1
|
Wang H, Zhang C, Zhu S, Gao C, Gao Q, Huang R, Liu S, Wei X, Zhang H, Wei Q, He C. Low-frequency whole-body vibration can enhance cartilage degradation with slight changes in subchondral bone in mice with knee osteoarthritis and does not have any morphologic effect on normal joints. PLoS One 2023; 18:e0270074. [PMID: 37590222 PMCID: PMC10434961 DOI: 10.1371/journal.pone.0270074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 07/20/2023] [Indexed: 08/19/2023] Open
Abstract
PURPOSES To evaluate the effects of low frequency whole-body vibration (WBV) on degeneration of articular cartilage and subchondral bone in mice with destabilization of the medial meniscus (DMM)induced osteoarthritis(OA) and mice with normal knee. METHODS Ten-week-old C57BL/6J male mice received DMM on right knees, while the left knees performed sham operation. There were six groups: DMM, SHAM DMM, DMM+WBV,SHAM DMM+WBV, DMM+ NON-WBV and SHAM DMM+NON-WBV. After four weeks, the knees were harvested from the DMM and SHAM DMM group. The remaining groups were treated with WBV (10 Hz) or NON-WBV. Four weeks later, the knees were harvested. Genes, containing Aggrecan(Acan) and CollagenⅡ(Col2a1), Matrix Metalloproteinases 3 and 13(MMP3,13), TNFα and IL6, were measured and staining was also performed. OA was graded with OARSI scores, and tibial plateaubone volume to tissue volume ratio(BV/TV), bone surface area to bone volume ratio (BS/BV), trabecular number(Tb.N) and trabecular thickness separation(TS) between groups were analyzed. RESULTS Increased OARSI scores and cartilage degradation were observed after WBV. BV/TV, Tb.N and TS were not significant between the groups. Significant reductions were observed in MMP3, MMP13, Col2a1, Acan, TNFα and IL6 in the DMM+WBV compared to SHAM DMM+WBV group. BV/TV, BS/BV, Tb.N, TS and OARSI scores were not significantly changed in the left knees. IL6 expression in the SHAM DMM+WBV group was significantly increased compared with the SHAM DMM+ NON-WBV group, while Col2a1, Acan and MMP13 expression decreased. CONCLUSION WBV accelerated cartilage degeneration and caused slight changes in subchondral bone in a DMM-induced OA model. WBV had no morphologic effect on normal joints.
Collapse
Affiliation(s)
- Haiming Wang
- Rehabilitation Medicine Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
- Center of Rehabilitation Engineering Technology Research, Henan Province, Zhengzhou, Henan, China
| | - Chi Zhang
- Rehabilitation Medicine Department, The Affiliated Hospital Of Southwest Medical University, Luzhou, Sichuan, China
- Department of Rehabilitation Medicine, Southwest Medical University, Luzhou, Sichuan, China
- Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, Luzhou, Sichuan, China
| | - Siyi Zhu
- Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Rehabilitation Medicine Key Laboratory of Sichuan Province, Sichuan University, Chengdu, Sichuan, China
| | - Chengfei Gao
- Rehabilitation Medicine Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China
| | - Qiang Gao
- Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Rehabilitation Medicine Key Laboratory of Sichuan Province, Sichuan University, Chengdu, Sichuan, China
| | - Ridong Huang
- Department of Respiratory and Critical Care Medicine, Targeted Tracer Research and Development Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Sijia Liu
- Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Rehabilitation Medicine Key Laboratory of Sichuan Province, Sichuan University, Chengdu, Sichuan, China
| | - Xiangyang Wei
- Rehabilitation Medicine Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
- Center of Rehabilitation Engineering Technology Research, Henan Province, Zhengzhou, Henan, China
| | - Huakai Zhang
- Medical College of Zhengzhou University of Industrial technology, Zhengzhou, Henan, China
| | - Quan Wei
- Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Rehabilitation Medicine Key Laboratory of Sichuan Province, Sichuan University, Chengdu, Sichuan, China
| | - Chengqi He
- Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Rehabilitation Medicine Key Laboratory of Sichuan Province, Sichuan University, Chengdu, Sichuan, China
| |
Collapse
|
2
|
Zhang J, Zhou R, Zhao N, Li Y, Liu H, Zhang W, Guo W. Acute effects of blood flow restriction with whole-body vibration on sprint, muscle activation and metabolic accumulation in male sprinters. Front Physiol 2023; 14:1149400. [PMID: 37035675 PMCID: PMC10074852 DOI: 10.3389/fphys.2023.1149400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/08/2023] [Indexed: 03/17/2023] Open
Abstract
Purpose: The aim of this study was to explore the acute effects of Blood Flow Restriction Training (BFRT), Whole-Body Vibration (WBV), and BFRT + WBV on the 20 m sprint, muscle activation, and metabolic accumulation in male sprinters.Method: Sixteen male sprinters randomly performed BFRT, WBV, or BFRT + WBV interventions with 72 h intervals. Electromyography (EMG) signals were collected before and during interventions. Fingertip blood was taken before, immediately after, and 15 min after the intervention. 20 m sprint was performed before and 3 min after the intervention.Results: 1) 0–10m and 0–20 m sprint performance were significantly improved after WBV and BFRT + WBV interventions (p < 0.05), 0–20 m sprint performance was significantly improved after all three interventions (p < 0.05), 2) After BFRT + WBV intervention, the EMG amplitude of the vastus lateralis and soleus were significantly improved. Greater increases in EMG activity of the tibialis anterior muscle (p < 0.05)and blood lactate (p < 0.05)were observed following BFRT intervention compared to BFRT + WBV intervention.Conclusion: For sprint performance, BFRT and WBV had similar post-activation enhancement effects to BFRT + WBV, and the metabolic accumulation immediately following the BFRT were higher than that following BFRT + WBV in male sprinters.
Collapse
Affiliation(s)
- Junjie Zhang
- Graduate School, Capital University of Physical Education and Sports, Beijing, China
| | - Ruihang Zhou
- Strength and Conditioning Training Research Center, China Institute of Sport Science, Beijing, China
| | - Ningning Zhao
- Competitive Sports Research Office, Hebei Institute of Sport Science, Shijiazhuang, China
| | - Yamei Li
- Department of Physical Education, Hebei University of Chinese Medicine, Shijiazhuang, China
| | - Haiyuan Liu
- Graduate School, Capital University of Physical Education and Sports, Beijing, China
| | | | - Wenxia Guo
- Department of Social Sports, Beijing University of Chemical Technology, Beijing, China
- *Correspondence: Wenxia Guo,
| |
Collapse
|
3
|
Sánchez-Delgado JC, Jácome-Hortúa AM, Yoshida de Melo K, Aguilar BA, Vieira Philbois S, Dutra de Souza HC. Physical Exercise Effects on Cardiovascular Autonomic Modulation in Postmenopausal Women-A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20032207. [PMID: 36767574 PMCID: PMC9916307 DOI: 10.3390/ijerph20032207] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 01/17/2023] [Accepted: 01/17/2023] [Indexed: 05/29/2023]
Abstract
BACKGROUND The cardioprotective effect of physical exercise has been demonstrated in several studies. However, no systematic or updated analysis has described the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women. AIM to describe the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women. METHODS The Scopus, PubMed, and Embase databases were searched for randomized clinical trials published between January 2011 and December 2021, and regarding the effects of physical exercise on cardiovascular autonomic modulation in postmenopausal women. Two independent authors processed the citations. The methodological quality was evaluated using the PEDRo scale. RESULTS Of the 91 studies identified, only 8 met the inclusion criteria, of which 7 had fair or poor methodological quality. The analyzed studies investigated the effects of functional training, whole-body vibration, muscular resistance, stretching, and aerobic exercises performed at home or at the gym. The majority of these exercise modalities showed improvements in heart-rate variability (HRV) indices and in the low-frequency band of blood pressure variability. The meta-analysis shows that exercise increased the standard deviation of instantaneous beat-to-beat variability (SD1) (mean difference (MD) = 3.99; 95% confidence interval (CI) = 1.22 to 6.77, n = 46; I2: 0%) and the standard deviation of long-term variability (SD2) (MD = 11.37; 95% CI = 2.99 to 19.75; n = 46; I2: 0%). CONCLUSIONS Aerobic exercise and some nonconventional training modalities may have beneficial effects on cardiovascular autonomic modulation in postmenopausal women. More high-quality studies are still needed to further confirm their efficacy and safety.
Collapse
Affiliation(s)
- Juan Carlos Sánchez-Delgado
- Grupo de Investigación Ser Cultura y Movimiento, Facultad de Salud, Universidad Santo Tomás-Bucaramanga, Santander 680001, Colombia
| | | | - Kelly Yoshida de Melo
- Laboratory of Physiology and Cardiovascular Physioterapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil
| | - Bruno Augusto Aguilar
- Laboratory of Physiology and Cardiovascular Physioterapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil
| | - Stella Vieira Philbois
- Laboratory of Physiology and Cardiovascular Physioterapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil
| | - Hugo Celso Dutra de Souza
- Laboratory of Physiology and Cardiovascular Physioterapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil
| |
Collapse
|
4
|
Whole body vibration, an alternative for exercise to improve recovery from surgery? Brain Behav Immun Health 2022; 26:100521. [PMID: 36203743 PMCID: PMC9531049 DOI: 10.1016/j.bbih.2022.100521] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 09/20/2022] [Accepted: 09/22/2022] [Indexed: 12/23/2022] Open
Abstract
Although exercise is usually associated with beneficial effects on physical and mental health, patients recovering from surgery may be hampered to perform active exercise. Whole body vibration (WBV) is suggested a passive alternative for physical training. Aim of the present study was to explore the therapeutic potential of WBV compared to physical exercise during early post-surgery recovery. Male three months old Wistar rats underwent major abdominal surgery. Starting the day after surgery, rats were subjected to either daily WBV or exercise (treadmill running) for 15 consecutive days. Control rats underwent pseudo treatment. During the first week after surgery, effects of interventions were obtained from continuous recording of hemodynamic parameters, body temperature and activity (via an implanted transducer). Behavioral tests were performed during the second post-surgical week to evaluate anxiety-like behavior, short and long-term memory functions, cognitive flexibility and motor performance. Animals were sacrificed 15 days after surgery and brain tissue was collected for analysis of hippocampal neuroinflammation and neurogenesis. Surgery significantly impacted all parameters measured during the first post-surgery week, irrespective of the type of surgery. Effect on cognitive performance was limited to cognitive flexibility; both WBV and exercise prevented the surgery-induced decline. Exercise, but not WBV increased anxiety-like behavior and grip strength. WBV as well as exercise prevented the surgery-induced declined neurogenesis, but surgery-associated hippocampal neuroinflammation was not affected. Our results indicated that active exercise and WBV share similar therapeutic potentials in the prevention of surgery induced decline in cognitive flexibility and hippocampal neurogenesis. In contrast to exercise, WBV did not increase anxiety-like behavior. Since neither intervention affected hippocampal neuroinflammation, other mechanisms and/or brain areas may be involved in the behavioral effects. Taken together, we conclude that WBV may provide a relevant alternative to active exercise during the early stage of post-operative recovery. Both whole body vibration (WBV) and running exercise restored the reduced cognitive flexibility caused by surgery. WBV as well as active exercise prevented surgery-induced declined neurogenesis. Active exercise, but not WBV, induced anxiety-like behavior after surgery. Neither WBV nor active exercise affected surgery-induced neuroinflammation. Neither WBV nor active exercise influenced hemodynamic recovery from surgery.
Collapse
|
5
|
Effects of Vibration Training on Weight Loss and Heart Rate Variability in the Obese Female College Students. BIOMED RESEARCH INTERNATIONAL 2022; 2022:1041688. [PMID: 35872875 PMCID: PMC9300325 DOI: 10.1155/2022/1041688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 06/20/2022] [Accepted: 06/24/2022] [Indexed: 12/05/2022]
Abstract
Objective The present study examined the effects of a 12-week whole-body vibration training (WBVT) regimen on heart rate variability (HRV) and body composition in the obese female college students. Methods Participants were assigned to either the WBVT (n = 17) or obese control group (n = 19). The students in the WBVT group conducted a 12-week (5 times per week and 30 min per time) exercise protocols (30 to 40 Hz of frequency and 4 mm of amplitude), and the obese control group did not perform regular physical training during 12 weeks of study. Then, body composition (body weight, BMI, body fat, body fat percentage; trunk fat mass, muscle mass, MM) and HRV (time domain and frequency domain index) were measured in all subjects before and after WBVT intervention. Results (1) After 12-week WBVT intervention, body fat mass, trunk fat mass, and body fat percentage significantly decreased and muscle mass increased in the WBVT group (P < 0.01, respectively); there was no significant change in body weight and BMI (P > 0.05, respectively). (2) After 12-week WBVT intervention, LFn, LF/HF, and HR significantly decreased (P < 0.05, P < 0.01), R-R interval and RMSSD significantly increased (P < 0.01, respectively), and there was no significant difference in HFn (P > 0.05). Nevertheless, there was no significant change before and after the test in body composition and HRV in the obese control group (P > 0.05, respectively). (3) After 12-week WBVT intervention, compared with the obese control group, body fat mass, body fat percentage, trunk fat mass, and LF/HF significantly decreased (P < 0.05, P < 0.01), muscle mass, and RMSSD increased (P < 0.05) in the WBVT group; but there were no significant difference in other indicators (P > 0.05) between the obese control group and WBVT group. (4) The reduction of body fat percentage before and after the WBVT intervention are positively correlated with the reduction in the LFn and LF/HF (r = 0.542, r = 0.504; P < 0.05, respectively) and negatively correlated with the increase in the RMSSD (r = −0.514, P < 0.05), and the reduction of trunk fat mass are positively correlated with the reduction in the LF/HF (r = 0.540, P < 0.05). Conclusion The results indicate that WBVT improves HRV and body composition in obese female college students, and the reduction in body fat percentage and trunk fat mass are associated with a shift in cardiac autonomic regulation towards vagal dominance and improve sympathetic-vagus balance after WBVT intervention. In conclusion, WBVT may be a feasible treatment to improve cardiac autonomic function and body composition.
