Thursday, July 10, 2014

SHAKING YOURSELF FIT CAN BE DANGEROUS

By Gail Sas


Whole body vibration (WBV) exercise involves standing (or doing 

movements such as squats) on a vibrational platform. These 

machines have been promoted heavily at various fitness conventions 

that I have attended.



For the most part, it is a passive exercise that involves no running, 

lifting or sweating. All the benefits come (supposedly) come from 

doing this in only 10 to 15 minutes a day. One website says "you 

will look slimmer, get stronger, feel more energetic, and move with 

more confidence, with minimal effort." Other reports say that this 

mode of exercise improves bond density, reduces cellulite and stress 

hormones, and elevates mood, among other benefits. Really? Not so 

You can find the machines in some gyms, exercise studios, and 

rehab centers, or you can buy one for home use (costing $250 to 

$1,000 and up).


The mechanism that might account for the purported benefits isn't 

entirely clear, but the oscillating vibrations trigger an involuntary 

reflex in the body that causes muscles to rapidly contract. The 

part of your body closest to the platform is impacted more by 

the vibrations, so if you are standing (as is typical) then your legs 

benefit the most.


Studies have been done on the "presumed" results. Both on animals 

and humans. Results have been inconsistent and/or hard to compare 

for several reasons. Researchers have often used different devices 

(which vibrate at different intensities and in different directions) 

different training regiments (with subjects standing versus moving 

on the platform, for example), and different populations (old or 

young, fit or unfit, healthy or ailing. No one knows what an optimal 

protocol is or what long-term effects – good or bad – WBV may 

have. Also, the high-quality professional machines used in research 

may not be comparable to less-expensive ones sold for home use, 

which vary widely in quality. Here are some of the findings.

Muscle fitness – In a small study in the European Journal of 

Sport Science in 2013, people (average age 81) who did both static 

(standing in place) and dynamic (moving) exercise on a WBV 

platform for nine weeks showed improvements in both upper- and 

lower-body strength. Another study, this year in Therapeutics and 

Clinical Risk Management, found that six months of dynamic WBV 

training (with squat exercises) increased muscle power in older 

people with osteoarthritis. Younger muscles seem to benefit too. 

Another study in PLOS ONE this year found that fit young adults 

who trained on a vibrating platform for four weeks had greater 

muscle endurance than those who did the exercises on the floor.

Balance – Most studies have shown that WBV can improve balance 

in frail elderly subjects, postmenopausal women, and people with 

medical conditions that can limit movement, as well as in young, 

healthy people. For example, twelve weeks of WBV training 

improved balance in people with diabetes in a 2013 study in the 

Archives of Physical Medicine and Rehabilitation.

Bone health – Low-intensity vibration therapy is good for lab 

animals' bones, but studies in people have had mixed results. One 

this year in the Journal of Science and Medicine in Sport found 

no bone improvements in men and women (average age 75) who 

did squat exercises on a WBV machine three times a week for 11 

weeks. Another, in the Annals of Internal Medicine in 2012, found 

no benefits in postmenopausal women over a year. In contrast, some 

earlier research had positive results, with one study finding the most 

improvement in older people, particularly women and those with 

osteoporosis.


Body fat- A pilot study this year in Clinical Interventions in Aging

found that WBV with squats, done three times a week for eight 

weeks, had no effect on body composition in sedentary older women. 

Other studies have shown that if vibration therapy increases 

metabolism and burns some calories, it doesn't match the intensity 

of traditional aerobic exercise needed to reduce body fat.

Vibration isn't always good for everyone. Especially the elderly 

and infirmed. Chronic and/or high-intensity occupational exposure 

has been implicated in back and joint pain, nerve damage, blurred 

vision, and other problems. Pain, leg numbness, and nausea have 

been reported in some WBV studies. Be aware that a study last 

year found that two of the three WBV devices analyzed exceeded 

the daily limit set by the International Standards Organization, 

delivering "vibrations not considered safe for even seconds, much 

less minutes, of daily exposure."


People who should definitely avoid WBV training, are pregnant 

women and those with a retinal detachment, pacemakers, cochlear 

implant, or recent hip or knee replacement. Manufacturers of 

devices further warn against their use by people with severe 

osteoporosis, severe cardiovascular disease, cancer, and epilepsy, 

among others.


The promotional benefits of WBV training are far from proven. It 

is not a replacement for conventional workouts, including aerobics 

and strength training.

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