Whole-Body Vibration as Antihypertensive Non-Pharmacological Treatment in Hypertensive Individuals with Knee Osteoarthritis: Randomized Cross-Over Trial

Eloá Moreira-Marconi, Vanessa da Silva Caiado, Ygor Teixeira-Silva, Alexandre Gonçalves de Meirelles, Marcia Cristina Moura-Fernandes, Patrícia Lopes-Souza, Aline Reis-Silva, Danúbia C. Sá-Caputo, Laisa L. Paineiras-Domingos, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Ricardo Gonçalves Cordeiro, Redha Taiar, Alessandro Sartorio, Alexei Wong, Borja Sañudo and Mario Bernardo-Filho
Additional contact information
Eloá Moreira-Marconi: Graduate Program in Clinical and Experimental Pathophysiology, Rio de Janeiro State University, Rio de Janeiro, RJ 20.551-030, Brazil
Vanessa da Silva Caiado: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Ygor Teixeira-Silva: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Alexandre Gonçalves de Meirelles: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Marcia Cristina Moura-Fernandes: Graduate Program in Clinical and Experimental Pathophysiology, Rio de Janeiro State University, Rio de Janeiro, RJ 20.551-030, Brazil
Patrícia Lopes-Souza: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Aline Reis-Silva: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Danúbia C. Sá-Caputo: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Laisa L. Paineiras-Domingos: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil
Ana Cristina Rodrigues Lacerda: Faculty of Biological and Health Sciences, Federal University of the Vales do Jequitinhonha e Mucuri, Diamantina, MG 39100-000, Brazil
Vanessa Amaral Mendonça: Faculty of Biological and Health Sciences, Federal University of the Vales do Jequitinhonha e Mucuri, Diamantina, MG 39100-000, Brazil
Ricardo Gonçalves Cordeiro: Health Sciences Degree Program. Estacio de Sá University, Rio de Janeiro, RJ 20071-001, Brazil
Redha Taiar: Groupe de Recherche en Sciences pour l’Ingénieur (GRESPI)/ University of Reims Champagne Ardenne, 51100 Reims, France
Alessandro Sartorio: Istituto Auxologico Italiano, Division of Metabolic Diseases and Auxology & Experimental Laboratory for Auxo-endocrinological Research, 28824 Verbania, Italy
Alexei Wong: Department of Health and Human Performance, Marymount University, Arlington, VA 22207, USA
Borja Sañudo: Departamento de Educación Física y Deporte, University of Sevilla, 41013 Sevilla, Spain
Mario Bernardo-Filho: Mechanical Vibration Laboratory and Integrative Practices—LAVIMPI, Biophysics and Biometrics Department, Institute of Biology Roberto Alcântara Gomes and Piquet Carneiro Polyclinic, Rio de Janeiro State University, Rio de Janeiro, RJ 20950-003, Brazil

Sustainability, 2020, vol. 12, issue 21, 1-13

Abstract: (1) Background: Hypertension is a serious medical condition characterized by a persistent increase in blood pressure (BP), which is prevalent in individuals with knee osteoarthritis (KOA). Pharmacological interventions are normally used to treat both hypertension and KOA; however, a more sustainable form of treatment is desirable for these clinical conditions. Whole-body vibration (WBV) exercise has been proposed as a non-pharmacological therapy for reducing both BP and KOA symptomatology. This study aimed to evaluate the antihypertensive effect of WBV in hypertensive individuals with KOA. (2) Methods: Nineteen hypertensive individuals with KOA were randomly allocated to either a control (CG) (n = 9) or a WBV group (WBVG) (n = 10). Subjects in the WBVG were positioned sitting in a chair in front of a vibrating platform (VP) with the feet on the base (peak-to-peak displacement 2.5, 5.0 and 7.5 mm; frequencies 5 to 14 Hz). In the CG, subjects assumed the same position with the VP turned off. The protocols in the CG and WBVG were performed 2 days/week for a total of 5 weeks. (3) Results: No baseline differences (age, anthropometrics, BP parameters and medications) between the groups were found ( p > 0.05). WBV exercise reduced systolic BP (SBP: 126.1 ± 2.7 versus 119.1 ± 3.2 mmHg; p = 0.001; post hoc: p = 0.02; F = 23.97) and mean BP (MBP: 82.6 ± 1.8 versus 78.7 ± 1.8, p = 0.001, post hoc: p = 0.02; F = 23.97), while no significant changes were found in diastolic BP (DBP: 68.5 ± 2.2 versus 64.4 ± 2.3; p = 0.11; F = 2.68). (4) Conclusions: WBV might be considered a sustainable therapy for exerting an antihypertensive effect in medicated hypertensive individuals with KOA. This decline in BP might translate to a reduction in pharmacological need, although further studies are necessary to understand the mechanisms underlying the described effect.

Keywords: hypertension; whole-body vibration; knee osteoarthritis; physical and Rehabilitation medicine; non-pharmacological treatment; sustainability (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2020
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