Effect of Long-Term Whole Body Vibration Training on Visceral Adipose Tissue: A Preliminary Report

Aim: To determine the effect of whole body vibration (WBV), combined with caloric restriction, on weight, body composition and metabolic risk factors in overweight and obese adults. Methods: A randomized, controlled study with a 6-month intervention period and a 6-month ‘no intervention’ follow-up. 61 of the 79 participants completed the study. Data were collected at baseline and at 3, 6 and 12 months in the control group (CONTROL), the diet only group (DIET), the diet plus fitness group (FITNESS) and the diet plus WBV group (VIBRATION). Results: Weight decreased significantly in all three intervention groups. Only FITNESS and VIBRATION managed to maintain a weight loss of 5% or more in the long term. Visceral adipose tissue (VAT) changed most in VIBRATION: –47.8 ± 41.2 and –47.7 ± 45.7 cm2 after 6 and 12 months respectively compared to CONTROL (–3.6 ± 20.5 or +26.3 ± 30.6 cm2), DIET (–24.3 ± 29.8 or –7.5 ± 28.3 cm2) and FITNESS (–17.6 ± 36.6 or –1.6 ± 33.3 cm2) (p < 0.001). Conclusions: Combining aerobic exercise or WBV training with caloric restriction can help to achieve a sustained long-term weight loss of 5–10%. These preliminary data show that WBV training may have the potential to reduce VAT more than aerobic exercise in obese adults, possibly making it a meaningful addition to future weight loss programs.

[1]  Laurence Vico,et al.  Effects of whole body vibration on the skeleton and other organ systems in man and animal models: What we know and what we need to know , 2008, Ageing Research Reviews.

[2]  J. Widrick,et al.  Whole-body vibration slows the acquisition of fat in mature female rats , 2008, International Journal of Obesity.

[3]  Nick Finer,et al.  Management of Obesity in Adults: European Clinical Practice Guidelines , 2008, Obesity Facts.

[4]  G. Jerums,et al.  BDNF, metabolic risk factors, and resistance training in middle-aged individuals. , 2008, Medicine and science in sports and exercise.

[5]  D. Schoeller The Challenge of Obesity in the WHO European Region and the Strategies for Response: Summary , 2008 .

[6]  C. Rubin,et al.  Adipogenesis is inhibited by brief, daily exposure to high-frequency, extremely low-magnitude mechanical signals , 2007, Proceedings of the National Academy of Sciences.

[7]  K. Ohkawara,et al.  Effects of Aerobic Exercise on Metabolic Syndrome Improvement in Response to Weight Reduction , 2007, Obesity.

[8]  T. Wadden,et al.  Impact of weight loss on the metabolic syndrome , 2007, International Journal of Obesity.

[9]  Francesco Branca,et al.  The Challenge of Obesity in the WHO European Region and the Strategies for Response: Summary , 2007 .

[10]  K. Yano,et al.  Favorable effects of non-instrumental resistance training on fat distribution and metabolic profiles in healthy elderly people , 2007, European Journal of Applied Physiology.

[11]  C. Block,et al.  Mechanisms linking obesity with cardiovascular disease , 2006, Nature.

[12]  B. Rehn,et al.  Effects on leg muscular performance from whole‐body vibration exercise: a systematic review , 2006, Scandinavian journal of medicine & science in sports.

[13]  S. Grundy,et al.  The metabolic syndrome. , 2008, Endocrine reviews.

[14]  Paul Zimmet,et al.  The metabolic syndrome – Authors' reply , 2005, The Lancet.

[15]  J. Kampert,et al.  Association of muscular strength with incidence of metabolic syndrome in men. , 2005, Medicine and science in sports and exercise.

[16]  John A Spertus,et al.  Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement Executive Summary , 2005, Critical pathways in cardiology.

[17]  R. Krauss,et al.  Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement , 2005, Current opinion in cardiology.

[18]  Fernando Costa,et al.  Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. , 2005, Circulation.

[19]  K. Goto,et al.  Hormone and lipolytic responses to whole body vibration in young men. , 2005, The Japanese journal of physiology.

[20]  K. Ohkawara,et al.  Effects of aerobic exercise and obesity phenotype on abdominal fat reduction in response to weight loss , 2005, International Journal of Obesity.

[21]  J. Douketis,et al.  Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice , 2005, International Journal of Obesity.

[22]  K. Kukkonen-Harjula,et al.  Effects of a weight maintenance program with or without exercise on the metabolic syndrome: a randomized trial in obese men. , 2005, Preventive medicine.

[23]  R. Ross,et al.  Exercise without weight loss is an effective strategy for obesity reduction in obese individuals with and without Type 2 diabetes. , 2005, Journal of applied physiology.

[24]  A. Avenell,et al.  What interventions should we add to weight reducing diets in adults with obesity? A systematic review of randomized controlled trials of adding drug therapy, exercise, behaviour therapy or combinations of these interventions. , 2004, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[25]  L. Niskanen,et al.  Sedentary lifestyle, poor cardiorespiratory fitness, and the metabolic syndrome. , 2003, Medicine and science in sports and exercise.

[26]  Ryo Noguchi,et al.  Dependence of palmar sweating response and central nervous system activity on the frequency of whole-body vibration. , 2003, Scandinavian journal of work, environment & health.

[27]  K. Kukkonen-Harjula,et al.  Does physical activity prevent weight gain – a systematic review , 2000, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[28]  A. Astrup,et al.  The sympathetic nervous system and obesity: role in aetiology and treatment , 2000, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[29]  M. Zamboni,et al.  Visceral obesity and metabolic syndrome , 2000, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[30]  L. DiPietro,et al.  Physical activity in the prevention of obesity: current evidence and research issues. , 1999, Medicine and science in sports and exercise.

[31]  R R Wing,et al.  Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. , 1999, Medicine and science in sports and exercise.

[32]  L. V. Van Gaal,et al.  The beneficial effects of modest weight loss on cardiovascular risk factors. , 1997, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[33]  J. Seidell,et al.  Techniques for the measurement of visceral fat: a practical guide. , 1993, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[34]  P. Deurenberg,et al.  Body composition changes assessed by bioelectrical impedance measurements. , 1989, The American journal of clinical nutrition.

[35]  H C Lukaski,et al.  Assessment of fat-free mass using bioelectrical impedance measurements of the human body. , 1985, The American journal of clinical nutrition.

[36]  M. Roizen Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: a pilot study , 2009 .

[37]  D. Schteingart Strength training and adiposity in premenopausal women: Strong, Healthy, and Empowered study , 2008 .

[38]  J Mester,et al.  Vibration training: benefits and risks. , 2006, Journal of biomechanics.

[39]  C Delecluse,et al.  Effects of 24 weeks of whole body vibration training on body composition and muscle strength in untrained females. , 2004, International journal of sports medicine.

[40]  M. Carroll,et al.  Overweight and obesity in the United States: prevalence and trends, 1960–1994 , 1998, International Journal of Obesity.

[41]  C. Summerbell,et al.  Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects. , 1995, European journal of clinical nutrition.