High intensity focused ultrasound efficacy on abdominal fat remodeling in female runners

Conteúdo do artigo principal

Karen Geremia
Tatiana Godoy dos Santos
Marcello Ávila Mascarenhas
Carlos Daniel de La Vega Elena

Resumo

The search for aesthetic treatments has become increasingly frequent nowadays and one of the dysfunctions that bothers women the most, especially, is lipodystrophy, popularly called “localized fat”. High Intensity Focused Ultrasound (HIFU) can reach a specific volume (in millimeters) within the body cavity without damaging other tissues. This study aimed to evaluate the effectiveness of HIFU in reshaping abdominal fat in female runners. A Randomized Clinical Trial was conducted with 46 participants, aged between 18 and 65 years, using HIFU for 30 min/week, for 6 weeks. The primary outcome was the change in adipose tissue thickness through anthropometric and ultrasound measurements, in the eighth week post-treatment and the secondary outcomes were adverse events and participant satisfaction. The HIFU group had a mean reduction in waist circumference of 1.7 cm (p<0.001), umbilical circumference of 3.5 cm (p<0.001), and abdominal circumference of 3.8 cm (p<0.001), in addition to a significant reduction in several variables (opposite to the control group), except for lean mass and visceral fat. No moderate or severe adverse effects were observed on physical examination. Only 5 of the 23 patients in the HIFU group described mild erythema, which resolved spontaneously within one day. Through the application of a questionnaire on the degree of satisfaction, all 23 participants in the intervention group reported complete satisfaction. We conclude that the HIFU protocol is effective and safe in reshaping abdominal fat in female runners.

Detalhes do artigo

Como Citar
Geremia, K., Godoy dos Santos, T. ., Ávila Mascarenhas, M. ., & Daniel de La Vega Elena, C. . (2025). High intensity focused ultrasound efficacy on abdominal fat remodeling in female runners. Revista Científica De Estética E Cosmetologia, 5(1), E1532025 – 1. https://doi.org/10.48051/rcec.v5i1.154
Seção
Artigos em Fluxo Contínuo
Biografia do Autor

Karen Geremia, a:1:{s:5:"pt_BR";s:24:"Moana Clínica Estética";}

Mestre em Biociências e reabilitação graduada em Biomedicina

Tatiana Godoy dos Santos, Graduada em Nutrição

Graduada em Nutrição

Marcello Ávila Mascarenhas, Doutor em Ciências Médicas, graduado em Farmácia e Bioquímica

Doutor em Ciências Médicas, graduado em Farmácia e Bioquímica


Carlos Daniel de La Vega Elena, Doutor em Ingeniaria tisular graduado em Medicina

Doutor em Ingeniaria tisular graduado em Medicina

Referências

REFERENCES

Tchernof A.; Després J.P. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013;93(1):359-404. doi: 10.1152/physrev.00033.2011.

Nascimento B.R.; Brant L.C.C.; Oliveira G.M.M. Cardiovascular Disease. Epidemiology in Portuguese-Speaking Countries. Arq Bras Cardiol. 2018; 110(6):500-511.

Guirro E.G.R. Fisioterapia dermato-funcional: fundamentos – recursos - patologias. 3.ed. Barueri: Manole, 2004.

Oliveira A.S.; Bressan J. Tecido adiposo como regulador da inflamação e da obesidade. Rev Digital, Buenos Aires 2010;15(150).

Silva S.L. Variações anatômicas do tecido celular subcutâneo pós-perda ponderal. Revista Bras Cir Plast. 2010;25(4): 765-768.

Ziegler D.; Strom A.; Straßburger K.; Knebel B.; Bönhof G.J.; Kotzka J.; et al. German Diabetes Study group. Association of cardiac autonomic dysfunction with higher levels of plasma lipid metabolites in recent-onset type 2 diabetes. Diabetologia. 2021;64(2):458-468. doi: 10.1007/s00125-020-05310-5.

Schetz M.; De Jong A.; Deane A.M.; Druml W.; Hemelaar P.; Pelosi P.; et al. Obesity in the critically ill: a narrative review. Intensive Care Med. 2019;45(6):757-769. .https://doi.org/10.1007/s00134-019-05594-1

Ward D.S.; Bar-Or O. Role of the physician and physical education teacher in the treatment of obesity at school. Pediatrician.1986;13:44-51.

