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The effect of 6 weeks electrical muscle stimulation training and aerobic exercise on body composition of overweight women: a randomized controlled study

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Abstract

Background and aims

Aerobic exercise has proven positive effects on weight reduction and body composition improvement. During recent years, whole-body electrical muscle stimulation (WB-EMS) training has received attention as a method for time-efficient exercise. So, the purpose of this study was to determine the effect of superimposed whole-body EMS compared to aerobic exercise alone on body composition.

Methods

Forty sedentary overweight women aged 20–45 years old were randomly allocated to either moderate intensity aerobic exercise (3 days/week) or aerobic exercise (3 days/week) plus WB-EMS (2 days/week) for 6 weeks. WB-EMS was conducted with intermittent stimulation (6 s WB-EMS, 4 s rest; 85 Hz, 350 ms) over 20 min. The main outcome parameters were weight, body fat mass, percent body fat (PBF), lean body mass (LBM), waist and hip circumferences and abdominal and suprailiac skinfold.

Results

After 6 weeks, both groups showed improvement in weight and body composition parameters based on bioimpedance (BIA) without statistical differences between groups (p > 0.05). Skinfold decreased in abdominal and suprailiac points in both groups (p = 0.000), with significant between-group difference for abdominal skinfold (p = 0.04). Waist and hip circumferences decreased in both groups (p < 0.05), without differences between groups (p = 0.69 and p = 0.43, respectively).

Conclusion

According to the results of the present study, aerobic exercise improved body composition and WB-EMS added no significant benefits, except for some added improvement in abdominal skinfold.

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Availability of data and material

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Bauer UE, Briss PA, Goodman RA, Bowman BA (2014) Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet 384(9937):45–52. https://doi.org/10.1016/S0140-6736(14)60648-6

    Article  PubMed  Google Scholar 

  2. Engin A (2017) The definition and prevalence of obesity and metabolic syndrome. Adv Exp Med Biol 960:1–17. https://doi.org/10.1007/978-3-319-48382-5_1

    Article  CAS  PubMed  Google Scholar 

  3. Kelly T, Yang W, Chen CS, Reynolds K, He J (2008) Global burden of obesity in 2005 and projections to 2030. Int J Obes 32(9):1431–1437. https://doi.org/10.1038/ijo.2008.102

    Article  CAS  Google Scholar 

  4. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ, Jordan HS, Kendall KA, Lux LJ, Mentor-Marcel R, Morgan LC, Trisolini MG, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith JrTomaselli SCGF (2014) 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation 129(25 Suppl 2):S102-138. https://doi.org/10.1161/01.cir.0000437739.71477.ee

    Article  PubMed  Google Scholar 

  5. Chooi YC, Ding C, Magkos F (2019) The epidemiology of obesity. Metabolism 92:6–10. https://doi.org/10.1016/j.metabol.2018.09.005

    Article  CAS  PubMed  Google Scholar 

  6. Apovian CM (2016) Obesity: definition, comorbidities, causes, and burden. Am J Manag Care 22(7 Suppl):s176-185

    PubMed  Google Scholar 

  7. Zhang Y, Liu J, Yao J, Ji G, Qian L, Wang J, Zhang G, Tian J, Nie Y, Zhang YE, Gold MS, Liu Y (2014) Obesity: pathophysiology and intervention. Nutrients 6(11):5153–5183. https://doi.org/10.3390/nu6115153

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Cho J, Juon HS (2006) Assessing overweight and obesity risk among Korean Americans in California using World Health Organization body mass index criteria for Asians. Prev Chronic Dis 3(3):A79

    PubMed  PubMed Central  Google Scholar 

  9. Resnick HE, Carter EA, Aloia M, Phillips B (2006) Cross-sectional relationship of reported fatigue to obesity, diet, and physical activity: results from the third national health and nutrition examination survey. J Clin Sleep Med 2(2):163–169

    Article  PubMed  Google Scholar 

  10. Norris T, Hawton K, Hamilton-Shield J, Crawley E (2017) Obesity in adolescents with chronic fatigue syndrome: an observational study. Arch Dis Child 102(1):35–39. https://doi.org/10.1136/archdischild-2016-311293

