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Cardiovascular Risk FactorNCT04282057

Effects of Shockwave Therapy Versus Radiofrequency

A study testing Radiofrequency, Aerobic exercise and Shock wave therapy in people with Cardiovascular Risk Factor and Metabolic Disease, run by Escola Superior de Tecnologia da Saúde do Porto at 1 site in Portugal.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main objective of this study is to compare the effect of 6 sessions of shock wave therapy versus radiofrequency followed by a protocol of moderate aerobic exercise, in the reduction of adiposity and abdominal flaccidity, in females between 18 and 60 years old. Read more about this study

Who is it for?
Ages 18 to 60 years, women onlyHealthy volunteers can take part
What is being tested?
Radiofrequency, Aerobic exercise and Shock wave therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 sitePortugal
Study dates
22 Feb 2020to 19 Jun 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women aged 18 to 60 years

Who cannot join

  • smoking and drinking habits;
  • athletes;
  • people with dietary restrictions;
  • participants who have had diets to lose weight in the last 3 months or who will start during the study;
  • pregnant women;
  • in postpartum less than one year;
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  • breastfeeding;
  • intending to become pregnant during the study period;
  • patients with electronic or metallic devices (pacemaker, IUD);
  • individuals with metabolic (including dyslipidemias);
  • hematological and renal disorders;
  • individuals with dermatological changes;
  • cardiovascular, respiratory, digestive, orthopedic, rheumatological and oncological pathologies;
  • changes in the immune system or with acute inflammatory processes;
  • changes in sensitivity or subject to medication (anti-coagulants, corticosteroids up to 6 weeks before, non-steroidal anti-inflammatory drugs, antihistamines, diuretics)

Trial locations and contacts

1 site in 1 country.

Portugal1 site
  • Andreia Noites

    Vila Nova de Gaia, Porto District, 4400-330

Other trials in Portugal

About this study

Official title: Effect of an Aerobic Exercise Program Associated With Shock Wave Therapy Versus Radiofrequency on Skin and Subcutaneous Tissue: Randomized Controlled Study

The main objective of this study is to compare the effect of 6 sessions of shock wave therapy versus radiofrequency followed by a protocol of moderate aerobic exercise, in the reduction of adiposity and abdominal flaccidity, in females between 18 and 60 years old. As a secondary objective, it is intended to understand the mechanism of fat mobilization by these two therapies.

Read the detailed description

With the increasing awareness of the population regarding the high rate of obesity and the number of deaths per year as a result of being overweight, treatments for reducing measures are increasingly sought.

The evidence shows that the accumulation of fat located in the abdominal region is a risk factor for dyslipidemia and arterial hypertension, and a reduction in waist circumference can reduce the potential risk of cardiovascular disease.

In addition to this concern, with the aging of the population and changes in body dimensions due to pregnancy or to a weight loss process, body flaccidity is also a growing cosmetic complaint, and the result is a less firm and pending skin.

Physical exercise is a very important agent for combating excess weight, with special attention to aerobic physical exercise, which is able to decrease body fat tissue and increase the oxidation of fatty acids by 5 to 10 times more than in resting state. The evidence points out that the exercise prescription to decrease fat mass should focus on a high volume of training (30 to 60 minutes) with moderate intensity (40 to 60% of Heart Rate Reserve), performed regularly and mobilizing large muscle groups.

In order to combat abdominal adiposity, as well as the flaccidity of the region, radiofrequency is presented as a possible complementary strategy.

Radiofrequency is an electromagnetic wave that when applied to skin, generates oscillating magnetic fields that move electrically charged particles producing heat in the tissues. The amount of heat produced is dependent on resistance.

Shock wave therapy consists of the application of high energy acoustic waves whose main characteristic is the production of a high pressure pulse induced in a short period of time. This will generate mechanical pressure waves in the tissues, promoting cavitation, with the formation of gas bubbles in the intervening fluids and an increase in local temperature.

The main objective of this study is to compare the effect of 6 sessions of shock wave therapy versus radiofrequency followed by a protocol of moderate aerobic exercise, in the reduction of adiposity and abdominal flaccidity, in females between 18 and 60 years old. As a secondary objective, it is intended to understand the mechanism of fat mobilization by these two therapies.

Being tested
Radiofrequency, Aerobic exercise, Shock wave therapy
Keywords
shock wave therapy, radiofrequency, adipose tissue, skin flaccidity, aerobic exercise
Medical subject headings
Metabolic Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RadiofrequencyDevice

    Radiofrequency protocol - The radiofrequency protocol was performed in dorsal decubitus, with the head elevated at 45 degrees. The application was in capacitive mode, with a 7cm electrode, always in movement. The duration of the application was established in 15 minutes, maintaining the local temperature between 40 to 42 celsius degrees at the epidermis.

