PMID- 34068089
OWN - NLM
STAT- MEDLINE
DCOM- 20210722
LR  - 20210722
IS  - 2072-6643 (Electronic)
IS  - 2072-6643 (Linking)
VI  - 13
IP  - 5
DP  - 2021 May 13
TI  - Iron Beats Electricity: Resistance Training but Not Whole-Body 
      Electromyostimulation Improves Cardiometabolic Health in Obese Metabolic Syndrome 
      Patients during Caloric Restriction-A Randomized-Controlled Study.
LID - 10.3390/nu13051640 [doi]
LID - 1640
AB  - Caloric restriction (CR) and exercise are cornerstones in the treatment of 
      obesity and cardiometabolic disorders. Recently, whole body electromyostimulation 
      (WB-EMS) has emerged as a more time-efficient alternative to traditional 
      resistance training (RT). However, the effects of WB-EMS compared to RT on 
      cardiometabolic health in obese metabolic syndrome (MetS) patients performed 
      during CR are still unclear. In total, 118 obese MetS patients (52.7 +/- 11.8 
      years, BMI: 38.1 +/- 6.9 kg/m(2)) undergoing CR over 12 weeks (aim: -500 kcal 
      deficit/day) were randomly allocated to either WB-EMS, single-set RT (1-RT), 
      3-set RT (3-RT) or an inactive control group (CON). Primary outcome was MetS 
      severity (MetS z-score). Secondary outcomes were body composition, muscle 
      strength and quality of life (QoL). All groups significantly reduced body weight 
      (~3%) and fat mass (~2.6 kg) but only 1-RT and 3-RT preserved skeletal muscle 
      mass (SMM). All exercise groups increased muscle strength in major muscle groups 
      (20-103%). However, only the two RT-groups improved MetS z-score (1-RT: -1.34, p 
      = 0.003; 3-RT: -2.06, p < 0.001) and QoL (1-RT: +6%, p = 0.027; 3-RT: +12%, p < 
      0.001), while WB-EMS and CON had no impact on these outcomes. We conclude that 
      traditional RT has superior effects on cardiometabolic health, SMM and QoL in 
      obese MetS patients undergoing CR than WB-EMS.
FAU - Reljic, Dejan
AU  - Reljic D
AUID- ORCID: 0000-0001-8049-1775
AD  - Hector-Center for Nutrition, Exercise and Sports, Department of Medicine 1, 
      University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nurnberg, 
      91054 Erlangen, Germany.
AD  - German Center Immunotherapy (DZI), University Hospital Erlangen, 
      Friedrich-Alexander University Erlangen-Nurnberg, 91054 Erlangen, Germany.
FAU - Herrmann, Hans J
AU  - Herrmann HJ
AUID- ORCID: 0000-0002-3021-8022
AD  - Hector-Center for Nutrition, Exercise and Sports, Department of Medicine 1, 
      University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nurnberg, 
      91054 Erlangen, Germany.
AD  - German Center Immunotherapy (DZI), University Hospital Erlangen, 
      Friedrich-Alexander University Erlangen-Nurnberg, 91054 Erlangen, Germany.
FAU - Neurath, Markus F
AU  - Neurath MF
AD  - German Center Immunotherapy (DZI), University Hospital Erlangen, 
      Friedrich-Alexander University Erlangen-Nurnberg, 91054 Erlangen, Germany.
AD  - Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander 
      University Erlangen-Nurnberg, 91054 Erlangen, Germany.
FAU - Zopf, Yurdagul
AU  - Zopf Y
AD  - Hector-Center for Nutrition, Exercise and Sports, Department of Medicine 1, 
      University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nurnberg, 
      91054 Erlangen, Germany.
AD  - German Center Immunotherapy (DZI), University Hospital Erlangen, 
      Friedrich-Alexander University Erlangen-Nurnberg, 91054 Erlangen, Germany.
LA  - eng
GR  - MED1710/Hector Foundation II/
GR  - N.N./Manfred Roth Foundation/
GR  - N.N./Research Foundation for Medicine at the University Hospital Erlangen/
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210513
PL  - Switzerland
TA  - Nutrients
JT  - Nutrients
JID - 101521595
SB  - IM
MH  - Body Composition
MH  - *Caloric Restriction/methods
MH  - Cardiometabolic Risk Factors
MH  - Combined Modality Therapy
MH  - *Electric Stimulation Therapy/methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Metabolic Syndrome/complications/physiopathology/*therapy
MH  - Middle Aged
MH  - Muscle Strength
MH  - Nutritional Status
MH  - Obesity/complications/*diet therapy/physiopathology
MH  - *Resistance Training/methods
PMC - PMC8152778
OTO - NOTNLM
OT  - cardiovascular disease
OT  - electrical stimulation
OT  - exercise
OT  - fasting
OT  - hypertension
OT  - muscle mass
OT  - muscular strength
OT  - obesity
OT  - psychological health
OT  - strength training
COIS- The authors declare no conflict of interest.
EDAT- 2021/06/03 06:00
MHDA- 2021/07/23 06:00
PMCR- 2021/05/13
CRDT- 2021/06/02 01:21
PHST- 2021/03/30 00:00 [received]
PHST- 2021/05/01 00:00 [revised]
PHST- 2021/05/11 00:00 [accepted]
PHST- 2021/06/02 01:21 [entrez]
PHST- 2021/06/03 06:00 [pubmed]
PHST- 2021/07/23 06:00 [medline]
PHST- 2021/05/13 00:00 [pmc-release]
AID - nu13051640 [pii]
AID - nutrients-13-01640 [pii]
AID - 10.3390/nu13051640 [doi]
PST - epublish
SO  - Nutrients. 2021 May 13;13(5):1640. doi: 10.3390/nu13051640.