Collapse
|
6
|
Wang H, Huang WY, Zhao Y. Efficacy of Exercise on Muscle Function and Physical Performance in Older Adults with Sarcopenia: An Updated Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138212. [PMID: 35805870 PMCID: PMC9266336 DOI: 10.3390/ijerph19138212] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 07/01/2022] [Accepted: 07/01/2022] [Indexed: 02/01/2023]
Abstract
This study aimed to analyze the efficacy of exercise interventions on muscle strength, muscle mass, and physical performance in older adults with sarcopenia. Randomized controlled studies assessing exercise effects on sarcopenia were searched in Web of Science, PubMed, Cochrane Library, ProQuest, EBSCOhost, Scopus, EMBASE, and VIP and CNKI up to 31 March 2022. Data were expressed as weighted/standardized mean difference (MD/SMD) with 95% confidence intervals (CI). I2 index was employed for heterogeneity. The initial search identified 5379 studies, and 23 studies involving 1252 participants met the inclusion criteria for further analysis. Results revealed that exercise interventions can significantly improve grip strength (MD = 2.38, 95%CI = 1.33–3.43), knee extension strength (SMD = 0.50, 95%CI = 0.36–0.64), muscle mass of lower extremities (MD = 0.28, 95%CI = 0.01–0.56), walking speed (SMD = 0.88, 95%CI = 0.49–1.27), and functional mobility (MD = −1.77, 95%CI = −2.11–−1.42) among older adults with sarcopenia. No significant exercise effects were found on fat-free muscle mass, appendicular muscle mass, skeletal muscle mass, and muscle mass of the upper extremities. The results of subgroup analysis indicated that both resistance training and multicomponent exercise could significantly increase the muscle strength, while aerobic exercise did not. The findings suggest that exercise intervention can effectively improve muscle function and physical performance in older adults with sarcopenia, but has limited effects on the muscle mass of the upper extremities. In addition, it is highly recommended to apply group-based and supervised resistance training and multicomponent exercise in the prevention and treatment of sarcopenia among the older population.
Collapse
Affiliation(s)
- Haolin Wang
- School of Sports Science and Physical Education, Nanjing Normal University, Nanjing 210023, China;
| | - Wendy Y. Huang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong SAR 00852, China;
| | - Yanan Zhao
- School of Sports Science and Physical Education, Nanjing Normal University, Nanjing 210023, China;
- Correspondence: ; Tel.: +86-1885-1170-570
| |
Collapse
|
7
|
Cheng Y, Sun Z, Ya X, Zhou L, Wang M, Wang X, Liu Y. Effect of exercise training on arterial stiffness in obese and overweight children: a meta-analysis. Eur J Pediatr 2022; 181:2633-2642. [PMID: 35499629 DOI: 10.1007/s00431-022-04489-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 04/25/2022] [Accepted: 04/25/2022] [Indexed: 11/03/2022]
Abstract
The aim of this study was to investigate the effect of exercise training on arterial stiffness in obese and overweight children. Three databases were searched up to July 2021 for papers about exercise training and arterial stiffness in obese and overweight children. The quality of each identified study was evaluated. Effect sizes were estimated in terms of the standardized mean difference. Egger's test and sensitivity analysis were used to assess publication bias. In total, 26 studies by 19 researchers were included in the meta-analysis. Flow-mediated dilatation (FMD), pulse wave velocity (PWV), and intima-media thickness (IMT) were improved after exercise training in obese and overweight children. Subgroup analysis showed that exercise only reduced the PWV and IMT in individuals with a BMI < 30. FMD, PWV, and IMT were improved by exercise training in participants aged below 14 years, but only FMD was increased by exercise in participants aged 14 years and above. All types of training significantly improved FMD. Aerobic exercise (AE) and high-intensity intermittent training (HIIT) reduced the PWV of the participants, but were less effective than resistance training (RT) and aerobic plus resistance training. Only HIIT significantly reduced the IMT. Conclusions: Exercise training improved vascular endothelial function and vascular sclerosis in overweight and obese children, especially in those with a BMI < 30 and younger than 14 years. AE had a more favorable effect on arterial stiffness. What is Known: • Exercise training was a good way to lose weight and subsequently promoted vascular function in overweight and obese children. What is New: • Exercise training was more effective on the vascular endothelial function and vascular sclerosis in overweight and obese children with a BMI<30. • Aerobic exercise had a more favorable effect on arterial stiffness, while the improvement was not effective after resistance training and combined training mode.
Collapse
Affiliation(s)
- Yue Cheng
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China
| | - Zhenjia Sun
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China
| | - Xudong Ya
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China
| | - Linlin Zhou
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China
| | - Mingxia Wang
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China
| | - Xingqi Wang
- Biomedical R&d Center, School of Life Science, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Yujia Liu
- Department of Physical Education, Jiangsu Normal University, Tongshan District, No.101, Shanghai Road, Xuzhou, Jiangsu Province, 221116, China.
| |
Collapse
|
8
|
Gong L, Liu Y. Effect of Exercise Training on Arterial Stiffness in Overweight or Obese Populations. Int J Sports Med 2022; 43:996-1012. [PMID: 35468651 PMCID: PMC9622304 DOI: 10.1055/a-1795-2940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The purpose was to analyze the effects of exercise training (ET) on arterial
stiffness in all-age overweight or obese individuals. Sixty-one trials were
included with ET improving flow-mediated dilation (FMD), pulse wave velocity
(PWV), and intima-media thickness (IMT). In the subgroup analysis: (i) ET
improved FMD in overweight or obese children and adolescents with a large effect
size (SMD=0.83, 95% CI 0.42–1.25). PWV was decreased
after ET regardless of age. IMT was decreased by ET in participants younger than
60, (ii) ET improved FMD, PWV, and IMT in participants whose BMI were smaller
than 30 kg/m
2
, but ET only improved PWV of
participants whose BMI were larger than 30 kg/m
2
.
(iii) AE improved FMD, PWV, and IMT. High-intensity interval training (HIIT)
decreased IMT. (iv) The increase of FMD only happened when training duration was
longer than eight weeks. However, ET decreased PWV when the training duration
was no longer than 12 weeks. IMT was decreased when the training duration was
longer than eight weeks. ET instigated an improvement in endothelial function
and arterial stiffness in overweight or obese populations, but depending on the
different characteristics of exercise intervention and participants’
demographics.
Collapse
Affiliation(s)
- Lijing Gong
- Key Laboratory of Exercise and Physical Fitness, Ministry of Education, Beijing Sport University, Beijing, China
| | - Yujia Liu
- Physical education, Jiangsu Normal University, Xuzhou, China
| |
Collapse
|
9
|
Martins D, Rahal S, Silva Júnior J, Michelon F, Tomacheuski R, Correia L, Woods L, Mamprim M, Lourenço M, Santos I. Effects of reticulated hyaluronic acid alone or associated with whole-body vibration in dogs with osteoarthritis due to hip dysplasia. Top Companion Anim Med 2022; 49:100653. [DOI: 10.1016/j.tcam.2022.100653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 01/27/2022] [Accepted: 03/01/2022] [Indexed: 11/26/2022]
|
10
|
Jurik R, Żebrowska A, Stastny P. Effect of an Acute Resistance Training Bout and Long-Term Resistance Training Program on Arterial Stiffness: A Systematic Review and Meta-Analysis. J Clin Med 2021; 10:3492. [PMID: 34441788 PMCID: PMC8397161 DOI: 10.3390/jcm10163492] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 08/04/2021] [Accepted: 08/05/2021] [Indexed: 02/05/2023] Open
Abstract
Resistance training (RT) and exercise is useful for preventing cardiovascular disease, systolic hypertension and stroke, which are associated with the stiffening of the larger central arterial system. The aim of this systematic review was to (a) understand the changes in arterial stiffness (AS) in various parts of the body measurement after acute RT bout and long-term RT, and (b) to determine the impact of exercise intensity on these changes in healthy individuals. A systematic computerized search was performed according to the PRISMA in PubMed, Scopus and Google Scholar with final selection of 23 studies. An acute RT bout led to a temporary increase in pulse wave velocity (PWV) regardless of the measurement method or intensity. A long-term RT at above an 80% repetition maximum (RM) have an ambiguous effect on PWV. A low-intensity RT or whole-body vibration training program decreased carotid-femoral PWV and brachial-ankle PWV (d = 1.02) to between 0.7 ± 1.4 ms-1 (p < 0.05) and 1.3 ± 1.07 ms-1 (p < 0.05) and improved other cardiac functions. A long-term RT of moderate (60-80% 1RM) or low intensity (<60% one-repetition maximum (1RM)) can decrease AS. Low and moderate intensity RT is beneficial to reduce high AS to prevent cardiovascular diseases.
Collapse
Affiliation(s)
- Roman Jurik
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 162 52 Prague, Czech Republic
| | - Aleksandra Żebrowska
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland
| | - Petr Stastny
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 162 52 Prague, Czech Republic
| |
Collapse
|
11
|
Battista F, Ermolao A, van Baak MA, Beaulieu K, Blundell JE, Busetto L, Carraça EV, Encantado J, Dicker D, Farpour-Lambert N, Pramono A, Bellicha A, Oppert JM. Effect of exercise on cardiometabolic health of adults with overweight or obesity: Focus on blood pressure, insulin resistance, and intrahepatic fat-A systematic review and meta-analysis. Obes Rev 2021; 22 Suppl 4:e13269. [PMID: 33960110 PMCID: PMC8365642 DOI: 10.1111/obr.13269] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/06/2021] [Accepted: 04/10/2021] [Indexed: 12/17/2022]
Abstract
This systematic review examined the impact of exercise intervention programs on selected cardiometabolic health indicators in adults with overweight or obesity. Three electronic databases were explored for randomized controlled trials (RCTs) that included adults with overweight or obesity and provided exercise-training interventions. Effects on blood pressure, insulin resistance (homeostasis model of insulin resistance, HOMA-IR), and magnetic resonance measures of intrahepatic fat in exercise versus control groups were analyzed using random effects meta-analyses. Fifty-four articles matched inclusion criteria. Exercise training reduced systolic and diastolic blood pressure (mean difference, MD = -2.95 mmHg [95% CI -4.22, -1.68], p < 0.00001, I2 = 63% and MD = -1.93 mmHg [95% CI -2.73, -1.13], p < 0.00001, I2 = 54%, 60 and 58 study arms, respectively). Systolic and diastolic blood pressure decreased also when considering only subjects with hypertension. Exercise training significantly decreased HOMA-IR (standardized mean difference, SMD = -0.34 [-0.49, -0.18], p < 0.0001, I2 = 48%, 37 study arms), with higher effect size in subgroup of patients with type 2 diabetes (SMD = -0.50 [95% CI: -0.83, -0.17], p = 0.003, I2 = 39%). Intrahepatic fat decreased significantly after exercise interventions (SMD = -0.59 [95% CI: -0.78, -0.41], p < 0.00001, I2 = 0%), with a larger effect size after high-intensity interval training. In conclusion, exercise training is effective in improving cardiometabolic health in adults with overweight or obesity also when living with comorbitidies.