  • Aerobic exerciseDevice

    Aerobic exercise protocol - 40 minutes of aerobic moderate-intensity exercise (45-55% of reserve heart rate) using Karvonen's formula, performed on a cycloergometer. The duration of the exercise was divided into three parts: warm-up (5 minutes); body (30 minutes); and cooling (from 5 to 10 minutes). The entire protocol was monitored through the Polar® brand heart rate monitor and watch.

  • Shock wave therapyDevice

    The shock wave device corresponds to the BTL-6000 X-Wave TM with a 20mm transmitter multifocal. The parameters used correspond to the pressure set between 2.8 and 3.5 bar, frequency 15 hertz and 3000 pulses per 10x15 cm area. It was used as a means contact gel for ultrasound, reference 033-051. In this procedure the participants found themselves in the supine position, with a pillow under the head and with the bending knees.

Study groups in NCT04282057
Study groupRoleWhat they receive
shockwave therapy groupExperimentalThis group performed aerobic exercise just after shock wave therapy in the abdominal region.
Receives: Device: Shock wave therapy
radiofrequency groupExperimentalThis group performed aerobic exercise just after radiofrequency in the abdominal region.
Receives: Device: Radiofrequency
control groupActive comparatorThis group only performed aerobic exercise.
Receives: Device: Aerobic exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cutaneous abdominal tissue thickness

    Measurement of the cutaneous fold by ultrasonography

    Measured: Baseline

  2. Cutaneous abdominal tissue thickness

    Measurement of the cutaneous fold by ultrasonography

    Measured: 3 weeks after

  3. Cutaneous abdominal tissue thickness

    Measurement of the cutaneous fold by ultrasonography

    Measured: 6 weeks after

  4. Subcutaneous abdominal tissue thickness

    Measurement of the subcutaneous adipose fold by ultrasonography

    Measured: Baseline

  5. Subcutaneous abdominal tissue thickness

    Measurement of the subcutaneous adipose fold by ultrasonography

    Measured: 3 weeks after

  6. Subcutaneous abdominal tissue thickness

    Measurement of the subcutaneous adipose fold by ultrasonography

    Measured: 6 weeks after

  7. Glycerol concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: Baseline

  8. Glycerol concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 3 weeks after

  9. Glycerol concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 6 weeks after

  10. Lipid profile (LDL, HDL and triglyceride concentrations)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: Baseline

  11. Lipid profile (LDL, HDL and triglyceride concentrations)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 3 weeks after

  12. Lipid profile (LDL, HDL and triglyceride concentrations)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 6 weeks after

  13. Perimetry

    Perimetry consists of measuring circumferences. In this case, of the waist at the navel area, 3 cm below it and in the hip area

    Measured: Baseline

  14. Perimetry

    Perimetry consists of measuring circumferences. In this case, of the waist at the navel area, 3 cm below it and in the hip area

    Measured: 3 weeks after

  15. Perimetry

    Perimetry consists of measuring circumferences. In this case, of the waist at the navel area, 3 cm below it and in the hip area

    Measured: 6 weeks after

  16. Adipometry

    Adipometry consists of measuring skinfold thickness

    Measured: Baseline

  17. Adipometry

    Adipometry consists of measuring skinfold thickness

    Measured: 3 weeks after

  18. Adipometry

    Adipometry consists of measuring skinfold thickness

    Measured: 6 weeks after

  19. Inflammatory markers concentration (IL6, CRP, TNF)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: Baseline

  20. Inflammatory markers concentration (IL6, CRP, TNF)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 3 weeks after

  21. Inflammatory markers concentration (IL6, CRP, TNF)

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 6 weeks after

  22. Nitrous oxide concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: Baseline

  23. Nitrous oxide concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 3 weeks after

  24. Nitrous oxide concentration

    Blood analysis collection carried out with help from an clinical analysis technician

    Measured: 6 weeks after

  25. Body composition- body mass

    body mass in kilograms

    Measured: Baseline

  26. Body composition- body mass

    body mass in kilograms

    Measured: 3 weeks after

  27. Body composition- body mass

    body mass in kilograms

    Measured: 6 weeks after

  28. Body composition- muscle mass

    muscle mass in kilograms

    Measured: Baseline

  29. Body composition- muscle mass

    muscle mass in kilograms

    Measured: 3 weeks after

  30. Body composition- muscle mass

    muscle mass in kilograms

    Measured: 6 weeks after

  31. Body composition- fat mass

    fat mass in kilograms

    Measured: Baseline

  32. Body composition- fat mass

    fat mass in kilograms

    Measured: 3 weeks after

  33. Body composition- fat mass

    fat mass in kilograms

    Measured: 6 weeks after

  34. Body composition- visceral fat

    visceral fat

    Measured: Baseline

  35. Body composition- visceral fat

    visceral fat

    Measured: 3 weeks after

  36. Body composition- visceral fat

    visceral fat

    Measured: 6 weeks after

  37. Body composition- fat body areas

    percentage of fat distributed by body areas

    Measured: Baseline

  38. Body composition- fat body areas

    percentage of fat distributed by body areas

    Measured: 3 weeks after

  39. Body composition- fat body areas

    percentage of fat distributed by body areas

    Measured: 6 weeks after

  40. Thermography

    Thermography is used to assess the temperature of the skin surface, and it is also possible to suppose changes in blood flow and vascularization with this outcome

