Terapia combinada associada à drenagem linfática reduz lipodistrofia localizada no abdômen de mulheres jovens / Combined therapy associated with lymphatic drainage reduce lipodystrophy located on abdomen of young women

Introdução: A Lipodistrofia localizada (LL) é o excesso de tecido adiposo em locais do corpo. A terapia combinada (TC) e a drenagem linfática manual (DLM) podem agir na redução da LL. Objetivo: Verificar o efeito da TC associada à DLM sobre a LL no abdômen de mulheres jovens e o grau de satisfação da imagem corporal. Método: Estudo clínico cego, no qual participaram 12 mulheres com LL no abdômen. As participantes realizaram 10 sessões de TC associado a DLM. As mulheres foram avaliadas antes e após o tratamento, através da aferição do peso e altura; perimetria abdominal; adipometria; registro fotográfico; e aplicação da Escala de Satisfação com a Imagem Corporal. Resultados: Redução da perimetria, da dobra cutânea na região, da porcentagem de gordura corporal e melhora da satisfação da imagem corporal dos indivíduos. Conclusão: O tratamento apresentou resultados rápidos e satisfatórios na redução da LL no abdômen de mulheres. (AU)

Introduction: Localized Lipodystrophy (LL) is the excess of adipose tissue at body sites. Combination therapy (CT) and manual lymphatic drainage (DLM) may act to reduce LL. Objective: To verify the effect of CT associated with DLM on the LL in the abdomen of young women and the degree of body image satisfaction. Method: Blind clinical study, in which 12 women with LL participated in the abdomen. Participants underwent 10 CT sessions associated with DLM. The women were evaluated before and after treatment by measuring the weight and height; abdominal circumference; plicometry; photographic record; and application of Satisfaction Scale with Body Image. Results: We observed reduction in abdominal circumference, skinfold thickness, reducing the percentage of body fat and improved body image satisfaction of individuals. Conclusion: The treatment presented fast and satisfactory results in the reduction of LL in the abdomen of women. (AU)

A hospital-based exercise program to improve body composition, strength, and abdominal adiposity in 2 HIV-infected children.

Two girls, aged 10 and 17 years, both with perinatally acquired HIV infection, participated in a 12-week, hospital-based exercise rehabilitation program of progressive resistance exercise training with an aerobic component. Weight, height, skin-fold thickness (4 sites), lean body and fat mass (assessed by dual-energy x-ray absorptiometry), and visceral adiposity (assessed by single-slice CT scan) were measured at the start and at the competition of the training program. After 12 weeks of training, both girls showed improved muscle strength (up to 64% increase in some muscle groups) and decreased visceral adipose tissue (up to 23%) and subcutaneous adipose tissue (up to 21%). One child decreased her total body fat by 9%. No adverse effects of the program were seen. These preliminary data suggest that progressive resistance exercise training in a medically supervised environment is safe and feasible for children with HIV infection. Most of these improvements were sustained or had increased at follow-up after home-based training.