Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Oeste Paulista
|
Programa de Pós-Graduação: |
Mestrado em Ciências da Saúde
|
Departamento: |
Mestrado em Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bdtd.unoeste.br:8080/jspui/handle/jspui/1219 |
Resumo: | Introduction: A systematic review was conducted in order to identify and describe the aesthetic techniques being used to treat abdominal fat in women, with a view to pointing out the considerations on the subject. Based on these data, protocols were developed to analyze acutely and chronically the effects of the application of high-powered ultrasound in women with localized abdominal fat and overweight. Objective: to analyze data from the literature and to analyze body composition, the behavior of cardiovascular variables and the autonomic modulation of HR after the application of high-power ultrasound in women with localized abdominal fat and overweight. Method: A systematic scope review was performed. Women (21.3 ± 3.06 years old) were selected for the acute effect study, presenting at least 1.5 cm of abdominal skin fold, using oral and sedentary contraceptives. A visit was made to the aesthetic center, where the initial anthropometric evaluations were performed and, before and after the application of therapy, the body composition (bioimpedance), blood pressure (BP) and autonomic evaluation were evaluated. The indices (RMSSD, SDNN) and (HF, LF un and ms2) were analyzed. For the analysis of the effects on body composition, BP variables and cholesterol values and autonomic modulation were used in the moments of rest and recovery in the pre- and post-intervention, Student's t-test or Wilcoxon's test. with Dunn's post-test for non-normal distribution data, and the size of the effect was calculated using Eta-squaredd and p <0.05 for all the tests. Results: The systematic review of the scope pointed out that the most evidenced technique was cryolipolysis with efficiency of abdominal fat reduction (80.00%). Other techniques such as electrolysis, cryolipolysis, carboxitherapy, intense pulsed light laser, endermotherapy, therapeutic ultrasound, modeling massage, electrotherapy, radiofrequency, polarized current and iontophoresis were also efficient and safe. In the acute effect observed after the focused ultrasound, no significant differences were observed in the pre- and postoperative comparisons of the variables studied; however, there was a tendency to increase the indices (NSND, SD2) and (rMSSD, SD1 and HF ms2 and un) in the recovery moments in relation to the resting moment. Conclusion: More studies are needed with more elaborate protocols on techniques to reduce localized adiposity. The clinical study showed that a high-potency ultrasonic therapy session did not promote significant changes in body composition, blood pressure values, autonomic modulation of HRV and cholesterol values. |
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Toledo, Ana Clara Campagnolo Gonçalveshttp://lattes.cnpq.br/5711430948271196Vanderlei, Franciele Marqueshttp://lattes.cnpq.br/5094140362201357Araújo, Bruna Corral Garcia dehttp://lattes.cnpq.br/8541565394406510http://lattes.cnpq.br/5939074243902917SILVA, Laurinéia da2020-01-14T19:19:36Z2019-02-26SILVA, Laurinéia da. Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019.http://bdtd.unoeste.br:8080/jspui/handle/jspui/1219Introduction: A systematic review was conducted in order to identify and describe the aesthetic techniques being used to treat abdominal fat in women, with a view to pointing out the considerations on the subject. Based on these data, protocols were developed to analyze acutely and chronically the effects of the application of high-powered ultrasound in women with localized abdominal fat and overweight. Objective: to analyze data from the literature and to analyze body composition, the behavior of cardiovascular variables and the autonomic modulation of HR after the application of high-power ultrasound in women with localized abdominal fat and overweight. Method: A systematic scope review was performed. Women (21.3 ± 3.06 years old) were selected for the acute effect study, presenting at least 1.5 cm of abdominal skin fold, using oral and sedentary contraceptives. A visit was made to the aesthetic center, where the initial anthropometric evaluations were performed and, before and after the application of therapy, the body composition (bioimpedance), blood pressure (BP) and autonomic evaluation were evaluated. The indices (RMSSD, SDNN) and (HF, LF un and ms2) were analyzed. For the analysis of the effects on body composition, BP variables and cholesterol values and autonomic modulation were used in the moments of rest and recovery in the pre- and post-intervention, Student's t-test or Wilcoxon's test. with Dunn's post-test for non-normal distribution data, and the size of the effect was calculated using Eta-squaredd and p <0.05 for all the tests. Results: The systematic review of the scope pointed out that the most evidenced technique was cryolipolysis with efficiency of abdominal fat reduction (80.00%). Other techniques such as electrolysis, cryolipolysis, carboxitherapy, intense pulsed light laser, endermotherapy, therapeutic ultrasound, modeling massage, electrotherapy, radiofrequency, polarized current and iontophoresis were also efficient and safe. In the acute effect observed after the focused ultrasound, no significant differences were observed in the pre- and postoperative comparisons of the variables studied; however, there was a tendency to increase the indices (NSND, SD2) and (rMSSD, SD1 and