    Article  CAS  PubMed  Google Scholar 

  11. Yang Y, Shields GS, Guo C, Liu Y (2018) Executive function performance in obesity and overweight individuals: a meta-analysis and review. Neurosci Biobehav Rev 84:225–244. https://doi.org/10.1016/j.neubiorev.2017.11.020

    Article  PubMed  Google Scholar 

  12. Maggio CA, Pi-Sunyer FX (1997) The prevention and treatment of obesity. Application to type 2 diabetes. Diabetes Care 20(11):1744–1766. https://doi.org/10.2337/diacare.20.11.1744

    Article  CAS  PubMed  Google Scholar 

  13. Alizadeh Z, Kordi R, Rostami M, Mansournia MA, Hosseinzadeh-Attar SMJ, Fallah J (2013) Comparison between the effects of continuous and intermittent aerobic exercise on weight loss and body fat percentage in overweight and obese women: a randomized controlled trial. Int J Prev Med 4(8):881–888

    PubMed  PubMed Central  Google Scholar 

  14. Alizadeh Z, Mostafaee M, Mazaheri R, Younespour S (2015) Acute effect of morning and afternoon aerobic exercise on appetite of overweight women. Asian J Sports Med 6(2):e24222. https://doi.org/10.5812/asjsm.6(2)20156.24222

    Article  PubMed  PubMed Central  Google Scholar 

  15. Kemmler W, Teschler M, Weißenfels A, Bebenek M, Fröhlich M, Kohl M, von Stengel S (2016) Effects of whole-body electromyostimulation versus high-intensity resistance exercise on body composition and strength: a randomized controlled study. Evid Based Complement Alternat Med 2016:9236809. https://doi.org/10.1155/2016/9236809

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kemmler W, Froehlich M, Von Stengel S, Kleinöder H (2016) Whole-body electromyostimulation–the need for common sense! Rationale and guideline for a safe and effective training. Dtsch Z Sportmed 67(9):218–221

    Article  Google Scholar 

  17. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP, Abu-Rmeileh NM, Achoki T, AlBuhairan FS, Alemu ZA, Alfonso R, Ali MK, Ali R, Guzman NA, Ammar W, Anwari P, Banerjee A, Barquera S, Basu S, Bennett DA, Bhutta Z, Blore J, Cabral N, Nonato IC, Chang JC, Chowdhury R, Courville KJ, Criqui MH, Cundiff DK, Dabhadkar KC, Dandona L, Davis A, Dayama A, Dharmaratne SD, Ding EL, Durrani AM, Esteghamati A, Farzadfar F, Fay DF, Feigin VL, Flaxman A, Forouzanfar MH, Goto A, Green MA, Gupta R, Hafezi-Nejad N, Hankey GJ, Harewood HC, Havmoeller R, Hay S, Hernandez L, Husseini A, Idrisov BT, Ikeda N, Islami F, Jahangir E, Jassal SK, Jee SH, Jeffreys M, Jonas JB, Kabagambe EK, Khalifa SE, Kengne AP, Khader YS, Khang YH, Kim D, Kimokoti RW, Kinge JM, Kokubo Y, Kosen S, Kwan G, Lai T, Leinsalu M, Li Y, Liang X, Liu S, Logroscino G, Lotufo PA, Lu Y, Ma J, Mainoo NK, Mensah GA, Merriman TR, Mokdad AH, Moschandreas J, Naghavi M, Naheed A, Nand D, Narayan KM, Nelson EL, Neuhouser ML, Nisar MI, Ohkubo T, Oti SO, Pedroza A, Prabhakaran D, Roy N, Sampson U, Seo H, Sepanlou SG, Shibuya K, Shiri R, Shiue I, Singh GM, Singh JA, Skirbekk V, Stapelberg NJ, Sturua L, Sykes BL, Tobias M, Tran BX, Trasande L, Toyoshima H, van de Vijver S, Vasankari TJ, Veerman JL, Velasquez-Melendez G, Vlassov VV, Vollset SE, Vos T, Wang C, Wang X, Weiderpass E, Werdecker A, Wright JL, Yang YC, Yatsuya H, Yoon J, Yoon SJ, Zhao Y, Zhou M, Zhu S, Lopez AD, Murray CJ, Gakidou E (2014) Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the global burden of disease study 2013. Lancet 384(9945):766–781. https://doi.org/10.1016/s0140-6736(14)60460-8

