Department of Nursing, University of Extremadura, Plasencia, Spain.
Department of Nursing and Physiotherapy, Universidad de Salamanca, Salamanca, Spain.
Front Endocrinol (Lausanne). 2024 Sep 19;15:1398375. doi: 10.3389/fendo.2024.1398375. eCollection 2024.
Vibration platforms have demonstrated systemic effects generated by the use of mechanical vibrations, which are similar to those of any physical activity. The effect that whole body vibration (WBV) generates on the organism could be recommended in Diabetes Mellitus 2 (DM 2) patients.
To systematically review and meta-analyze the available evidence on the effects of WBV on glycemic control in patients with DM 2.
Exhaustive bibliographic searches were carried out until October 2023 in different biomedical portals and databases: Public Medline (PubMed), Scientific Electronic Library Online (SciELO), VHL Regional Portal, Cochrane Central and Latin American and Caribbean Literature in Health Sciences (LILACS). Randomized clinical trials based on the effects of Whole Body Vibration on glycosylated hemoglobin levels, with control group and participants were non-insulin dependent were the inclusion criteria. Two reviewers extracted data independently. A third reviewer was available for discrepancies.
Six articles with 223 participants met the criteria and were included in the systematic review; only four of them met the criteria to be part of the meta-analysis. This meta-analysis reveals a positive and significant effect size (μ ê=0.5731), indicating a substantial difference between the groups studied. Although there is some variability between studies (heterogeneity of 30.05%), the overall direction of the effects is consistent. These findings conclusively suggest the presence of a significant influence of the variable evaluated, underscoring the robustness and consistency of the relationship observed in the literature reviewed.
There are no conclusive results due to the lack of data for some variables, which prevents comparison; but WBV may be an effective therapy to improve glycemic control in DM 2 patients. More studies with more patients and longer follow-up are needed.
振动平台通过使用机械振动产生了类似于任何身体活动的全身性效应。全身振动（WBV）对机体的影响可推荐用于 2 型糖尿病（DM 2）患者。
系统回顾和荟萃分析关于 WBV 对 2 型糖尿病患者血糖控制影响的现有证据。
直到 2023 年 10 月，在不同的生物医学门户和数据库中进行了全面的文献检索：公共医学图书馆（PubMed）、科学电子图书馆在线（SciELO）、VHL 区域门户、考科兰中心和拉丁美洲及加勒比健康科学文献（LILACS）。纳入标准为基于全身振动对糖化血红蛋白水平影响的随机临床试验，对照组和参与者为非依赖胰岛素的患者。两名审查员独立提取数据。对于差异，有第三名审查员可供参考。
有 6 篇符合纳入标准的文章，共有 223 名参与者；只有 4 篇符合纳入荟萃分析的标准。这项荟萃分析显示出积极且显著的效应量（μ ê=0.5731），表明研究组之间存在显著差异。尽管研究之间存在一定的变异性（异质性为 30.05%），但效应的总体方向是一致的。这些发现明确表明所评估的变量存在显著影响，突出了文献综述中观察到的关系的稳健性和一致性。
由于某些变量的数据缺乏，无法得出结论性结果，这妨碍了比较；但 WBV 可能是改善 2 型糖尿病患者血糖控制的有效治疗方法。需要更多患者和更长随访时间的研究。
