About this trial
Obesity is a major global health problem associated with metabolic dysfunction, altered adipokine signaling, and impaired appetite regulation. Conventional weight loss strategies such as calorie restriction often result in compensatory physiological adaptations, including increased appetite and loss of lean body mass, which may limit long-term effectiveness.
Whole-body electromyostimulation (WB-EMS) is an emerging, time-efficient intervention that induces simultaneous muscle activation and may improve metabolic health. However, the underlying molecular mechanisms, particularly the interaction between myokines and adipokines, remain insufficiently understood.
This randomized controlled trial aims to investigate the effects of an energy-restricted diet combined with WB-EMS on myokine-adipokine interaction, appetite regulation, and body composition in obese individuals. Participants will be randomly assigned to either a diet-only group or a diet plus WB-EMS group for 8 weeks.
Primary outcomes include changes in serum irisin levels. Secondary outcomes include myostatin, leptin, adiponectin, FGF-21, ghrelin, GLP-1, body composition parameters, and eating behavior. The findings of this study are expected to provide novel insights into the physiological and molecular effects of WB-EMS as a complementary strategy in obesity management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 18 and 65 years
Body mass index (BMI) ≥ 30 kg/m²
Sedentary lifestyle (less than 2 hours of structured exercise per week)
Willingness to participate and provide written informed consent
Disqualifiers
Presence of pacemaker or implantable cardioverter-defibrillator
Known cardiovascular disease or severe chronic illness
Pregnancy or breastfeeding
Uncontrolled diabetes or severe metabolic disorders
Trial design
Parallel
Treatments tested in this trial
Energy-Restricted Diet
BehavioralA personalized diet with approximately 750 kcal/day energy deficit.
Whole-Body Electromyostimulation (WB-EMS)
DeviceWhole-body electromyostimulation applied 2-3 times per week for 8 weeks under supervision.
Treatment groups
Trial outcomes
Primary outcomes
Change in serum irisin levels
Assessment of change in circulating irisin levels measured by ELISA.
Secondary outcomes
Change in serum myostatin levels
Assessment of change in circulating myostatin levels measured by ELISA.
Change in serum leptin levels
Assessment of change in circulating leptin levels.
Change in serum adiponectin levels
Assessment of change in circulating adiponectin levels.
Change in serum FGF-21 levels
Assessment of change in circulating fibroblast growth factor-21 levels.
Sponsors and contacts
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