Diet and WB-EMS Effects in Obesity
DEMO-OB
Effects of Energy-Restricted Diet and Whole-Body Electromyostimulation (WB-EMS) on Myokine-Adipokine Interaction, Appetite Regulation, and Body Composition in Obese Individuals: A Randomized Controlled Trial
1 other identifier
interventional
40
1 country
2
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2026
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 26, 2026
CompletedFirst Posted
Study publicly available on registry
May 1, 2026
CompletedStudy Start
First participant enrolled
September 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
January 20, 2027
Study Completion
Last participant's last visit for all outcomes
June 20, 2027
May 1, 2026
April 1, 2026
5 months
April 26, 2026
April 26, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Change in serum irisin levels
Assessment of change in circulating irisin levels measured by ELISA.
Baseline to 8 weeks
Secondary Outcomes (8)
Change in serum myostatin levels
Baseline to 8 weeks
Change in serum leptin levels
Baseline to 8 weeks
Change in serum adiponectin levels
Baseline to 8 weeks
Change in serum FGF-21 levels
Baseline to 8 weeks
Change in serum ghrelin levels
Baseline to 8 weeks
- +3 more secondary outcomes
Study Arms (2)
Diet Only
ACTIVE COMPARATORParticipants receive an individualized energy-restricted diet program.
Diet + WB-EMS
EXPERIMENTALParticipants receive an energy-restricted diet combined with whole-body electromyostimulation (WB-EMS).
Interventions
A personalized diet with approximately 750 kcal/day energy deficit.
Whole-body electromyostimulation applied 2-3 times per week for 8 weeks under supervision.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- Presence of pacemaker or implantable cardioverter-defibrillator
- Known cardiovascular disease or severe chronic illness
- Pregnancy or breastfeeding
- Uncontrolled diabetes or severe metabolic disorders
- Active malignancy or cancer treatment
- Severe renal or hepatic failure
- Acute infection or inflammatory disease
- Orthopedic conditions limiting physical activity
- Use of medications affecting body composition or appetite (e.g., corticosteroids, weight-loss drugs)
- Regular resistance training within the last 3 months
- Substance abuse, including alcohol or drug dependency
- Psychiatric or cognitive conditions affecting adherence to the study protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Firat Universitylead
Study Sites (2)
Dicle University
Diyarbakır, Turkey (Türkiye)
Firat University
Elâzığ, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor, PhD
Study Record Dates
First Submitted
April 26, 2026
First Posted
May 1, 2026
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
January 20, 2027
Study Completion (Estimated)
June 20, 2027
Last Updated
May 1, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
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.