Collapse
Affiliation(s)
- Francesca Battista
- Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Padua, Italy
| | - Andrea Ermolao
- Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Padua, Italy
| | - Marleen A van Baak
- NUTRIM School of Nutrition and Translational Research in Metabolism, Department of Human Biology, Maastricht University, Maastricht, The Netherlands
| | - Kristine Beaulieu
- Appetite Control and Energy Balance Research Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - John E Blundell
- Appetite Control and Energy Balance Research Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - Luca Busetto
- Obesity Management Task Force (OMTF), European Association for the Study of obesity (EASO).,Department of Medicine, University of Padova, Padua, Italy
| | - Eliana V Carraça
- Faculdade de Educação Física e Desporto, CIDEFES, Universidade Lusófona de Humanidades e Tecnologias, Lisbon, Portugal
| | - Jorge Encantado
- APPsyCI - Applied Psychology Research Center Capabilities & Inclusion, ISPA - University Institute, Lisbon, Portugal
| | - Dror Dicker
- Obesity Management Task Force (OMTF), European Association for the Study of obesity (EASO).,Department of Internal Medicine D, Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Nathalie Farpour-Lambert
- Obesity Management Task Force (OMTF), European Association for the Study of obesity (EASO).,Obesity Prevention and Care Program Contrepoids, Service of Endocrinology, Diabetology, Nutrition and Patient Education, Department of Internal Medicine, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland
| | - Adriyan Pramono
- NUTRIM School of Nutrition and Translational Research in Metabolism, Department of Human Biology, Maastricht University, Maastricht, The Netherlands
| | - Alice Bellicha
- INSERM, Nutrition and Obesities: Systemic Approaches (NutriOmics), Sorbonne University, Paris, France.,UFR SESS-STAPS, University Paris-Est Créteil, Créteil, France
| | - Jean-Michel Oppert
- Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière hospital, Department of Nutrition, Institute of Cardiometabolism and Nutrition, Sorbonne University, Paris, France
| |
Collapse
|
12
|
Abdel-Aal NM, Allam NM, Eladl HM. Efficacy of whole-body vibration on balance control, postural stability, and mobility after thermal burn injuries: A prospective randomized controlled trial. Clin Rehabil 2021; 35:1555-1565. [PMID: 34053249 DOI: 10.1177/02692155211020861] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To investigate the additive effects of whole-body vibration (WBV) training to the traditional physical therapy program (TPTP) on balance control, postural stability, and mobility after thermal burn injuries. DESIGN A single-blinded, randomized controlled study. SETTING Outpatient physical therapy setting. PARTICIPANTS Forty participants, 20-45 years old, with deep second-degree thermal burn involving the lower limbs and trunk, with 35%-40% total body service area, were randomly allocated either into the study group or the control group. INTERVENTION The study group received WBV plus TPTP while the control group received the TPTP only. Interventions were applied three sessions a week for eight weeks. OUTCOME MEASURES Anteroposterior stability index (APSI), mediolateral stability index (MLSI), overall stability index (OSI), timed-up and go (TUG), and Berg balance scale (BBS) were measured at baseline and after eight weeks of interventions. RESULTS There were statistically significant differences in APSI, MLSI, OSI, BBS, and TUG in favor of the WBV group after eight weeks of intervention (P < 0.001). After eight weeks of intervention, the mean (SD) for APSI, MLSI, OSI, BBS, and TUG scores were 1.87 ± 0.51, 41.36 ± 0.18, 1.95 ± 0.56, 47.2 ± 6.12, and 8.15 ± 1.05 seconds in the WBV group, and 2.41 ± 0.71, 2.21 ± 0.54, 2.68 ± 0.73, 40.65 ± 4.7, and 10.95 ± 2.44 seconds in the control group, respectively. CONCLUSIONS The whole-body vibration training combined with the TPTP was more beneficial in improving APS, MLS, OSI, TUG, and BBS than TPTP alone. It might be considered a useful adjunctive therapy in treating patients with healed wounds with a deep second-degree burn of the trunk and lower limbs.
Collapse
Affiliation(s)
- Nabil Mahmoud Abdel-Aal
- Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Nesma M Allam
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Hadaya Mosaad Eladl
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| |
Collapse
|
13
|
Hanif H, Orooj M, Parveen A. Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2021; 19:435-439. [PMID: 33991471 DOI: 10.1515/jcim-2021-0064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 04/27/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To investigate the effect of whole-body vibration (WBV) in the recovery phase after resistance exercise (RE) bout on heart rate variability (HRV) and blood pressure (BP) in a hypertensive population. METHODS Twenty hypertensive males and females were randomly allocated into group A (RE bout), and group B (RE bout with WBV). Pre-test and post-test measure of HRV, systolic blood pressure, and diastolic blood pressure were taken before and after RE and placebo WBV in one group and in another group of RE with WBV in the recovery phase. RESULTS There were no significant differences in both RE bout group and RE bout with WBV on HRV parameters but on BP it has shown significant improvement in both groups with a p value of SBP and DBP as 0.001 and 0.03 respectively but comparatively RE with WBV in recovery has greater improvement. CONCLUSIONS Our data demonstrated that RE bout using WBV has no improvement on HRV but it has significantly improved BP in hypertensive population.
Collapse
Affiliation(s)
- Humaira Hanif
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, India
| | - Munazzah Orooj
- Department of Physiotherapy, School of Allied Health Sciences, Sharda University, Greater Noida, U.P., India
| | - Adila Parveen
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, India
| |
Collapse
|
14
|
Rubio-Arias JÁ, Martínez-Aranda LM, Andreu-Caravaca L, Sanz G, Benito PJ, Ramos-Campo DJ. Effects of Whole-Body Vibration Training on Body Composition, Cardiometabolic Risk, and Strength in the Population Who Are Overweight and Obese: A Systematic Review With Meta-analysis. Arch Phys Med Rehabil 2021; 102:2442-2453. [PMID: 33965395 DOI: 10.1016/j.apmr.2021.03.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 02/24/2021] [Accepted: 03/23/2021] [Indexed: 12/29/2022]
Abstract
OBJECTIVES To assess the effects of whole-body vibration training (WBVT) on body composition, metabolic and cardiovascular risk variables, and lower limb strength in participants who are overweight/obese. DATA SOURCES A systematic review with meta-analysis was conducted in 3 databases (PubMed-MEDLINE, Web of Science, and Cochrane Library) from inception through to January 26, 2020. STUDY SELECTION Studies analyzing the effect of WBVT on body composition variables, metabolic profile, blood pressure, heart rate, and lower limb strength in the population who are overweight/obese, with interventions of a minimum length of 2 weeks were included. DATA EXTRACTION After applying the inclusion and exclusion criteria, 23 studies involving 884 participants who were obese/overweight (experimental group: 543; weight=79.9 kg; body mass index (BMI) =31.3 kg/m2, obesity class I according to World Health Organization) were used in the quantitative analysis. The sex of the participants involved in the studies were as follows: (1) 17 studies included only female participants; (2) 1 study included only boys, and (3) 5 studies included both sexes. Meta-analysis, subgroup analysis, and meta-regression methods were used to calculate the mean difference and standardized mean difference (SMD; ± 95% confidence intervals [CIs]) as well as to analyze the effects of pre-post intervention WBVT and differences from control groups. DATA SYNTHESIS WBVT led to a significant decrease in fat mass (-1.07 kg, not clinically significant). In addition, WBVT reduced systolic blood pressure (-7.01 mmHg, clinically significant), diastolic blood pressure (-1.83 mmHg), and heart rate (-2.23 bpm), as well as increased the lower extremity strength (SMD=0.63; range, 0.40-0.86). On the other hand, WBVT did not modify the weight, BMI, muscle mass, cholesterol, triglycerides, or glucose. CONCLUSIONS WBVT could be an effective training modality to reduce blood pressure (clinically relevant) and resting heart rate. In addition, WBVT led to improved lower limb strength. However, these findings were not consistent with significant improvements on other variables associated with metabolic syndrome (body composition, cholesterol, triglycerides, glucose).
Collapse
Affiliation(s)
- Jacobo Á Rubio-Arias
- LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Madrid, Spain; Department of Education. University of Almería, Almeria, Spain.
| | | | - Luis Andreu-Caravaca
- Faculty of Sport, Catholic University of San Antonio (UCAM), Murcia, Spain; International Chair of Sports Medicine, Catholic University of San Antonio (UCAM), Murcia, Spain
| | - Gema Sanz
- Department of Microbiology, Tumor, and Cell Biology, Karolinska Institutet, Stockholm, Sweden; Gnomics, Murcia, Spain
| | - Pedro J Benito
- LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - Domingo J Ramos-Campo
- Faculty of Sport, Catholic University of San Antonio (UCAM), Murcia, Spain; Department of Education, University of Alcalá, Madrid, Spain
| |
Collapse
|
15
|
Modulation of Synaptic Plasticity by Vibratory Training in Young and Old Mice. Brain Sci 2021; 11:brainsci11010082. [PMID: 33435131 PMCID: PMC7827198 DOI: 10.3390/brainsci11010082] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 01/07/2021] [Accepted: 01/08/2021] [Indexed: 12/13/2022] Open
Abstract
In the past 40 years, scientific research has shown how Whole Body Vibration concept represents a strong stimulus for the whole organism. Low (<30 Hz), medium (30–80 Hz), and high (>80 Hz) frequency vibrations can have both positive and negative effects, depending on the oscillation type and duration of exposure to which the body is subjected. However, very little is known about the effects of vibratory training on the brain. In this regard, we verified whether three vibratory training protocols, differing in terms of vibration frequency and exposure time to vibration, could modulate synaptic plasticity in an experimental mouse model, by extracellular recordings in vitro in hippocampal slices of mice of 4 and 24 months old. Our results showed that vibratory training can modulate synaptic plasticity differently, depending on the protocol used, and that the best effects are related to the training protocol characterized by a low vibration frequency and a longer recovery time. Future studies will aim to understand the brain responses to various types of vibratory training and to explore the underlying mechanisms, also evaluating the presence of any structural and functional changes due to vibratory training.
Collapse
|
16
|
Whole-Body Vibration as Antihypertensive Non-Pharmacological Treatment in Hypertensive Individuals with Knee Osteoarthritis: Randomized Cross-Over Trial. SUSTAINABILITY 2020. [DOI: 10.3390/su12218944] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
(1) Background: Hypertension is a serious medical condition characterized by a persistent increase in blood pressure (BP), which is prevalent in individuals with knee osteoarthritis (KOA). Pharmacological interventions are normally used to treat both hypertension and KOA; however, a more sustainable form of treatment is desirable for these clinical conditions. Whole-body vibration (WBV) exercise has been proposed as a non-pharmacological therapy for reducing both BP and KOA symptomatology. This study aimed to evaluate the antihypertensive effect of WBV in hypertensive individuals with KOA. (2) Methods: Nineteen hypertensive individuals with KOA were randomly allocated to either a control (CG) (n = 9) or a WBV group (WBVG) (n = 10). Subjects in the WBVG were positioned sitting in a chair in front of a vibrating platform (VP) with the feet on the base (peak-to-peak displacement 2.5, 5.0 and 7.5 mm; frequencies 5 to 14 Hz). In the CG, subjects assumed the same position with the VP turned off. The protocols in the CG and WBVG were performed 2 days/week for a total of 5 weeks. (3) Results: No baseline differences (age, anthropometrics, BP parameters and medications) between the groups were found (p > 0.05). WBV exercise reduced systolic BP (SBP: 126.1 ± 2.7 versus 119.1 ± 3.2 mmHg; p = 0.001; post hoc: p = 0.02; F = 23.97) and mean BP (MBP: 82.6 ± 1.8 versus 78.7 ± 1.8, p = 0.001, post hoc: p = 0.02; F = 23.97), while no significant changes were found in diastolic BP (DBP: 68.5 ± 2.2 versus 64.4 ± 2.3; p = 0.11; F = 2.68). (4) Conclusions: WBV might be considered a sustainable therapy for exerting an antihypertensive effect in medicated hypertensive individuals with KOA. This decline in BP might translate to a reduction in pharmacological need, although further studies are necessary to understand the mechanisms underlying the described effect.
Collapse
|
17
|
Centner C, Ritzmann R, Gollhofer A, König D. Effects of Whole-Body Vibration Training and Blood Flow Restriction on Muscle Adaptations in Women: A Randomized Controlled Trial. J Strength Cond Res 2020; 34:603-608. [PMID: 31842133 DOI: 10.1519/jsc.0000000000003401] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Centner, C, Ritzmann, R, Gollhofer, A, and König, D. Effects of whole-body vibration training and blood flow restriction on muscle adaptations in women: a randomized controlled trial. J Strength Cond Res 34(3): 603-608, 2020-The purpose of the present randomized controlled trial was to investigate potential synergistic effects of whole-body vibration (WBV) training combined with blood flow restriction (BFR) on muscle mass and strength, and jump performance. Fifty healthy women (26.1 ± 4.6 years) were randomly allocated to one of the following experimental groups: WBV training combined with BFR (WBV + BFR) or WBV only. Before and after the 10-week training intervention, muscle cross-sectional area (CSA) of the vastus lateralis (VL) and gastrocnemius medialis (GM) was evaluated. Additionally, changes in muscle strength and jump performance were assessed before and after the intervention. The level of significance was set to p < 0.05. Vastus lateralis muscle CSA increased in both groups (p < 0.05). The increase in CSA was less pronounced after WBV than WBV + BFR, although the difference was not significant (p = 0.30). Likewise, GM CSA demonstrated comparable increases in both groups with a significant main effect of time (p < 0.05) but no interaction effect (p = 0.89). Assessment of muscular strength (p = 0.70) and jump performance (p = 0.40) did not reveal significant differences between the groups. The results of the present study indicate that the combination of WBV training with BFR shows a noticeable trend toward higher increases in muscle CSA compared with WBV alone. Despite the lack of significance, the results imply clinical relevance particularly in populations showing contraindications toward high training loads. This, however, needs to be confirmed in future research.
