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Feasibility of Lower-Body EMS Resistance Training in Postmenopausal Women (LB-EMS-Pilot)

27 de julio de 2026 actualizado por: Kyungho Kim, Seoul National University

Feasibility and Effects of Lower-Body Electrical Muscle Stimulation Resistance Training on Body Composition, Muscle Function, Arteriosclerotic Indices, and Autonomic Function in Postmenopausal Women: A Pilot Randomized Controlled Trial

This pilot randomized controlled trial evaluates whether combining lower-body electrical muscle stimulation (EMS) with resistance training is feasible and beneficial for physically inactive postmenopausal women, who experience concurrent declines in muscle strength, body composition, arterial elasticity, and cardiac autonomic balance.

Sixteen physically inactive postmenopausal women aged 50-70 years are randomly assigned (1:1) to either (A) supervised resistance training combined with lower-body EMS (applied to 6 muscle groups: lower back, lower abdomen, glutes, quadriceps, hamstrings, and calves) or (B) supervised resistance training alone. Both groups complete twelve 50-minute sessions (consisting of a 10-minute warm-up, 30-minute main exercise, and a 10-minute cool-down) over 6 weeks (twice weekly). Assessments before and after the intervention include body composition, lower-body muscle function, arterial stiffness, and 5-minute heart rate variability.

The primary aim is to determine the feasibility of the protocol(recruitment, retention, session attendance, and intervention dose delivery) to inform a future definitive trial. Preliminary estimates of intervention effects on the measured outcomes are reported as secondary aims.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

BACKGROUND AND RATIONALE Postmenopausal women often experience physiological declines in muscle function, body composition, and cardiovascular health. While resistance training is an established countermeasure, maximizing its efficiency and adherence remains a challenge. Applying lower-body electrical muscle stimulation (EMS) during resistance training may enhance physiological adaptations and overall training effectiveness. This study aims to evaluate the feasibility of combining lower-body EMS with resistance training in physically inactive postmenopausal women to inform the design of a future definitive trial.

STUDY DESIGN This is a pilot randomized controlled trial. Participants will be randomly assigned to either an intervention group receiving combined lower-body EMS and resistance training or a control group receiving resistance training alone. Clinical and physiological outcomes will be assessed before and after the intervention period to evaluate preliminary effects.

PRIMARY FEASIBILITY OUTCOMES

The primary objective is to evaluate the feasibility of the study protocol. Feasibility will be determined by assessing several key components, including:

Recruitment: The ability to recruit the target population within the planned timeframe.

Retention: The proportion of participants who complete the study and post-intervention assessments.

Adherence: Participant attendance and compliance with the scheduled exercise sessions.

Intervention Fidelity: The successful delivery of the exercise intensity and EMS protocol as intended.

These components will be evaluated against pre-established progression criteria to determine whether the protocol can proceed to a larger trial or requires modification.

STATISTICAL APPROACH Feasibility outcomes will be summarized primarily using descriptive statistics. For secondary physiological and clinical outcomes, appropriate statistical methods will be utilized to estimate the preliminary effects of the intervention, comparing changes between the groups while adjusting for baseline measurements. Effect sizes and confidence intervals will be calculated to provide preliminary evidence and to assist with sample size calculations for future large-scale trials.

Tipo de estudio

Intervencionista

Inscripción (Actual)

16

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Kyungho Kim, MS
  • Número de teléfono: 82 + 010-3589-8202
  • Correo electrónico: 2007kkh@gmail.com

Ubicaciones de estudio

    • Seoul
      • Seoul, Seoul, Corea del Sur, 08826
        • Seoul National University

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

Sí

Descripción

Inclusion Criteria:

  • Women aged 50 to 70 years.
  • Menopause for at least 1 year with no current menstruation.
  • Physically inactive (have not participated in resistance training more than twice a week for the past 6 months)

Exclusion Criteria:

  • Currently receiving hormone replacement therapy (HRT).
  • Presence of implanted electrical medical devices.
  • Severe or uncontrolled medical conditions.
  • Any surgery within the past 6 months.
  • Acute illness with fever, infection, or active inflammation.
  • Severe peripheral arterial disease or abdominal/inguinal hernia.
  • Severe psychiatric disorders requiring medication, or current substance abuse.
  • Deemed physically or mentally unfit to participate in the exercise program by the investigator.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: A Group: EMS + Resistance Training
Lower-body EMS combined with 8 machine-based resistance exercises for 6 weeks, 2 sessions per week.
Electrical muscle stimulation (85 Hz, 350 μs, cycle 11, duty approx 1:2) applied to 6 muscle groups: lower back (erector spinae), lower abdomen, glutes, quadriceps, hamstrings, and calves.
A 50-minute session consisting of a 10-minute warm-up, 30 minutes of main exercise (8 machine-based lower-body resistance exercises, 3 sets of 8-12 repetitions), and a 10-minute cool-down.
Comparador activo: B Group: Resistance Training
8 machine-based resistance exercises for 6 weeks, 2 sessions per week without EMS.
A 50-minute session consisting of a 10-minute warm-up, 30 minutes of main exercise (8 machine-based lower-body resistance exercises, 3 sets of 8-12 repetitions), and a 10-minute cool-down.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Composite Feasibility Outcome (Recruitment, Retention, Session Attendance, and Intervention Dose Delivery)
Periodo de tiempo: Baseline and Week 6

The primary outcome is the feasibility of the study protocol, assessed via recruitment rates, participant retention, session adherence, and targeted intervention delivery. These indicators will be evaluated against pre-defined progression criteria using descriptive statistics to determine whether to proceed with or modify the protocol for a future definitive trial.

Unit: Percentage

Baseline and Week 6

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Skeletal Muscle Mass Index (SMI)
Periodo de tiempo: Baseline and Week 6
Appendicular skeletal muscle mass divided by height squared. Unit: kg/m².
Baseline and Week 6
Total Body Muscle Mass
Periodo de tiempo: Baseline and Week 6
Total skeletal muscle mass of the whole body. Unit: kg
Baseline and Week 6
Total Leg Muscle Mass
Periodo de tiempo: Baseline and Week 6
Combined left and right leg skeletal muscle mass. Unit: kg
Baseline and Week 6
Body Fat Percentage
Periodo de tiempo: Baseline and Week 6
Body fat mass expressed as a percentage of total body weight. Unit: %
Baseline and Week 6
Total Body Fat Mass
Periodo de tiempo: Baseline and Week 6
Absolute total body fat in kilograms. Unit: kg
Baseline and Week 6
Estimated Visceral Fat Area (eVFA)
Periodo de tiempo: Baseline and Week 6
Estimated visceral fat area at the umbilical level. Unit: cm²
Baseline and Week 6
Waist Circumference
Periodo de tiempo: Baseline and Week 6
Circumference measured at the level of the umbilicus. Unit: cm
Baseline and Week 6
Waist-to-Hip Ratio (WHR)
Periodo de tiempo: Baseline and Week 6
Waist circumference divided by hip circumference. Unit: ratio
Baseline and Week 6
Body Mass Index (BMI)
Periodo de tiempo: Baseline and Week 6
Body weight in kilograms divided by the square of height in meters. Unit: kg/m²
Baseline and Week 6
Phase Angle
Periodo de tiempo: Baseline and Week 6

Whole-body bioimpedance phase angle derived from the arctangent of the reactance-to-resistance ratio. Marker of cellular membrane integrity and overall nutritional/health status.

Unit: degrees

Baseline and Week 6
Dominant Knee Extensor Peak Torque per Body Weight at 60°/s
Periodo de tiempo: Baseline and Week 6

Peak concentric knee extensor torque normalized to body weight, measured at 60°/sec angular velocity on the dominant limb.

Unit: Nm/kg

Baseline and Week 6
Non-dominant Knee Extensor Peak Torque per Body Weight at 60°/s
Periodo de tiempo: Baseline and Week 6

Peak concentric knee extensor torque normalized to body weight at 60°/sec on the non-dominant limb.

Unit: Nm/kg

Baseline and Week 6
Dominant Knee Flexor Peak Torque per Body Weight at 60°/s
Periodo de tiempo: Baseline and Week 6

Peak concentric knee flexor (hamstring) torque normalized to body weight at 60°/sec on the dominant limb.

