Key result
Chronic neuromuscular electrical stimulation increased lower limb muscle mass to 416 mg compared to 397 mg with sham training and improved insulin sensitivity in mice.
Why the study?
Neuromuscular electrical stimulation of the lower limb reverses muscle wasting in chronic disease, but its effect on cardiometabolic health is unclear.
Does chronic neuromuscular electrical stimulation improve muscle mass and insulin sensitivity in a mouse model?
Does chronic neuromuscular electrical stimulation improve muscle mass and insulin sensitivity in a mouse model?
Absolute Event Rate: 416% vs 397%
p-value: p=0.04
Chronic neuromuscular electrical stimulation improves muscle mass and insulin sensitivity in a mouse model, suggesting potential cardiometabolic benefits for patients unable to exercise.
May support NMES for muscle/metabolic gains in sedentary models; leaves open human translation.
Muscle wasting reduces functional capacity and increases cardiometabolic risk in chronic disease. Neuromuscular electrical stimulation (NMES) of the lower limb has been shown to reverse muscle wasting in these patients but its effect on cardiometabolic health is unclear. We investigated a mouse model of in-vivo non-invasive chronic NMES on muscle mass, insulin sensitivity and arterial blood pressure (BP). Twenty-three C57BL6 mice underwent unilateral NMES or sham training over 2.5 weeks while anesthetized by isoflurane. Lower limb muscle mass and the stimulated limb to non-stimulated limb muscle mass ratio were compared between groups (NMES vs. sham). Insulin sensitivity was assessed 48 h after training using an intraperitoneal insulin tolerance test (ITT) and BP was assessed before and after training using the tail-cuff technique. After training, muscle mass increased in NMES vs. sham (416 ± 6 vs. 397 ± 6 mg, p = 0.04) along with the ratio of muscle mass (+3 ± 1% vs. -1 ± 1% p = 0.04). Moreover, insulin sensitivity improved in NMES vs. sham (average blood glucose during ITT: 139.6 ± 8.5 vs. 161.9 ± 9.0 mg/dl blood, p = 0.01). BP was decreased in both groups, although it is likely that the effect of NMES on BP was dampened by repetitive anesthesia. The metabolic benefit of NMES training could be of great utility in patients with chronic disease. Moreover, the clinical-like mouse model of NMES is an effective tool to investigate the systemic effects of local muscle strengthening.
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Lotri-Koffi et al. (2019) studied Healthy (mouse model) (n=23). Neuromuscular electrical stimulation (NMES) vs. Sham training was evaluated on Total lower limb muscle mass (mg) (p=0.04). Chronic neuromuscular electrical stimulation increased lower limb muscle mass to 416 mg compared to 397 mg with sham training and improved insulin sensitivity in mice.
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