Effect of 6-month whole body vibration training on hip density, muscle strength, and postural control in postmenopausal women: a randomized controlled pilot study
Abstract
UNLABELLED: High-frequency mechanical strain seems to stimulate bone strength in animals. In this randomized controlled trial, hip BMD was measured in postmenopausal women after a 24-week whole body vibration (WBV) training program. Vibration training significantly increased BMD of the hip. These findings suggest that WBV training might be useful in the prevention of osteoporosis. INTRODUCTION: High-frequency mechanical strain has been shown to stimulate bone strength in different animal models. However, the effects of vibration exercise on the human skeleton have rarely been studied. Particularly in postmenopausal women-who are most at risk of developing osteoporosis-randomized controlled data on the safety and efficacy of vibration loading are lacking. The aim of this randomized controlled trial was to assess the musculoskeletal effects of high-frequency loading by means of whole body vibration (WBV) in postmenopausal women. MATERIALS AND METHODS: Seventy volunteers (age, 58-74 years) were randomly assigned to a whole body vibration training group (WBV, n = 25), a resistance training group (RES, n = 22), or a control group (CON, n = 23). The WBV group and the RES group trained three times weekly for 24 weeks. The WBV group performed static and dynamic knee-extensor exercises on a vibration platform (35-40 Hz, 2.28-5.09g), which mechanically loaded the bone and evoked reflexive muscle contractions. The RES group trained knee extensors by dynamic leg press and leg extension exercises, increasing from low (20 RM) to high (8 RM) resistance. The CON group did not participate in any training. Hip bone density was measured using DXA at baseline and after the 6-month intervention. Isometric and dynamic strength were measured by means of a motor-driven dynamometer. Data were analyzed by means of repeated measures ANOVA. RESULTS: No vibration-related side effects were observed. Vibration training improved isometric and dynamic muscle strength (+15% and + 16%, respectively; p < 0.01) and also significantly increased BMD of the hip (+0.93%, p < 0.05). No changes in hip BMD were observed in women participating in resistance training or age-matched controls (-0.60% and -0.62%, respectively; not significant). Serum markers of bone turnover did not change in any of the groups. CONCLUSION: These findings suggest that WBV training may be a feasible and effective way to modify well-recognized risk factors for falls and fractures in older women and support the need for further human studies.
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Vibration is more effective than resistance training at improving dynamic strength with an isokinetic dynamometer in some studies.
“Some studies show that vibration is even more effective than resistance training (Verschueren et al., 2004) at improving dynamic strength with an isokinetic dynamometer.”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Verschueren et al., 2004
Cites
(2014) · Medical Entomology and Zoology · Cited by 9,400 · see citing works
Exercise and Physical Activity for Older Adults
Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., Salem, G. J., & Skinner, J. S. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181a0c95c · Cited by 5,153 · see citing works
Risk Factors for Hip Fracture in White Women
Cummings, S. R., Nevitt, M. C., Browner, W. S., Stone, K., Fox, K. M., Ensrud, K. E., Cauley, J., Black, D., & Vogt, T. M. (1995) · New England Journal of Medicine · doi:10.1056/nejm199503233321202 · Cited by 3,595 · see citing works
(1957) · PubMed · Cited by 1,778 · see citing works
Regulation of bone mass by mechanical strain magnitude
Rubin, C. T., & Lanyon, L. E. (1985) · Calcified Tissue International · doi:10.1007/bf02553711 · Cited by 1,297 · see citing works
Frost, H. M. (1990) · The Anatomical Record · doi:10.1002/ar.1092260402 · Cited by 957 · see citing works
Magaziner, J. S., Simonsick, E. M., Kashner, T. M., Hebel, J. R., & Kenzora, J. E. (1990) · Journal of Gerontology · doi:10.1093/geronj/45.3.m101 · Cited by 828 · see citing works
Wolff, J. (1986) · Springer eBooks · doi:10.1007/978-3-642-71031-5 · Cited by 805 · see citing works
Strength Increase after Whole-Body Vibration Compared with Resistance Training
Delecluse, C., Roelants, M., & Verschueren, S. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000069752.96438.b0 · Cited by 723 · see citing works
Self-citationRubin, C. T., & Lanyon, L. E. (1987) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100050217 · Cited by 520 · see citing works
