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Effects of Neuromuscular Electrical Stimulation Training on Abdominal Fat, Trunk Muscle Thickness and Activity in Middle-Aged Women with Abdominal Obesity

전기근육자극 훈련이 복부비만 중년 여성의 복부지방, 체간 근 두께와 활성도에 미치는 영향

  • Yoo, Seung-Ah (Department of Health Science, Graduate School, Korea University) ;
  • Yoo, Kee-Ung (Department of Kinesiology, Graduate School, Korea University) ;
  • Lim, Chang-Ha (Department of Kinesiology, Graduate School, Korea University) ;
  • Kim, Chang-Yong (Scientific Instruments Reliability Assessment Center, Korea Basic Science Institute) ;
  • Kim, Hyeong-Dong (Department of Physical Therapy and School of Health and Environmental Science, College of Health Science, Korea University)
  • 유승아 (고려대학교 일반대학원 보건과학과) ;
  • 유기웅 (고려대학교 일반대학원 체육학과) ;
  • 임창하 (고려대학교 일반대학원 체육학과) ;
  • 김창용 (한국기초과학지원연구원 국산장비신뢰성평가센터) ;
  • 김형동 (고려대학교 보건과학대학 보건환경융합과학부)
  • Received : 2019.02.27
  • Accepted : 2019.04.02
  • Published : 2019.05.31

Abstract

PURPOSE: This study examined the effects of low frequency neuromuscular electrical stimulation (NMES) training on abdominal obesity in middle-aged women through electromyography and ultrasound. METHODS: Twenty-two middle aged women with abdominal obesity participated in the study. A low-frequency NMES device was used on the abdomen and waist of each subject for 20 minutes each (a total of 40 minutes) three times a week for eight weeks. The waist-hip ratio (WHR), weight and BMI (Body Mass Index) were measured. Electromyography (EMG) and ultrasound measurements were performed three times in total (pre-intervention, four weeks into the intervention, and eight weeks post-intervention) to examine the effects of low-frequency NMES on the abdominal muscle activity, muscle thickness, and subcutaneous fat. RESULTS: The results indicated a difference in the WHR and waist circumference before and after intervention (p<.05). The external oblique muscle (EO) showed a significant increase in muscle activity during all measurements taken post-intervention (p<.05). The abdominal subcutaneous fat thickness also showed a significant decrease between each measurement (p<.05). The test results showed that the abdominal subcutaneous fat thickness values taken eight weeks post-intervention were significantly lower than those taken pre-intervention and four weeks into the intervention (p<.05). CONCLUSION: These findings show that low-frequency NMES device training can be applied to middle-aged women with abdominal obesity to improve their body shape and exercise performance.