    Measured: Baseline

  41. Thermography

    Thermography is used to assess the temperature of the skin surface, and it is also possible to suppose changes in blood flow and vascularization with this outcome

    Measured: 3 weeks after

  42. Thermography

    Thermography is used to assess the temperature of the skin surface, and it is also possible to suppose changes in blood flow and vascularization with this outcome

    Measured: 6 weeks after

  43. Photography

    Photography is used to compare the before and after images. With these it is possible to evaluate the skin flaccidity and fat

    Measured: Baseline

  44. Photography

    Photography is used to compare the before and after images. With these it is possible to evaluate the skin flaccidity and fat

    Measured: 3 weeks after

  45. Photography

    Photography is used to compare the before and after images. With these it is possible to evaluate the skin flaccidity and fat

    Measured: 6 weeks after

Secondary outcomes (6)
  1. skin flaccidity

    Investigator Assessment Skin Laxity Scoring System - Questionnaire that evaluates skin flaccidity and scores from 0 to 4. (As the subjectivity assessment of this outcome, the investigator who evaluates is blind to the group that the participants are allocated, in order to avoid partial scores)

    Measured: Baseline

  2. skin flaccidity

    Investigator Assessment Skin Laxity Scoring System - Questionnaire that evaluates skin flaccidity and scores from 0 to 4. (As the subjectivity assessment of this outcome, the investigator who evaluates is blind to the group that the participants are allocated, in order to avoid partial scores)

    Measured: 3 weeks after

  3. skin flaccidity

    Investigator Assessment Skin Laxity Scoring System - Questionnaire that evaluates skin flaccidity and scores from 0 to 4. (As the subjectivity assessment of this outcome, the investigator who evaluates is blind to the group that the participants are allocated, in order to avoid partial scores)

    Measured: 6 weeks after

  4. skin flaccidity and localized fat in the abdomen region

    Satisfaction questionnaire to evaluate the final results according to the participant

    Measured: Baseline

  5. skin flaccidity and localized fat in the abdomen region

    Satisfaction questionnaire to evaluate the final results according to the participant

    Measured: 3 weeks after

  6. skin flaccidity and localized fat in the abdomen region

    Satisfaction questionnaire to evaluate the final results according to the participant

    Measured: 6 weeks after

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Feb 2020
  2. Study start22 Feb 2020
  3. Primary completion25 Apr 2020
  4. Study completion19 Jun 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04282057
Sponsor's protocol ID
AN-009
Status last verified
Sep 2020
First submitted
18 Feb 2020
Last updated
30 Sep 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Adatto MA, Adatto-Neilson R, Novak P, Krotz A, Haller G. Body shaping with acoustic wave therapy AWT((R))/EPAT((R)): randomized, controlled study on 14 subjects. J Cosmet Laser Ther. 2011 Dec;13(6):291-6. doi: 10.3109/14764172.2011.630089.

    PubMed 21981441
  • Modena DAO, da Silva CN, Grecco C, Guidi RM, Moreira RG, Coelho AA, Sant'Ana E, de Souza JR. Extracorporeal shockwave: mechanisms of action and physiological aspects for cellulite, body shaping, and localized fat-Systematic review. J Cosmet Laser Ther. 2017 Oct;19(6):314-319. doi: 10.1080/14764172.2017.1334928. Epub 2017 Jun 7.

    PubMed 28590827
  • Noites A, Vale AL, Pereira AS, Morais A, Vilarinho R, Carvalho P, Amorim M, Moreira T, Mendonca A. Effect of an aerobic exercise session combined with abdominal radiofrequency on lipolytic activity in women: Randomized control trial. J Cosmet Dermatol. 2020 Mar;19(3):638-645. doi: 10.1111/jocd.13056. Epub 2019 Jun 29.

    PubMed 31254455
  • Vale AL, Pereira AS, Morais A, de Carvalho P, Vilarinho R, Mendonca A, Noites A. Effect of four sessions of aerobic exercise with abdominal radiofrequency in adipose tissue in healthy women: Randomized control trial. J Cosmet Dermatol. 2020 Feb;19(2):359-367. doi: 10.1111/jocd.13036. Epub 2019 Jun 3.

    PubMed 31157522

Questions about this trial

What is this clinical trial studying?

A study testing Radiofrequency, Aerobic exercise and Shock wave therapy in people with Cardiovascular Risk Factor and Metabolic Disease, run by Escola Superior de Tecnologia da Saúde do Porto at 1 site in Portugal.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Portugal. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cutaneous abdominal tissue thickness (time frame: Baseline). The study lists 45 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04282057, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2020.

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