PMID- 29802953 OWN - NLM STAT- MEDLINE DCOM- 20180911 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 142 DP - 2018 Aug TI - Impact of prolonged neuromuscular electrical stimulation on metabolic profile and cognition-related blood parameters in type 2 diabetes: A randomized controlled cross-over trial. PG - 37-45 LID - S0168-8227(18)30072-X [pii] LID - 10.1016/j.diabres.2018.05.032 [doi] AB - AIMS: This study aimed to examine the effect of prolonged neuromuscular electrical stimulation (NMES) on the metabolic profile and cognition-related blood parameters in patients with type 2 diabetes mellitus (T2DM). METHODS: Fourteen patients with T2DM (63.2 +/- 3.0 years, 76.1 +/- 3.5 kg) participated in a randomized controlled cross-over study, in which 8-week-long NMES interventions were performed on both legs. The NMES training protocol consisted of 40-min sessions, 5 days per week, for 8 weeks. The relative changes in glucose and lipid profiles, and cognition-related blood parameters were evaluated. RESULTS: NMES training induced significant changes in the fasting glucose concentration (p < 0.05) and percent body fat (p < 0.05), although there were no significant changes in HbA1c and blood lipid levels (p >/= 0.05). The change in plasma brain-derived neurotrophic factor (BDNF) levels was significantly higher in the NMES period than in the control period (p < 0.05). CONCLUSIONS: This study showed that an 8-week NMES training program could induce greater changes in the blood glucose concentration, percent body fat, and plasma BDNF levels than the control intervention in patients with T2DM. NMES training might prove to be an alternative exercise method for patients who might have difficulties in performing adequate voluntary exercise. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Miyamoto, Toshiaki AU - Miyamoto T AD - School of Rehabilitation, Hyogo University of Health Sciences, Kobe, Japan. Electronic address: t-miyamoto@huhs.ac.jp. FAU - Iwakura, Toshio AU - Iwakura T AD - Department of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Matsuoka, Naoki AU - Matsuoka N AD - Department of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Iwamoto, Masako AU - Iwamoto M AD - Nutrition Management Department, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Takenaka, Mariko AU - Takenaka M AD - Nutrition Management Department, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Akamatsu, Yasunori AU - Akamatsu Y AD - Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, Japan. FAU - Moritani, Toshio AU - Moritani T AD - Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, Japan. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20180524 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Aged MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Cognition/*physiology MH - Cross-Over Studies MH - Diabetes Mellitus, Type 2/*therapy MH - Electric Stimulation Therapy/*methods MH - Female MH - Humans MH - Male MH - Metabolome/*physiology MH - Middle Aged OTO - NOTNLM OT - Brain-derived neurotrophic factor OT - Electrical muscle stimulation OT - Exercise OT - Metabolism EDAT- 2018/05/29 06:00 MHDA- 2018/09/12 06:00 CRDT- 2018/05/27 06:00 PHST- 2018/01/12 00:00 [received] PHST- 2018/05/02 00:00 [revised] PHST- 2018/05/17 00:00 [accepted] PHST- 2018/05/29 06:00 [pubmed] PHST- 2018/09/12 06:00 [medline] PHST- 2018/05/27 06:00 [entrez] AID - S0168-8227(18)30072-X [pii] AID - 10.1016/j.diabres.2018.05.032 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2018 Aug;142:37-45. doi: 10.1016/j.diabres.2018.05.032. Epub 2018 May 24.