Vol. 18 No. 1 (2019)
Original Articles

Body composition in metabolic syndrome: Proposal of a protocol for a randomized clinical trial evaluating the effect of whole-body vibration exercise

Published 2019-07-01

Keywords

  • Whole body vibration exercise,
  • Metabolic syndrome,
  • Physical activity

How to Cite

1.
S. Reis A, L. Paineiras-Domingos L, Moreira-Marconi E, C. Moura-Fernandes M, Quinart H, Boyer FC, Neves MF, Taiar R, Bernardo-Filho M, C. Sá-Caputo D. Body composition in metabolic syndrome: Proposal of a protocol for a randomized clinical trial evaluating the effect of whole-body vibration exercise. BJHBS [Internet]. 2019 Jul. 1 [cited 2024 Oct. 11];18(1):33-40. Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/98

Abstract

Introduction: Metabolic syndrome (MetS) is characterized by a group of cardiovascular risk factors, such as hypertension, hyperglycemia, hypercholesterolemia, low high-density cho-lesterol and increased abdominal fat. Over the years, changes in body composition occur, with accelerated loss of lean mass and increased fat mass, favoring cardiometabolic disorders. A strong relationship exists between physical inactivity and the presence of multiple risk factors for MetS. Thus, physical exercise has been recommended for the prevention of cardio-vascular, chronic and MetS diseases. Whole-body vibration (WBV) exercise can be considered to be an exercise modality that benefits the muscular strength and cardiovascular health of elderly, sick and healthy people. Individuals with MetS are unmotivated to perform physical exercise regularly and, therefore, new approaches to intervention for this population are desirable. Objectives: The aim of this study is to present a protocol to verify the effect of WBV exercise on the body composition of MetS individuals. Methods: Randomized con-trolled trial with MetS individuals that will be allocated to an intervention group (WBVG) and a control group (CG). Partici-pants will be placed barefoot on the base of a side alternating vibrating platform, with 130º knee flexion. Individuals (WBVG and CG) will perform the protocol for 12 weeks, twice a week. The CG subjects will perform the exercises at 5Hz throughout the intervention and those from the WBVG will perform the 5Hz exercises in the first session, adding 1Hz per session, ending the protocol at 16Hz. 

Metrics

Metrics Loading ...

