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The effects of whole body vibration in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.

Robinson CC, Barreto RP, Sbruzzi G, Plentz RD - Braz J Phys Ther (2015)

Bottom Line: Whole body vibration (WBV) has been used to increase physical activity levels in patients with type 2 diabetes mellitus (T2DM).WBV interventions provided a significant reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I²: 19%) in 12 hours fasting blood glucose compared with no intervention.WBV combined with exercise seems to improve glycemic control slightly in patients with T2DM in an exposure-dependent way.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

ABSTRACT

Background: Whole body vibration (WBV) has been used to increase physical activity levels in patients with type 2 diabetes mellitus (T2DM).

Objective: To carry out a systematic review of the effects of WBV on the glycemic control, cardiovascular risk factors, and physical and functional capacity of patients with T2DM.

Method: MEDLINE, LILACS, PEDro, and Cochrane Central Register of Controlled Trials were searched up to June 1st, 2015. Randomized controlled trials investigating the effects of WBV, compared to control or other intervention, on blood glucose levels, blood and physical cardiovascular risk factors, and physical and functional capacity in adult individuals with T2DM. Two independent reviewers extracted the data regarding authors, year of publication, number of participants, gender, age, WBV parameters and description of intervention, type of comparison, and mean and standard deviation of pre and post assessments.

Results: Out of 585 potentially eligible articles, two studies (reported in four manuscripts) were considered eligible. WBV interventions provided a significant reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I²: 19%) in 12 hours fasting blood glucose compared with no intervention. Improvements in glycated hemoglobin, cardiovascular risk factors, and physical and functional capacity were found only at 12 weeks after WBV intervention in comparison with no intervention.

Conclusion: WBV combined with exercise seems to improve glycemic control slightly in patients with T2DM in an exposure-dependent way. Large and well-designed trials are still needed to establish the efficacy and understand whether the effects were attributed to vibration, exercise, or a combination of both.

No MeSH data available.


Related in: MedlinePlus

Flow diagram of studies included.
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f01: Flow diagram of studies included.

Mentions: The search strategy yielded 585 articles. From these, eight16,19-21,29-32 were considered as potentially relevant andretrieved for a detailed analysis. After full text reading, four articles wereexcluded. As three articles21,31,32 referred to the same original study(clinical trial register: ACTRN12613000021774), they were considered as a singlestudy. From this, two studies reporting outcomes on four different articles20,21,31,32 were included in this systematic review.Figure 1 shows the flow diagram of thestudies and Table 1 summarizes theircharacteristics.


The effects of whole body vibration in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.

Robinson CC, Barreto RP, Sbruzzi G, Plentz RD - Braz J Phys Ther (2015)

Flow diagram of studies included.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835161&req=5

f01: Flow diagram of studies included.
Mentions: The search strategy yielded 585 articles. From these, eight16,19-21,29-32 were considered as potentially relevant andretrieved for a detailed analysis. After full text reading, four articles wereexcluded. As three articles21,31,32 referred to the same original study(clinical trial register: ACTRN12613000021774), they were considered as a singlestudy. From this, two studies reporting outcomes on four different articles20,21,31,32 were included in this systematic review.Figure 1 shows the flow diagram of thestudies and Table 1 summarizes theircharacteristics.

Bottom Line: Whole body vibration (WBV) has been used to increase physical activity levels in patients with type 2 diabetes mellitus (T2DM).WBV interventions provided a significant reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I²: 19%) in 12 hours fasting blood glucose compared with no intervention.WBV combined with exercise seems to improve glycemic control slightly in patients with T2DM in an exposure-dependent way.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

ABSTRACT

Background: Whole body vibration (WBV) has been used to increase physical activity levels in patients with type 2 diabetes mellitus (T2DM).

Objective: To carry out a systematic review of the effects of WBV on the glycemic control, cardiovascular risk factors, and physical and functional capacity of patients with T2DM.

Method: MEDLINE, LILACS, PEDro, and Cochrane Central Register of Controlled Trials were searched up to June 1st, 2015. Randomized controlled trials investigating the effects of WBV, compared to control or other intervention, on blood glucose levels, blood and physical cardiovascular risk factors, and physical and functional capacity in adult individuals with T2DM. Two independent reviewers extracted the data regarding authors, year of publication, number of participants, gender, age, WBV parameters and description of intervention, type of comparison, and mean and standard deviation of pre and post assessments.

Results: Out of 585 potentially eligible articles, two studies (reported in four manuscripts) were considered eligible. WBV interventions provided a significant reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I²: 19%) in 12 hours fasting blood glucose compared with no intervention. Improvements in glycated hemoglobin, cardiovascular risk factors, and physical and functional capacity were found only at 12 weeks after WBV intervention in comparison with no intervention.

Conclusion: WBV combined with exercise seems to improve glycemic control slightly in patients with T2DM in an exposure-dependent way. Large and well-designed trials are still needed to establish the efficacy and understand whether the effects were attributed to vibration, exercise, or a combination of both.

No MeSH data available.


Related in: MedlinePlus