    Article  PubMed  PubMed Central  Google Scholar 

  18. Delitto A, Brown M, Strube MJ, Rose SJ, Lehman RC (1989) Electrical stimulation of quadriceps femoris in an elite weight lifter: a single subject experiment. Int J Sports Med 10(3):187–191. https://doi.org/10.1055/s-2007-1024898

    Article  CAS  PubMed  Google Scholar 

  19. Mehmet K, Kaçoğlu C, GÜROL B, (2014) Elektromyostimülasyon antrenmanlarinin nöral adaptasyon ve sportif performans üzerine etkileri. Spor Bilimleri Dergisi 25(3):142–158

    Google Scholar 

  20. Pano-Rodriguez A, Beltran-Garrido JV, Hernández-González V, Reverter-Masia J (2019) Effects of whole-body electromyostimulation on health and performance: a systematic review. BMC Complement Altern Med 19(1):87. https://doi.org/10.1186/s12906-019-2485-9

    Article  PubMed  PubMed Central  Google Scholar 

  21. Schink K, Herrmann HJ, Schwappacher R, Meyer J, Orlemann T, Waldmann E, Wullich B, Kahlmeyer A, Fietkau R, Lubgan D, Beckmann MW, Hack C, Kemmler W, Siebler J, Neurath MF, Zopf Y (2018) Effects of whole-body electromyostimulation combined with individualized nutritional support on body composition in patients with advanced cancer: a controlled pilot trial. BMC Cancer 18(1):886. https://doi.org/10.1186/s12885-018-4790-y

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Jose Amaro-Gahete F, De la OA, Robles-Gonzalez L, Joaquin Castillo M, Gutierrez A (2018) Impact of two whole-body electromyostimulation training modalities on body composition in recreational runners during endurance training cessation. Ricyde-Revista Int De Ciencias Del Deporte 14(53):205–218

    Article  Google Scholar 

  23. Kılıç T, Ugurlu A, Kal S (2018) Investigation of the effect of 6 weeks electro muscle stimulation training on physical changes in the sedentary men and women. J Educ Train Stud 6(9):21–25

    Article  Google Scholar 

  24. Pano-Rodriguez A, Beltran-Garrido JV, Hernandez-Gonzalez V, Nasarre-Nacenta N, Reverter-Masia J (2020) Impact of whole body electromyostimulation on velocity, power and body composition in postmenopausal women: a randomized controlled trial. Int J Environ Res Public Health 17(14):4982. https://doi.org/10.3390/ijerph17144982

    Article  PubMed Central  Google Scholar 

  25. Gorostegi-Anduaga I, Corres P, MartinezAguirre-Betolaza A, Pérez-Asenjo J, Aispuru GR, Fryer SM, Maldonado-Martín S (2018) Effects of different aerobic exercise programmes with nutritional intervention in sedentary adults with overweight/obesity and hypertension: EXERDIET-HTA study. Eur J Prev Cardiol 25(4):343–353. https://doi.org/10.1177/2047487317749956

    Article  PubMed  Google Scholar 

  26. Filipovic A, Kleinöder H, Dörmann U, Mester J (2011) Electromyostimulation–a systematic review of the influence of training regimens and stimulation parameters on effectiveness in electromyostimulation training of selected strength parameters. J Strength Cond Res 25(11):3218–3238. https://doi.org/10.1519/JSC.0b013e318212e3ce

    Article  PubMed  Google Scholar 

  27. Micke F, Kleinöder H, Dörmann U, Wirtz N, Donath L (2018) effects of an 8 week superimposed submaximal dynamic whole-body electromyostimulation training on strength and power parameters of the leg muscles: a randomized controlled intervention study. Front Physiol 9:1719. https://doi.org/10.3389/fphys.2018.01719

    Article  PubMed  PubMed Central  Google Scholar 

  28. Filipovic A, Kleinöder H, Dörmann U, Mester J (2012) Electromyostimulation–a systematic review of the effects of different electromyostimulation methods on selected strength parameters in trained and elite athletes. J Strength Cond Res 26(9):2600–2614. https://doi.org/10.1519/JSC.0b013e31823f2cd1