Collapse
Affiliation(s)
- Christoph Centner
- Department of Sport and Sport Science, University of Freiburg, Freiburg im Breisgau, Germany; and
| | - Ramona Ritzmann
- Department of Sport and Sport Science, University of Freiburg, Freiburg im Breisgau, Germany; and.,Praxisklinik Rennbahn, Muttenz, Switzerland
| | - Albert Gollhofer
- Department of Sport and Sport Science, University of Freiburg, Freiburg im Breisgau, Germany; and
| | - Daniel König
- Department of Sport and Sport Science, University of Freiburg, Freiburg im Breisgau, Germany; and
| |
Collapse
|
18
|
Wuestefeld A, Fuermaier ABM, Bernardo-Filho M, da Cunha de Sá-Caputo D, Rittweger J, Schoenau E, Stark C, Marin PJ, Seixas A, Judex S, Taiar R, Nyakas C, van der Zee EA, van Heuvelen MJG, Tucha O. Towards reporting guidelines of research using whole-body vibration as training or treatment regimen in human subjects-A Delphi consensus study. PLoS One 2020; 15:e0235905. [PMID: 32697809 PMCID: PMC7375612 DOI: 10.1371/journal.pone.0235905] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 06/25/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Whole-body vibration (WBV) is a method utilizing vibrating platforms to expose individuals to mechanical vibration. In its various applications, it has been linked to improved muscular, skeletal, metabolic, or cognitive functioning, quality of life, and physiological parameters such as blood pressure. Most evidence concerning WBV is inconclusive and meta-analytical reviews may not readily produce insights since the research has a risk of misunderstandings of vibration parameters and incomplete reporting occurs. This study aims at laying an empirical foundation for reporting guidelines for human WBV studies to improve the quality of reporting and the currently limited comparability between studies. METHOD The Delphi methodology is employed to exploit the integrated knowledge of WBV experts to distil the specific aspects of WBV methodology that should be included in such guidelines. Over three rounds of completing online questionnaires, the expert panel (round 1/2/3: 51/40/37 experts respectively from 17 countries with an average of 19.4 years of WBV research experience) rated candidate items. RESULTS A 40-item list was established based on the ratings of the individual items from the expert panel with a large final consensus (94.6%). CONCLUSION The final consensus indicates comprehensiveness and valuableness of the list. The results are in line with previous guidelines but expand these extensively. The present results may therefore serve as a foundation for updated guidelines for reporting human WBV studies in order to improve the quality of reporting of WBV studies, improve comparability of studies and facilitate the development of WBV study designs.
Collapse
Affiliation(s)
- Anika Wuestefeld
- Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, Netherlands
| | - Anselm B. M. Fuermaier
- Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, Netherlands
- * E-mail:
| | - Mario Bernardo-Filho
- Laboratory of Mechanical Vibration and Integrative Practices, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Danúbia da Cunha de Sá-Caputo
- Laboratory of Mechanical Vibration and Integrative Practices, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
- Faculty Bezerra de Araújo, Physiotherapy Course, Universidade do Estado do Rio de Janeiro, Rio de Janeirom, Brazil
| | - Jörn Rittweger
- German Aerospace Center, University of Cologne, Cologne, Germany
| | - Eckhard Schoenau
- Department of Pediatrics, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
- Center for Prevention and Rehabilitation, UniReha GmbH, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Christina Stark
- Department of Pediatrics, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | | | - Adérito Seixas
- Escola Superior de Saúde, Universidade Fernando Pessoa, Porto, Portugal
| | - Stefan Judex
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States of America
| | | | - Csaba Nyakas
- Department of Morphology and Physiology, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
| | - Eddy A. van der Zee
- Department of Molecular Neurobiology, University of Groningen, Groningen, Netherlands
| | - Marieke J. G. van Heuvelen
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - Oliver Tucha
- Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, Netherlands
| |
Collapse
|
19
|
Karabinus JA, Fascia BJ, Glasgow AC. Clapping jumping jacks to improve endothelial function in obese adults: if you're happy and you NO it, clap your hands. J Physiol 2020; 598:215-216. [PMID: 31671215 DOI: 10.1113/jp279101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
|
20
|
Melo FATD, Melo GFD, Albuquerque Neto SLD, Silva RWD, França NMD, Silva AAD, Ferreira CES. WHOLE-BODY VIBRATION TRAINING PROTOCOLS IN OBESE INDIVIDUALS: A SYSTEMATIC REVIEW. REV BRAS MED ESPORTE 2019. [DOI: 10.1590/1517-869220192506211005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
Abstract
ABSTRACT Obesity is a chronic degenerative disease. Whole-body vibration (WBV) devices make it possible to control the intensity of exercises through their variables: frequency, amplitude and vibration time, thus enabling interventions in these populations. The objective of this study was to review the applications, protocols and results of WBV devices in obese individuals. A systematic literature review was conducted using the descriptors and terms verified in DeCS (LILACS and SCIELO) and MeSH (PubMED). Of the thirteen studies selected, seven used an experimental and six a quasi-experimental methodological design. Eleven studies analyzed chronic responses and two studies acute responses to WBV training. Frequency values ranged between 30 and 35 Hz, amplitude was around 2 mm, and in terms of intensity, most of the training protocols used a gradual increase in WBV throughout the intervention. Eight studies added dynamic exercises and extra loads to the WBV. The mean total WBV exposure time varied around 20’ distributed in 1 or 2 series, with vibration times of 30” to 60” and the same rest time. The mean frequency of interventions was around 2 to 3 times a week, with a mean intervention time of 10 months. The main results include: decrease in body weight and improvement in the physiological variables of oxygen absorption, bone mineral density and arterial profile, indicating that WBV can be a safe tool in the fight against obesity and its implications. Level of Evidence II. Systematic Review of Level II Studies.
Collapse
|
21
|
Alavinia SM, Omidvar M, Craven BC. Does whole body vibration therapy assist in reducing fat mass or treating obesity in healthy overweight and obese adults? A systematic review and meta-analyses. Disabil Rehabil 2019; 43:1935-1947. [PMID: 31749405 DOI: 10.1080/09638288.2019.1688871] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
PURPOSE This review describes the effects of Whole Body Vibration therapy (WBV) for reducing fat mass (%/kg) among healthy (no comorbid disease) overweight and obese adults. MATERIALS AND METHODS Systematic literature search was conducted using Medline, Embase, Cochrane, CINAHL, and PubMed databases up to 27th March 2019. Studies evaluating the effects of WBV therapy on fat mass as a primary or secondary outcome among healthy (no comorbid disease), overweight or obese adults (Body Mass Index ≥25) were included. RESULTS Following the search, 2,420 studies were reviewed and 1,603 studies were selected for title and abstract screening. Of 153 studies considered for full-text review, 13 controlled trials were included in the systematic review. Two meta-analyses were performed for five studies. The first random effects (I2 = 70%, p-value = 0.02) meta-analysis, revealed a statistically significant mean change for percent fat mass (-2.56, 95% CI: -3.81, -1.31). The second fixed effects meta-analysis, revealed a significant mean change (-1.91, 95% CI: -2.64, -1.18) for fat mass/kg. CONCLUSION This systematic review and meta-analyses indicate a positive effect of Whole Body Vibration therapy on reducing fat mass (%/kg), especially when combined with conventional weight loss interventions specifically, diet and exercise.IMPLICATIONS FOR REHABILITATIONWhole Body Vibration therapy may assist obese and bariatric clients with weight loss.Whole Body Vibration therapy with conventional weight loss strategies may augment reductions in fat mass among obese clients in rehabilitation setting.
Collapse
Affiliation(s)
- S Mohammad Alavinia
- Neural Engineering and Therapeutic Team, Lyndhurst Centre, KITE-Toronto Rehab, University Health Network, Toronto, ON, Canada
| | - Maryam Omidvar
- Neural Engineering and Therapeutic Team, Lyndhurst Centre, KITE-Toronto Rehab, University Health Network, Toronto, ON, Canada
| | - B Catharine Craven
- Neural Engineering and Therapeutic Team, Lyndhurst Centre, KITE-Toronto Rehab, University Health Network, Toronto, ON, Canada.,Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Canada
| |
Collapse
|
22
|
Abdolhosseini P, Lark S, Wadsworth D, Stoner L. The Effects of Acute Bouts of Whole Body Vibration on Central Hemodynamics in Frail Older Adults: A Pilot Study. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2019. [DOI: 10.1080/02703181.2019.1622621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - Sally Lark
- School of Sport, Exercise and Nutrition, Massey University, Wellington, New Zealand
| | - Daniel Wadsworth
- School of Sport, Exercise and Nutrition, Massey University, Wellington, New Zealand
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia
| | - Lee Stoner
- Department of Exercise and Sport Science, University of North Carolina, 209 Fetzer Hall, Chapel Hill, NC, USA
| |
Collapse
|
23
|
Impact of low-intensity resistance and whole-body vibration training on aortic hemodynamics and vascular function in postmenopausal women. Hypertens Res 2019; 42:1979-1988. [DOI: 10.1038/s41440-019-0328-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Revised: 07/31/2019] [Accepted: 08/20/2019] [Indexed: 12/13/2022]
|
24
|
Heesterbeek M, van der Zee EA, van Heuvelen MJG. Feasibility of Three Novel Forms of Passive Exercise in a Multisensory Environment in Vulnerable Institutionalized Older Adults with Dementia. J Alzheimers Dis 2019; 70:681-690. [PMID: 31256137 PMCID: PMC6700638 DOI: 10.3233/jad-190309] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Increasing physical activity levels in patients with dementia can reduce pathology severity and progression of the disease. However, physical activity programs can be challenging to adhere to for this vulnerable population. Three novel forms of passive exercise in a multisensory environment may be feasible alternatives for patients who can no longer be involved in physical activity. OBJECTIVE To determine the feasibility of three different forms of passive exercise in a multisensory environment in inactive institutionalized older adults with dementia. METHODS 120 patients with dementia participated in this single blind randomized controlled trial (64.5% female, age 85.3±6.8 years Mini-Mental State Examination range 0-29). Ninety participants were randomly assigned to one of the three intervention groups: Therapeutic Motion Simulation (TMSim), Whole Body Vibration (WBV), and TMSim + WBV. Participants received 6 weeks of passive exercise, 4 sessions a week, 4 (WBV) to 12 (TMSim and TMSim + WBV) minutes per session. Feasibility of the novel forms of passive exercise was evaluated based on attendance, compliance, (proxy) experience scores, adverse events and drop-out rates. RESULTS On average 87.9% of the offered intervention sessions were attended. All three forms of passive exercise were well appreciated by the participants (7.3 on a scale from 0 to 10). Intervention related drop-out rates were reasonable (12.2%) and no serious adverse events occurred. CONCLUSION The novel passive exercise interventions TMSim, WBV, and TMSim + WBV are feasible to apply in patients at all stages of dementia. More research is needed to establish effectiveness of passive exercise to limit adverse effects of dementia.
Collapse
Affiliation(s)
- Marelle Heesterbeek
- Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Groningen, The Netherlands
| | - Eddy Anton van der Zee
- Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Groningen, The Netherlands
| | - Marieke Joan Gerda van Heuvelen
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| |
Collapse
|
25
|
Eid MA, Aly SM. Effect of whole body vibration training on bone mineral density and functional capacity in children with thalassemia. Physiother Theory Pract 2019; 37:279-286. [PMID: 31179798 DOI: 10.1080/09593985.2019.1625089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Purpose: To investigate the effectiveness of whole body vibration (WBV) on bone mineral density (BMD) and functional capacity in children with β-thalassemia major. Methods: Thirty-nine children (23 boys and 16 girls) with β-thalassemia major, with ages ranging from 6 to 10 years, participated in a randomized controlled trial. They were selected and randomly divided, using computer-generated random numbers into two groups. The control group (n = 20) received the medical treatment and the physical therapy program whereas the study group (n = 19) received the same program as the control group in addition to WBV training (25-30 Hz, 2 mm amplitude, 10 repetitions (30-60 s) with 1 min rest, 15-20 min/day, 3 days/week/24 weeks). Bone mineral density and functional capacity were assessed before and after 24 weeks. Results: Both groups showed a significant increase in BMD and functional capacity after treatment compared with that before treatment (P ˂ 0.05). However, children in the study group demonstrated a significant increase in the functional capacity and the BMD of the lumbar spine, femoral neck and total body compared with that of the control group (P > .01). Conclusions: Whole body vibration may be an effective modality in improving BMD and functional capacity in children with β-thalassemia major.
Collapse
Affiliation(s)
- Mohamed A Eid
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University , Giza, Egypt
| | - Sobhy M Aly
- Department of Biomechanics, Faculty of Physical Therapy, Cairo University , Giza, Egypt
| |
Collapse
|
26
|
Centner C, Ritzmann R, Schur S, Gollhofer A, König D. Blood flow restriction increases myoelectric activity and metabolic accumulation during whole-body vibration. Eur J Appl Physiol 2019; 119:1439-1449. [PMID: 30949807 DOI: 10.1007/s00421-019-04134-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 03/29/2019] [Indexed: 12/21/2022]
Abstract
PURPOSE Whole-body vibration (WBV) training is frequently applied in sports and rehabilitation with the aim of inducing beneficial functional and structural adaptations. In the past decades, blood flow restriction (BFR) training has received increasing attention by enhancing the effectiveness of several low-load exercise regimens. The objective of this study was to evaluate the additional effect of BFR on myoelectric activity and metabolic accumulation during WBV training. METHODS Fifteen active men performed three sessions in a counterbalanced order on three different days: whole-body vibration exercise (WBV), whole-body vibration exercise with blood flow restriction (WBV + BFR), and a control session (CON) with neither WBV nor BFR. Electromyographic (EMG) activity was measured in six lower limb muscles throughout each exercise session; lactate and reactive oxygen species (ROS) concentrations were determined prior to, immediately after and 15 min after the exercise sessions. RESULTS EMG amplitudes increased from CON (29 ± 13% MVC) to WBV (45 ± 20% MVC) to WBV + BFR (71 ± 37% MVC) conditions (p < 0.05). Likewise, lactate concentrations increased in a similar manner, demonstrating significantly higher increases in the WBV + BFR session compared to WBV and CON. Furthermore, significant correlations between lactate concentration and EMG amplitude were detected. ROS concentration did not change significantly between the conditions. CONCLUSIONS The findings of the present study emphasize that the addition of BFR increases the acute effects beyond WBV treatment alone which becomes manifested in both neuromuscular and metabolic adaptations. Further research is needed to identify potential long-term effects of the combination of these two training regimens.