Heinonen, A. O., Kannus, P., Sievänen, H. T., Oja, P., Pasanen, M. E., Rinne, M. B., Uusi‐Rasi, K., & VUORI, I. M. (1996) · The Lancet · doi:10.1016/s0140-6736(96)04214-6 · Cited by 472 · see citing works
Acute physiological effects of exhaustive whole‐body vibration exercise in man
Rittweger, J., Beller, & Felsenberg (2000) · Clinical Physiology · doi:10.1046/j.1365-2281.2000.00238.x · Cited by 469 · see citing works
Mechanotransduction in bone: role of strain rate
Turner, C. H., Owan, I., & Takano, Y. (1995) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1995.269.3.e438 · Cited by 364 · see citing works
Rubin, C. T., Turner, A. S., Müller, R., Mittra, E., McLeod, K. J., Lin, W., & Qin, Y. (2002) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.2002.17.2.349 · Cited by 328 · see citing works
Torvinen, S., Kannus, P., Sievänen, H. T., Järvinen, T. A. H., Pasanen, M. E., Kontulainen, S. A., Nenonen, A., Järvinen, T. L. N., Paakkala, T., Järvinen, M., et al. (2003) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.2003.18.5.876 · Cited by 322 · see citing works
Rosenquist, C., Fledelius, C., Christgau, S., Pedersen, B. J., Bonde, M., Qvist, P., & Christiansen, C. (1998) · Clinical Chemistry · doi:10.1093/clinchem/44.11.2281 · Cited by 317 · see citing works
Rubin, C. T., Turner, A. S., Mallinckrodt, C. H., et al. (2002) · Bone · doi:10.1016/s8756-3282(01)00689-5 · Cited by 316 · see citing works
Noise in human muscle spindles
Cordo, P. J., Inglis, J. T., Verschueren, S., Collins, J. J., Merfeld, D. M., Rosenblum, S. M., Buckley, S., & Moss, F. (1996) · Nature · doi:10.1038/383769a0 · Cited by 300 · see citing works
Self-citationAging changes mechanical loading thresholds for bone formation in rats
Turner, C. H., Takano, Y., & Owan, I. (1995) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650101016 · Cited by 275 · see citing works
Treatment of Chronic Lower Back Pain with Lumbar Extension and Whole-Body Vibration Exercise
Rittweger, J., Just, K., Kautzsch, K., Reeg, P., & Felsenberg, D. (2002) · Spine · doi:10.1097/00007632-200209010-00003 · Cited by 256 · see citing works
Lings, S., & Leboeuf‐Yde, C. (2000) · International Archives of Occupational and Environmental Health · doi:10.1007/s004200000118 · Cited by 250 · see citing works
Can vigorous exercise play a role in osteoporosis prevention? A review
Gutin, B., & Kasper, M. J. (1992) · Osteoporosis International · doi:10.1007/bf01623838 · Cited by 239 · see citing works
Qin, Y., Rubin, C. T., & McLeod, K. J. (1998) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100160414 · Cited by 233 · see citing works
Flieger, J., Karachalios, T., Khaldi, L., et al. (1998) · Calcified Tissue International · doi:10.1007/s002239900566 · Cited by 191 · see citing works
Effects of broad frequency vibration on cultured osteoblasts
Tanaka, S. M., Li, J., Duncan, R. L., Yokota, H., Burr, D. B., & Turner, C. H. (2002) · Journal of Biomechanics · doi:10.1016/s0021-9290(02)00245-2 · Cited by 189 · see citing works
Costs Induced by Hip Fractures: A Prospective Controlled Study in Belgium
Autier, P., Haentjens, P., Bentin, J., et al. (2000) · Osteoporosis International · doi:10.1007/s001980070102 · Cited by 162 · see citing works
Discharge pattern of single motor units in the tonic vibration reflex of human triceps surae.
Burke, D., & Schiller, H. H. (1976) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.39.8.729 · Cited by 151 · see citing works
Groothausen, J., Siemer, H., Kemper, H. C. G., Twisk, J. W. R., & Welten, D. C. (1997) · Pediatric Exercise Science · doi:10.1123/pes.9.2.159 · Cited by 150 · see citing works
Aging, Physical Activity and Sports Injuries
Kallinen, M., & Markku, A. (1995) · Sports Medicine · doi:10.2165/00007256-199520010-00004 · Cited by 149 · see citing works
Boonen, S., Rosen, C. J., Bouillon, R., Sommer, A., McKay, M. J., Rosen, D. M., Adams, S., Broos, P. L. O., Lenaerts, J. L., Raus, J., et al. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.4.8426 · Cited by 118 · see citing works
Self-citationStochastic resonance in osteogenic response to mechanical loading
TANAKA, S. M., Alam, I., & Turner, C. H. (2002) · The FASEB Journal · doi:10.1096/fj.02-0561fje · Cited by 82 · see citing works
Bassey, E. J., Littlewood, J. J., & Taylor, S. J. G. (1997) · Journal of Biomechanics · doi:10.1016/s0021-9290(96)00043-7 · Cited by 78 · see citing works
Homologous Radioimmunoassay of Human Osteocalcin
Bouillon, R., Vanderschueren, D., Herck, E. V., et al. (1992) · Clinical Chemistry · doi:10.1093/clinchem/38.10.2055 · Cited by 64 · see citing works
Self-citationAge-adjusted incidence of hip fractures
Kannus, P., Parkkari, J. P., & Niemi, S. T. (1995) · The Lancet · doi:10.1016/s0140-6736(95)92679-8 · Cited by 55 · see citing works
