Suppr超能文献

全身肌电刺激对预期体重减轻期间能量限制引起的肌肉量减少的影响。

Effects of Whole-Body Electromyostimulation on the Energy-Restriction-Induced Reduction of Muscle Mass During Intended Weight Loss.

作者信息

Willert Sebastian, Weissenfels Anja, Kohl Matthias, von Stengel Simon, Fröhlich Michael, Kleinöder Heinz, Schöne Daniel, Teschler Marc, Kemmler Wolfgang

机构信息

Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany.

Department of Medical and Life Sciences, University of Furtwangen, Villingen-Schwenningen, Germany.

出版信息

Front Physiol. 2019 Aug 12;10:1012. doi: 10.3389/fphys.2019.01012. eCollection 2019.

Abstract

Overweight and obesity are an increasing problem worldwide. However, most studies that focus on weight reduction by energy restriction and/or aerobic exercise reported considerable loss of muscle mass as well. Increased protein intake and/or resistance exercise might inhibit this detrimental effect during a negative energy balance. Whole-body electromyostimulation (WB-EMS), a time effective, joint-friendly, and highly customizable training technology, showed similar hypertrophic effects compared with high-intensity resistance training. The aim of this study is to evaluate the effect of WB-EMS on body composition during negative energy balance with maintained/increased protein intake in overweight premenopausal women. Ninety premenopausal, 25-50-year-old, overweight women were randomly assigned to three groups ( = 30 each). (1) Negative energy balance (-500 kcal/day) by energy restriction with compensatory protein intake (CG). (2) Negative energy balance (-500 kcal/day) by energy restriction (-250 kcal/day) and increased physical activity (-250 kcal/day) with increased protein intake (PA). (3) Negative energy balance (-500 kcal/day) due to energy restriction and increased physical activity with increased protein intake plus WB-EMS. The duration of the intervention was 16 weeks. Participants underwent restrictions in kcal per days and supplementation of protein (CG: 1.2 or PA/WB-EMS: 1.7 g/kg body mass/day) where needed. Bipolar WB-EMS was applied 1.5× week for 20 min (85 Hz; 350 μs; intermittent 6 s impulse, 4 s rest; rectangular). The primary study endpoint "lean body mass" (LBM) and secondary endpoint body fat mass (BFM) were assessed by bio-impedance analysis (BIA). LBM decreased in the CG and PA group (CG: -113 ± 1,872 g; PA: -391 ± 1,832 g) but increased in the WB-EMS group (387 ± 1,769 g). However, changes were not significant ( > 0.05). Comparing the groups by ANOVA, no significant differences were observed ( = 0.070). However, pairwise adjusted comparisons determined significant differences between WB-EMS and PA ( = 0.049). BFM decreased significantly ( < 0.001) in all groups (CG: -2,174 ± 4,331 g; PA: -3,743 ± 4,237 g; WB-EMS: -3,278 ± 4,023 g) without any significant difference between the groups (ANOVA: = 0.131). WB-EMS is an efficient, joint-friendly, and highly customizable training technology for maintaining muscle mass during energy restriction and can thus be considered as an alternative to more demanding resistance exercise protocols.

摘要

超重和肥胖在全球范围内日益成为一个问题。然而,大多数专注于通过能量限制和/或有氧运动来减轻体重的研究也报告称肌肉量有显著损失。在能量负平衡期间,增加蛋白质摄入量和/或进行抗阻运动可能会抑制这种有害影响。全身肌电刺激(WB - EMS)是一种一种省时、对关节友好且高度可定制的训练技术,与高强度抗阻训练相比显示出类似的肥大效果。本研究的目的是评估在能量负平衡期间,超重的绝经前女性维持/增加蛋白质摄入量时,WB - EMS对身体成分的影响。90名年龄在25 - 50岁的绝经前超重女性被随机分为三组(每组n = 30)。(1)通过能量限制并补充蛋白质来实现能量负平衡(-500千卡/天)(对照组)。(2)通过能量限制(-250千卡/天)和增加体力活动(-250千卡/天)并增加蛋白质摄入量来实现能量负平衡(-500千卡/天)(体力活动组)。(3)通过能量限制和增加体力活动并增加蛋白质摄入量以及WB - EMS来实现能量负平衡(-500千卡/天)。干预持续时间为16周。参与者根据需要接受每日千卡限制并补充蛋白质(对照组:1.2克/千克体重/天,体力活动组/全身肌电刺激组:1.7克/千克体重/天)。双极WB - EMS每周应用1.5次,每次20分钟(85赫兹;350微秒;间歇性6秒脉冲,4秒休息;矩形波)。主要研究终点“瘦体重”(LBM)和次要终点体脂肪量(BFM)通过生物电阻抗分析(BIA)进行评估。对照组和体力活动组的LBM下降(对照组:-113±1,872克;体力活动组:-391±1,832克),但全身肌电刺激组的LBM增加(387±1,769克)。然而,变化不显著(P>0.05)。通过方差分析比较各组,未观察到显著差异(P = 0.070)。然而,两两调整比较确定全身肌电刺激组和体力活动组之间存在显著差异(P = 0.049)。所有组的BFM均显著下降(P<0.001)(对照组:-2,174±4,且331克;体力活动组:-3,743±4,237克;全身肌电刺激组:-3,278±4,023克),各组之间无显著差异(方差分析:P = 0.131)。WB - EMS是一种高效、对关节友好且高度可定制的训练技术,可在能量限制期间维持肌肉量,因此可被视为更具挑战性的抗阻运动方案的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/941b/6699561/07058981e40c/fphys-10-01012-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验