Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study

Wolfgang Kemmler,1 Anja Weissenfels,1 Marc Teschler,1 Sebastian Willert,1 Michael Bebenek,1 Mahdieh Shojaa,1 Matthias Kohl,2 Ellen Freiberger,3 Cornel Sieber,3 Simon von Stengel1 1Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany; 2Faculty...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kemmler W, Weissenfels A, Teschler M, Willert S, Bebenek M, Shojaa M, Kohl M, Freiberger E, Sieber C, von Stengel S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Sarcopenia sarcopenic obesity exercise Electromyostimulation older men Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/036d66b3621748218a942c5f14892c0c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:036d66b3621748218a942c5f14892c0c
record_format	dspace
spelling	oai:doaj.org-article:036d66b3621748218a942c5f14892c0c2021-12-02T05:53:05ZWhole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study1178-1998https://doaj.org/article/036d66b3621748218a942c5f14892c0c2017-09-01T00:00:00Zhttps://www.dovepress.com/whole-body-electromyostimulation-and-protein-supplementation-favorably-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Wolfgang Kemmler,1 Anja Weissenfels,1 Marc Teschler,1 Sebastian Willert,1 Michael Bebenek,1 Mahdieh Shojaa,1 Matthias Kohl,2 Ellen Freiberger,3 Cornel Sieber,3 Simon von Stengel1 1Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany; 2Faculty of Medical and Life Science, University of Furtwangen, Schwenningen, Germany; 3Institute of Biomedicine of Aging, Friedrich-Alexander University of Erlangen-Nürnberg, Nürnberg, Germany Background: Sarcopenic obesity (SO) is a geriatric syndrome characterized by the disproportion between the amount of lean mass and fat mass. Exercise decreases fat and maintains muscle mass; however, older people fail to exercise at doses sufficient to affect musculoskeletal and cardiometabolic risk factors. The aim of this study was to evaluate the effect of whole-body electromyostimulation (WB-EMS), a time-efficient, joint-friendly and highly individualized exercise technology, on sarcopenia and SO in older men. Materials and methods: A total of 100 community-dwelling northern Bavarian men aged ≥70 years with sarcopenia and obesity were randomly (1–1–1) assigned to either 16 weeks of 1) WB-EMS and protein supplementation (WB-EMS&P), 2) isolated protein supplementation or 3) nonintervention control. WB-EMS consisted of 1.5×20 min (85 Hz, 350 µs, 4 s of strain to 4 s of rest) applied with moderate-to-high intensity while moving. We further generated a daily protein intake of 1.7–1.8 g/kg/body mass per day. The primary study end point was Sarcopenia Z-Score, and the secondary study end points were body fat rate (%), skeletal muscle mass index (SMI) and handgrip strength. Results: Intention-to-treat analysis determined a significantly favorable effect of WB-EMS&P (P<0.001) and protein (P=0.007) vs control. Both groups significantly (P<0.001) lost body fat (WB-EMS&P: 2.1%; protein: 1.1%) and differed significantly (P≤0.004) from control (0.3%). Differences between WB-EMS&P and protein were significant for the Sarcopenia Z-Score (P=0.39) and borderline nonsignificant (P=0.051) for body fat. SMI increased significantly in both groups (P<0.001 and P=0.043) and decreased significantly in the control group (CG; P=0.033); differences between the verum groups and control were significant (P≤0.009). Handgrip strength increased in the WB-EMS group (1.90 kg; P<0.001; P=0.050 vs control) only. No adverse effects of WB-EMS or protein supplementation were recorded. Conclusion: WB-EMS&P is a safe and efficient method for tackling sarcopenia and SO in older men. However, the suboptimum effect on functional parameters should be addressed by increased voluntary activation during WB-EMS application. Keywords: sarcopenia, sarcopenic obesity, exercise, electrostimulation, older peopleKemmler WWeissenfels ATeschler MWillert SBebenek MShojaa MKohl MFreiberger ESieber Cvon Stengel SDove Medical PressarticleSarcopeniasarcopenic obesityexerciseElectromyostimulationolder menGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1503-1513 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sarcopenia sarcopenic obesity exercise Electromyostimulation older men Geriatrics RC952-954.6
spellingShingle	Sarcopenia sarcopenic obesity exercise Electromyostimulation older men Geriatrics RC952-954.6 Kemmler W Weissenfels A Teschler M Willert S Bebenek M Shojaa M Kohl M Freiberger E Sieber C von Stengel S Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
