This study evaluates the effects of a 8-week lower body Electrical Muscle Stimulation (EMS) training program on body composition, muscle function, and arteriosclerosis markers in postmenopausal women. Menopause is associated with a rapid decline in estrogen, which increases the risk of sarcopenia (muscle loss) and arterial stiffness (cardiovascular disease). While resistance training is effective for these conditions, participation rates among postmenopausal women are often low. This study investigates whether applying EMS during lower body resistance exercises provides superior benefits compared to resistance training alone or no intervention. Participants will be randomized into three groups: 1. Lower-body EMS combined with Resistance Training Group 2. Resistance Training Only Group 3. Control Group (No intervention) The study aims to verify the efficacy of EMS as a time-efficient and effective alternative exercise modality for improving vascular and musculoskeletal health in this population.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
38
Electrical stimulation applied to the lower body muscles (85Hz, 350µs) during the main exercise phase
A 50-minute session consisting of a 10-minute warm-up, 30 minutes of main lower body resistance training (4 types of machine-based exercises per session), and a 10-minute cool-down
Seoul National University
Seoul, Seoul, South Korea
Body Fat Percentage
Assessed using BIA. The proportion of fat mass relative to total body weight. Unit of Measure: %
Time frame: Baseline and Week 8
Highest Brachial-ankle Pulse Wave Velocity (baPWV)
An indicator of arterial stiffness. Higher values indicate stiffer arteries. Unit of Measure: cm/s
Time frame: Baseline and Week 8
Peak Torque (Knee Extension/Flexion) per body weight
The maximum torque produced during isokinetic knee extension and flexion. Assessed at a 60°/s angular velocity. Unit of Measure: Nm (Newton-meters)/kg
Time frame: Baseline and Week 8
Skeletal Muscle Mass
Assessed using Bioelectrical Impedance Analysis (BIA). Represents the total weight of muscle tissue attached to the skeleton. Unit of Measure: kg
Time frame: Baseline and Week 8
Total Body Fat Mass
Assessed using BIA. Represents the total weight of adipose tissue in the body. Unit of Measure: kg
Time frame: Baseline and Week 8
Skeletal Muscle Mass Index (SMI)
Calculated as appendicular skeletal muscle mass (ASM) divided by height squared (kg/m\^2). Used to assess sarcopenia status. Unit of Measure: kg/m\^2
Time frame: Baseline and Week 8
Waist Circumference
Measured at the midpoint between the lowest rib and the iliac crest using a standard anthropometric tape, with the participant standing and breathing normally. Unit of Measure: cm
Time frame: Baseline and Week 8
Waist-to-Hip Ratio (WHR)
Calculated as waist circumference divided by hip circumference. An indicator of central adiposity and cardiometabolic risk. Unit of Measure: ratio
Time frame: Baseline and Week 8
Estimated Visceral Fat Area (eVFA)
Assessed using BIA. Represents the cross-sectional area of visceral adipose tissue surrounding the abdominal organs. Unit of Measure: cm\^2
Time frame: Baseline and Week 8
Average Brachial-ankle Pulse Wave Velocity (baPWV)
An indicator of arterial stiffness. Average values indicate stiffer arteries. Unit of Measure: cm/s
Time frame: Baseline and Week 8
Ankle-Brachial Index (ABI)
The Ankle-Brachial Index (ABI) is the ratio of the systolic blood pressure measured at the ankle to the systolic blood pressure measured at the brachial artery. It is a non-invasive indicator used to assess the presence and severity of peripheral arterial stenosis or occlusion. Lower ABI values (typically \< 0.9) suggest narrowing or blockage of the arteries in the legs. Unit of Measure: ratio
Time frame: Baseline and Week 8
Systolic Blood Pressure (SBP)
Measured using an automated oscillometric device after at least 5 minutes of seated rest. Represents the peak arterial pressure during ventricular contraction. Unit of Measure: mmHg
Time frame: Baseline and Week 8
Diastolic Blood Pressure (DBP)
Measured using an automated oscillometric device after at least 5 minutes of seated rest. Represents the minimum arterial pressure during ventricular relaxation. Unit of Measure: mmHg
Time frame: Baseline and Week 8
Pulse Pressure (PP)
The difference between systolic and diastolic blood pressure. It is a marker of arterial stiffness. Unit of Measure: mmHg
Time frame: Baseline and Week 8
Mean Arterial Pressure (MAP)
Calculated as (SBP + 2 × DBP) / 3. Represents the average arterial pressure during one cardiac cycle. Unit of Measure: mmHg
Time frame: Baseline and Week 8
Total Work Done per body weight
The total amount of work performed by the muscle groups during the test protocol(Knee extension/flexion) at an angular velocity of 180°/s. Unit of Measure: Nm/kg
Time frame: Baseline and Week 8
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