Effects of Whole-Body Vibration Training on Resting Blood Pressure in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Objective To investigate the effect of whole‑body vibration training (WBVT) on resting blood pressure (BP) in adults and its moderating factors through a meta‑analysis.Methods PubMed, Cochrane Library, Embase, and Web of Science were systematically searched up to December 2, 2025, with systolic BP (SBP) and diastolic BP (DBP) as the primary outcomes. Using Stata 17.0 software, effect sizes were pooled with a random‑effects model, and results were reported as weighted mean differences (WMDs) with 95% confidence intervals.Results This meta-analysis included 14 randomized controlled trials (RCTs) involving 490 adult participants. WBVT significantly reduced SBP (WMD = ‑6.57 mmHg, 95% CI [‑8.84, ‑4.29]; P < 0.01) and DBP (WMD = ‑3.01 mmHg, 95% CI [‑4.32, ‑1.71]; P < 0.01) in adults. Subgroup analyses showed greater BP reduction in individuals with higher baseline BP (SBP: ‑11.34 mmHg [95% CI: ‑13.45, ‑9.23]; P < 0.01; DBP: ‑6.15 mmHg [95% CI: ‑7.46, ‑4.83]; P < 0.01) and in those who were overweight or obese (SBP: ‑8.99 mmHg [95% CI: ‑11.18, ‑6.80]; P < 0.01; DBP: ‑3.98 mmHg [95% CI: ‑5.17, ‑2.78]; P < 0.01). Interventions using combined movement patterns also yielded more pronounced effects (SBP: ‑7.12 mmHg [95% CI: ‑9.73, ‑4.51]; P < 0.01; DBP: ‑3.30 mmHg [95% CI: ‑5.61, ‑0.79]; P < 0.01).Conclusion WBVT significantly reduced resting BP in adults, particularly effective in those with higher baseline BP, overweight/obese, or using combined exercise protocols, but further high-quality RCTs are needed.