References

  1. Mottillo S, Filion KB, Genest J, et al. The Metabolic Syndrome and Cardiovascular Risk.JAm. Coll. Cardiol. 2010;56:1113–1132.
  2. Hennekens CH, Andreotti F. The leading avoidable cause of premature mortality in the world: the case for obesity. Am J Med. 2013;126(2):97-98.
  3. Grundy S M. “Metabolic syndrome pandemic,” Arteriosclerosis, Thrombosis, and Vascular Biology. Arterioscler Thromb Vasc Biol. 2008;28(4):629–636.
  4. B Xi, D He, Y Hu, et al. “Prevalence of metabolic syndrome and its influencing factors among the Chinese adults: The China Health and Nutrition Survey in 2009.” Prev. Med. 2013;57(6):867–871.
  5. Alberti KG, Zimmet P, Shaw J. Metabolic syndrome - a new worldwide definition. A Consensus Statement from the Interna-tional Diabetes Federation. Diabet Med. 2006;23:469–480.
  6. Kohl HW, Craig CL, Lambert EV, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380:294–305.
  7. Stamatakis E, Hillsdon M, Primatesta P, et al. Domestic phys-ical activity in relationship to multiple CVD risk factors. Am J Prev Med. 2007;32:320–327.
  8. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108:877-904.
  9. Sá Caputo DC, Ronikeili PC, Carvalho RPL, et al. Whole-body vibration exercises and the improvement of the flexi-bility in patient with metabolic syndrome. Rehabil Res Pract. 2014;628518.
  10. Rauch F, Sievanen H, Boonen S, et al. Reporting whole-body vibration intervention studies: Recommendations of the Inter-national Society of Musculoskeletal and Neuronal Interactions. J Musculoskelet Neuronal Interact. 2010;10(3):193-198.
  11. Paineiras-Domingos LL, Sá Caputo DC, Reis AS, et al. As-sessment Through the Short Physical Performance Battery of the Functionality in Individuals with Metabolic Syndrom Exposed to Whole-Body Vibration Exercises. Dose-Response. 2018;16(3):01-10.
  12. Sá Caputo DC, Paineiras LLD, Oliveira R, et al. Acute Effect of Whole-Body Vibration on the Pain Level, Flexibility, and Cardi-ovascular Responses in Individuals with Metabolic Syndrome. Dose-Response. 2018; 7:16(4):01-09.
  13. Paineiras LLD, Sá Caputo DDC, Moreira Marconi E, et al. Can whole body vibration exercises affect growth hormone concen-tration? A systematic review. Growth Factors. 2017 Oct;35(4-5):189-200.
  14. Fares EJ, Charrière N, Montani JP, et al. Energy expenditure and substrate oxidation in response to side-alternating whole-body vibration across three commonly-used vibration frequen-cies. journal PLoS One. 2016;11(3):1-16.
  15. Roelants M, Delecluse C, Goris M, et al. Effects of 24 weeks of whole-body vibration training on body composition and muscle strength in untrained females. Int J Sports Med. 2004;25(1):1–5.
  16. Goodpaster BH, Krishnaswami S, Harris TB, et al. Obesity, re-gional body fat distribution, and the metabolic syndrome in older men and women. Arch Intern Med.2005 Apr 11;165(7):777-83.
  17. Bener A, Yousafzai MT, Darwish S, et al. Obesity index that better predict metabolic syndrome:body mass index, waist circumference, waist hip ratio, or waist height ratio. J Obes. 2013;2013:269038.
  18. Jackson AS, Pollock ML, Graves JE, et al. Reliability and validi-ty of bioelectrical impedance in determining body composition. J Appl Physiol. 1988;64:529-534.
  19. Baumgartner RN, Heymsfield SB, Roche AF. Human body composition and the epidemiology of chronic disease. Obes. Res. 1995;3:73–95.
  20. Xu L, Cheng X, Wang J, Cao Q, et al. Comparisons of body-composition prediction accuracy: A study of 2 bioelec-tric impedance consumer devices in healthy Chinese persons using DXA and MRI as criteria methods. J. Clin. Densitom. 2011;14:458–464.
  21. Song GE, Kim K, Lee DJ, et al. Whole-body vibration effects on body composition in the postmenopausal korean obese women: pilot study. Korean J Fam Med. 2011;32:399-405.
  22. Brandão AA, da Rocha NA. Manual de hipertensão arterial: Hipertensão – Manuais, guias, etc. Rio de Janeiro: SOCERJ; 2018. p. 13-93.
  23. Nuttall, FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr. Today. 2015;50:117–128.
  24. World Health Organisation. Fact sheet: obesity and overweight.[acess on June 1st, 2019] Available at: http://www.who.int/mediacentre/factsheets/fs311/en/print.html.
  25. Petrov MS. Abdominal fat: a key player in metabolic acute pancreatitis. Am J Gastroenterol. 2013;108(1):140-142.
  26. Murray S. Is waist-to-hip ratio a better marker of cardiovascular risk than body mass index? doi: 10.1503/cmaj.051561. CMAJ. 2006;174(3):308.
  27. Faria SL, Faria OP, Cardeal MD. Validation study of multi-fre-quency bioelectrical impedance withdual-energy X-ray absorp-tiometry among obese patients. Obes. Surg. 2014:1476–1480.
  28. Ramírez-Vélez R, Carrillo HA, Correa-Bautista JE, et al. Fat-to-Muscle Ratio: A New Anthropometric Indicator as a Screening Tool for Metabolic Syndrome in Young Colombian People. Nutrients. 2018; 7;10(8):2-16.
  29. Milanese C, Piscitelli F, Zenti MG, et al.Ten-week whole-body vibration training improves body composition and muscle strength in obese women. Int J Med Sci. 2013;10(3):307-11.
  30. Laboratório de Epidemiologia e Estatística. Available from: http://www.lee.dante.br/pesquisa/amostragem/calculo_ amostra.html. Access on: June 1st, 2019.
  31. US Department of Health and Human Services. 2008. Physical Activity Guidelines for Americans. US Department of Health and Human Services. Centers for Disease Control and Preven-tion.Washington, DC[access on june 1st, 2019]. Available at: https://health.gov/paguidelines/2008/pdf/paguide.pdf
  32. Slatkovska L, Alibhai SMH, Beyene J, et al. Effect of whole-body vibration on BMD: a systematic review and meta-analy-sis. Osteoporosis Int. 2010;21(12):1969–80.
  33. Costantino C, Bertuletti S, Romiti D, et al. Efficacy of Whole-Body Vibration Board Training on Strength in Athletes After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Study. Clin J Sport Med. 2018;28(4):339-349.
  34. Marín-Cascales E, Alcaraz PE, Rubio-Arias JA, et al. Effects of 24 Weeks of Whole Body Vibration Versus Multicomponent Training on Muscle Strength and Body Composition in Post-menopausal Women: A Randomized Controlled Trial. Rejuvena-tion Res. 2017;20(3):193-201.
  35. Machado A, García-López D, González-Gallego J, et al. Whole-body vibration training increases muscle strength and mass in older women: randomized-controlled trial. Scand J Med Sci Sports. 2010;20(2):200-7.
  36. Gnyubkin V, Guignandon A, Laroche N, et al. High-accelera-tion whole body vibration stimulates cortical bone accrual and increases bone mineral content in growing mice. J Biomech. 2016 Jun14;49(9):1899-1908.
  37. Severino G, Sanchez-Gonzalez M, Walters-Edwards M, 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.
  38. González-Agüero A, Matute-Llorente A, Gómez-Cabello A, et al. Effects of whole body vibration training on body compo-sition in adolescents with Down syndrome. Res Dev Disabil. 2013;34(5):1426-33.
  39. Song GE, Kim K, Lee DJ, et al. Whole body vibration effects on body composition in the postmenopausal korean obese women: pilot study. Korean J Fam Med. 2011;32(7):399-405.
  40. Lin CI, Huang WC, Chen WC, et al. Effect of whole-body vibration training on body composition, exercise performance and biochemical responses in middle-aged mice. Metabolism. 2015;64(9):1146-56.