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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

(A) The mean difference and 95% confidence interval (CI) of 12-hourfasting blood glucose in ml/dl for treatment with WBV (experimental) versuscomparator (control); (B) Mean difference and 95% confidence interval (CI)of body mass index in Kg/cm2 for treatment with WBV(experimental) versus comparator (control).
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f02: (A) The mean difference and 95% confidence interval (CI) of 12-hourfasting blood glucose in ml/dl for treatment with WBV (experimental) versuscomparator (control); (B) Mean difference and 95% confidence interval (CI)of body mass index in Kg/cm2 for treatment with WBV(experimental) versus comparator (control).

Mentions: For 12-h FBG, meta-analysis was performed and included data of two trials20,32 with a total of 59 patients (29 of whichwere on WBV). The comparison groups did not perform any intervention. There was animprovement in 12-h FBG by reduction in 25.7 ml/dl (95% CI: -45.3 to -6.1; I2: 19%), favoring WBV intervention (Figure 2A). There was no additional effect(p=0.09) of WBV to an eight-week increasing AE program regarding 12-h FBG, but boththe groups (WBV+AE and AE only) presented significantly lower 12-h FBG levels(p=0.02) than the control group20.


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)

(A) The mean difference and 95% confidence interval (CI) of 12-hourfasting blood glucose in ml/dl for treatment with WBV (experimental) versuscomparator (control); (B) Mean difference and 95% confidence interval (CI)of body mass index in Kg/cm2 for treatment with WBV(experimental) versus comparator (control).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f02: (A) The mean difference and 95% confidence interval (CI) of 12-hourfasting blood glucose in ml/dl for treatment with WBV (experimental) versuscomparator (control); (B) Mean difference and 95% confidence interval (CI)of body mass index in Kg/cm2 for treatment with WBV(experimental) versus comparator (control).
Mentions: For 12-h FBG, meta-analysis was performed and included data of two trials20,32 with a total of 59 patients (29 of whichwere on WBV). The comparison groups did not perform any intervention. There was animprovement in 12-h FBG by reduction in 25.7 ml/dl (95% CI: -45.3 to -6.1; I2: 19%), favoring WBV intervention (Figure 2A). There was no additional effect(p=0.09) of WBV to an eight-week increasing AE program regarding 12-h FBG, but boththe groups (WBV+AE and AE only) presented significantly lower 12-h FBG levels(p=0.02) than the control group20.

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