A Effect of whole-body vibration on cardiac function and functionality in patients with chronic non-communicable disease: a systematic review and meta-analysis
DOI:
https://doi.org/10.33233/rbfex.v21i4.5161Keywords:
Cardiovascular system, chronic diseases, heart rate, exerciseAbstract
Objective: To investigate evidence of the use of whole-body vibration training (WBV) on cardiac autonomic function and functionality in patients with chronic non-communicable diseases related to the cardiovascular, respiratory and metabolic systems. Methods: The search involved Medline/PubMed, Lilacs, PEDro and Scopus databases. Randomized or quasi-randomized controlled trials were eligible for this review when comparing a group of patients with cardiovascular, respiratory or metabolic conditions who trained with WBV with a control group without intervention or other training modalities. Results: A total of 12 studies were included. Subgroup analyzes were performed considering sample size and age of participants. WBV training improved sympathovagal balance and reduced systolic blood pressure in patients with obesity and hypertension. There was a trend towards an increase in the distance covered on the six-minute walk test (6MWT) in COPD patients and a decrease in heart rate (HR) in overweight or obese women and hypertension after WBV, but no difference was found between the groups. No repercussions were observed in kidney transplant patients. Conclusion: WBV can be an alternative training modality to improve cardiac autonomic function and systolic blood pressure in obese and hypertensive patients, with moderate quality of evidence. We suggested that larger studies be carried out to assess the effect of WBV on outcomes such as distance covered in the 6MWT, HR, VO2max, diastolic blood pressure, gait speed and balance.
References
Buckhout R. Effect of whole-body vibration on human performance. Human Factors 1964;6:157-63. doi: 10.1177/001872086400600205
Jepsen DB, Thomsen K, Hansen S, Jørgensen NR, Masud T, Ryg J, et al. Effect of whole-body vibration exercise in preventing falls and fractures: a systematic review and meta-analysis. BMJ Open 2017;7:e018342. doi: 10.1136/ bmjopen-2017-018342
Maia TO, Paiva DN, Sobral Filho DC, Cavalcanti FCB, Rocha LG, Andrade CCA, et al. Does whole body vibration training improve heart rate variability in kidney transplants patients? A randomized clinical trial. J Bodyw Mov Ther 2020;24(2):50-6. doi: 10.1016/j.jbmt.2019.05.031
Braz Júnior DS, Dornelas de Andrade A, Teixeira AS, Cavalcanti CA, Morais AB, Marinho PE. Whole-body vibration improves functional capacity and quality of life in patients with severe chronic obstructive pulmonary disease (COPD): a pilot study. Int J Chron Obstruct Pulmon Dis 2015;10:125-32. doi: 10.2147/COPD.S73751
Aoyama A, Yamaoka-Tojo M, Obara S, Shimizu E, Fujiyoshi K, Noda C, et al. Acute effects of whole-body vibration raining on endothelial function and cardiovascular response in elderly patients with cardiovascular disease. Int Heart J 2019;60(4):854-61. doi: 10.1536/ihj.18-592
Sá-Caputo D, Paineiras-Domingos L, Carvalho-Lima R, Dias-Costa G, Paiva PC, Azeredo CF, et al. Potential effects of whole-body vibration exercises on blood flow kinetics of different populations: a systematic review with a suitable approach. Afr J Tradit Complement Altern Med 2017;14(4 Suppl):41-51. doi: 10.21010/ajtcam.v14i4S.6
Rittweger J, Ehrig J, Just K, Mutschelknauss M, Kirsch KA, Felsenberg D. Oxygen uptake in whole-body vibration exercise: influence of vibration frequency, amplitude, and external load. Int J Sports Med 2002;23(6):428-32. Int J Sports Med 2002 Aug;23(6):428-32. doi: 10.1055/s-2002-33739
Tankisheva E, Bogaerts A, Boonen S, Feys H, Verschueren S. Effects of intensive whole-body vibration training on muscle strength and balance in adults with chronic stroke: a randomized controlled pilot study. Arch Phys Med Rehabil 2014;95(3):439-46. doi: 10.1016/j.apmr.2013.09.009
Ritzmann R, Gollhofer A, Kramer A. The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration. Eur J Appl Physiol 2013;113(1):1-11. doi: 10.1007/s00421-012-2402-0
Rauch F. Vibration therapy. Developmental Medicine & Child Neurology 2009;51:166-68. doi: 10.1111/j.1469-8749.2009.03418.x
Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996 Mar 1;93(5):1043-65. Disponível em: https://pubmed.ncbi.nlm.nih.gov/8598068/
Lahiri MK, Kannankeril PJ, Goldberger JJ. Assessment of autonomic function in cardiovascular disease. Physiological basis and prognostic implications. J Am Coll Cardiol 2008;51:1725-33. doi: 10.1016/j.jacc.2008.01.038
Wong A, Figueroa A. Effects of whole-body vibration on heart rate variability: acute responses and training adaptations. Clin Physiol Funct Imaging 2019;39(2):115-21. doi: 10.1111/cpf.12524
Roelants M, Verschueren SM, Delecluse C, Levin O, Stijnen V. Whole-body-vibration-induced increase in leg muscle activity during different squat exercises. J Strength Cond Res 2006;20(1):124-9. doi: 0.1519/R-16674.1
Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 2011 Apr;64(4):401-6. doi: 10.1016/j.jclinepi.2010.07.015
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:71. doi: 10.1136/bmj.n71
Licurci MDGB, Almeida FA, Arisawa EALS. Acute effects of whole body vibration on heart rate variability in elderly people. J Bodyw Mov Ther 2018;22(3):618-21. doi: 10.1016/j.jbmt.2017.10.004
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(12):970-6. doi: 10.1089/acm.2016.0124
Figueroa A, Gil R, Wong A, Hooshmand S, Park SY, Vicil F, Sanchez-Gonzalez MA. Whole-body vibration training reduces arterial stiffness, blood pressure and sympathovagal balance in young overweight/obese women. Hypertens Res 2012;35(6):667-72. doi: 10.1038/hr.2012.15
Figueroa A, Kalfon R, Madzima TA, Wong A. Effects of whole-body vibration exercise training on aortic wave reflection and muscle strength in postmenopausal women with prehypertension and hypertension. J Hum Hypertens 2014;28(2):118-22. doi: 10.1038/jhh.2013.59
Pleguezuelos E, Pérez ME, Guirao L, Samitier B, Costea M, Ortega P, et al. Effects of whole body vibration training in patients with severe chronic obstructive pulmonary disease. Respirology 2013;18(6):1028-34. doi: 10.1111/resp.12122
Furness T, Joseph C, Naughton G, Welsh L, Lorenzen C. Benefits of whole-body vibration to people with COPD: a community-based efficacy trial. BMC Pulm Med 2014;14:38. doi: 10.1186/1471-2466-14-38
Figueroa A, Kalfon R, Wong A. Whole-body vibration training decreases ankle systolic blood pressure and leg arterial stiffness in obese postmenopausal women with high blood pressure. Menopause 2015;22(4):423-7. doi: 10.1097/GME.0000000000000332
Severino G, Sanchez-Gonzalez M, Walters-Edwards M, Nordvall M, Chernykh O, Adames J, et al. Whole-body vibration training improves heart rate variability and body fat percentage in obese hispanic postmenopausal women. J Aging Phys Act 2017;25(3):395-401. doi: 10.1123/japa.2016-0087
Alvarez-Alvarado S, Jaime SJ, Ormsbee MJ, Campbell JC, Post J, Pacilio J, et al. Benefits of whole-body vibration training on arterial function and muscle strength in young overweight/obese women. Hypertens Res 2017;40(5):487-92. doi: 10.1038/hr.2016.178
Spielmanns M, Boeselt T, Gloeckl R, Klutsch A, Fischer H, Polanski H, et al. Low-volume whole-body vibration training improves exercise capacity in subjects with mild to severe COPD Respir Care 2017;62(3):315-23. doi: 10.4187/respcare.05154
Neves CDC, Lacerda ACR, Lage VKS, Soares AA, Chaves MGA, Lima LP, et al. Whole body vibration training increases physical measures and quality of life without altering inflammatory-oxidative biomarkers in patients with moderate COPD. J Appl Physiol 2018;125(2):520-8. doi: 10.1152/japplphysiol.01037.2017
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy of the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Updated 2016 [Internet]. [citado 2022 Jan 3]. Disponível em: www.goldcopd.org/global-strategy-diagnosis-management-prevention-copd-2016
Puhan MA, Mador MJ, Held U, Goldstein R, Guyatt GH, Schunemann HJ. Interpretation of treatment changes in 6-minute walk distance in patients with COPD. Eur Respir J 2008;32:637-43. doi: 10.1183/09031936.00140507
Yamamoto K, Miyachi M, Saitoh T, Yoshioka A, Onodera S. Effects of endurance training on resting and post-exercise cardiac autonomic control. Med Sci Sports Exerc 2001;33(9):1496-1502. doi: 10.1097/00005768-200109000-00012
Shi X, Stevens GHJ, Foresman BH, Stern SA, Raven PB. Autonomic nervous system control of the heart: endurance exercise training. Med Sci Sports Exerc [Internet] 1995 [citado 2022 Jan 3];27:1406-13. Disponível em: https://pubmed.ncbi.nlm.nih.gov/8531612/
Steele BG, Belza B, Cain K, Coppersmith J, Howard J, Sambasiva Lakshminarayan S, et al. The impact of chronic obstructive pulmonary disease exacerbation on pulmonary rehabilitation participation and functional outcomes. J Cardiopulm Rehabil Prev 2010;30(1):53-60. doi: 10.1097/HCR.0b013e3181c85845
Steele B, Belza B, Cain K, et al. A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. Arch Phys Med Rehabil 2008;89:404-12. doi: 10.1016/j.apmr.2007.11.003
Figueroa A, Baynard T, Fernhall B, Carhart R, Kanaley JA. Endurance training improves post-exercise cardiac autonomic modulation in obese women with and without type 2 diabetes. Eur J Appl Physiol 2007;100(4):437-44. doi: 10.1007/s00421-007-0446-3
Amano M, Kanda T, Ue H, Moritani T. Exercise training and autonomic nervous system activity in obese individuals. Med Sci Sports Exerc 2001;33(8):1287-91. doi: 10.1097/00005768-200108000-00007
Goulopoulou S, Baynard T, Franklin RM, Fernhall B, Carhart R Jr, Ruth Weinstock R, et al. Exercise training improves cardiovascular autonomic modulation in response to glucose ingestion in obese adults with and without type 2 diabetes mellitus. Metabolism 2010;59(6):901-10. doi: 10.1016/j.metabol.2009.10.011
Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, et al. Aerobic and resistance exercise improves physical fitness, bone health, and quality of life in overweight and obese breast cancer survivors: a randomized controlled trial. Breast Cancer Res 2018;20(1):124. doi: 10.1186/s13058-018-1051-6
Gloeckl R, Richter P, Winterkamp S, Pfeifer M, Nell C, Christle JW, Kenn K. Cardiopulmonary response during whole-body vibration training in patients with severe COPD. ERJ Open Res 2017;3(1):00101-2016. doi: 10.1183/23120541.00101-2016
Punzal PA, Ries AL, Kaplan RM, Prewitt LM. Maximum intensity exercise training in patients with chronic obstructive pulmonary disease. Chest 1991;100(3):618-23. doi: 10.1378/chest.100.3.618
Gimenez M, Servera E, Vergara P, Bach JR, Polu JM. Endurance training in patients with chronic obstructive pulmonary disease: a comparison of high versus moderate intensity. Arch Phys Med Rehabil 2000;81(1):102-9. doi: 10.1016/s0003-9993(00)90229-6
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