Poli Neto P.; Caponi S.N.C. A medicalização da beleza. Interface - Comunicação, Saúde, Educação. 2007;11(23):569-84.

Junqueira L.C.; Carneiro J. Histologia básica. 13. ed. Rio de Janeiro: Guanabara Koogan; 2017.

Jewell M.L.; Baxter R.A.; Cox S.E.; Donofrio L.M.; Dover J.S.; Glogau R.G. Randomized sham-controlled trial to evaluate the safety and effectiveness of a high intensity focused ultrasound device for noninvasive body sculpting. Plast Reconstr Surg. 2011;128(1):253-262. doi: 10.1097/PRS.0b013e3182174278.

Toscan N.F.; Zanol F.M. Avaliação comparativa da técnica de lipocavitação focalizada no tratamento de lipodistrofia localizada. Fisioterapia Brasil. 2017;18(3):329-38.

Katz B.; Bard R.; Goldfarb R.; Shiloh A.; Kenolova D. Ultrasound Assessment of Subcutaneous Abdominal Fat Thickness After Treatments With a High-Intensity Focused Electromagnetic Field Device: A Multicenter Study. Dermatol Surg. 2019; 45(12):1542-1548. doi: 10.1097/DSS.0000000000001902.

Rotunda A.M.; Weiss S.R.; Rivkin L.S. Randomized double-blind clinical trial of subcutaneously injected deoxycholate versus a phosphatidylcholine-deoxycholate combination for the reduction of submental fat. Dermatol Surg. 2009;35(5):792–803.doi: 10.1111/j.1524-4725.2009.01130.x.

WHO Consultation on Obesity (1997: Geneva S, Diseases WHOD of N, World Health Organization. Programme of Nutrition F and RH. Obesity: preventing and managing the global epidemic: report of a WHO Consultation on Obesity, Geneva, 3-5June 1997. 1998 [citado 2021 fev 21]; Available from: https://apps.who.int/iris/handle/10665/63854.

Soriano D.MC.; Collell Perez S.; Corral Baques M.I. Electroestetica professional aplicada: teoria y practica para la utilizacion de Corriente senestetica. Sant Cug at del Valles: SOR Internacional, 2000.

Baroni B.M.; Rodrigues R.; Franke R.A.; Geremia J.M.; Rassier D.E.; Vaz M.A. Time course of neuromuscular adaptations to knee extensor eccentric training. Int J Sports Med. 2013;34(10):904-911. doi: 10.1055/s-0032-1333263.

Balbinotti M.M.A.; Gonçalves G.H.T.; Klering R.T.; Wiethaeuper D.; Balbinotti C.A.A. Perfis motivacionais de corredores de rua com diferentes tempos de prática. RBCE. 2015;37(1): 65-73.

Hong J.Y.; Ko E.J.; Choi S.Y.; Kwon T.R.; Kim J.H.; Kim S.Y. Efficacy and Safety of High-Intensity Focused Ultrasound for Noninvasive Abdominal Subcutaneous Fat Reduction. Dermatol Surg. 2020;46(2):213-219. doi: 10.1097/DSS.0000000000002016

Brito L.P.; Fontenelle F.D.; Herrera S.D.S.C.; Roiesk I.M. Efeito do ultrassom focalizado (HIFU) no tecido adiposo abdominal. Revista Amzonia: Science & Health. 2015;3(3):17-25. doi: 10.1177/1090820X11405027.

Trelles M.A.; Mir-Mir S.; Ardiaca M.C.; Trelles K. Remodelación de la grasa localizada con ultrasonidos de baja frecuencia, intensidad media y múltiple focalización: conclusiones preliminares. Cir Plast Ibero-latinoam. 2020;46(1):85-98. https://dx.doi.org/10.4321/s0376-78922020000100013.

Kent D.E; Kinney B.M. The effect of high-intensity focused electromagnetic procedure on visceral adipose tissue: Retrospective assessment of computed tomography scans. J Cosmet Dermatol .2021; 20(3):757-762. doi: 10.1111/jocd.13952.

Gadsden E.; Aguilar M.T.; Smoller B.R.; Jewell M.L. Evaluation of a novel high-intensity focused ultrasound device for ablating subcutaneous adipose tissue for noninvasive body contouring: safety studies in human volunteers. Aesthet Surg J. 2011; 31(4):401-410. doi: 10.1177/1090820X11405027.