SO were randomly allocated to either a WB-EMS-application with (WB-EMS &P; 24.9 ± 1.9 kg/m2) or without (WB-EMS; 25.2 ± 1.8 kg/m2) dietary supplementation (150 kcal/day, 56 % protein) or a non-training control group (CG; 24.7 ± 1.4 kg/m2). WB-EMS consisted of one weekly session of 20 min (85 Hz, 350 μs, 4 s of strain–4 s of rest) performed with moderate to high intensity. Primary study endpoint was the Sarcopenia Z-Score constituted by skeletal muscle mass index (SMI, as assessed by dual energy X-ray absorptiometry), grip strength, and gait speed, and secondary study endpoint was body fat (%).

Results

Sarcopenia Z-score comparably increases in the WB-EMS and the WB-EMS&P-group (p ≤ .046). Both groups differ significantly (p ≤ .001) from the CG which deteriorated significantly (p = .006). Although body fat changes were most pronounced in the WB-EMS (−0.9 ± 2.1; p = .125) and WB-EMS&P (−1.4 ± 2.5; p = .028), reductions did not statistically differ (p = .746) from the CG (−0.8 ± 2.7; p = .179). Looking behind the covariates, the most prominent changes were determined for SMI, with a significant increase in both EMS-groups (2.0–2.5 %; p ≤ .003) and a decrease in the CG (−1.2 ± 3.1 %; p = .050) with significant between-group differences (p = .001).

Conclusion

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.

Keywords

Body fat Community-dwelling older people Sarcopenic obesity Skeletal muscle mass Whole-body electromyostimulation 

Notes

Acknowledgments

We like to thank the “Bayerische Forschungsstiftung” (Munich, Germany) that supported the FORMOsA-Project. We further acknowledge the support of miha-bodytec (Gersthofen, Germany), Nutricia (Erlangen, Germany), and physiomed (Leipersdorf, Germany).

Trial registration number

NCT02356016 on www.clinicaltrials.gov

Compliance with ethical standards

Conflict of interest

None.

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2016

Authors and Affiliations

  • W. Kemmler
    • 1
  • M. Teschler
    • 1
  • A. Weissenfels
    • 1
  • M. Bebenek
    • 1
  • S. von Stengel
    • 1
  • M. Kohl
    • 2
  • E. Freiberger
    • 3
  • S. Goisser
    • 3
  • F. Jakob
    • 4
  • C. Sieber
    • 3
  • K. Engelke
    • 1
  1. 1.Institute of Medical PhysicsFAU Erlangen-NürnbergErlangenGermany
  2. 2.Faculty of Medical and Life SciencesUniversity of FurtwangenFurtwangenGermany
  3. 3.Institute for Biomedicine of AgingFAU Erlangen NürnbergNürnbergGermany
  4. 4.Musculoskeletal Research CenterUniversity of WürzburgWürzburgGermany

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