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Effects of whole-body electromyostimulation on resting metabolic rate, body composition, and maximum strength in postmenopausal women: the Training and ElectroStimulation Trial [with consumer summary] |
Kemmler W, Schliffka R, Mayhew JL, von Stengel S |
Journal of Strength & Conditioning Research 2010 Jul;24(7):1880-1887 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
We evaluated the effect of whole-body electromyostimulation (WB-EMS) during dynamic exercises over 14 weeks on anthropometric, physiological, and muscular parameters in postmenopausal women. Thirty women (64.5 +/- 5.5 years) with experience in physical training (> 3 years) were randomly assigned either to a control group (CON, n = 15) that maintained their general training program (2x60 min/wk of endurance and dynamic strength exercise) or to an electromyostimulation group (WB-EMS, n = 15) that additionally performed a 20-minute WB-EMS training (2x20 min/10 d). Resting metabolic rate (RMR) determined from spirometry was selected to indicate muscle mass. In addition, body circumferences, subcutaneous skinfolds, strength, power, and dropout and adherence values. Resting metabolic rate was maintained in WB-EMS (-0.1 +/- 4.8 kcal/h) and decreased in CON (-3.2 +/- 5.2 kcal/h, p = 0.038); although group differences were not significant (p = 0.095), there was a moderately strong effect size (ES 0.62). Sum of skinfolds (28.6%) and waist circumference (22.3%) significantly decreased in WB-EMS whereas both parameters (1.4 and 0.1%, respectively) increased in CON (p = 0.001, ES 1.37 and 1.64, respectively), whereas both parameters increased in CON (1.4 and 0.1%, respectively). Isometric strength changes of the trunk extensors and leg extensors differed significantly (p <= 0.006) between WB-EMS and CON (9.9% versus -6.4%, ES 1.53; 9.6% versus -4.5%, ES 1.43, respectively). In summary, adjunct WB-EMS training significantly exceeds the effect of isolated endurance and resistance type exercise on fitness and fatness parameters. Further, we conclude that for elderly subjects unable or unwilling to perform dynamic strength exercises, electromyostimulation may be a smooth alternative to maintain lean body mass, strength, and power.
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