description	Wolfgang Kemmler,1 Anja Weissenfels,1 Marc Teschler,1 Sebastian Willert,1 Michael Bebenek,1 Mahdieh Shojaa,1 Matthias Kohl,2 Ellen Freiberger,3 Cornel Sieber,3 Simon von Stengel1 1Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany; 2Faculty of Medical and Life Science, University of Furtwangen, Schwenningen, Germany; 3Institute of Biomedicine of Aging, Friedrich-Alexander University of Erlangen-Nürnberg, Nürnberg, Germany Background: Sarcopenic obesity (SO) is a geriatric syndrome characterized by the disproportion between the amount of lean mass and fat mass. Exercise decreases fat and maintains muscle mass; however, older people fail to exercise at doses sufficient to affect musculoskeletal and cardiometabolic risk factors. The aim of this study was to evaluate the effect of whole-body electromyostimulation (WB-EMS), a time-efficient, joint-friendly and highly individualized exercise technology, on sarcopenia and SO in older men. Materials and methods: A total of 100 community-dwelling northern Bavarian men aged ≥70 years with sarcopenia and obesity were randomly (1–1–1) assigned to either 16 weeks of 1) WB-EMS and protein supplementation (WB-EMS&P), 2) isolated protein supplementation or 3) nonintervention control. WB-EMS consisted of 1.5×20 min (85 Hz, 350 µs, 4 s of strain to 4 s of rest) applied with moderate-to-high intensity while moving. We further generated a daily protein intake of 1.7–1.8 g/kg/body mass per day. The primary study end point was Sarcopenia Z-Score, and the secondary study end points were body fat rate (%), skeletal muscle mass index (SMI) and handgrip strength. Results: Intention-to-treat analysis determined a significantly favorable effect of WB-EMS&P (P<0.001) and protein (P=0.007) vs control. Both groups significantly (P<0.001) lost body fat (WB-EMS&P: 2.1%; protein: 1.1%) and differed significantly (P≤0.004) from control (0.3%). Differences between WB-EMS&P and protein were significant for the Sarcopenia Z-Score (P=0.39) and borderline nonsignificant (P=0.051) for body fat. SMI increased significantly in both groups (P<0.001 and P=0.043) and decreased significantly in the control group (CG; P=0.033); differences between the verum groups and control were significant (P≤0.009). Handgrip strength increased in the WB-EMS group (1.90 kg; P<0.001; P=0.050 vs control) only. No adverse effects of WB-EMS or protein supplementation were recorded. Conclusion: WB-EMS&P is a safe and efficient method for tackling sarcopenia and SO in older men. However, the suboptimum effect on functional parameters should be addressed by increased voluntary activation during WB-EMS application. Keywords: sarcopenia, sarcopenic obesity, exercise, electrostimulation, older people
format	article
author	Kemmler W Weissenfels A Teschler M Willert S Bebenek M Shojaa M Kohl M Freiberger E Sieber C von Stengel S
author_facet	Kemmler W Weissenfels A Teschler M Willert S Bebenek M Shojaa M Kohl M Freiberger E Sieber C von Stengel S
author_sort	Kemmler W
title	Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
title_short	Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
title_full	Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
title_fullStr	Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
title_full_unstemmed	Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study
title_sort	whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled franso study
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/036d66b3621748218a942c5f14892c0c
work_keys_str_mv	AT kemmlerw wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT weissenfelsa wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT teschlerm wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT willerts wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT bebenekm wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT shojaam wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT kohlm wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT freibergere wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT sieberc wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy AT vonstengels wholebodyelectromyostimulationandproteinsupplementationfavorablyaffectsarcopenicobesityincommunitydwellingoldermenatrisktherandomizedcontrolledfransostudy
_version_	1718400152457183232

Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study

Ejemplares similares