Keywords

References

  1. de Oliveira Leal V, Mafra D. Adipokines in obesity. Clinica Chimica Acta. 2013;419:87-94. https://doi.org/10.1016/j.cca.2013.02.003
  2. Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001;414(6865):782-7. https://doi.org/10.1038/414782a
  3. Ministry of Health and Welfare. 2015 National health statistics: National Health and Nutrition Survey (6th). 2015.
  4. Kim YS. Effects of meridian massage on the relief of stress. Master's Degree. Kwang Ju Women's University. 2005.
  5. Ganesan R. The aversive and hypophagic effects of estradiol. Physiological Behavior, 1995;55(2):279-85. https://doi.org/10.1016/0031-9384(94)90134-1
  6. Dietz WH, Baur LA, Hall K, et al. Management of obesity: improvement of health-care training and systems for prevention and care. The Lancet. 2015;385(9986):2521-33. https://doi.org/10.1016/S0140-6736(14)61748-7
  7. Duncan LR, Hall CR, Wilson P.M, et al. Exercise motivation: a cross-sectional analysis examining its relationships with frequency, intensity, and duration of exercise. International Journal of Behavioral Nutrition and Physical Activity. 2010;7(1):1-9. https://doi.org/10.1186/1479-5868-7-1
  8. Wessel TR, Arant CB, Olson MB, et al. Relationship of physical fitness vs Body mass index with coronary artery disease and cardiovascular events in women. Journal of the American Medical Association. 2004;292(10):1179-87. https://doi.org/10.1001/jama.292.10.1179
  9. Babault N, Cometti G, Bernardin M, et al. Effects of electromyostimulation training on muscle strength and power of elite rugby players. The Journal of Strength & Conditioning Research. 2007;21(2):431-7. https://doi.org/10.1519/00124278-200705000-00025
  10. Cameron MH. Physical agents in rehabilitation: from research to practice. Elsevier Health Sciences. Seoul: Jungdammedia. 2012.
  11. Lake DA. Neuromuscular electrical stimulation. Sports Medicine. 1992;13(5):320-36. https://doi.org/10.2165/00007256-199213050-00003
  12. Lin Z, Yan T. Long-term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper ectrimity atter stroke. Journal of Rehabilitation Medicine. 2011;46(6):506-10.
  13. Sun SK, Jung DC, Hong Y. The effect of exercise and functional electric stimulation on the body composition, blood components and exercise capacity of obese women. The Korean Journal of Physical Education. 2002;41(5):633-45.
  14. Son YH, Park HS. The effects of electrical muscle stimulation on lower body muscular function and balance ability of elderly. The Korea Journal of Sports Science. 2016;25(1):1371-83.
  15. Lee HJ, Tae KS. The Effects of Functional Electrical Stimulation on Abdominal Obesity Improvement of Adult Women by EMG, Ultrasound and DITI. Journal of the Korean Society for Precision Engineering. 2014;31(11):1051-8. https://doi.org/10.7736/KSPE.2014.31.11.1051
  16. Hudlicka O, Brown M, Cotter, M, et al. The effect of long-term stimulation of fast muscles on their blood flow, metabolism and ability to withstand fatigue. 1977;369(2):141-9. https://doi.org/10.1007/BF00591570
  17. Kim HJ, Chung SH, Lee JS, et al. The Principles of Electrolipolisys in Obesity: a Literature Study. 1999;9(2):55-64.
  18. Faul F, Erdfelder E, Lang AG, et al. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91. https://doi.org/10.3758/BF03193146
  19. Lee YM, Park HS, Cheon BC, et al. Comparison of reliability of waist circumference measured as an index of abdominal obesity. Journal of Obesity & Metabolic Syndrome. 2002;11(1):103-4.
  20. Czaprowski D, Afeltowicz A, Gebicka A, et al. Abdominal muscle EMG-activity during bridge exercises on stable and unstable surfaces. Physical Therapy in Sport. 2014;15(3):162-8. https://doi.org/10.1016/j.ptsp.2013.09.003
  21. Vera-Garcia, FJ, Moreside JM, McGill SM. MVC techniques to normalize trunk muscle EMG in healthy women. Journal of Electromyography and Kinesiology. 2010;20(1):10-6. https://doi.org/10.1016/j.jelekin.2009.03.010
  22. Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Maryland, Aspen Pub. 1998.
  23. Colado JC, Pablos C, Chulvi-Medrano I, et al. The progression of paraspinal muscle recruitment intensity in localized and global strength training exercises is not based on instability alone. Arch Phys Med Rehabil. 2011;92(11):1875-83. https://doi.org/10.1016/j.apmr.2011.05.015
  24. Kim HK, Kim CY, Kang JH, et al. Influence of the Supplementary Ki-hap Technique and Verbal Encouragement on Abdominal Muscle Activation during Crunch Exercise in Healthy Subjects: A Pilot Randomized Controlled Trial. J Korean Soc Phys Med. 2016;11(2):53-62. https://doi.org/10.13066/kspm.2016.11.2.53
  25. Kendall, Florence Peterson, et al. Muscles: Testing and function, with posture and pain (Kendall, Muscles). Philadelphia: Lippincott Williams & Wilkins, 2005.
  26. Mannion AF, Pulkovski N, Gubler D et al. Muscle thickness changes during abdominal hollowing: An assessment of between-day measurement error in controls and patients with chronic low back pain. Eur Spine J. 2008;17(4):494-501. https://doi.org/10.1007/s00586-008-0589-x
  27. Koppenhaver SL, Hebert JJ, Fritz JM, et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Aech Phys Med Rehabil. 2009;90(1):87-94. https://doi.org/10.1016/j.apmr.2008.06.022
  28. Stokes M, Rankin G, Newham D.J. Ultrasound imaging of lumbar multifidus muscle: normal reference ranges for measurements and practical guidence on the technique. Manual Therapy. 2005;10:116-26. https://doi.org/10.1016/j.math.2004.08.013
  29. KAYE SA, FOLSOM AR, SPRAFKA JM, et al. Increased incidence of diabetes mellitus in relation to abdominal adiposity in older women. Journal of clinical epidemiology. 1991;44(3):329-34. https://doi.org/10.1016/0895-4356(91)90044-A
  30. Evans DJ, Hoffman RG, Kalkhoff RK et al. Relationship of body fat topography to insulin sensitivity and metabolic profiles in premenopausal women. Metabolism. 1984;33(1):68-75. https://doi.org/10.1016/0026-0495(84)90164-1
  31. Kim YS, Choi AY, Cho SH. The Effects of Electric Stimulation of Abdominal Region on the Body Composition and Blood Components in Obesity. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(6):3991-8. https://doi.org/10.5762/KAIS.2015.16.6.3991
  32. Lee HJ, Tae KS. The Effects of Functional Electrical Stimulation on Abdominal Obesity Improvement of Adult Women by EMG, Ultrasound and DITI. Journal of the Korean Society for Precision Engineering. 2014;31(11):1051-8. https://doi.org/10.7736/KSPE.2014.31.11.1051
  33. Arner P. Catecholamine-induced lipolysis in obesity. International Journal of Obesity, 1999;23:1-10. https://doi.org/10.1038/sj.ijo.0800799
  34. Kemmler W, Bebenek M, Engelke K, et al. Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the training and electrostimulation trial(test-III). Age. 2014;36(1):395-406. https://doi.org/10.1007/s11357-013-9575-2
  35. McGill SM. Electromyographic activity of the abdominal and low back musculature during the generation of isometric and dynamic axial trunk torque: implications for lumbar mechanics. Journal of Orthopaedic Research. 1991;9(1):91-103. https://doi.org/10.1002/jor.1100090112
  36. Elphinston J. Stability, sport, and performance movement: great technique without injury. North Atlantic Books. 2008.
  37. Lee HJ, Lee JY, Tae KS. The Effects of Low-Frequency Electrical Stimulation on Abdominal Core Muscle Activity and Thickness. Journal of Rehabilitation Welfare Engineering & Assistive Technology. 2013;7(2):85-90.