Effect of an Aerobic Exercise Program Associated With Shock Wave Therapy Versus Radiofrequency on Skin and Subcutaneous Tissue: Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Body composition- muscle mass
研究概览
简要总结
The main objective of this study is to compare the effect of 6 sessions of shock wave therapy versus radiofrequency followed by a protocol of moderate aerobic exercise, in the reduction of adiposity and abdominal flaccidity, in females between 18 and 60 years old. As a secondary objective, it is intended to understand the mechanism of fat mobilization by these two therapies.
详细描述
With the increasing awareness of the population regarding the high rate of obesity and the number of deaths per year as a result of being overweight, treatments for reducing measures are increasingly sought.
The evidence shows that the accumulation of fat located in the abdominal region is a risk factor for dyslipidemia and arterial hypertension, and a reduction in waist circumference can reduce the potential risk of cardiovascular disease.
In addition to this concern, with the aging of the population and changes in body dimensions due to pregnancy or to a weight loss process, body flaccidity is also a growing cosmetic complaint, and the result is a less firm and pending skin.
Physical exercise is a very important agent for combating excess weight, with special attention to aerobic physical exercise, which is able to decrease body fat tissue and increase the oxidation of fatty acids by 5 to 10 times more than in resting state. The evidence points out that the exercise prescription to decrease fat mass should focus on a high volume of training (30 to 60 minutes) with moderate intensity (40 to 60% of Heart Rate Reserve), performed regularly and mobilizing large muscle groups.
In order to combat abdominal adiposity, as well as the flaccidity of the region, radiofrequency is presented as a possible complementary strategy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women aged 18 to 60 years
排除标准
- •smoking and drinking habits;
- •athletes;
- •people with dietary restrictions;
- •participants who have had diets to lose weight in the last 3 months or who will start during the study;
- •pregnant women;
- •in postpartum less than one year;
- •breastfeeding;
- •intending to become pregnant during the study period;
- •patients with electronic or metallic devices (pacemaker, IUD);
- •individuals with metabolic (including dyslipidemias);
- •hematological and renal disorders;
- •individuals with dermatological changes;
- •cardiovascular, respiratory, digestive, orthopedic, rheumatological and oncological pathologies;
- •changes in the immune system or with acute inflammatory processes;
- •changes in sensitivity or subject to medication (anti-coagulants, corticosteroids up to 6 weeks before, non-steroidal anti-inflammatory drugs, antihistamines, diuretics)
结局指标
主要结局
Body composition- muscle mass
时间窗: 6 weeks after
muscle mass in kilograms
Body composition- fat mass
时间窗: 6 weeks after
fat mass in kilograms
Body composition- visceral fat
时间窗: 6 weeks after
visceral fat
Body composition- body mass
时间窗: 6 weeks after
body mass in kilograms
Cutaneous abdominal tissue thickness
时间窗: 6 weeks after
Measurement of the cutaneous fold by ultrasonography
Glycerol concentration
时间窗: 6 weeks after
Blood analysis collection carried out with help from an clinical analysis technician
Lipid profile (LDL, HDL and triglyceride concentrations)
时间窗: 6 weeks after
Blood analysis collection carried out with help from an clinical analysis technician
Perimetry
时间窗: 6 weeks after
Perimetry consists of measuring circumferences. In this case, of the waist at the navel area, 3 cm below it and in the hip area
Inflammatory markers concentration (IL6, CRP, TNF)
时间窗: 6 weeks after
Blood analysis collection carried out with help from an clinical analysis technician
Body composition- fat body areas
时间窗: 6 weeks after
percentage of fat distributed by body areas
Subcutaneous abdominal tissue thickness
时间窗: 6 weeks after
Measurement of the subcutaneous adipose fold by ultrasonography
Photography
时间窗: 6 weeks after
Photography is used to compare the before and after images. With these it is possible to evaluate the skin flaccidity and fat
Adipometry
时间窗: 6 weeks after
Adipometry consists of measuring skinfold thickness
Nitrous oxide concentration
时间窗: 6 weeks after
Blood analysis collection carried out with help from an clinical analysis technician
Thermography
时间窗: 6 weeks after
Thermography is used to assess the temperature of the skin surface, and it is also possible to suppose changes in blood flow and vascularization with this outcome
次要结局
- skin flaccidity(6 weeks after)
- skin flaccidity and localized fat in the abdomen region(6 weeks after)
研究者
Andreia Noites
Teacher
Escola Superior de Tecnologia da Saúde do Porto