HF ms2 and un) in the recovery moments in relation to the resting moment. Conclusion: More studies are needed with more elaborate protocols on techniques to reduce localized adiposity. The clinical study showed that a high-potency ultrasonic therapy session did not promote significant changes in body composition, blood pressure values, autonomic modulation of HRV and cholesterol values.Introdução: Foi realizado um estudo de revisão sistemática com o objetivo de identificar e descrever as técnicas de estéticas que estão sendo utilizadas para tratamento de gorduras abdominais em mulheres, com vistas a apontar as considerações sobre o assunto. A partir desses dados foi montado protocolos para analisar de forma aguda e crônica os efeitos da aplicação de ultrassom de alta potência em mulheres com gordura abdominal localizada e sobrepeso. Objetivo: analisar dados da literatura e analisar a composição corporal, o comportamento de variáveis cardiovasculares e a modulação autonômica de FC após aplicação de ultrassom de alta potência em mulheres com gordura abdominal localizada e sobrepeso. Método: Foi feito uma revisão sistemática de escopo. Para estudo de efeito agudo, foram selecionadas mulheres, (21,3 ± 3,06 anos), apresentando pelo menos 1,5 cm de prega cutânea abdominal, utilizando contraceptivo oral e sedentárias. Foi realizada uma visita ao centro estético, onde foram realizadas as avaliações antropométricas iniciais e, antes e após a aplicação da terapia, foram avaliadas a composição corporal (bioimpedância), a pressão arterial (PA) e a avaliação autonômica. Os índices (RMSSD, SDNN) e (HF, LF un e ms2) foram analisados. Para a análise dos efeitos sobre a composição corporal, foram utilizadas variáveis de PA e valores de colesterol e modulação autonômica nos momentos de repouso e recuperação nos momentos pré e pós-intervenção, teste t de Student ou teste de Wilcoxon. com pós-teste de Dunn para dados de distribuição não normal, e o tamanho do efeito foi calculado usando Eta-squaredd e p <0,05 para todos os testes. Resultados: A revisão sistemática de escopo apontou que a técnica mais evidenciada foi a criolipólise com eficiência de redução de gordura abdominal (80,00%). Outras técnicas como a eletrolipólise, a criolipólise, a carboxiterapia, laser luz intensa pulsada, endermoterapia, ultrassom terapêutico, massagem modeladora, eletroterapia, radiofrequência, corrente polarizada e iontoforeza, também mostraram-se eficientes e seguras. No efeito agudo observado após o ultrassom focalizado não foi observado diferenças significativas nas comparações pré e pós das variáveis estudadas; entretanto, houve uma tendência no aumento dos índices (SDNN, SD2) e (rMSSD, SD1 e HF ms2 e un) nos momentos de recuperação em relação ao momento de repouso. Conclusão: Faz- se necessário mais estudos com protocolos mais elaborados sobre tecnicas para redução da adiposidade localizada. O estudo clinico mostrou que uma sessão de terapia ultra-sônica de alta potência não promoveu mudanças significativas na composição corporal, valores de pressão arterial, modulação autonômica dos valores de VFC e colesterol.Submitted by Jakeline Ortega (jakortega@unoeste.br) on 2020-01-14T19:19:36Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Laurinéia da Silva.pdf: 715645 bytes, checksum: d21c68c4cfb2b781d357adef2443d433 (MD5)Made available in DSpace on 2020-01-14T19:19:36Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Laurinéia da Silva.pdf: 715645 bytes, checksum: d21c68c4cfb2b781d357adef2443d433 (MD5) Previous issue date: 2019-02-26application/pdfhttp://bdtd.unoeste.br:8080/jspui/retrieve/3493/Laurin%c3%a9ia%20da%20Silva.pdf.jpgporUniversidade do Oeste PaulistaMestrado em Ciências da SaúdeUNOESTEBrasilMestrado em Ciências da Saúdehttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessGordura abdominalcomposição corporalsistema nervoso autônomoultrassom focalizado.Abdominal fatbody compositionautonomic nervous systemfocused ultrasoundCIENCIAS DA SAUDETratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínicoAesthetic treatments in the reduction of localized fat: Systematic review of scopeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis454847406252007416850050060045484740625200741688765449414823306929reponame:Biblioteca Digital de Teses e Dissertações da UNOESTEinstname:Universidade do Oeste Paulista (UNOESTE)instacron:UNOESTETHUMBNAILLaurinéia da Silva.pdf.jpgLaurinéia da Silva.pdf.jpgimage/jpeg3241http://bdtd.unoeste.br:8080/tede/bitstream/jspui/1219/6/Laurin%C3%A9ia+da+Silva.pdf.jpga9079751595c4c3a4c943a8304b04424MD56ORIGINALLaurinéia da Silva.pdfLaurinéia da Silva.pdfapplication/pdf715645http://bdtd.unoeste.br:8080/tede/bitstream/jspui/1219/5/Laurin%C3%A9ia+da+Silva.pdfd21c68c4cfb2b781d357adef2443d433MD55CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.por.fl_str_mv |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
dc.title.alternative.eng.fl_str_mv |
Aesthetic treatments in the reduction of localized fat: Systematic review of scope |
title |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
spellingShingle |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico SILVA, Laurinéia da Gordura abdominal composição corporal sistema nervoso autônomo ultrassom focalizado. Abdominal fat body composition autonomic nervous system focused ultrasound CIENCIAS DA SAUDE |
title_short |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
title_full |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
title_fullStr |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
title_full_unstemmed |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
