Navegando por Palavras-chave "Celulite"

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    Avaliação da eficácia da drenagem linfática manual no tratamento da lipodistrofia ginoide
    (Universidade Federal de São Paulo (UNIFESP), 2013-08-28) Schonvvetter, Bianca [UNIFESP]; Bagatin, Edileia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Fundamentos: A lipodistrofia ginoide, mais conhecida como celulite, refere-se à aparência ondulada e irregular da pele, afetando 80 a 90% das mulheres após a puberdade, preferencialmente nas coxas e regiões glúteas. A etiopatogenia é multifatorial e numerosos tratamentos têm sido sugeridos, com eficácia nem sempre avaliada por métodos objetivos e quantitativos. Objetivos: verificar a eficácia e segurança da drenagem linfática manual na abordagem terapêutica da celulite. Material e Métodos: Estudo clínico aberto, prospectivo, de intervenção terapêutica, incluindo 20 mulheres com idades entre 20 e 40 anos. Realizadas14 sessões de drenagem linfática manual (técnicas de Vodder e Leduc), uma vez por semana, nos membros inferiores e regiões glúteas. Parâmetros de eficácia: opinião das pacientes e investigador, imagens fotográficas analisadas por observadores independentes, medidas antropométricas, bioimpedância elétrica, medida da elasticidade da pele, ultrassonografia de alta resolução e qualidade de vida. Resultados: 15 mulheres completaram o estudo. Houve melhora significativa na qualidade de vida (p=0,018). Nenhuma paciente relatou piora; 53% (8/15) relataram melhora e 47% (7/15) aspecto inalterado. Após o tratamento, 33% (5/15) apresentaram melhora do grau de celulite e 64% (9/15) mantiveram o mesmo grau. Verificou-se redução significativa (p=0,023), estimada em 0,3±0,8 cm, na circunferência do quadril, mas nas coxas não houve diferença significativa (p>0,05). Houve redução significativa da recuperação elástica da pele da região glútea, significando piora da elasticidade. As medidas obtidas pela ultrassonografia não apresentaram diferenças significativas (p>0,05). Conclusão: A drenagem linfática manual mostrou-se segura mas ineficaz quando aplicada isoladamente no tratamento da celulite, apesar da melhora significativa na qualidade de vida e redução da circunferência do quadril. Não foi possível estabelecer correlação entre as medidas ultrassonográficas e os aspectos clínicos. Estudos randomizados, controlados ou comparativos sobre drenagem linfática manual isolada ou associada a outras modalidades terapêuticas são necessários.
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    Celulite na criança: estudo de 30 casos
    (Universidade Federal de São Paulo (UNIFESP), 1989) Mantese, Orlando Cesar [UNIFESP]; Farhat, Calil Kairalla [UNIFESP]
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    Fatores de risco para celulite em adolescentes
    (Universidade Federal de São Paulo (UNIFESP), 2019-06-27) Soares, Juliana Laudiceia Marques [UNIFESP]; Bagatin, Edileia [UNIFESP]; Miot, Hélio Amante [UNIFESP]; http://lattes.cnpq.br/2543633050941005; http://lattes.cnpq.br/6478900066830476; http://lattes.cnpq.br/2325812049415017; Universidade Federal de São Paulo (UNIFESP)
    Introduction. The cellulite is characterized as an irregular appearance of skin surface, with a "padded" or "orange peel" aspect on the thighs and gluteal regions and, less frequently, on the arms and abdomen, predominantly in women after puberty. Although the etiopathogenesis is still not fully understood, cellulite is considered a multifactorial disorder, involving primary, anatomic or structural alterations of the adipose tissue and alterations of the dermal connective tissue. The most relevant factors include: fat herniation towards the dermal connective tissue, facilitated by the presence of fine and perpendicular hypodermic fibrous septa; the biochemical and metabolic differences in relation to normal fat and the architectural changes related to sex in different regions of the body. Objective: To evaluate the risk factors for the appearance of cellulite and its impact on quality of life. Methods: This is a cross-sectional observational study. A total of 184 adolescents aged 12 to 18 years, mean of 15 years were included. Genetic familial, gynecological hormonal factors, physical activity, nutrition, body composition and anthropometry were evaluated as well as cellulite severity and its impact on quality of life. Results: The variables that showed significant as a risk factor for cellulite were: BMI (p˂0.001), time since menarche (p = 0.037), carbohydrate by energy (p = 0.006), water consumption per day (p = 0.037), family history (p = 0.003) and weekly physical activity (p˂0.001). Conclusion: Genetic familial, gynecological hormonal, nutritional, anthropometric factors and physical activity showed direct relation to development and severity of cellulite, which reinforces its multifactorial character. The disclosure of this study will be important to point out possible physiopathological mechanisms and to alert the adolescents about the risk factors associated with the onset and worsening of this condition.
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    A influência da qualidade da dieta e do uso de suplemento de silício na celulite
    (Universidade Federal de São Paulo (UNIFESP), 2016-06-30) Marques, Natalia Cristina Ferreira Ramos [UNIFESP]; Bagatin, Ediléia [UNIFESP]; http://lattes.cnpq.br/6478900066830476; http://lattes.cnpq.br/7472243841351548; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the influence of non-invasive approaches such as guidance on diet composition and use of organic silicon supplement, isolated and combined, for the improvement of cellulite in adult women. Methods: 120 women were recruited, aged from 25 to 40, and 76 were included and distributed in two intervention phases. Phase I consisted of two groups of nonrandomized single treatment with DIET (n = 32) receiving a standard feed direction with nutritional balance; SUPL (n = 22) receiving a dietary supplement of organic silicon in marine collagen base (Exynutriment® - Biotec), 100 mg, twice daily. Phase II consisted of one group with associated treatment DIETSUPL (n = 22) following the standard diet associated with silicon supplement. The intervention lasted three months and efficacy assessments occurred before and after this period by using the methods: photometric evaluation; anthropometric assessment and bioelectrical impedance analysis (BIA 101 Quantum); skin viscoelastic measures evaluation (Cutometer ? MPA580); assessment of dermal density (DermaScan C ?) . All data were subjected to statistical analysis. Results: The photometric analysis showed that the total scores were different over time but without significance, maintaining the participants in the initial classification. There was a significant reduction of body measurements expressed by the sum of skinfolds , circumferences of the waist and abdomen , weight, body mass index and fat mass in DIET and DIETSUPL groups compared to SUPL. The Cutometer measures showed no significant changes for any group. The density of the dermis assessed by ultrasound showed significant improvement on both sides the gluteal regions for DIET group , and just on the leftside for DIETSUPL group. The dermis - hypodermis interface line, we detected significant influence of SUPL for thighs. Conclusion: The interventions showed low efficacy in the clinical aspects of cellulite, despite the reduction in weight and positive changes in body composition of adult women undergoing controlled diet. The silicon supplement was ineffective for the treatment of cellulite.