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- Title
Effects of whole-body vibration exercise on physical function in patients with chronic kidney disease: a systematic review and meta-analysis.
- Authors
Bai, Yan; Huang, Liuyan; Yin, Xiaojing; Sun, Qiuzi; Zhang, Fan
- Abstract
Background: The current state of knowledge regarding the efficacy of whole-body vibration (WBV) training for individuals with chronic kidney disease (CKD) is limited. To address this gap, the present study seeks to undertake a comprehensive systematic review and meta-analysis of clinical trials to evaluate the impact of WBV on physical function and quality of life outcomes in CKD patients. Methods: A systematic search was performed on the PubMed, Embase, Web of Science, and Scopus databases from inception to March 2023 and updated in June 2023. The inclusion criteria comprised randomized controlled studies, quasi-experimental studies, and single-arm trials that evaluated the impact of WBV on physical function, encompassing cardiopulmonary fitness, muscle strength, mobility, and balance, in CKD patients. Adverse events that were included in the study reports were recorded. The pooled evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) method. Results: Nine studies were identified, of which seven were included in the meta-analysis. The results of the meta-analysis indicated a statistically significant improvement in upper (mean difference: 3.45 kg; 95% confidence interval 1.61 to 5.29) and lower (standardized mean difference: 0.34, 95% confidence interval 0.08 to 0.59) extremity muscle strength in patients with CKD who underwent WBV training compared to baseline (low-level evidence). Furthermore, WBV training favored improved cardiorespiratory fitness, mobility, and balance function, but no statistical difference was observed. The impact of WBV training on quality of life in patients with CKD requires further validation. Notably, only one adverse event (nausea) was reported in the included studies. Conclusions: WBV has demonstrated efficacy and feasibility in enhancing muscle strength among patients with CKD. However, further investigation is warranted to determine its potential for improving cardiorespiratory adaptations, mobility, balance function, and quality of life. Additionally, future research should prioritize comprehensive reporting of WBV protocols to establish an optimal training regimen for the CKD population. Key learning points: What was known: 1) The gradual decline of physical function in patients with chronic kidney disease because of deteriorating renal function significantly impacts their quality of life and prognosis. 2) Recently, Whole-body vibration has gained significant attention as a rehabilitative intervention for neuromuscular training. 3) To date, no quantitative analysis has been published that evaluates the impact of whole-body vibration training on physical function and quality of life among individuals diagnosed with chronic kidney disease. This study adds: 1) The present systematic review and meta-analysis, comprising nine clinical trials, has demonstrated that whole-body vibration training is a significantly effective intervention in enhancing muscle strength among individuals with chronic kidney disease. 2) Despite the absence of statistical significance, whole-body vibration training appears to improve cardiorespiratory adaptation, mobility, and balance of individuals with chronic kidney disease. 3) Further investigation is required to examine the effects of whole-body vibration training on the quality of life of individuals with chronic kidney disease. Potential impact: 1) The outcomes of this systematic review and meta-analysis have the potential to enhance the comprehension of healthcare providers regarding the favorable impacts of whole-body vibration training on the physical function of individuals diagnosed with chronic kidney disease. 2) The data indicate that incorporating whole-body vibration training programs into standard therapy may serve as a beneficial intervention for the physical rehabilitation of chronic kidney disease patients.
- Subjects
WHOLE-body vibration; CHRONIC kidney failure; PHYSICAL mobility; CHRONICALLY ill; CARDIOPULMONARY fitness; MUSCLE strength
- Publication
BMC Nephrology, 2024, Vol 25, Issue 1, p1
- ISSN
1471-2369
- Publication type
Article
- DOI
10.1186/s12882-023-03436-3