Unit: Nm/kg

Baseline and Week 6
Non-dominant Knee Flexor Peak Torque per Body Weight at 60°/s
Periodo de tiempo: Baseline and Week 6

Peak concentric knee flexor torque normalized to body weight at 60°/sec on the non-dominant limb.

Unit: Nm/kg

Baseline and Week 6
Dominant Hamstring-to-Quadriceps (H/Q) Ratio at 60°/s
Periodo de tiempo: Baseline and Week 6

Ratio of knee flexor peak torque to knee extensor peak torque at 60°/sec on the dominant limb.

Unit: ratio

Baseline and Week 6
Non-dominant Hamstring-to-Quadriceps (H/Q) Ratio at 60°/s
Periodo de tiempo: Baseline and Week 6

Ratio of knee flexor peak torque to knee extensor peak torque at 60°/sec on the non-dominant limb.

Unit: ratio

Baseline and Week 6
Dominant Total Work Done by Knee Extensor per Body Weight at 180°/s
Periodo de tiempo: Baseline and Week 6

Total work performed by knee extensors across the test set, normalized to body weight, at 180°/sec angular velocity on the dominant limb.

Unit: Nm/kg

Baseline and Week 6
Non-dominant Total Work Done by Knee Extensor per Body Weight at 180°/s
Periodo de tiempo: Baseline and Week 6

Total work performed by knee extensors normalized to body weight at 180°/sec on the non-dominant limb.

Unit: Nm/kg

Baseline and Week 6
Dominant Total Work Done by Knee Flexor per Body Weight at 180°/s
Periodo de tiempo: Baseline and Week 6

Total work performed by knee flexors normalized to body weight at 180°/sec on the dominant limb.

Unit: Nm/kg

Baseline and Week 6
Non-dominant Total Work Done by Knee Flexor per Body Weight at 180°/s
Periodo de tiempo: Baseline and Week 6

Total work performed by knee flexors normalized to body weight at 180°/sec on the non-dominant limb.

Unit: Nm/kg

Baseline and Week 6
Average Brachial-Ankle Pulse Wave Velocity (baPWV)
Periodo de tiempo: Baseline and Week 6

Mean of left and right brachial-ankle pulse wave velocity; primary indicator of large-artery stiffness.

Unit: cm/s

Baseline and Week 6
Highest Brachial-Ankle Pulse Wave Velocity (baPWV)
Periodo de tiempo: Baseline and Week 6
The higher of left and right baPWV values, reflecting the most affected limb. Unit: cm/s
Baseline and Week 6
Brachial Systolic Blood Pressure (SBP)
Periodo de tiempo: Baseline and Week 6
Brachial systolic blood pressure. Unit: mmHg
Baseline and Week 6
Brachial Diastolic Blood Pressure (DBP)
Periodo de tiempo: Baseline and Week 6
Brachial diastolic blood pressure. Unit: mmHg
Baseline and Week 6
Pulse Pressure (PP)
Periodo de tiempo: Baseline and Week 6
Pulse pressure calculated as systolic minus diastolic blood pressure. Unit: mmHg
Baseline and Week 6
Mean Arterial Pressure (MAP)
Periodo de tiempo: Baseline and Week 6
Mean arterial pressure derived from systolic and diastolic blood pressure. Unit: mmHg
Baseline and Week 6
Average Ankle-Brachial Index (ABI)
Periodo de tiempo: Baseline and Week 6
Mean of left and right ankle-brachial systolic blood pressure ratio. Unit: ratio
Baseline and Week 6
Augmentation Index (AI)
Periodo de tiempo: Baseline and Week 6
Augmentation index derived from second-derivative photoplethysmography. Unit: unitless
Baseline and Week 6
Root Mean Square of Successive Differences (RMSSD)
Periodo de tiempo: Baseline and Week 6

Root mean square of successive differences between adjacent normal-to-normal RR intervals.

Unit: ms

Baseline and Week 6
High-Frequency (HF) Power
Periodo de tiempo: Baseline and Week 6

Spectral power in the high-frequency band (0.15-0.4 Hz); index of parasympathetic (vagal) activity.

Unit: ms²

Baseline and Week 6
Standard Deviation of NN Intervals (SDNN)
Periodo de tiempo: Baseline and Week 6

Standard deviation of all normal-to-normal RR intervals; time-domain index of overall heart rate variability.

