Comparação de protocolos biomédicos para a redução da adiposidade abdominal feminina utilizando a criolipólise

Abstract

Localized abdominal adiposity is cited as a risk factor for chronic diseases and some cancers. The selective cooling technique, known as Cryolipolysis, has been used as a noninvasive treatment. Here, we developed a biomedical protocol for reducing abdominal adiposity in young women using the cryolipolysis technique. We conducted a longitudinal study with 53 women aged 20-35 years, using a quantitative and descriptive approach, considering normal or overweight BMI (Body Mass Index). The volunteers underwent an initial evaluation, in which the following factors were evaluated: anamnesis, adipometry, abdominal perimetry, photographic images, body mass, stature and DXA (Dual Energy X-ray Absorptiometry) examination. After, the participants were divided into four groups, receiving different combinations of cryolipolysis time and temperature: G1 (n = 13), time 45 min and temperature -5 ° C; G2 (n = 14), time 70 min and temperature -8 ° C; G3 (n = 12), time 45 min and temperature -5 ° C; G4 (n = 14), time 70 min and temperature -8 ° C. After 60 days of application, the patients were re-evaluated and verified, in addition, satisfaction with the treatment. As the data presented a normal distribution, we used parametric t-test and Two-way-Anova (p <0.05). We found no change in BMI before and after treatment (G1 P 0.73; G2 P 0.8; G3 P 0.65; G4 P 0.91). However, for DXA, all groups presented significant results for reduction of localized adiposity (G1 P 0.02; G2 P 0; G3 P 0; G4 P 0). Similarly, we found the same pattern for abdominal adipometry (G1 P 0.05; G2 P 0; G3 P 0; G4 P 0). Regarding perimetry, values were significant in all groups, both for umbilical line (G1P 0.041; G2 P 0.01; G3 P 0.019; G4 P 0.007), and for lower abdomen (G1 P 0.041; G2 P 0; G3 P 0.002; G4 P 0). 84.5% of the patients observed a decrease in localized adiposity. We found no difference in the results between the applied temperatures when combined with the time of 70 minutes. All groups had a decrease in localized adiposity, but this number was more expressive in G2 and G4, we conclude that the longer the application time, the more expressive results can be achieved.