Hisham A. Al-waseif, Nebal A. R. Aboul Ella, ‎Samah M. Ismail

Abstract

Background: Central obesity is a common associating problem in obese women, which leads to various diseases as it is related to a higher risk ‎of hypertension, insulin resistance, heart disease, and type 2 diabetes mellitus. Objective: To determine the efficacy of cryolipolysis on ‎abdominal subcutaneous fat in women with central obesity. Material and Methods: Sixty women with central obesity with the age ranged from ‎‎35-45 participated in this study at Radio and TV Union Medical Care. They were randomly assigned into three equal groups: Group (I) ‎consisted of 20 women who received low caloric diet (around 1200 kcal) and cryolipolysis therapy. Group (II) consisted of 20 women who ‎received low caloric diet (around 1200 kcal) and abdominal exercises. Group (III) consisted of 20 women who received low caloric diet ‎‎(around 1200 kcal) with cryolipolysis therapy and abdominal exercises. The study period was 12 weeks. Waist circumference (WC), waist-hip ‎ratio (WHR), body weight, body mass index, and ultrasonographic changes of abdominal subcutaneous fat were evaluated before and after the ‎study. Results: There was a significant decrease in waist circumference, body weight, waist-hip ratio, body mass index, and abdominal fat ‎thickness in all three groups. On comparing the results of the groups after treatment, there were significant differences in abdominal fat ‎thickness, WHR, and WC between groups (I) and (II). Moreover, there were significant differences in WC, WHR, and abdominal fat thickness ‎between groups III and I; and finally, there were significant differences in WC, WHR, and abdominal fat thickness between groups III and II. ‎Conclusion: It can be concluded from the results of this study that cryolipolysis was more effective in reducing abdominal adiposity when ‎applied along with abdominal exercises and diet control in women compared to when it was used alone.