Unit: ms

Baseline and Week 6
Low-Frequency (LF) Power
Periodo de tiempo: Baseline and Week 6
Spectral power in the low-frequency band (0.04-0.15 Hz). Unit: ms²
Baseline and Week 6
LF/HF Ratio
Periodo de tiempo: Baseline and Week 6
Ratio of low-frequency to high-frequency spectral power. Unit: ratio
Baseline and Week 6
High-Frequency Normalized Units (HFnu)
Periodo de tiempo: Baseline and Week 6
HF power expressed in normalized units = HF / (LF + HF) × 100. Unit: n.u.
Baseline and Week 6
Low-Frequency Normalized Units (LFnu)
Periodo de tiempo: Baseline and Week 6
LF power expressed in normalized units = LF / (LF + HF) × 100. Unit: n.u.
Baseline and Week 6
Total Power (TP)
Periodo de tiempo: Baseline and Week 6
Total spectral power up to 0.4 Hz. Unit: ms²
Baseline and Week 6
Very-Low-Frequency (VLF) Power
Periodo de tiempo: Baseline and Week 6
Spectral power in the very-low-frequency band (≤0.04 Hz). Unit: ms²
Baseline and Week 6

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
Dominant Knee Extensor Fatigue Index at 180°/s
Periodo de tiempo: Baseline and Week 6

Percentage decline in knee extensor torque across the repetition set at 180°/sec on the dominant limb.

Unit: %

Baseline and Week 6
Non-dominant Knee Extensor Fatigue Index at 180°/s
Periodo de tiempo: Baseline and Week 6

Percentage decline in knee extensor torque across the repetition set at 180°/sec on the non-dominant limb.

Unit: %

Baseline and Week 6
Dominant Knee Flexor Fatigue Index at 180°/s
Periodo de tiempo: Baseline and Week 6

Percentage decline in knee flexor torque across the repetition set at 180°/sec on the dominant limb.

Unit: %.

Baseline and Week 6
Non-dominant Knee Flexor Fatigue Index at 180°/s
Periodo de tiempo: Baseline and Week 6

Percentage decline in knee flexor torque across the repetition set at 180°/sec on the non-dominant limb.

Unit: %

Baseline and Week 6
Bilateral Deficit of Knee Extensors at 60°/s
Periodo de tiempo: Baseline and Week 6

Percentage asymmetry of knee extensor peak torque between dominant and non-dominant limbs at 60°/sec.

Unit: %

Baseline and Week 6
Bilateral Deficit of Knee Flexors at 60°/s
Periodo de tiempo: Baseline and Week 6

Percentage asymmetry of knee flexor peak torque between dominant and non-dominant limbs at 60°/sec.

Unit: %

Baseline and Week 6
Dominant Total Work Done H/Q Ratio at 180°/s
Periodo de tiempo: Baseline and Week 6

Ratio of knee flexor to knee extensor total work done at 180°/sec on the dominant limb.

Unit: ratio

Baseline and Week 6
Non-dominant Total Work Done H/Q Ratio at 180°/s
Periodo de tiempo: Baseline and Week 6

Ratio of knee flexor to knee extensor total work done at 180°/sec on the non-dominant limb.

Unit: ratio

Baseline and Week 6
Arterial Elasticity (AE)
Periodo de tiempo: Baseline and Week 6
Arterial elasticity index derived from second-derivative photoplethysmography. Unit: unitless
Baseline and Week 6
Peripheral Elasticity (PE)
Periodo de tiempo: Baseline and Week 6

Peripheral elasticity index derived from second-derivative photoplethysmography.

Unit: unitless.

Baseline and Week 6

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Investigador principal: Yeon Soo Kim, MD, Prof, Seoul National University

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de junio de 2026

Finalización primaria (Actual)

27 de julio de 2026

Finalización del estudio (Actual)

27 de julio de 2026

Fechas de registro del estudio

Enviado por primera vez

1 de junio de 2026

Primero enviado que cumplió con los criterios de control de calidad

1 de junio de 2026

Publicado por primera vez (Actual)

5 de junio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

28 de julio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

27 de julio de 2026

Última verificación

1 de julio de 2026

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • SNU 26-02-085

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

INDECISO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .