Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil.
Laboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, RJ, Brazil.
Int J Environ Res Public Health. 2023 Feb 20;20(4):3765. doi: 10.3390/ijerph20043765.
(1) Background: Metabolic syndrome (MSy) is defined by a constellation of interconnected physiological, biochemical, clinical, and metabolic factors that directly increase the risk of cardiovascular disease. This systematic review with meta-analysis was conducted to assess the effects of whole-body vibration exercise (WBVE) in metabolic syndrome (MSy) individuals. (2) Methods: An electronic search in Pubmed, Embase, Scopus, Web of Science, ScienceDirect, PEDro, and CINAHL databases in December 2022 was performed. Data regarding the included studies were extracted. The level of evidence, the methodological quality, and the risk of bias of each selected publication were individually evaluated. (3) Results: Eight studies were included in the systematic review and four studies in the meta-analysis, with a mean methodological quality score on the Physiotherapy Evidence Database (PEDro scale) of 5.6, considered "fair" quality. The qualitative results suggested positive effects of the systemic vibration therapy in relevant outcomes, such as quality of life, functionality, pain level, trunk flexibility, cardiovascular responses (blood pressure and heart rate), neuromuscular activation, range of motion of the knees, rating of perceived exertion, and body composition. The quantitative results, with weighted mean differences, standard mean differences, and 95% confidence intervals (CIs), were calculated. Conclusions: WBVE may be an alternative capable of interfering with physical-mainly for flexibility with weighted mean differences (1.70; 95% CI 0.15, 3.25; = 39)-functional, psychosocial, neuromuscular, emotional parameters, and consequently contribute to improvements in metabolic health and reduce the cardiovascular risk factor in MSy individuals. Nevertheless, further additional studies are required to understand the long-term effects of WBVE on MSy and its complications in a better way. Protocol study registration was as follows: PROSPERO (CRD 42020187319).
（1）背景：代谢综合征（MSy）是由一系列相互关联的生理、生化、临床和代谢因素定义的，这些因素直接增加了心血管疾病的风险。本系统评价和荟萃分析旨在评估全身振动运动（WBVE）对代谢综合征（MSy）个体的影响。
（2）方法：2022 年 12 月，在 Pubmed、Embase、Scopus、Web of Science、ScienceDirect、PEDro 和 CINAHL 数据库中进行了电子检索。提取了纳入研究的数据。单独评估了每个入选出版物的证据水平、方法学质量和偏倚风险。
（3）结果：系统评价纳入 8 项研究，荟萃分析纳入 4 项研究，物理治疗证据数据库（PEDro 量表）的平均方法学质量评分为 5.6，被认为是“中等”质量。定性结果表明全身振动治疗对相关结局有积极影响，如生活质量、功能、疼痛程度、躯干柔韧性、心血管反应（血压和心率）、神经肌肉激活、膝关节活动度、感知用力评分和身体成分。定量结果以加权均数差、标准均数差和 95%置信区间（CI）表示。结论：WBVE 可能是一种替代治疗方法，能够干扰身体功能-主要是灵活性，加权均数差为 1.70；95%CI 为 0.15，3.25； = 39）-心理社会、神经肌肉、情感参数，并因此有助于改善代谢健康并降低 MSy 个体的心血管风险因素。然而，需要进一步的额外研究来更好地了解 WBVE 对 MSy 及其并发症的长期影响。方案研究注册如下：PROSPERO（CRD 42020187319）。