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Correa-de-Araujo, R., Addison, O., Miljkovic, I., Goodpaster, B. H., Bergman, B. C., Clark, R. V., Elena, J. W., Esser, K. A., Ferrucci, L., Harris-Love, M. O., et al. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00963 · Cited by 468 · see citing works
Exercise and Bone Mass in Adults
Guadalupe-Grau, A., Fuentes, T., Guerra, B., & Calbet, J. A. L. (2009) · Sports Medicine · doi:10.2165/00007256-200939060-00002 · Cited by 397 · see citing works
Machado, A., García-López, D., González-Gallego, J., & Garatachea, N. (2009) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.2009.00919.x · Cited by 234 · see citing works
Bone loss in spinal cord-injured patients: from physiopathology to therapy
Maïmoun, L., Fattal, C., Micallef, J.-P., Peruchon, E., & Rabischong, P. (2006) · Spinal Cord · doi:10.1038/sj.sc.3101832 · Cited by 167 · see citing works
Lau, R. W., Liao, L.-R., Yu, F., Teo, T., Chung, R. C., & Pang, M. Y. (2011) · Clinical Rehabilitation · doi:10.1177/0269215511405078 · Cited by 163 · see citing works
Kemmler, W., Shojaa, M., Kohl, M., & von Stengel, S. (2020) · Calcified Tissue International · doi:10.1007/s00223-020-00744-w · Cited by 161 · see citing works
Verschueren, S. M., Bogaerts, A., Delecluse, C., Claessens, A. L., Haentjens, P., Vanderschueren, D., & Boonen, S. (2011) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.181 · Cited by 148 · see citing works
Self-citationRAUCH, F. (2009) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2009.03418.x · Cited by 117 · see citing works
Bemben, D. A., Palmer, I. J., Bemben, M. G., & Knehans, A. W. (2010) · Bone · doi:10.1016/j.bone.2010.06.019 · Cited by 111 · see citing works
von Stengel, S., Kemmler, W., Engelke, K., & Kalender, W. A. (2012) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/j.1600-0838.2010.01126.x · Cited by 106 · see citing works
Rogan, S., Hilfiker, R., Herren, K., Radlinger, L., & de Bruin, E. D. (2011) · BMC Geriatrics · doi:10.1186/1471-2318-11-72 · Cited by 96 · see citing works
Chang, S.-F., Lin, P.-C., Yang, R.-S., & Yang, R.-J. (2018) · BMC Geriatrics · doi:10.1186/s12877-018-0712-8 · Cited by 74 · see citing works
Fjeldstad, C., Palmer, I. J., Bemben, M. G., & Bemben, D. A. (2009) · Maturitas · doi:10.1016/j.maturitas.2009.03.013 · Cited by 75 · see citing works
The effect of whole body vibration on fracture healing - a systematic review
Department of Orthopaedics and Traumatology, P. O. W. H., Wang, J., Leung, K., Chow, S., & Cheung, W. (2017) · European Cells and Materials · doi:10.22203/ecm.v034a08 · Cited by 45 · see citing works
Potential of creatine supplementation for improving aging bone health
Candow, D. G., & Chilibeck, P. D. (2010) · The Journal of nutrition, health and aging · doi:10.1007/s12603-009-0224-5 · Cited by 22 · see citing works
The effect of whole-body vibration training on lean mass: A PRISMA-compliant meta-analysis
Chen, H., Ma, J., Lu, B., & Ma, X.-L. (2017) · Medicine · doi:10.1097/md.0000000000008390 · Cited by 21 · see citing works
Cheng, K. Y.-K., Bao, Z., Long, Y., Liu, C., Huang, T., Cui, C., Chow, S. K.-H., Wong, R. M. Y., & Cheung, W.-H. (2023) · Subcellular Biochemistry · doi:10.1007/978-3-031-26576-1_6 · Cited by 14 · see citing works
- Authors
- Verschueren, S. M., Roelants, M., Delecluse, C., Swinnen, S., Vanderschueren, D., & Boonen, S.
- Affiliations
- KU Leuven (BE)
- Corresponding author
- Boonen, Steven
- Venue
- Journal of Bone and Mineral Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-03-01
- Volume
- 19
- Issue
- 3
- Pages
- 352-359
- ISSN
- 0884-0431 (ISSN-L)
- 1523-4681
- OpenAlex
- W2090348823
- Cited by
- 833
- References
- 37
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 7 · 2023: 16 · 2022: 30 · 2021: 24 · 2020: 42 · 2019: 44 · 2018: 37 · 2017: 44 · 2016: 41 · 2015: 70 · 2014: 49 · 2013: 54 · 2012: 66
- FWCI
- 23.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of Bone and Mineral Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Society for Bone and Mineral Research
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Effects of Vibration on Health
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- whole-body vibration training, postmenopausal women, hip bone density, osteoporosis prevention, muscle strength, postural control, resistance training, knee extensors, bone turnover markers, fall prevention, balance training, quadriceps strength, postural sway
- MeSH terms
- Aged, Postural Balance, Female, Hip, Humans, Middle Aged, Pilot Projects, Posture, Radiography, Time Factors, Vibration, Exercise, Bone Density, Osteoporosis, Postmenopausal, Postmenopause, Muscle, Skeletal
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