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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diet Only | Active Comparator | Participants receive an individualized energy-restricted diet program. |
|
| Diet + WB-EMS | Experimental | Participants receive an energy-restricted diet combined with whole-body electromyostimulation (WB-EMS). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Energy-Restricted Diet | Behavioral | A personalized diet with approximately 750 kcal/day energy deficit. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in serum irisin levels | Assessment of change in circulating irisin levels measured by ELISA. | Baseline to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in serum myostatin levels | Assessment of change in circulating myostatin levels measured by ELISA. | Baseline to 8 weeks |
| Change in serum leptin levels | Assessment of change in circulating leptin levels. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Murat Acik, PhD | Contact | +90 544 111 81 24 | macik@firat.edu.tr | |
| Muharrem Gökhan Beydağı, PhD | Contact | +905323581105 | mgbeydagi@firat.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dicle University | Diyarbakır | Turkey (Türkiye) |
Individual participant data will not be shared due to privacy, ethical, and data protection considerations. The dataset contains sensitive clinical and biochemical information, and sharing is restricted to ensure participant confidentiality in accordance with institutional policies and applicable regulations.
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D008659 | Metabolic Diseases |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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Participants will be randomly assigned in a 1:1 ratio to either an energy-restricted diet group or an energy-restricted diet plus whole-body electromyostimulation (WB-EMS) group. The study will follow a parallel-group design with two intervention arms over an 8-week period.
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| Whole-Body Electromyostimulation (WB-EMS) | Device | Whole-body electromyostimulation applied 2-3 times per week for 8 weeks under supervision. |
|
| Baseline to 8 weeks |
| Change in serum adiponectin levels | Assessment of change in circulating adiponectin levels. | Baseline to 8 weeks |
| Change in serum FGF-21 levels | Assessment of change in circulating fibroblast growth factor-21 levels. | Baseline to 8 weeks |
| Change in serum ghrelin levels | Assessment of change in circulating ghrelin levels. | Baseline to 8 weeks |
| Change in serum GLP-1 levels | Assessment of change in circulating GLP-1 levels. | Baseline to 8 weeks |
| Change in fat mass | Assessment of change in total body fat mass measured by bioelectrical impedance analysis (BIA). | Baseline to 8 weeks |
| Change in fat-free mass | Assessment of change in fat-free mass measured by bioelectrical impedance analysis (BIA). | Baseline to 8 weeks |
| Change in body fat percentage | Assessment of change in body fat percentage measured by bioelectrical impedance analysis (BIA). | Baseline to 8 weeks |
| Change in eating behavior scores | Assessment of eating behavior using the Three-Factor Eating Questionnaire-Revised 21 (TFEQ-R21). The questionnaire evaluates cognitive restraint, uncontrolled eating, and emotional eating behaviors. Scores range from 21 to 84, with higher scores indicating more problematic eating behaviors. | Baseline to 8 weeks |
| Firat University | Elâzığ | Turkey (Türkiye) |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |