Effects of Liposuction and Exercise Training on Metabolism, Lipid Profile and Adiposity in Women
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Purpose
Liposuction is the most popular aesthetic surgery in Brasil and worldwide. Evidence showing that adipose tissue is a metabolically active tissue led to the suggestion that liposuction could be a viable method for the improvement of metabolic profile through the immediate loss of adipose tissue. Studies about the effects of liposuction on metabolic profile are conflicting. A few studies report the improvement of insulin sensitivity, inflammatory markers and lipid profile, others observe no changes and a few report the worsening of metabolic profile. In addition, animal studies show a compensatory growth of intact adipose tissue in response to lipectomy. Physical exercise improves insulin sensitivity, lipid profile, inflammatory balance, adipose tissue distribution and increases or preserves free fat mass. Therefore, liposuction and physical exercise seem to act on similar tissues of the body. To the investigators knowledge, there are no studies about the associated effects of liposuction and exercise in humans. However, one can suggest that exercise training associated with liposuction could: [1] attenuate or block the possible fat recovery or compensatory growth; [2] block or reverse the possible harmful effects of liposuction; or [3] exert an additive or synergistic effect to the possible beneficial effects induced by liposuction on metabolic and hormonal profile and inflammatory balance.
| Condition | Intervention | Phase |
|---|---|---|
|
Healthy Subjects |
Procedure: exercise |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Effects of Liposuction and Exercise Training on Metabolism, Lipid Profile and Adiposity in Women |
- Body composition [ Time Frame: 2 months post-intervention ] [ Designated as safety issue: No ]Body composition will be assessed by hydrostatic weighing in order to measure fat and lean mass and by computer tomography, in order to measure abdominal total, subcutaneous and visceral fat areas and femoral and pelvic subcutaneous fat areas.
- Body composition [ Time Frame: 6 months post-intervention ] [ Designated as safety issue: No ]Body composition will be assessed by hydrostatic weighing in order to measure fat and lean mass and by computer tomography, in order to measure abdominal total, subcutaneous and visceral fat areas and femoral and pelvic subcutaneous fat areas.
- Insulin Sensitivity [ Time Frame: 2 months post-intervention ] [ Designated as safety issue: No ]Insulin sensitivity will be assessed by an oral glucose tolerance test
- Total cholesterol, LDL-c, HDL-c, VLDL-c and triacylglycerol plasma levels [ Time Frame: 2 months post-intervention ] [ Designated as safety issue: No ]
- Cytokine plasma levels - IL-6, TNF-alpha, IL-10, leptin and adiponectin levels [ Time Frame: 2 months post-intervention ] [ Designated as safety issue: No ]
- Insulin Sensitivity [ Time Frame: 6 months post-intervention ] [ Designated as safety issue: No ]Insulin sensitivity will be assessed by an oral glucose tolerance test
- Total cholesterol, LDL-c, HDL-c, VLDL-c and triacylglycerol plasma levels [ Time Frame: 6 months post-intervention ] [ Designated as safety issue: No ]
- Cytokine plasma levels - IL-6, TNF-alpha, IL-10, leptin and adiponectin levels [ Time Frame: 6 months post-intervention ] [ Designated as safety issue: No ]
| Enrollment: | 40 |
| Study Start Date: | August 2010 |
| Study Completion Date: | April 2011 |
| Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: exercise
exercise plus liposuction
|
Procedure: exercise
combined resistance and aerobic training
|
|
No Intervention: sedentary
physical inactivity plus liposuction
|
Eligibility| Ages Eligible for Study: | 20 Years to 36 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- 20 to 35-year old healthy subjects with a BMI of 22 to 28 Kg/m2;
- Non-smokers;
- Present stable body weight for 6 months (without variations exceeding 4 kg);
- Be in use contraceptive pill for at least 6 months;
Exclusion Criteria:
- Health problems that impede surgery or exercise training;
- Be in chronic use of antibiotics or antiinflammatory medication.
Contacts and Locations| Brazil | |
| Escola de Educação Física e Esporte da Universidade de São Paulo | |
| São Paulo, SP, Brazil, 05508-900 | |
| Principal Investigator: | Antonio H Lancha Jr, PhD | University of Sao Paulo |
More Information
No publications provided by University of Sao Paulo
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Fabiana Braga Benatti, Escola de Educação Física e Esporte da Universidade de São Paulo |
| ClinicalTrials.gov Identifier: | NCT01174485 History of Changes |
| Other Study ID Numbers: | EEFEUSP-LIPO |
| Study First Received: | June 25, 2010 |
| Last Updated: | May 11, 2011 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by University of Sao Paulo:
|
Liposuction exercise metabolism adiposity Exercise |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013