Collapse
Affiliation(s)
- Christoph Centner
- Department of Sport and Sport Science, University of Freiburg, Freiburg, Germany.
| | - Ramona Ritzmann
- Department of Sport and Sport Science, University of Freiburg, Freiburg, Germany.,Praxisklinik Rennbahn, Muttenz, Switzerland
| | - Stephan Schur
- Department of Sport and Sport Science, University of Freiburg, Freiburg, Germany
| | - Albert Gollhofer
- Department of Sport and Sport Science, University of Freiburg, Freiburg, Germany
| | - Daniel König
- Department of Sport and Sport Science, University of Freiburg, Freiburg, Germany
| |
Collapse
|
27
|
Maia TO, Paiva DN, Filho DCS, Cavalcanti FCB, Rocha LG, Macedo Júnior ARA, de Melo Marinho PÉ. Effects of whole body vibration on cardiac autonomic function and exercise capacity in renal transplant recipients. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2019. [DOI: 10.12968/ijtr.2018.0061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Background/Aims Whole body vibration is an exercise alternative that can be used in the rehabilitation of renal transplant recipients with the aim of reducing cardiovascular risk. The aim of this study was to evaluate the effects of whole body vibration training on heart rate variability, cardiorespiratory parameters and functional capacity on five renal transplant recipients. Methods Renal transplant recipients underwent whole body vibration exercise twice a week for a total of 12 weeks. All participants were monitored using the 24-hour Holter to evaluate the heart rate variability domains. An exercise test to evaluate maximal oxygen consumption and the distance walked in the Six-Minute Walk Test to evaluate functional capacity were also recorded. Results Overall, two of the five transplant recipients improved sympathovagal balance at the end of the study. Maximal oxygen consumption improved in three transplanted patients, and the distance walked improved for two patients. The results showed that whole body vibration training improved heart rate variability and maximal and submaximal test performance in some transplanted recipients. Conclusion The 12-week training protocol with twice weekly whole body vibration sessions was sufficient to improve heart rate variability and the performance of maximal and submaximal tests in some renal transplant recipients, although the responses were heterogeneous for the considered variables. Whole body vibration may be an alternative to conventional means of physical exercise because it causes minimal cardiovascular stress, which could be especially indicated for this population given the risk presence of arrhythmias and sudden death; therefore studies with better designs need to be developed in order to verify the effectiveness of this intervention.
Collapse
Affiliation(s)
- Tuíra O Maia
- Physiotherapist, Post-Graduate Programme in Health Sciences, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - Dulciane N Paiva
- Professor, Post-Graduate Programme in Health Promotion, Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | - Dário C Sobral Filho
- Professor, Coronary Care Unit of Pernambuco Cardiac Emergency Hospital, Universidade de Pernambuco, Recife, Pernambuco, Brazil
| | - Frederico CB Cavalcanti
- Professor, Real Portuguese Hospital of Beneficence of Pernambuco, Recife, Pernambuco, Brazil
| | - Livia G Rocha
- Physiotherapist, Post-Graduate Programme in Physical Therapy, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - Aluísio RA Macedo Júnior
- Cardiologist, Clinics Hospital of Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | | |
Collapse
|
28
|
Parras-Moltó A, Ribas-Serna J. Improvements in Pain, Well-being, Arterial Pressure, and Lower Limb Volume Following Andullation Therapy in Healthy and Unhealthy Humans. Dose Response 2019; 17:1559325819840838. [PMID: 31105478 PMCID: PMC6509990 DOI: 10.1177/1559325819840838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Revised: 02/15/2019] [Accepted: 02/19/2019] [Indexed: 11/23/2022] Open
Abstract
Our aim was to test the effects of Andullation therapy on pain threshold, pain perception, feeling of well-being, arterial pressure, and leg volume in healthy and unhealthy patients. We used a multidirectional vibration (frequency range: 5-40 Hz; peak-to-peak amplitude: 2-8 mm; acceleration: 0.4-2 m/s2) in an undulatory way through the surface of the body when the patient was in contact with a mattress ("andullation"). The vibes traveled from the heel to the head in a random fashion while the participants (N = 50) were lying on the mattress. We measured the pain threshold using an algometer; pain perception and well-being through a visual analog scale (VAS); arterial pressure with an electronic sphygmomanometer; and leg volume with Kuhnke's technique. Measurements were made just before the first andullation session and after the fifth andullation session. Every participant received andullation sessions of 30 min a day for 5 consecutive days. The patients' pain threshold significantly (P < .001) increased by 34.48% and 25.79% in the lumbar and trapezius zones, respectively, after 5 sessions of therapy. The subjective perception of pain decreased by 52.3% and the feeling of well-being increased by 45.1%. The systolic and diastolic pressures significantly (P < .001) decreased by 6.44 and 4.68 mm Hg on average, respectively. Leg volume significantly decreased (P < .01) by 64.39 mL after the fifth andullation session. Despite not including a control group in our study, the andullation intervention showed an improvement in pain, well-being, arterial pressure, and lower limb volume in the studied population.
Collapse
Affiliation(s)
- Alba Parras-Moltó
- Department of Medical Physiology and Biophysics, Faculty of Medicine, University of Seville, Seville, Spain
| | - Juan Ribas-Serna
- Department of Medical Physiology and Biophysics, Faculty of Medicine, University of Seville, Seville, Spain
| |
Collapse
|
29
|
Zhu YQ, Peng N, Zhou M, Liu PP, Qi XL, Wang N, Wang G, Wu ZP. Tai Chi and whole-body vibrating therapy in sarcopenic men in advanced old age: a clinical randomized controlled trial. Eur J Ageing 2019; 16:273-282. [PMID: 31543722 DOI: 10.1007/s10433-019-00498-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
This study was to investigate the effects of Tai Chi (TC) and whole-body vibration (WBV) exercise in sarcopenic men in advanced old age. Ninety sarcopenic men (mean age 88.6 years; age range 85-101 years) were divided into three groups: TC group, WBV group, and control (CON) group. Patients in the two treatment groups received 8 weeks of training in either TC or WBV, while the control group received reminders not to change their level of physical exercise or lifestyle. Patients in all groups also received health information related to sarcopenia. Muscle mass, muscle strength, and physical performance [balance, gait speed, timed-up-and-go test (TUGT), and five-times-sit-to-stand test (FTSST)] were analyzed and compared among the three groups. Finally, seventy-nine subjects completed the study (TC n = 24; WBV n = 28; and CON 27). Muscle strength was significantly increased in the TC and WBV groups compared to the control group (P < 0.01). Following 8 weeks of exercise, improvements were observed in all physical performance tests for the TC and WBV groups (P < 0.05). The improvement in balance was greater in the TC group than the WBV group. Time × Group effects revealed significant improvements in muscle strength in the lower extremities (P < 0.05) and physical performance (P < 0.01) in both the TC and WBV groups. Changes in muscle mass, as measured by dual-energy X-ray absorptiometry, did not significantly differ between groups. These findings indicate that TC and WBV are effective treatments for improving muscle strength and physical performance in sarcopenic men in advanced old age.
Collapse
Affiliation(s)
- Ya-Qiong Zhu
- 1Department of Geriatric Rehabilitation, Chinese PLA General Hospital, Beijing, 100853 China.,2Nankai University, Tianjin, 300071 China.,3National Clinic Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, 100853 China
| | - Nan Peng
- 1Department of Geriatric Rehabilitation, Chinese PLA General Hospital, Beijing, 100853 China.,3National Clinic Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, 100853 China
| | - Ming Zhou
- 4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China
| | - Pei-Pei Liu
- 1Department of Geriatric Rehabilitation, Chinese PLA General Hospital, Beijing, 100853 China
| | - Xiao-Lei Qi
- 4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China
| | - Ning Wang
- 4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China
| | - Gang Wang
- 4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China
| | - Zhao-Pei Wu
- 4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China
| |
Collapse
|
30
|
Zheng YL, Wang XF, Chen BL, Gu W, Wang X, Xu B, Zhang J, Wu Y, Chen CC, Liu XC, Wang XQ. Effect of 12-Week Whole-Body Vibration Exercise on Lumbopelvic Proprioception and Pain Control in Young Adults with Nonspecific Low Back Pain. Med Sci Monit 2019; 25:443-452. [PMID: 30644383 PMCID: PMC6342063 DOI: 10.12659/msm.912047] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Nonspecific low back pain (NSLBP) accounts for a large proportion of low back pain cases. The present study aimed to investigate the effect of the whole-body vibration (WBV) exercise on lumbar proprioception in NSLBP patients. It was hypothesized that WBV exercise enhances lumbar proprioception. MATERIAL AND METHODS Forty-two patients with NSLBP performed an exercise program 3 times a week for a total of 12 weeks of WBV. The lumbar proprioception was measured by joint position sense. Outcomes were lumbar angle deviation and visual analogue scale (VAS) score. RESULTS After the 12-week WBV exercise, lumbar flexion angle deviation was reduced from 3.65±2.26° to 1.90±1.07° (P=0.0001), and extension angle deviation was reduced from 3.06±1.85° to 1.61±0.75° (P=0.0001), significantly lower than baseline. After participating in the 12-week WBV exercise, a significant pain reduction was observed (P=0.0001). Men in the whole group (n=32) indicated significantly lower angle deviations in flexion and extension, whereas women (n=10) indicated significantly lower flexion angle deviation (P=0.037), and no significant difference was found in extension angle deviation (P=0.052). However, by subdividing the entire group (n=42) into poor and good proprioceptive groups, WBV exercise presented significant enhancement of lumbar proprioceptive ability in the poor flexion proprioception subgroup, poor extension proprioception subgroup, and good extension proprioception subgroup (each P=0.0001), but not in the subgroup with good flexion proprioceptive ability (P=0.165). CONCLUSIONS Lumbar flexion and extension proprioception as measured by joint position sense was significantly enhanced and pain was significantly reduced after 12-week WBV exercise in NSLBP patients. However, the patients with good flexion proprioceptive ability had limited proprioceptive enhancement.
Collapse
Affiliation(s)
- Yi-Li Zheng
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China (mainland).,Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China (mainland)
| | - Xiao-Feng Wang
- Department of Spinal Surgery, Integrated Traditional Chinese and Western Medicine Hospital of Wenzhou Affiliated Hospital of Zhejiang Chinese Medicine University, Wenzhou, Zhejiang, China (mainland)
| | - Bing-Lin Chen
- College of Medical Technology, Xuzhou Medical University, Xuzhou, Jiangsu, China (mainland)
| | - Wei Gu
- Department of Rehabilitation Medicine, Affiliated to Traditional Chinese Medicine Faculty, Changhai Hospital, Shanghai, China (mainland)
| | - Xin Wang
- Department of Rehabilitation Medicine, Affiliated to Traditional Chinese Medicine Faculty, Changhai Hospital, Shanghai, China (mainland)
| | - Bing Xu
- Department of Spinal Surgery, Integrated Traditional Chinese and Western Medicine Hospital of Wenzhou Affiliated Hospital of Zhejiang Chinese Medicine University, Wenzhou, Zhejiang, China (mainland)
| | - Juan Zhang
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China (mainland)
| | - Ya Wu
- Department of Rehabilitation Medicine, Shanghai Shangti Orthopedic Hospital, Shanghai, China (mainland)
| | - Chang-Cheng Chen
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China (mainland)
| | - Xiao-Chen Liu
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China (mainland)
| | - Xue-Qiang Wang
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China (mainland).,Department of Rehabilitation Medicine, Shanghai Shangti Orthopedic Hospital, Shanghai, China (mainland)
| |
Collapse
|
31
|
Huang J, Lai Q, Wang D, Yin H, Liao J, Wang S, Xu F, Hou X, Hu M. Effects Of Exercise Training With Dietary Restriction On Arterial Stiffness, Central Hemodynamic Parameters And Cardiac Autonomic Function In Obese Adolescents. Diabetes Metab Syndr Obes 2019; 12:2157-2163. [PMID: 31802923 PMCID: PMC6802540 DOI: 10.2147/dmso.s223514] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 10/03/2019] [Indexed: 12/17/2022] Open
Abstract
PURPOSE This study aimed to assess the effects of exercise with dietary restriction on arterial stiffness, central hemodynamics, and cardiac autonomic function in obese adolescents. PATIENTS AND METHODS Twenty-one obese adolescents completed a 6-week exercise and dietary program. Body composition and metabolic parameters were measured. Carotid-femoral pulse wave velocity (cfPWV) and brachial-ankle pulse wave velocity (baPWV) were used to assess central and systemic arterial stiffness, respectively. Using applanation tonometry, the analyses of central hemodynamic parameters [central blood pressure, heart rate (HR), augmentation index normalized at 75 bpm (AIx75), and subendocardial viability ratio (SEVR)] were performed. To determine cardiac autonomic function, heart rate variability (HRV) was analyzed by standard deviation of normal R-R intervals (SDNN), root mean square of successive R-R interval differences (RMSSD), percentage of successive R-R intervals that differed by >50 ms (pNN50), total power (TP), low-frequency (LF) and high-frequency (HF) power, and LF/HF ratio. RESULTS Following the intervention, obese adolescents had reductions in body mass index, body fat percentage, brachial systolic and diastolic blood pressure, and HR; and they had shown improvements in lipid profiles. There were reductions in both cfPWV and baPWV following the intervention. Moreover, there were reductions in AIx75, aortic systolic and diastolic blood pressure and an augmentation in SEVR after intervention. The intervention increased cardiac autonomic function (determined by increased SDNN, RMSSD, pNN50, HF, and reduced LF/HF). Furthermore, we observed a correlation between increased cardiac autonomic function (SDNN, RMSSD, pNN50 and HF) and increased central hemodynamics, as measured by SEVR and AIx75. CONCLUSION Obese adolescents had increased central hemodynamics and autonomic function with reduced arterial stiffness after exercise and dietary restriction. Moreover, a positive correlation between an enhancement of cardiac autonomic function and an augmentation in central hemodynamics was found after the intervention.
Collapse
Affiliation(s)
- Junhao Huang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Qinhao Lai
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Dan Wang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Honggang Yin
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Jingwen Liao
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Shen Wang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
- Department of Sports and Health, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
- School of Kinesiology, Shanghai University of Sport, Shanghai, People’s Republic of China
| | - Fengpeng Xu
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
| | - Xiaohui Hou
- Department of Sports and Health, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
- Xiaohui Hou Department of Sports and Health, Guangzhou Sport University, 1268 Middle Guangzhou Avenue, Guangzhou510500, People’s Republic of ChinaTel +86-20-38025087Fax +86-20-38027669 Email
| | - Min Hu
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, Guangdong, People’s Republic of China
- Correspondence: Min Hu Scientific Research Center, Guangzhou Sport University, 1268 Middle Guangzhou Avenue, Guangzhou510500, People’s Republic of ChinaTel/fax +86-20-38027669 Email
| |
Collapse
|
32
|
Shekarforoush S, Naghii MR. Whole-Body Vibration Training Increases Myocardial Salvage Against Acute Ischemia in Adult Male Rats. Arq Bras Cardiol 2018; 112:32-37. [PMID: 30570068 PMCID: PMC6317615 DOI: 10.5935/abc.20180252] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 07/23/2018] [Indexed: 12/13/2022] Open
Abstract
Background Whole body vibration training (WBV) is a new training program, which is safe
and effective. It can be followed by the public. However, data on the safety
and efficacy of vibration on myocardial ischemia reperfusion (IR) injury are
lacking. Objective To examine the effect of WBV on the tolerance of the myocardium to acute IR
injury in an experimental rat model. Methods Twenty-four male Wistar rats were divided into control and vibration groups.
Vibration training consisted of vertical sinusoidal whole body vibration for
30 min per day, 6 days per week, for 1 or 3 weeks (WBV1 and WBV3 groups,
respectively). All the rats were submitted to myocardial IR injury.
Myocardial infarct size and ischemia-induced arrhythmias were assessed.
Differences between variables were considered significant when p <
0.05. Results No differences were observed between the groups regarding the baseline
hemodynamic parameters. Infarct size was smaller in the experimental group
(control, 47 ± 2%; WBV1, 39 ± 2%; WBV3, 37 ± 2%; p <
0.05, vs. control). Vibration produced a significant decrease in the number
and duration of ventricular tachycardia (VT) episodes compared to the
control value. All ventricular fibrillation (VF) episodes in the vibration
groups were self-limited, while 33% of the rats in the control group died
due to irreversible VF (p = 0.02). Conclusion The data showed that vibration training significantly increased cardiac
tolerance to IR injury in rats, as evidenced by reduction in the infarct
size and cardiac arrhythmias, and by facilitating spontaneous
defibrillation.
Collapse
Affiliation(s)
| | - Mohammad Reza Naghii
- Sport Physiology Research Center, Baqiyatallah University of Medical Sciences, Teerã - Iran
| |
Collapse
|
33
|
Cristovam DN, Botelho S, Andrade MF, Marques J, Sousa L. Whole-body vibration in the reduction of the cellulite. J COSMET LASER THER 2018; 21:278-285. [PMID: 30300017 DOI: 10.1080/14764172.2018.1525750] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
OBJECTIVE Evaluate the effects of the whole body vibration in improving of cellulite in the women's gluteal region. METHODS Controlled clinical trial performed with 42 women, with cellulite in the gluteal region, detected by means of clinical examination. After evaluation, the women were divided into two groups: Whole-Body Vibration (WBV_G) and control (C_G). The evaluations were performed at the beginning and the end of 10 sessions and superficial skin temperature, perimetry in the gluteal region, analysis of body contouring, analysis of improvement by blind reviewers and instrument of satisfaction, by numeric scale were investigated. RESULTS In the thermographic analysis, the WBV_G obtained significant increase of superficial skin temperature on the right (p = 0.02) and left (p = 0.02) gluteal region. There was no difference in intra- and intergroups in perimetry and the analysis of body contour. The WBV_G obtained a higher percentage of improvement by assessment of the blind reviewers (p = 0.003) and greater aesthetics satisfaction (p = 0.006), when compared to C_G. CONCLUSION WBV provided an improvement in the aspect of the cellulite when assessed by blind reviewers and greater participants' satisfaction, providing a significant increase in the superficial skin temperature in the gluteal region.
Collapse
Affiliation(s)
- Danielli Nunes Cristovam
- a Graduation in Physical Therapy , Federal University of Alfenas , Alfenas , Minas Gerais , Brazil
| | - Simone Botelho
- b Doctor, Postgraduate Program in Rehabilitation Sciences , Federal University of Alfenas , Alfenas , Minas Gerais , Brazil
| | - Marília Fernandes Andrade
- c Master, Postgraduate Program of Biosciences Applied to Health , Federal University of Alfenas , Alfenas , Minas Gerais , Brazil
| | - Joseane Marques
- d Doctor, Postgraduate Program in Surgical Sciences , State University of Campinas , Campinas , São Paulo , Brazil
| | - Ligia Sousa
- b Doctor, Postgraduate Program in Rehabilitation Sciences , Federal University of Alfenas , Alfenas , Minas Gerais , Brazil
| |
Collapse
|
34
|
Sá-Caputo D, Paineiras-Domingos L, Oliveira R, Neves MF, Brandão A, Marin PJ, Sañudo B, Furness T, Taiar R, Bernardo-Filho M. Acute Effects of Whole-Body Vibration on the Pain Level, Flexibility, and Cardiovascular Responses in Individuals With Metabolic Syndrome. Dose Response 2018; 16:1559325818802139. [PMID: 30305807 PMCID: PMC6176544 DOI: 10.1177/1559325818802139] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 08/14/2018] [Accepted: 08/23/2018] [Indexed: 01/05/2023] Open
Abstract
The aim of the study was to assess the acute effect of whole-body vibration (WBV) exercise, with low frequency (5 Hz), on the pain level (PL), trunk flexibility, and cardiovascular responses (blood pressure [BP] and heart rate [HR]) in individuals with metabolic syndrome (MetS). Forty-four individuals were included in the study (control: 15) or in (WBV exercise: 29) groups. They were submitted to 3 bouts (1 minute each) of WBV exercise (5 Hz and peak-to-peak displacements of 2.5, 5.0, and 7.5 mm, corresponding to peak accelerations of 0.12, 0.25, and 0.35 g, respectively, sitting in a chair with the feet on the platform with knees flexed, followed by 1 minute of interset rest. The Control Group performed the same protocol, but the platform was turned off. The PL was measured through the visual analog pain scale, and the flexibility was measured through the anterior trunk flexion test. Significant improvements on PL (P = .031) and flexibility (P = .004) were found only in the WBV exercise group. The BP and HR remained at physiological levels. In conclusion, the WBV exercise would lead to physiological response decreasing PL and increasing flexibility as well as maintaining the cardiovascular responses in individuals with MetS.
Collapse
Affiliation(s)
- D.C. Sá-Caputo
- Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental,
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de
Janeiro, RJ, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas,
Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara
Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Centro Universitário Serra dos Órgãos, Teresópolis, RJ, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro, RJ, Brazil
| | - L.L. Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas,
Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara
Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro, RJ, Brazil
- Programa de Pós-Graduação em Ciências Médicas, Faculdade de Ciências
Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ricardo Oliveira
- Departamento de Clínica Médica do Hospital Universitário Pedro
Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Mario F.T. Neves
- Departamento de Clínica Médica do Hospital Universitário Pedro
Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Andrea Brandão
- Departamento de Cardiologia do Hospital Universitário Pedro Ernesto,
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Pedro J. Marin
- Universidad Europea Miguel de Cervantes, Laboratorio de Fisiologia,
Valladolid, Spain
| | - Borja Sañudo
- Universidad de Sevilha, Facultad de Ciencias de la Educación,
Departamento de Educación Física y Deporte, Sevilla, Spain
| | - Trentham Furness
- School of Nursing, Midwifery and Paramedicine, Australian Catholic
University, Fitzroy, VIC, Australia
| | - Redha Taiar
- GRESPI, Research Group in Engineering Sciences, University of Reims
Champagne-Ardenne, France
| | - M. Bernardo-Filho
- Laboratório de Vibrações Mecânicas e Práticas Integrativas,
Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara
Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
35
|
Boerema AS, Heesterbeek M, Boersma SA, Schoemaker R, de Vries EFJ, van Heuvelen MJG, Van der Zee EA. Beneficial Effects of Whole Body Vibration on Brain Functions in Mice and Humans. Dose Response 2018; 16:1559325818811756. [PMID: 30574028 PMCID: PMC6299320 DOI: 10.1177/1559325818811756] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 10/03/2018] [Accepted: 10/16/2018] [Indexed: 01/08/2023] Open
Abstract
The biological consequences of mechanical whole body vibration (WBV) on the brain are not well documented. The aim of the current study was to further investigate the effects of a 5-week WBV intervention on brain functions. Mice (C57Bl/6J males, age 15 weeks) were exposed to 30 Hz WBV sessions (10 minutes per day, 5 days per week, for a period of 5 weeks; n = 10). Controls received the same intervention without the actual vibration (n = 10). Humans (both genders, age ranging from 44-99 years) were also exposed to daily sessions of 30 Hz WBV (4 minutes per day, 4 days per week, for a period of 5 weeks; n = 18). Controls received the same protocol using a 1 Hz protocol (n = 16). Positron emission tomography imaging was performed in the mice, and revealed that glucose uptake was not changed as a consequence of the 5-week WBV intervention. Whole body vibration did, however, improve motor performance and reduced arousal-induced home cage activity. Cognitive tests in humans revealed a selective improvement in the Stroop Color-Word test. Taken together, it is concluded that WBV is a safe intervention to improve brain functioning, although the subtle effects suggest that the protocol is as yet suboptimal.
Collapse
Affiliation(s)
- Ate S. Boerema
- Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Groningen Institute for Evolutionary Life Sciences (GELIFES), Molecular Neurobiology, University of Groningen, Groningen, the Netherlands
| | - Marelle Heesterbeek
- Groningen Institute for Evolutionary Life Sciences (GELIFES), Molecular Neurobiology, University of Groningen, Groningen, the Netherlands
| | - Selma A. Boersma
- Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Groningen Institute for Evolutionary Life Sciences (GELIFES), Molecular Neurobiology, University of Groningen, Groningen, the Netherlands
| | - Regien Schoemaker
- Groningen Institute for Evolutionary Life Sciences (GELIFES), Molecular Neurobiology, University of Groningen, Groningen, the Netherlands
| | - Erik F. J. de Vries
- Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Marieke J. G. van Heuvelen
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Eddy A. Van der Zee
- Groningen Institute for Evolutionary Life Sciences (GELIFES), Molecular Neurobiology, University of Groningen, Groningen, the Netherlands
| |
Collapse
|
36
|
Zago M, Capodaglio P, Ferrario C, Tarabini M, Galli M. Whole-body vibration training in obese subjects: A systematic review. PLoS One 2018; 13:e0202866. [PMID: 30183742 PMCID: PMC6124767 DOI: 10.1371/journal.pone.0202866] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 08/12/2018] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE (i) to determine the outcomes of whole-body vibration training (WBVT) on obese individuals, and the intervention settings producing such effects; (ii) identify potential improper or harmful use of WBVT. DESIGN Systematic review. DATA SOURCES Medline, Scopus, Web of Science, PEDro and Scielo until July 2018. ELIGIBILITY CRITERIA Full papers evaluating the effect of WBVT on body composition, cardiovascular status and functional performance in obese adults. Papers with PEDro score<4 were excluded. STUDY APPRAISAL AND SYNTHESIS Risk of bias and quality of WBVT reporting were assessed with PEDro scale (randomized controlled trials) or TREND checklist (non-randomized studies) and a 14-items checklist, respectively. Weighted acceleration, daily exposure and Hedges' adjusted g were computed. RESULTS We included 18 papers published 2010-2017. Typical interventions consisted in three sessions/week of exercises (squats, calf-raises) performed on platforms vibrating at 25-40 Hz (amplitude: 1-2 mm); according to ISO 2631-1:1997, daily exposure was "unsafe" in 7/18 studies. Interventions lasting ≥6 weeks improved cardiac autonomic function and reduced central/peripheral arterial stiffness in obese women; 10 weeks of WBVT produced significant weight/fat mass reduction, leg strength improvements as resistance training, and enhanced glucose regulation when added to hypocaloric diet. No paper evidenced losses of lean mass. Isolated cases of adverse effects were reported. SUMMARY To date, WBVT is a promising adjuvant intervention therapy for obese women; long-term studies involving larger cohorts and male participants are required to demonstrate the associated safety and health benefits. The therapeutic use of WBVT in the management of obese patients is still not standardised and should be supported by an extensive knowledge on the causality between vibration parameters and outcomes.
Collapse
Affiliation(s)
- Matteo Zago
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano–Italy
- Fondazione Istituto Farmacologico “Filippo Serpero”, Milano–Italy
- * E-mail:
| | - Paolo Capodaglio
- Research Laboratory in Biomechanics and Rehabilitation, Orthopedic Rehabilitation Unit, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Cristina Ferrario
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano–Italy
- Dipartimento di Meccanica, Politecnico di Milano, Milano–Italy
| | - Marco Tarabini
- Dipartimento di Meccanica, Politecnico di Milano, Milano–Italy
| | - Manuela Galli
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano–Italy
| |
Collapse
|
37
|
Heesterbeek M, Van der Zee EA, van Heuvelen MJG. Passive exercise to improve quality of life, activities of daily living, care burden and cognitive functioning in institutionalized older adults with dementia - a randomized controlled trial study protocol. BMC Geriatr 2018; 18:182. [PMID: 30107789 PMCID: PMC6092789 DOI: 10.1186/s12877-018-0874-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 08/06/2018] [Indexed: 12/18/2022] Open
Abstract
Background Dementia affects cognitive functioning, physical functioning, activities of daily living (ADLs), and quality of life (QOL). Pharmacological treatments to manage, cure or prevent dementia remain controversial. Therefore development of non-pharmacological approaches to prevent, or at least delay the onset and progression of dementia is urgently needed. Passive exercise is proposed to be such a non-pharmacological alternative. This study primarily aims to investigate the effects of three different forms of passive exercise on QOL and ADLs of institutionalized patients with dementia. The secondary aims are to assess the effects of three different forms of passive exercise on cognitive functioning and physical functioning of institutionalized patients with dementia as well as on care burden of both the primary formal and primary informal caregivers of these patients. Methods This is a multicenter randomized controlled trial. Three forms of passive exercise are distinguished; motion simulation (MSim), whole body vibration (WBV), and a combination of both MSim + WBV. Intervention effects are compared to a control group receiving regular care. Institutionalized patients with dementia follow a six-week intervention program consisting of four 4–12 min sessions a week. The primary outcome measures QOL and ADLs and secondary outcome measure care burden are assessed with questionnaires filled in by the primary formal and informal caregivers of the patient. The other secondary outcome measures cognitive and physical functioning are assessed by individual testing. The four groups are compared at baseline, after 6 weeks of intervention, and 2 weeks after the intervention has ended. Discussion This study will provide insight in the effects of different forms of passive exercise on QOL, ADLs, cognitive and physical functioning and care burden of institutionalized patients with dementia and their primary formal and informal caregivers. The results of this study might support the idea that passive exercise can be an efficient alternative for physical activity for patients not able to be or stay involved in active physical exercise. Trial registration The Netherlands National Trial Register (NTR6290). Retrospectively registered 29 March 2017.
Collapse
Affiliation(s)
- Marelle Heesterbeek
- Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Nijenborgh 7, 9747, AG, Groningen, The Netherlands.
| | - Eddy A Van der Zee
- Molecular Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, Nijenborgh 7, 9747, AG, Groningen, The Netherlands
| | - Marieke J G van Heuvelen
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| |
Collapse
|
38
|
Wong A, Figueroa A. Effects of whole-body vibration on heart rate variability: acute responses and training adaptations. Clin Physiol Funct Imaging 2018; 39:115-121. [PMID: 29775234 DOI: 10.1111/cpf.12524] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Accepted: 04/23/2018] [Indexed: 11/28/2022]
Abstract
Heart rate variability (HRV) is a noninvasive and practical measure of cardiac autonomic nervous system function, mainly the sympathetic and parasympathetic modulations of heart rate. A low HRV has been shown to be indicative of compromised cardiovascular health. Interventions that enhance HRV are therefore beneficial to cardiovascular health. Whole-body vibration (WBV) training has been proposed as an alternative time-efficient exercise intervention for the improvement of cardiovascular health. In this review, we discuss the effect of WBV both acute and after training on HRV. WBV training appears to be a useful therapeutic intervention to improve cardiac autonomic function in different populations, mainly through decreases in sympathovagal balance. Although the mechanisms by which WBV training improves symphathovagal balance are not yet well understood; enhancement of baroreflex sensitivity, nitric oxide bioavailability and angiotensin II levels seem to play an important role.
Collapse
Affiliation(s)
- Alexei Wong
- Department of Health and Human Performance, Marymount University, Arlington, Virginia, USA
| | - Arturo Figueroa
- Department of Kinesiology and Sport Management, Texas Tech University, Lubbock, Texas, USA
| |
Collapse
|
39
|
Totosy de Zepetnek JO, Miyatani M, Szeto M, Giangregorio LM, Craven BC. The effects of whole body vibration on pulse wave velocity in men with chronic spinal cord injury. J Spinal Cord Med 2017; 40:795-802. [PMID: 28868990 PMCID: PMC5778943 DOI: 10.1080/10790268.2017.1369248] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE A pilot study to evaluate the therapeutic potential of 40 weeks of passive standing with whole body vibration (PS-WBV) on central and peripheral arterial stiffness among men with chronic spinal cord injury (SCI). METHODS Consenting participants were pre-screened to ensure safe participation. Fifteen individuals with chronic SCI were enrolled to participate in PS-WBV sessions three times per week for 40 weeks on a modified WAVE platform custom-fitted with an EASYStand 5000. Knee angle was set at 160°, and vibration parameters were 45Hz frequency and 0.7mm displacement. Each 45-minute session of PS-WBV training was intermittent (60 seconds on and 120 seconds off). Aortic and leg pulse wave velocity (PWV) was measured at baseline, mid-point (20 weeks) and exit (40 weeks). RESULTS Nine males (age 41±11 years, American Spinal Injury Association Impairment Scale A-D, neurological level of injury T4-T10, years post-injury 12±8 years) completed the intervention. Aortic PWV was collected on n=7 at exit, and leg PWV was collected on n=6 at exit. No changes over time were found for either aortic PWV (P = 0.46) or leg PWV (P = 0.54). One possible study-related serious adverse event occurred during study intervention: the development of a grade III pressure sore on the right proximal anterior shin (n=1). CONCLUSION Forty weeks of PS-WBV in adults with SCI did not result in an observable change in arterial stiffness.
Collapse
Affiliation(s)
| | - Masae Miyatani
- Toronto Rehabilitation Institute, Spinal Cord Rehabilitation Program, University Health Network, 520 Sutherland Drive, Toronto, ON, M4G 3V9
| | - Maggie Szeto
- Toronto Rehabilitation Institute, Spinal Cord Rehabilitation Program, University Health Network, 520 Sutherland Drive, Toronto, ON, M4G 3V9
| | - Lora M. Giangregorio
- Toronto Rehabilitation Institute, Spinal Cord Rehabilitation Program, University Health Network, 520 Sutherland Drive, Toronto, ON, M4G 3V9,Department of Kinesiology, University of Waterloo, 200 University Ave, Waterloo, ON, N2L 3G1
| | - B. Catharine Craven
- Toronto Rehabilitation Institute, Spinal Cord Rehabilitation Program, University Health Network, 520 Sutherland Drive, Toronto, ON, M4G 3V9,Department of Medicine, University of Toronto, 1 King's College Cir, Toronto, ON, M5S 1A3,Correspondence to: B. Catharine Craven, Toronto Rehabilitation Institute, Spinal Cord Rehabilitation Program, Toronto, 520 Sutherland Drive, Ontario, M4G 3V9, Canada.
| |
Collapse
|
40
|
Hu M, Wang S, Wang D, Lai Q, Chen X, Duan S, Zhao M, Huang J. Combined moderate and high intensity exercise with dietary restriction improves cardiac autonomic function associated with a reduction in central and systemic arterial stiffness in obese adults: a clinical trial. PeerJ 2017; 5:e3900. [PMID: 29018628 PMCID: PMC5632535 DOI: 10.7717/peerj.3900] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Accepted: 09/17/2017] [Indexed: 01/04/2023] Open
Abstract
Objective The present study aimed to assess the effects of exercise with dietary restriction on cardiac autonomic activity, arterial stiffness, and cardiovascular biomarkers in obese individuals. Methods Seventeen obese adults completed an 8-week exercise and dietary program. Anthropometry, body composition, and multiple biochemical markers were measured. We used carotid-femoral pulse wave velocity (cfPWV), brachial-ankle pulse wave velocity (baPWV), central blood pressure, and augmentation index (AIx) to assess arterial stiffness. To determine cardiac autonomic activity, heart rate variability (HRV) was analyzed by standard deviation of normal-to-normal intervals (SDNN), square root of the mean squared differences of successive normal-to-normal intervals (RMSSD), total power (TF), low-frequency power in normalized units (LFnu), high-frequency power in normalized units (HFnu), and low-frequency power/high-frequency power (LF/HF). Results Following the exercise and diet intervention, obese subjects had significant reductions in body weight, body mass index, body fat percentage, brachial systolic blood pressure, and resting heart rate, and they had shown improvements in blood chemistry markers such as lipid profiles, insulin, and high-sensitivity C-reactive protein. There was a significant reduction in both cfPWV and baPWV following the intervention when compared to baseline levels. Moreover, the AIx and aortic systolic blood pressure were significantly reduced after the intervention. The diet and exercise intervention significantly increased cardiac autonomic modulation (determined by improved SDNN, RMSSD, TP LF, HF, and LF/HF), which was partly due to changes in heart rate, insulin resistance, and the inflammatory pattern. Furthermore, we observed a correlation between enhanced cardiac autonomic modulation (LF/HF) and decreased arterial stiffness, as measured by central cfPWV and systemic baPWV. Discussion An 8-week combined intervention of diet and exercise is effective in improving cardiac autonomic function in obese adults, with an associated decrease in central and systemic arterial stiffness.
Collapse
Affiliation(s)
- Min Hu
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Shen Wang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China.,School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Dan Wang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Qinhao Lai
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Xiaoying Chen
- Medical Genetics Center, School of Medicine, Ningbo University, Ningbo, China
| | - Shiwei Duan
- Medical Genetics Center, School of Medicine, Ningbo University, Ningbo, China
| | - Mengke Zhao
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| | - Junhao Huang
- Guangdong Provincial Key Laboratory of Sports and Health Promotion, Scientific Research Center, Guangzhou Sport University, Guangzhou, China.,Department of Sports and Health, Guangzhou Sport University, Guangzhou, China
| |
Collapse
|
41
|
Sá-Caputo D, Paineiras-Domingos L, Carvalho-Lima R, Dias-Costa G, de Paiva PDC, de Azeredo CF, Carmo RCR, Dionello CF, Moreira-Marconi E, Frederico ÉHF, Sousa-Gonçalves CR, Morel DS, Paiva DN, Avelar NC, Lacerda AC, Magalhães CE, Castro LS, Presta GA, de Paoli S, Sañudo B, Bernardo-Filho M. POTENTIAL EFFECTS OF WHOLE-BODY VIBRATION EXERCISES ON BLOOD FLOW KINETICS OF DIFFERENT POPULATIONS: A SYSTEMATIC REVIEW WITH A SUITABLE APPROACH. AFRICAN JOURNAL OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINES : AJTCAM 2017; 14:41-51. [PMID: 28740943 PMCID: PMC5514440 DOI: 10.21010/ajtcam.v14i4s.6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND The ability to control skin blood flow decreases with advancing age and some clinical disorders, as in diabetes and in rheumatologic diseases. Feasible clinical strategies such as whole-body vibration exercise (WBVE) are being used without a clear understanding of its effects. The aim of the present study is to review the effects of the WBVE on blood flow kinetics and its feasibility in different populations. MATERIAL AND METHODS The level of evidence (LE) of selected papers in PubMed and/or PEDRo databases was determined. We selected randomized, controlled trials in English to be evaluated. RESULTS Six studies had LE II, one had LE III-2 and one III-3 according to the NHMRC. A great variability among the protocols was observed but also in the assessment devices; therefore, more research about this topic is warranted. CONCLUSION Despite the limitations, it is can be concluded that the use of WBVE has proven to be a safe and useful strategy to improve blood flow. However, more studies with greater methodological quality are needed to clearly define the more suitable protocols.
