Ultrasound-cavitation versus Tripollar Radio-frequency lipolysis on decreasing the Waist circumference in pre-abdominal Surgical Patients: Randomized Clinical Trial

Shaimaa Abd El-Hamid Abase, Shereen Hamed El-Sayed

Shaimaa Abd El-Hamid Abase, Shereen Hamed El-Sayed – Ultrasound-cavitation versus Tripollar Radio-frequency lipolysis on decreasing the Waist circumference in pre-abdominal Surgical Patients: Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(1); 78-84

Abstract
Background. Obesity is a condition of abnormal accumulation of fat in adipose tissue. Central obesity has been firmly confirmed as a risk factor for increasing the incidence of coronary heart diseases, some skin disease, incisional hernia and more operational hemorrhage. Purpose. This study was carried out to evaluate the efficacy of ultrasound-cavitation therapy versus Tripollar-radiofrequency on abdominal obesity in pre-abdominal surgical patients. Material and Methods. Thirty participants with visceral adiposity divided to two groups; Group (A) include fifteen patients received Ultrasound-cavitation therapy (40k-Hz) for 30 min. once/week plus aerobic exercises (walking on treadmill for 30 min. 3 times\week) plus low calorie diet program. Group (B) includes fifteen patients managed by Tripollar-radiofrequency (1 MHz) for 30 min. once/week in addition to aerobic exercises (walking on treadmill for 30 min. three times/week) plus low calorie diet program. All individuals in the two groups were evaluated by Waist circumference and skin fold thickness before and after the treatment. Results. Statistical analysis revealed that the skin fold thickness by skin caliper and the waist circumference by tape measurement have reduced at the end of treatment in the both groups but the higher reduction in WC & skin fold thickness were in the ultrasound-cavitation group compared to radiofrequency group Conclusion. Ultrasound cavitation is more effective than Tripolar radiofrequency in decreasing fat mass in abdominal obesity.

Key words:
Obesity, Ultrasound-cavitation, HIFUS, Tripollar-Radiofrequency

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Exercise on Maternal and Neonatal Outcomes in Obese Elderly Primigravida: A Randomized Clinical Trial

Eman Awad, Amir N Wadee, Heba Ali Abd EL-Ghaffaar, Hamada Ahmed Hamada

Eman Awad, Amir N Wadee, Heba Ali Abd EL-Ghaffaar, Hamada Ahmed Hamada – Exercise on Maternal and Neonatal Outcomes in Obese Elderly Primigravida: A Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 120-125

Abstract
Background. In obstetric practice, advanced maternal age such as in case of elderly primigravida is known to be associated with adverse maternal and fetal outcomes. Obesity is a commonly occurring risk factor with advancing maternal age. Exercise in pregnancy could prevent and limit adverse maternal and fetal morbidities. Further research was warranted to study the effect of exercise in this high risk group due to lack of research in this area. Objective. To investigate the effect of a specialized exercise program combined with diet conducted early in pregnancy on maternal and neonatal outcomes in obese elderly primigravida. Methods. Design: A randomized, clinical, controlled trial. Setting: The study was conducted at physical therapy Department of Bab El-Sharia University Hospital, Egypt, between May 2016 and May 2017. Participants: 80 obese elderly primigravida participants enrolled into experimental and control groups. Interventions: The experimental group participants were closely supervised to perform the exercise program starting from 14 weeks’ gestation till 37 weeks’ gestation with a moderate restricted diet and received advice specific to each trimester of pregnancy, while the control group participants were provided with specific instructions to perform the exercise program with the same diet and advice. Outcome measures: Primary outcome measure was the last BMI of each participant measured at 37 weeks of gestation while the secondary outcome measures were mode of delivery, neonatal weight and neonatal APGAR score. Results. Eighty obese elderly primigravida (control group n = 40; experimental group n = 40) were randomized. There were statistical significant differences between groups in last BMI, mode of delivery and neonates APGAR scores at 1st minute of life and 5th minute of life (p < 0.05). While, there was no statistical significant difference between groups in neonatal weight (p > 0.05). Conclusion: A specialized antenatal exercise program is very effective in decreasing maternal and neonatal complications in obese elderly primigravidae and their off springs.

Key words:
elderly primigravida, obesity, neonatal outcomes, maternal outcomes, exercise

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Studying the impact of body weight and physical activity on quality of life of junior high school students

Anna Kogut, Marek Kiljański

A. Kogut, M. Kiljański – Studying the impact of body weight and physical activity on quality of life of junior high school students. FP 2017; 17(1); 14-22

Abstract
Introduction. Overweight and obesity presently constitute a serious problem, both in Poland and worldwide. They affect not only adults. Every year, there is a growing number of children and youths, who struggle with overweight and obesity. The fact, that they are not accepting their body may contribute to the lower quality of living. An important issue becomes regular physical activity.
Research Goal. Evaluation of the impact of body weight and physical activity on the quality of living in junior high school students.
Materials and Methods. Examinations were performed in 57 persons (including 29 girls and 28 boys,) 12-15  years old (Mean: 13.75 years.) In the test group, there were conducted: survey regarding physical activity, Coopersmith Self-Esteem Inventory (CSEI) and four physical fitness tests.
Results. After collecting data and the results analysis, there has not been observed deterioration in the quality of living in persons, whose BMI exceed the upper limit of the standard.
Conclusions. Excessive body weight does not reduce the quality of living in teenagers.
Level of physical activity does not affect the quality of living in young people.
Frequency of physical activity has a significant impact on self-esteem and self-assessment.

Key words:
quality of living, BMI, obesity, physical activity

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