    Article  PubMed  Google Scholar 

  29. Wirtz N, Dörmann U, Micke F, Filipovic A, Kleinöder H, Donath L (2019) Effects of whole-body electromyostimulation on strength-, sprint-, and jump performance in moderately trained young adults: a mini-meta-analysis of five homogenous rcts of our work group. Front Physiol 10:1336. https://doi.org/10.3389/fphys.2019.01336

    Article  PubMed  PubMed Central  Google Scholar 

  30. Dörmann U, Wirtz N, Micke F, Morat M, Kleinöder H, Donath L (2019) The effects of superimposed whole-body electromyostimulation during short-term strength training on physical fitness in physically active females: a randomized controlled trial. Front Physiol 10:728. https://doi.org/10.3389/fphys.2019.00728

    Article  PubMed  PubMed Central  Google Scholar 

  31. Wirtz N, Zinner C, Doermann U, Kleinoeder H, Mester J (2016) Effects of loaded squat exercise with and without application of superimposed EMS on physical performance. J Sports Sci Med 15(1):26–33

    PubMed  PubMed Central  Google Scholar 

  32. Mathes S, Lehnen N, Link T, Bloch W, Mester J, Wahl P (2017) Chronic effects of superimposed electromyostimulation during cycling on aerobic and anaerobic capacity. Eur J Appl Physiol 117(5):881–892. https://doi.org/10.1007/s00421-017-3572-6

    Article  PubMed  Google Scholar 

  33. Goisser S, Kemmler W, Porzel S, Volkert D, Sieber CC, Bollheimer LC, Freiberger E (2015) Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons–a narrative review. Clin Interv Aging 10:1267–1282. https://doi.org/10.2147/cia.s82454

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kemmler W, Bebenek M, Engelke K, von Stengel S (2014) Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the training and electrostimulation trial (TEST-III). Age (Dordr) 36(1):395–406. https://doi.org/10.1007/s11357-013-9575-2

    Article  Google Scholar 

  35. Kemmler W, Grimm A, Bebenek M, Kohl M, von Stengel S (2018) Effects of combined whole-body electromyostimulation and protein supplementation on local and overall muscle/fat distribution in older men with sarcopenic obesity: the randomized controlled franconia sarcopenic obesity (FranSO) study. Calcif Tissue Int 103(3):266–277. https://doi.org/10.1007/s00223-018-0424-2

    Article  CAS  PubMed  Google Scholar 

  36. Kemmler W, Teschler M, Weissenfels A, Bebenek M, von Stengel S, Kohl M, Freiberger E, Goisser S, Jakob F, Sieber C, Engelke K (2016) Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Resultsof the randomized controlled FORMOsA-sarcopenic obesity study. Osteoporos Int 27(11):3261–3270. https://doi.org/10.1007/s00198-016-3662-z

    Article  CAS  PubMed  Google Scholar 

  37. Kemmler W, von Stengel S, Kohl M (2020) Safety of a combined WB-EMS and high-protein diet intervention in sarcopenic obese elderly men. Clin Interv Aging 15:953–967. https://doi.org/10.2147/cia.s248868

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Kim H, Kim M, Kojima N, Fujino K, Hosoi E, Kobayashi H, Somekawa S, Niki Y, Yamashiro Y, Yoshida H (2016) Exercise and nutritional supplementation on community-dwelling elderly Japanese women with sarcopenic obesity: a randomized controlled trial. J Am Med Dir Assoc 17(11):1011–1019. https://doi.org/10.1016/j.jamda.2016.06.016

    Article  PubMed  Google Scholar 

  39. Baumgartner RN (2000) Body composition in healthy aging. Ann NY Acad Sci 904:437–448. https://doi.org/10.1111/j.1749-6632.2000.tb06498.x

    Article  CAS  PubMed  Google Scholar 

  40. Heber D, Ingles S, Ashley JM, Maxwell MH, Lyons RF, Elashoff RM (1996) Clinical detection of sarcopenic obesity by bioelectrical impedance analysis. Am J Clin Nutr 64(3 Suppl):472s–477s. https://doi.org/10.1093/ajcn/64.3.472S

    Article  CAS  PubMed  Google Scholar 

  41. Choi KM (2016) Sarcopenia and sarcopenic obesity. Korean J Intern Med 31(6):1054–1060. https://doi.org/10.3904/kjim.2016.193

