Metabolic Effects of Large-Volume Liposuction for Obese Healthy Women: A Meta-Analysis of Fasting Insulin Levels

Boriani, Filippo; Villani, Riccardo; Morselli, Paolo Giovanni

doi:10.1007/s00266-014-0386-3

Cited by 25 publications

(13 citation statements)

References 29 publications

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“…Liposuction has its advantages and disadvantages. In the case of healthy, obese women, a significant reduction in fasting plasma insulin resulting from large-volume liposuction has been reported (Boriani et al, 2014), while in women with normal weights, liposuction downregulates adiponectin subcutaneous adipose tissue (scAT) gene expression and serum levels and upregulates scAT gene expression of inflammation-related genes six months after surgery, irrespective of exercise training (Yazigi Solis et al, 2014). In addition, it has been suggested that using liposuction in the overall treatment of obesity could lead to an improvement in insulin sensitivity and thus greatly improve an obese patient's quality of life (Perez, 2007).…”

Section: Lipotourism: Active Leisure Tourism?mentioning

confidence: 99%

Participation in Medical Tourism versus Physical Activity of Patients after Liposuction: What are the Concerns about Health and Quality of Life?

Lubowiecki-Vikuk

2016

Physical Culture and Sport. Studies and Research

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Section: Lipotourism: Active Leisure Tourism?mentioning

confidence: 99%

Participation in Medical Tourism versus Physical Activity of Patients after Liposuction: What are the Concerns about Health and Quality of Life?

Lubowiecki-Vikuk

2016

Physical Culture and Sport. Studies and Research

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“…Although the reduction of subcutaneous fat alone does not lead directly to reduction of cardiovascular risk in obese subjects 4 , there is some evidence that the large-volume liposuction might positively influence the insulinemia 5 and thus insulin sensitivity. Furthermore, clinical experience shows that aesthetic procedures leading to improved patient’s self esteem 6 often significantly enhance the motivation to further lifestyle changes towards healthier goals.…”

Section: Introductionmentioning

confidence: 99%

Non-contact radiofrequency-induced reduction of subcutaneous abdominal fat correlates with initial cardiovascular autonomic balance and fat tissue hormones: safety analysis

et al. 2015

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Background and objective: The non-invasive reduction of subcutaneous abdominal fat became popular in the last decade. Radiofrequency (RF), non-contact, selective-field device Vanquish® has been developed to selectively induce deep fat tissue heating to reduce waist circumference. Our analysis evaluates immediate and sustained effects of this treatment on cardiovascular autonomic function and on selected metabolic parameters. Study design/ patients and methods: A retrospective proof-of-concept analysis of RF treatment effects was conducted in 20 individuals with metabolic syndrome, to reduce the subcutaneous abdominal fat. Four 30-minutes treatment sessions (manufacturer´s standard protocol) were performed in 1-week intervals. Vital signs, ECG, lab screening, body composition, subcutaneous fat thickness and spectral analysis of heart rate variability (HRV) have been examined before, after the 1 st and 4 th treatment, and at follow-up visits 1 month and 3 months after the treatment. Results: The RF treatment led to a significant reduction of abdominal circumference after the 4 th session (p<0.001), and during follow-up after 1 and 3 months (p<0.001 and p<0.02, resp.). There was a significant correlation (r=-0.58, p=0.007) between reduction of abdominal circumference and initial very-low frequency (VLF) spectral power at 1 month follow-up. A significant increase of cumulative spectral power in low frequency (p=0.02) and reduction in high frequency (p=0.05) band have been observed immediately (20 +14 minutes) after the treatment. On the contrary, no sustained impact on autonomic balance has been recorded 39 +18 days after the treatment. A significant correlation between the initial adiponectin values and immediate autonomic response to one treatment was observed in VLF and total spectral bands (r>0.59, p<0.04). Conclusions: Our analysis shows that the selective-field RF treatment is safe and efficient for reduction of subcutaneous abdominal fat. While the treatment increases the immediate sympathetic response of the body to deep tissue heating, no sustained change in autonomic function could be recorded at 1 month follow-up. The observed correlation between initial VLF spectral power and waist circumference reduction at follow-up, as well as the association of initial adiponectin values and immediate autonomic response to the treatment might be instrumental for decisions on body contouring strategies.

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“…We read with interest the article by Boriani et al regarding the metabolic effects of large volume liposuction (LVL) and their meta-analysis of fasting insulin levels [1]. They reported beneficial metabolic effects from their literature review of 14 eligible studies.…”

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confidence: 99%