title_sort |
Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico |
author |
SILVA, Laurinéia da |
author_facet |
SILVA, Laurinéia da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Toledo, Ana Clara Campagnolo Gonçalves |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5711430948271196 |
dc.contributor.referee1.fl_str_mv |
Vanderlei, Franciele Marques |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/5094140362201357 |
dc.contributor.referee2.fl_str_mv |
Araújo, Bruna Corral Garcia de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/8541565394406510 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5939074243902917 |
dc.contributor.author.fl_str_mv |
SILVA, Laurinéia da |
contributor_str_mv |
Toledo, Ana Clara Campagnolo Gonçalves Vanderlei, Franciele Marques Araújo, Bruna Corral Garcia de |
dc.subject.por.fl_str_mv |
Gordura abdominal composição corporal sistema nervoso autônomo ultrassom focalizado. |
topic |
Gordura abdominal composição corporal sistema nervoso autônomo ultrassom focalizado. Abdominal fat body composition autonomic nervous system focused ultrasound CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Abdominal fat body composition autonomic nervous system focused ultrasound |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: A systematic review was conducted in order to identify and describe the aesthetic techniques being used to treat abdominal fat in women, with a view to pointing out the considerations on the subject. Based on these data, protocols were developed to analyze acutely and chronically the effects of the application of high-powered ultrasound in women with localized abdominal fat and overweight. Objective: to analyze data from the literature and to analyze body composition, the behavior of cardiovascular variables and the autonomic modulation of HR after the application of high-power ultrasound in women with localized abdominal fat and overweight. Method: A systematic scope review was performed. Women (21.3 ± 3.06 years old) were selected for the acute effect study, presenting at least 1.5 cm of abdominal skin fold, using oral and sedentary contraceptives. A visit was made to the aesthetic center, where the initial anthropometric evaluations were performed and, before and after the application of therapy, the body composition (bioimpedance), blood pressure (BP) and autonomic evaluation were evaluated. The indices (RMSSD, SDNN) and (HF, LF un and ms2) were analyzed. For the analysis of the effects on body composition, BP variables and cholesterol values and autonomic modulation were used in the moments of rest and recovery in the pre- and post-intervention, Student's t-test or Wilcoxon's test. with Dunn's post-test for non-normal distribution data, and the size of the effect was calculated using Eta-squaredd and p <0.05 for all the tests. Results: The systematic review of the scope pointed out that the most evidenced technique was cryolipolysis with efficiency of abdominal fat reduction (80.00%). Other techniques such as electrolysis, cryolipolysis, carboxitherapy, intense pulsed light laser, endermotherapy, therapeutic ultrasound, modeling massage, electrotherapy, radiofrequency, polarized current and iontophoresis were also efficient and safe. In the acute effect observed after the focused ultrasound, no significant differences were observed in the pre- and postoperative comparisons of the variables studied; however, there was a tendency to increase the indices (NSND, SD2) and (rMSSD, SD1 and HF ms2 and un) in the recovery moments in relation to the resting moment. Conclusion: More studies are needed with more elaborate protocols on techniques to reduce localized adiposity. The clinical study showed that a high-potency ultrasonic therapy session did not promote significant changes in body composition, blood pressure values, autonomic modulation of HRV and cholesterol values. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-02-26 |
dc.date.accessioned.fl_str_mv |
2020-01-14T19:19:36Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVA, Laurinéia da. Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019. |
dc.identifier.uri.fl_str_mv |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1219 |
identifier_str_mv |
SILVA, Laurinéia da. Tratamentos estéticos na redução da gordura localizada: Revisão sistemática de escopo e ensaio clínico. 2019. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2019. |
url |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1219 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4548474062520074168 |
dc.relation.confidence.fl_str_mv |
500 500 600 |
dc.relation.department.fl_str_mv |
4548474062520074168 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade do Oeste Paulista |
dc.publisher.program.fl_str_mv |
Mestrado em Ciências da Saúde |
dc.publisher.initials.fl_str_mv |
UNOESTE |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Mestrado em Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade do Oeste Paulista |
dc.source.none.fl_str_mv |
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UNOESTE |
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UNOESTE |
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Biblioteca Digital de Teses e Dissertações da UNOESTE |
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Biblioteca Digital de Teses e Dissertações da UNOESTE |
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Biblioteca Digital de Teses e Dissertações da UNOESTE - Universidade do Oeste Paulista (UNOESTE) |
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