Background:Whole body vibration (WBV) has been used to increase physical activity levels in
patients with type 2 diabetes mellitus (T2DM). Objective:To carry out a systematic review of the effects of WBV on the glycemic control,
cardiovascular risk factors, and physical and functional capacity of patients with
T2DM. Method: MEDLINE, LILACS, PEDro, and Cochrane Central Register of Controlled Trials were
searched up to June 1st, 2015. Randomized controlled trials
investigating the effects of WBV, compared to control or other intervention, on
blood glucose levels, blood and physical cardiovascular risk factors, and physical
and functional capacity in adult individuals with T2DM. Two independent reviewers
extracted the data regarding authors, year of publication, number of participants,
gender, age, WBV parameters and description of intervention, type of comparison,
and mean and standard deviation of pre and post assessments. Results: Out of 585 potentially eligible articles, two studies (reported in four
manuscripts) were considered eligible. WBV interventions provided a significant
reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I2: 19%) in 12 hours fasting blood glucose compared with no
intervention. Improvements in glycated hemoglobin, cardiovascular risk factors,
and physical and functional capacity were found only at 12 weeks after WBV
intervention in comparison with no intervention. Conclusion: WBV combined with exercise seems to improve glycemic control slightly in patients
with T2DM in an exposure-dependent way. Large and well-designed trials are still
needed to establish the efficacy and understand whether the effects were
attributed to vibration, exercise, or a combination of both.