    Article  PubMed  PubMed Central  Google Scholar 

  42. Kemmler W, Kohl M, Freiberger E, Sieber C, von Stengel S (2018) Effect of whole-body electromyostimulation and/or protein supplementation on obesity and cardiometabolic risk in older men with sarcopenic obesity: the randomized controlled FranSO trial. BMC Geriatr 18(1):70. https://doi.org/10.1186/s12877-018-0759-6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Kemmler W, Weissenfels A, Teschler M, Willert S, Bebenek M, Shojaa M, Kohl M, Freiberger E, Sieber C, von Stengel S (2017) Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study. Clin Interv Aging 12:1503–1513. https://doi.org/10.2147/cia.s137987

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Kemmler W, von Stengel S (2013) Whole-body electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging 8:1353–1364. https://doi.org/10.2147/cia.s52337

    Article  PubMed  PubMed Central  Google Scholar 

  45. Von Stengel S, Bebenek M, Engelke K (2015) Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III). J Osteoporos 2015:643520. https://doi.org/10.1155/2015/643520

    Article  Google Scholar 

  46. de Souza F, Lanzendorf FN, de Souza MMM, Schuelter-Trevisol F, Trevisol DJ (2020) Effectiveness of martial arts exercise on anthropometric and body composition parameters of overweight and obese subjects: a systematic review and meta-analysis. BMC Pub Health 20(1):1246. https://doi.org/10.1186/s12889-020-09340-x

    Article  Google Scholar 

  47. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK (2009) American college of sports medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 41(2):459–471. https://doi.org/10.1249/MSS.0b013e3181949333

    Article  PubMed  Google Scholar 

  48. Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB (2015) Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep 4(3):363–370. https://doi.org/10.1007/s13679-015-0169-4

    Article  PubMed  Google Scholar 

  49. Westerterp KR (2018) Exercise, energy balance and body composition. Eur J Clin Nutr 72(9):1246–1250. https://doi.org/10.1038/s41430-018-0180-4

    Article  PubMed  PubMed Central  Google Scholar 

  50. Sanal E, Ardic F, Kirac S (2013) Effects of aerobic or combined aerobic resistance exercise on body composition in overweight and obese adults: gender differences. A randomized intervention study. Eur J Phys Rehabil Med 49(1):1–11

    CAS  PubMed  Google Scholar 

  51. Amaro-Gahete FJ, De-la OA, Jurado-Fasoli L (2019) Effects of different exercise training programs on body composition: a randomized control trial. Scand J Med Sci Sports 29(7):968–979. https://doi.org/10.1111/sms.13414

    Article  PubMed  Google Scholar 

  52. Šarabon N, Kozinc Ž, Löfler S (2020) Resistance exercise, electrical muscle stimulation, and whole-body vibration in older adults: systematic review and meta-analysis of randomized controlled trials. J Clin Med 9(9):2902. https://doi.org/10.3390/jcm9092902

    Article  PubMed Central  Google Scholar 

  53. Stöllberger C, Finsterer J (2019) Side effects of whole-body electro-myo-stimulation. Wien Med Wochenschr 169(7–8):173–180. https://doi.org/10.1007/s10354-018-0655-x

    Article  PubMed  Google Scholar 

  54. Stöllberger C, Finsterer J (2019) Side effects of and contraindications for whole-body electro-myo-stimulation: a viewpoint. BMJ Open Sport Exerc Med 5(1):e000619. https://doi.org/10.1136/bmjsem-2019-000619

    Article  PubMed  PubMed Central  Google Scholar 

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All authors contributed to the study conception and design. Material preparation was performed by ZA, SG and MRT. Data collection and analysis were performed by ZA, ZT and FH. The first draft of the manuscript was written by FM and DB, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Zahra Alizadeh.

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Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors. Authors whose names appear on the submission have contributed sufficiently to the scientific work and therefore share collective responsibility and accountability for the results.

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All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments/comparable ethical standards. This study was approved by the ethical committee in Tehran University of Medical Sciences, Tehran, Iran (IRCT20111025007903N12).

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Ghannadi, S., Halabchi, F., Maleklou, F. et al. The effect of 6 weeks electrical muscle stimulation training and aerobic exercise on body composition of overweight women: a randomized controlled study. Sport Sci Health 18, 1387–1395 (2022). https://doi.org/10.1007/s11332-022-00910-7

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