Collapse
Affiliation(s)
- Danúbia Sá-Caputo
- Programa de Pós-graduação em Fisiopatologia Clínica e Experimental, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Laisa Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Rafaelle Carvalho-Lima
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Glenda Dias-Costa
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Patrícia de Castro de Paiva
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Claudia Figueiredo de Azeredo
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Roberto Carlos Resende Carmo
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Carla F. Dionello
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Eloá Moreira-Marconi
- Programa de Pós-graduação em Fisiopatologia Clínica e Experimental, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Éric Heleno F.F. Frederico
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Programa de Pós Graduação em Biociências, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Cintia Renata Sousa-Gonçalves
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Danielle S. Morel
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Dulciane N. Paiva
- Programa de Pós-Graduação em Promoção da Saúde da Universidade Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil
| | - Núbia C.P. Avelar
- Departamento de Fisioterapia, Universidade Federal de Santa Catarina, Brazil
| | - Ana C. Lacerda
- Departamento de Fisioterapia, Universidade Federal do Vale do Jequitinhonha e Mucuri, Brazil
| | - Carlos E.V. Magalhães
- Hospital Universitário Pedro Ernesto, Serviço de Cirurgia Endovascular e Vascular, Universidade do Estado do Rio de Janeiro, Brazil
| | - Leonardo S. Castro
- Hospital Universitário Pedro Ernesto, Serviço de Cirurgia Endovascular e Vascular, Universidade do Estado do Rio de Janeiro, Brazil
| | - Giuseppe A. Presta
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Severo de Paoli
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| | - Borja Sañudo
- Facultad de Ciencias de la Educación, Departamento de Educación Física y Deporte, Universidad de Sevilha, Sevilla, Spain
| | - Mario Bernardo-Filho
- Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil
| |
Collapse
|
42
|
Whole-Body Vibration Training Improves Heart Rate Variability and Body Fat Percentage in Obese Hispanic Postmenopausal Women. J Aging Phys Act 2017; 25:395-401. [DOI: 10.1123/japa.2016-0087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
43
|
Alvarez-Alvarado S, Jaime SJ, Ormsbee MJ, Campbell JC, Post J, Pacilio J, Figueroa A. Benefits of whole-body vibration training on arterial function and muscle strength in young overweight/obese women. Hypertens Res 2017; 40:487-492. [DOI: 10.1038/hr.2016.178] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Revised: 11/14/2016] [Accepted: 11/30/2016] [Indexed: 12/22/2022]
|
44
|
Wong A, Alvarez-Alvarado S, Kinsey AW, Figueroa A. Whole-Body Vibration Exercise Therapy Improves Cardiac Autonomic Function and Blood Pressure in Obese Pre- and Stage 1 Hypertensive Postmenopausal Women. J Altern Complement Med 2016; 22:970-976. [DOI: 10.1089/acm.2016.0124] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Alexei Wong
- Department of Health and Human Performance, Marymount University, Arlington, VA
| | - Stacey Alvarez-Alvarado
- Department of Nutrition, Food and Exercise Sciences, The Florida State University, Tallahassee, FL
| | - Amber W. Kinsey
- Nutrition Obesity Research Center, Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL
| | - Arturo Figueroa
- Department of Nutrition, Food and Exercise Sciences, The Florida State University, Tallahassee, FL
| |
Collapse
|
45
|
Li ZJ, Liu Y, Du LF, Luo XH. Evaluating arterial stiffness in type 2 diabetes patients using ultrasonic radiofrequency. ACTA ACUST UNITED AC 2016; 36:442-448. [PMID: 27376818 DOI: 10.1007/s11596-016-1606-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 04/29/2016] [Indexed: 12/21/2022]
Abstract
Differences in arterial stiffness between the two sides of the carotid arteries were investigated using ultrasonic radiofrequency in 88 patients with type 2 diabetes and 70 controls. The compliance coefficient (CC), pulse wave velocity (PWV), intima-media thickness (CIMT) and diameter (CCAD) of the common carotid arteries (CCAs) were measured. The ratio of the left to right CCAs was calculated to provide four indexes: CC ratio, PWV ratio, CIMT ratio and CCAD ratio. In the diabetes group, the PWV on the left side was significantly higher than that on the right side, while the CC on the left side was significantly lower than that on the right side. The bilateral CIMT was thicker and CCAD was wider, the left PWV traveled faster, and the right CC was higher in the diabetes group than in the control group. The PWV ratio between the two groups was significantly different and correlated positively with duration of diabetes and systolic blood pressure (SBP). The differences between the two sides of CCAs in patients with diabetes suggested that disease duration and SBP were important risk factors for arterial stiffness. Identifying the difference could potentially lead to the much earlier diagnosis of arteriosclerosis.
Collapse
Affiliation(s)
- Zhao-Jun Li
- Department of Ultrasound, Shanghai Jiaotong University, Shanghai, 200080, China
| | - Yang Liu
- Department of Ultrasound, Shanghai Jiaotong University, Shanghai, 200080, China
| | - Lian-Fang Du
- Department of Ultrasound, Shanghai Jiaotong University, Shanghai, 200080, China
| | - Xiang-Hong Luo
- Department of Echocardiography, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, 200080, China.
| |
Collapse
|
46
|
Figueroa A, Jaime SJ, Alvarez-Alvarado S. Whole-body vibration as a potential countermeasure for dynapenia and arterial stiffness. Integr Med Res 2016; 5:204-211. [PMID: 28462119 PMCID: PMC5390453 DOI: 10.1016/j.imr.2016.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 06/09/2016] [Accepted: 06/10/2016] [Indexed: 01/02/2023] Open
Abstract
Age-related decreases in muscle mass and strength are associated with decreased mobility, quality of life, and increased cardiovascular risk. Coupled with the prevalence of obesity, the risk of death becomes substantially greater. Resistance training (RT) has a well-documented beneficial impact on muscle mass and strength in young and older adults, although the high-intensity needed to elicit these adaptations may have a detrimental or negligible impact on vascular function, specifically on arterial stiffness. Increased arterial stiffness is associated with systolic hypertension, left ventricular hypertrophy, and myocardial ischemia. Therefore, improvements of muscle strength and arterial function are important in older adults. Recently, whole-body vibration (WBV) exercise, a novel modality of strength training, has shown to exhibit similar results on muscle strength as RT in a wide-variety of populations, with the greatest impact in elderly individuals with limited muscle function. Additionally, WBV training has been shown to have beneficial effects on vascular function by reducing arterial stiffness. This article reviews relevant publications reporting the effects of WBV on muscle strength and/or arterial stiffness. Findings from current studies suggest the use of WBV training as an alternative modality to traditional RT to countermeasure the age-related detriments in muscle strength and arterial stiffness in older adults.
Collapse
Affiliation(s)
- Arturo Figueroa
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, USA
| | - Salvador J Jaime
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, USA
| | - Stacey Alvarez-Alvarado
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, USA
| |
Collapse
|
47
|
Zeigler ZS, Swan PD. Acute effects of whole-body vibration with resistance exercise on postexercise blood pressure and oxygen consumption in prehypertensive adults. J Exerc Sci Fit 2016. [PMID: 29541113 PMCID: PMC5801710 DOI: 10.1016/j.jesf.2015.12.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background/Objective Research on the acute health effects of whole-body vibration with resistance exercise (WBV + RE) for clinical populations is limited. This randomized crossover trial evaluated postexercise hypotension and excess postexercise oxygen consumption (EPOC) in response to three conditions: WBV + RE, RE alone, and control (CON) in 11 prehypertensive (systolic/diastolic blood pressure: 120-139/80-89 mmHg) adults. Methods Following a 12-hour fast with no exercise for the previous 24 hours, resting VO2 and blood pressure (BP) were measured. WBV + RE was performed while standing barefoot on a vibration platform (Pneumex Pro-Vibe) and lifting a bar of 10% body weight. Fifteen repetitions of nine exercises were performed using a 1-minute-to-30-second exercise:rest ratio. RE was identical to WBV + RE but without vibration. During CON, participants remained seated for 15 minutes. Following exercise, VO2 was measured continuously and BP every 15 minutes for 3 hours. Results Postexercise hypotension and EPOC were significantly different for WBV + RE compared with RE and CON (p <0.001). Postexercise systolic BP was significantly lower for WBV + RE as compared with RE or CON, while diastolic BP was lower for both WBV + RE and RE compared with CON (p < 0.001; WBV + RE: 124 ± 2/72 ± 6 mmHg; RE: 126 ± 2/71 ± 6 mmHg; CON: 128 ± 2/73 ± 6 mmHg). EPOC was significantly (p < 0.001) higher at 15 minutes postexercise for WBV + RE as compared with RE. Conclusion Compared with RE alone, a single bout of WBV + RE resulted in a greater postexercise hypotension response and higher EPOC.
Collapse
Affiliation(s)
- Zachary S Zeigler
- School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA
| | - Pamela Diane Swan
- School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA
| |
Collapse
|
48
|
Sañudo B, César-Castillo M, Tejero S, Cordero-Arriaza FJ, Oliva-Pascual-Vaca Á, Figueroa A. Effects of Vibration on Leg Blood Flow After Intense Exercise and Its Influence on Subsequent Exercise Performance. J Strength Cond Res 2016; 30:1111-7. [DOI: 10.1519/jsc.0b013e3182a20f2c] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
|
49
|
Yule CE, Stoner L, Hodges LD, Cochrane DJ. Does short-term whole-body vibration training affect arterial stiffness in chronic stroke? A preliminary study. J Phys Ther Sci 2016; 28:996-1002. [PMID: 27134400 PMCID: PMC4842481 DOI: 10.1589/jpts.28.996] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Accepted: 12/15/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Previous studies have shown that stroke is associated with increased arterial
stiffness that can be diminished by a program of physical activity. A novel exercise
intervention, whole-body vibration (WBV), is reported to significantly improve arterial
stiffness in healthy men and older sedentary adults. However, little is known about its
efficacy in reducing arterial stiffness in chronic stroke. [Subjects and Methods] Six
participants with chronic stroke were randomly assigned to 4 weeks of WBV training or
control followed by cross-over after a 2-week washout period. WBV intervention consisted
of 3 sessions of 5 min intermittent WBV per week for 4 weeks. Arterial stiffness (carotid
arterial stiffness, pulse wave velocity [PWV], pulse and wave analysis [PWA]) were
measured before/after each intervention. [Results] No significant improvements were
reported with respect to carotid arterial stiffness, PWV, and PWA between WBV and control.
However, carotid arterial stiffness showed a decrease over time following WBV compared to
control, but this was not significant. [Conclusion] Three days/week for 4 weeks of WBV
seems too short to elicit appropriate changes in arterial stiffness in chronic stroke.
However, no adverse effects were reported, indicating that WBV is a safe and acceptable
exercise modality for people with chronic stroke.
Collapse
Affiliation(s)
- Christie E Yule
- School of Sport and Exercise, Massey University, New Zealand
| | - Lee Stoner
- School of Sport and Exercise, Massey University, New Zealand
| | | | | |
Collapse
|
50
|
Wong A, Alvarez-Alvarado S, Jaime SJ, Kinsey AW, Spicer MT, Madzima TA, Figueroa A. Combined whole-body vibration training and l-citrulline supplementation improves pressure wave reflection in obese postmenopausal women. Appl Physiol Nutr Metab 2016; 41:292-7. [DOI: 10.1139/apnm-2015-0465] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Postmenopausal women have increased wave reflection (augmentation pressure (AP) and index (AIx)) and reduced muscle function that predispose them to cardiac diseases and disability. Our aim was to examine the combined and independent effects of whole-body vibration training (WBVT) and l-citrulline supplementation on aortic hemodynamics and plasma nitric oxide metabolites (NOx) in postmenopausal women. Forty-one obese postmenopausal women were randomized to 3 groups: l-citrulline, WBVT+l-citrulline and WBVT+Placebo for 8 weeks. Brachial and aortic systolic blood pressure, diastolic blood pressure, AP, AIx, AIx adjusted to 75 beats/min (AIx@75), and NOx were measured before and after 8 weeks. All groups similarly decreased (P < 0.05) brachial and aortic pressures as well as AP, and similarly increased (P < 0.05) NOx levels. AIx and AIx@75 decreased (P < 0.01) in the WBVT+l-citrulline and WBVT+Placebo groups, but not in the l-citrulline group. The improvement in AIx@75 (−10.5% ± 8.8%, P < 0.05) in the WBVT+l-citrulline group was significant compared with the l-citrulline group. l-Citrulline supplementation and WBVT alone and combined decreased blood pressures. The combined intervention reduced AIx@75. This study supports the effectiveness of WBVT+l-citrulline as a potential intervention for prevention of hypertension-related cardiac diseases in obese postmenopausal women.
Collapse
Affiliation(s)
- Alexei Wong
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
- Department of Health and Human performance, Marymount University, Arlington, VA 22207, USA
| | - Stacey Alvarez-Alvarado
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| | - Salvador J. Jaime
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| | - Amber W. Kinsey
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| | - Maria T. Spicer
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| | - Takudzwa A. Madzima
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| | - Arturo Figueroa
- Department of Nutrition, Food, and Exercise Sciences, The Florida State University, Tallahassee, FL 32306, USA
| |
Collapse
|