Lubomira Slatkovska, PhD; Shabbir M.H. Alibhai, MD, MSc; Joseph Beyene, PhD; Hanxian Hu, MPH; Alice Demaras, MSc; Angela M. Cheung, MD, PhD
Although data from studies in animals demonstrated beneficial effects of whole-body vibration (WBV) therapy on bone, clinical trials in postmenopausal women showed conflicting results.
To determine whether WBV improves bone density and structure.
A 12-month, single-center, superiority, randomized, controlled trial with 3 parallel groups. (ClinicalTrials.gov registration number: NCT00420940)
Toronto General Hospital, Ontario, Canada.
202 healthy postmenopausal women with bone mineral density (BMD) T-scores between −1.0 and −2.5 who were not receiving prescription bone medications.
Participants were randomly assigned to 1 of 3 groups (1:1:1 ratio) by using a block-randomization scheme and sealed envelopes. They were asked to stand on a low-magnitude (0.3g) 90-Hz or 30-Hz WBV platform for 20 minutes daily or to serve as control participants; all participants received calcium and vitamin D.
Bone outcome assessors, who were blinded to group assignment, determined trabecular volumetric BMD and other measurements of the distal tibia and distal radius with high-resolution peripheral quantitative computed tomography and areal BMD with dual-energy x-ray absorptiometry at baseline and at 12 months.
12 months of WBV therapy had no significant effect on any bone outcomes compared with no WBV therapy. For the primary outcome of tibial trabecular volumetric BMD, mean change from baseline was 0.4 mg/cm3 (95% CI, −0.4 to 1.2 mg/cm3) in the 90-Hz WBV group, −0.1 mg/cm3 (CI, −1.0 to 0.8 mg/cm3) in the 30-Hz WBV group, and −0.2 mg/cm3 (CI, −1.1 to 0.6 mg/cm3) in the control group (P = 0.55). Changes in areal BMD at the femoral neck, total hip, and lumbar spine were also similar among the groups. Overall, low-magnitude WBV at both 90 and 30 Hz was well-tolerated.
Adherence to WBV ranged from 65% to 79%. Double-blinding was not possible.
Whole-body vibration therapy at 0.3g and 90 or 30 Hz for 12 months did not alter BMD or bone structure in postmenopausal women who received calcium and vitamin D supplementation.
Physicians' Services Incorporated Foundation.
Whole-body vibration (WBV), which involves standing on an oscillating platform, has been hypothesized and marketed to prevent bone loss. Data regarding its efficacy are limited and conflicting.
In this 12-month trial of postmenopausal women without osteoporosis at baseline, daily WBV at either of 2 frequencies had no measurable effect on bone mineral density.
Sham WBV could not be provided to the control group.
Whole-body vibration does not seem beneficial for preventing bone loss in postmenopausal women who receive calcium and vitamin D supplements.
BMD = bone mineral density; HR-pQCT = high-resolution peripheral quantitative computed tomography; WBV = whole-body vibration.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Slatkovska L, Alibhai SM, Beyene J, et al. Effect of 12 Months of Whole-Body Vibration Therapy on Bone Density and Structure in Postmenopausal Women: A Randomized Trial. Ann Intern Med. 2011;155:668–679. doi: https://doi.org/10.7326/0003-4819-155-10-201111150-00005
Download citation file:
Published: Ann Intern Med. 2011;155(10):668-679.
Endocrine and Metabolism, Metabolic Bone Disorders.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use