Benazir Burkhardt, Oliver Chaudry, Stephanie Kast, Simon von Stengel, Matthias Kohl, Frank W Roemer, Klaus Engelke, Michael Uder, Wolfgang Kemmler
{"title":"全身肌电刺激对超重至肥胖成人膝骨关节炎患者内脏脂肪组织体积的影响：一项随机对照研究。","authors":"Benazir Burkhardt, Oliver Chaudry, Stephanie Kast, Simon von Stengel, Matthias Kohl, Frank W Roemer, Klaus Engelke, Michael Uder, Wolfgang Kemmler","doi":"10.3389/fphys.2025.1544332","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Physical exercise favorably affects visceral adipose tissue (VAT), which is a risk factor for cardiometabolic diseases. However, many people are unable or unwilling to conduct frequent and intensive exercise programs that have favorable effects on VAT. The present study aimed to determine the effect of time-efficient and joint-friendly whole-body electromyostimulation (WB-EMS) technology on VAT volume in overweight-to-obese adults with osteoarthritis of the knee.</p><p><strong>Methods: </strong>In total, 46 women and 26 men (58.4 ± 7.0 years; BMI: 30.2 ± 4.2 kg/m<sup>2</sup>) with femuro-tibial knee osteoarthritis were randomly allocated to WB-EMS (n = 36) with 1.5 × 20 min/week for 29 weeks or a usual care control group (CG: n = 36) with six sessions of physiotherapy. Magnetic resonance imaging (MRI) using a non-contrast enhanced two-point Dixon gradient echo volumetric interpolated breath-hold examination determined the VAT from mid L2 to mid L3.</p><p><strong>Results: </strong>In summary, VAT volume increased non-significantly in the CG (p = 0.246) and decreased non-significantly in the WB-EMS group (p = 0.143). We failed to determine significant WB-EMS-induced effects, i.e., group differences for absolute changes in the VAT volume (p = 0.090). However, we observed gender differences with significantly higher effects in men than in women (p = 0.032).</p><p><strong>Discussion: </strong>We conclude that low volume, non-superimposed WB-EMS is not a perfect tool for decreasing VAT, particularly in overweight-to-obese women.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1544332"},"PeriodicalIF":3.2000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037472/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effect of whole-body electromyostimulation on visceral adipose tissue volume in overweight-to-obese adults with knee osteoarthritis: A randomized controlled study.\",\"authors\":\"Benazir Burkhardt, Oliver Chaudry, Stephanie Kast, Simon von Stengel, Matthias Kohl, Frank W Roemer, Klaus Engelke, Michael Uder, Wolfgang Kemmler\",\"doi\":\"10.3389/fphys.2025.1544332\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Physical exercise favorably affects visceral adipose tissue (VAT), which is a risk factor for cardiometabolic diseases. However, many people are unable or unwilling to conduct frequent and intensive exercise programs that have favorable effects on VAT. The present study aimed to determine the effect of time-efficient and joint-friendly whole-body electromyostimulation (WB-EMS) technology on VAT volume in overweight-to-obese adults with osteoarthritis of the knee.</p><p><strong>Methods: </strong>In total, 46 women and 26 men (58.4 ± 7.0 years; BMI: 30.2 ± 4.2 kg/m<sup>2</sup>) with femuro-tibial knee osteoarthritis were randomly allocated to WB-EMS (n = 36) with 1.5 × 20 min/week for 29 weeks or a usual care control group (CG: n = 36) with six sessions of physiotherapy. Magnetic resonance imaging (MRI) using a non-contrast enhanced two-point Dixon gradient echo volumetric interpolated breath-hold examination determined the VAT from mid L2 to mid L3.</p><p><strong>Results: </strong>In summary, VAT volume increased non-significantly in the CG (p = 0.246) and decreased non-significantly in the WB-EMS group (p = 0.143). We failed to determine significant WB-EMS-induced effects, i.e., group differences for absolute changes in the VAT volume (p = 0.090). However, we observed gender differences with significantly higher effects in men than in women (p = 0.032).</p><p><strong>Discussion: </strong>We conclude that low volume, non-superimposed WB-EMS is not a perfect tool for decreasing VAT, particularly in overweight-to-obese women.</p>\",\"PeriodicalId\":12477,\"journal\":{\"name\":\"Frontiers in Physiology\",\"volume\":\"16 \",\"pages\":\"1544332\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037472/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Physiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fphys.2025.1544332\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PHYSIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Physiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fphys.2025.1544332","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PHYSIOLOGY","Score":null,"Total":0}
The effect of whole-body electromyostimulation on visceral adipose tissue volume in overweight-to-obese adults with knee osteoarthritis: A randomized controlled study.
Introduction: Physical exercise favorably affects visceral adipose tissue (VAT), which is a risk factor for cardiometabolic diseases. However, many people are unable or unwilling to conduct frequent and intensive exercise programs that have favorable effects on VAT. The present study aimed to determine the effect of time-efficient and joint-friendly whole-body electromyostimulation (WB-EMS) technology on VAT volume in overweight-to-obese adults with osteoarthritis of the knee.
Methods: In total, 46 women and 26 men (58.4 ± 7.0 years; BMI: 30.2 ± 4.2 kg/m2) with femuro-tibial knee osteoarthritis were randomly allocated to WB-EMS (n = 36) with 1.5 × 20 min/week for 29 weeks or a usual care control group (CG: n = 36) with six sessions of physiotherapy. Magnetic resonance imaging (MRI) using a non-contrast enhanced two-point Dixon gradient echo volumetric interpolated breath-hold examination determined the VAT from mid L2 to mid L3.
Results: In summary, VAT volume increased non-significantly in the CG (p = 0.246) and decreased non-significantly in the WB-EMS group (p = 0.143). We failed to determine significant WB-EMS-induced effects, i.e., group differences for absolute changes in the VAT volume (p = 0.090). However, we observed gender differences with significantly higher effects in men than in women (p = 0.032).
Discussion: We conclude that low volume, non-superimposed WB-EMS is not a perfect tool for decreasing VAT, particularly in overweight-to-obese women.
期刊介绍：
Frontiers in Physiology is a leading journal in its field, publishing rigorously peer-reviewed research on the physiology of living systems, from the subcellular and molecular domains to the intact organism, and its interaction with the environment. Field Chief Editor George E. Billman at the Ohio State University Columbus is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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