Abstract

Objective: To analyze the effects of whole body electrostimulation (WB-EMS) with body weight training on functional fitness and body composition of older men.Methods: Twenty physically inactive older men were randomized into: Control group (control), performed the body weight exercise training wearing electrostimulation clothing, but without receiving electrical current stimuli (n = 10), and body weight associated with whole body electrostimulation group (BW+WB-EMS), performed the body weight exercise training wearing electrostimulation clothing plus whole body electrostimulation (n = 10). The training sessions were performed twice a week for 6 weeks and included eight exercises using body weight, performed in two sets of eight repetitions. Physical function was assessed using a battery composed of seven tests, six derived from the Senior fitness test and a handgrip strength test. We also measured the muscle thickness (MT) of the biceps and triceps brachii and vastus lateralis.Results: The BW+WB-EMS group presented increased (p < 0.05) performance in the 30-s chair stand test (10.2 ± 3.3 vs. 13.8 ± 5.0 reps), arm curl (16.6 ± 3.9 vs. 19.9 ± 6.1 reps), 6-min walk test (402 ± 96 vs. 500 ± 104 m), and handgrip strength test (30 ± 11 vs. 32 ± 11 kgf). The BW+WB-EMS group also presented increased MT (p < 0.05) in the biceps brachii (17.7 ± 3.0 vs. 21.4 ± 3.4 mm), triceps brachial (14.7 ± 3.6 vs. 17.5 ± 4.1 mm), and vastus lateralis muscles (15.1 ± 2.6 vs. 18.6 ± 4.3 mm). Moderate correlations were found in arm curl (p = 0.011, r = 0.552) but not handgrip strength (p = 0.053, r = 0.439) with changes in the biceps MT. Moderate changes in the 6-min walk distance were significantly correlated with changes in vastus lateralis MT (p = 0.036, r = 0.471). There was a moderate correlation between the changes in the 30-s chair stand test (p = 0.006, r = 0.589) and changes in the vastus lateralis MT. Furthermore, although a moderate correlation (r = 0.438) was found between triceps MT and handgrip strength no significant difference (p = 0.053) was reported. Additionally, there were no statistical differences in any parameters for the control group.Conclusion: WB-EMS with body weight training increased functional fitness and MT in physically inactive older men.

Highlights

  • Aging is associated with loss of muscle strength and muscle atrophy (Aoyagi and Shephard, 1992), which contributes to functional decline

  • All participants (30 subjects) were assigned to either the body weight associated with whole body electrostimulation group (BW+WB-EMS) or control group using a computerized random-number generator

  • After the intervention there were significant time (p = 0.001) and time ∗ group effects (p = 0.001) for the biceps brachii (17.7 ± 3.0 mm vs. 21.4 ± 3.4 mm, % = 21.1; MD [95%confidence intervals (CI)] = 3.7 [0.3 to 2.5]), triceps brachii (14.7 ± 3.6 mm vs. 17.5 ± 4.1 mm; % = 30.4; MD [95%CI] = 4.5 [1.1 to 4.5]), and vastus lateralis muscles (15.1 ± 2.6 mm vs. 18.6 ± 4.3 mm; % = 29.6; MD [95%CI] = 4.5 [1.7 to 4.3]) in the BW+WB-EMS group

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Summary

Introduction

Aging is associated with loss of muscle strength and muscle atrophy (Aoyagi and Shephard, 1992), which contributes to functional decline. Resistance exercise using body weight has been shown to improve strength, muscle mass, and physical function in older subjects (Van Roie et al, 2013). Whole body electrostimulation has been shown to potentiate the effects of resistance training performed with body weight, leading to greater increases in strength and muscle mass (Kemmler et al, 2018). The possible additional recruitment of muscle fibers resulting from the WB-EMS can maximize energy expenditure and metabolic stress. In this case, metabolic stress has been noted as one factor that contributes to increases in the cross-sectional area of the muscle. Whole body electrostimulation is a time-efficient, joint-friendly, and highly individualized exercise technology making it a good choice for older subjects (Brigatto et al, 2019)

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