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Osteoporosis International
Published in: Osteoporosis International 10/2015

01-10-2015 | Original Article

Effect of whole body vibration training on bone mineral density and bone quality in adolescents with Down syndrome: a randomized controlled trial

Authors: A. Matute-Llorente, A. González-Agüero, A. Gómez-Cabello, H. Olmedillas, G. Vicente-Rodríguez, J. A. Casajús

Published in: Osteoporosis International | Issue 10/2015

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Abstract

Summary

Adolescents with Down syndrome (DS) have poorer bone health than their peers without DS. Twenty-five adolescents with DS were randomly assigned to whole-body vibration training (WBV) or control groups. The results indicate that a 20-week WBV might be useful to improve subtotal bone mineral content and density in adolescents with DS.

Introduction

This study aims to determine the effects of 20 weeks of whole body vibration training (WBV) on bone mineral content (BMC), density (BMD), and structure variables in adolescents with Down syndrome (DS).

Methods

This randomized controlled trial of 25 adolescents (12–18 years) with DS (8 females) generated 2 non-equal groups, WBV group (n = 11) and CON group (n = 14). Using an efficacy analysis, the primary outcomes were BMC and BMD by dual-energy X-ray absorptiometry and the secondary were bone structure variables by peripheral quantitative computed tomography. A synchronous vibration platform (PowerPlate®) was used (3/week, 10 repetitions (30–60 s) 1-min rest, frequency of 25–30 Hz, and peak-to-peak displacement of 2 mm (peak acceleration 2.5–3.6 g)).

Results

WBV group improved whole body BMC 2.8 %, 95 % CI [3.5, 2.1], subtotal area, BMC, and BMD by 2.8, 4.8, and 2 %, respectively, 95 % confidence intervals (CIs) [3.4, 2.1], [6.5, 3.1], and [2.8, 1.1], respectively (all, p < 0.05), showing group by time interactions in BMC and BMD (both p < 0.05). Lumbar spine BMC and BMD also increased in the WBV group by 6.6 and 3.3 % both p < 0.05, 95 % CIs [8.6, 4.7], and [4.9, 1.7], respectively. Regarding bone structure, WBV group showed improvements in tibial BMC at 4 % (2.9 %, 95 % CI [3.0, 2.8]) and in volumetric BMD (vBMD), cortical vBMD, and cortical thickness at 66 % of the radius (by 7.0, 2.4, and 10.9 %; 95 % CIs [7.4, 6.7], [2.6, 2.3], and [12.4, 9.3], respectively) (all, p < 0.05).

Conclusions

A 20-week WBV, with this protocol, might be useful to improve subtotal BMC and BMD in adolescents with DS.
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Metadata
Title
Effect of whole body vibration training on bone mineral density and bone quality in adolescents with Down syndrome: a randomized controlled trial
Authors
A. Matute-Llorente
A. González-Agüero
A. Gómez-Cabello
H. Olmedillas
G. Vicente-Rodríguez
J. A. Casajús
Publication date
01-10-2015
Publisher
Springer London
Published in
Osteoporosis International / Issue 10/2015
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-015-3159-1

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