Efficiency of vibration exercise for glycemic control in type 2 diabetes patients

Abstract

Although it is well documented that persons suffering from diabetes type 2 profit from muscular activities, just a negligible amount of patients take advantage of physical exercises. During the last decade, vibration exercise (VE) could be established as an effective measure to prevent muscular atrophy and osteoporosis with low expenditure of overall exercise-time. Unfortunately, little is known about the metabolic effects of VE. In the present study we compared VE with the influence of strength training and a control group (flexibility training) on glycemic control in type 2 diabetes patients. Forty adult non-insulin dependent patients participated in the intervention. Fasting glucose concentration, an oral glucose tolerance test (OGTT), haemoglobin A1c (HbA1c), the isometric maximal torque of quadriceps muscles, and endurance capacity were evaluated at baseline and after 12 weeks of training with three training sessions per week. The main findings are: Fasting glucose concentrations remind unchanged after training. The area under curve and maximal glucose concentration of OGTT were reduced in the vibration and strength training group. HbA1c values tended to decrease below baseline date in the vibration training group while it increased in the two other intervention groups. Theses findings suggest that vibration exercise may be an effective and low time consuming tool to enhance glycemic control in type 2 diabetes patients.

Effects of Whole Body Vibration on Glycemic Indices and Peripheral Blood Flow in Type II Diabetic Patients

“…Baum et al (2) revealed FBS and HbA1c levels in type II diabetics were reduced by approximately 6.3% and 0.3% respectively after 12 weeks of WBV using a horizontal swinging platform (30-35 Hz, 2 mm amplitude, 8 bouts of 30 seconds, 3 days a week). More recently, del Pozo-Cruz et al (9) reported 12 weeks of WBV training (12)(13)(14)(15)(16) Hz, 4 mm, 3 days a week) significantly improved levels of FBS and HbA1c.…”

“…Vibration training has been suggested to be a useful alternative or supplement to current exercise prescriptions for diabetic patients (2). It is thought that vibration training stimulates muscle contraction, increases peripheral blood flow, and energy consumption (3,4), all of which may help with diabetes and its complications.…”

The Effect of Supervised Progressive Resistance Training (PRT) on Glycemic Control and Cardio Vascular Disease (CVD) Risk Markers in Type 2 Diabetes Patients, North West Ethiopian

“…First, a regularly performed training increases the content of the glucose transporter protein GLUT-4 within the cells. Secondly, a single bout of muscle contractions leads to a translocation of GLUT-4 to the sarcolemmal membrane which acutely enhances glucose transport capacity [16].…”

Efectos del entrenamiento contra resistencias o resistance training en diversas patologías

“…De este modo, incrementos en los depósitos de glucógeno muscular, debido al aumento de los niveles de masa muscular (84), en combinación con mejoras de las células β-pancreáticas (75) y las vías de seña-lización de la glucosa y su acción en el músculo esquelético (85), explica las mejoras en el control glucémico medido a través de la reducción en los niveles de Hb1Ac (77,79,(86)(87)(88), la reducción en los niveles de glucosa en sangre (88), insulina (75) y la respuesta de la insulina a un test de tolerancia a la glucosa (89).…”

“…En términos de salud, no menos importantes son las adaptaciones positivas como respuesta al RT sobre mejoras en la autopercepción de salud (82), así como en la reducción en la ingesta de fármacos (77,87).…”