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Subcutaneous Fat DisorderNCT05155683

Combination of Light and Ultrasound to Reduce Abdominal Fat

A study testing Photobiomodulation (PBM) with infrared LED, Low-frequency ultrasound (LOFU) and Muscle electrostimulation in people with Subcutaneous Fat Disorder, run by University of Nove de Julho at 1 site in Brazil.

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

Light and ultrasound can be interesting alternatives to reduce abdominal fat. Thus, the main objective of this study will be to evaluate the effects of these isolated techniques and their association in subcutaneous abdominal localized fat. These techniques will be used adding muscle electrostimulation in all groups. Read more about this study

Who is it for?
Ages 25 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Subcutaneous Fat Disorder
What is being tested?
Photobiomodulation (PBM) with infrared LED, Low-frequency ultrasound (LOFU) and Muscle electrostimulation
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
79 participants
Where
1 siteBrazil
Study dates
1 Mar 2022to 30 Jun 2023
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 25 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • BMI of between 18.5 and 27.5 kg/m² (normotrophic or overweight body mass);
  • Fitzpatrick phototype from I to IV;
  • Who have fat located in the abdominal region characterized by abdominal skinfold higher than 20 mm;
  • Who are sedentary of perform physical activity whose intensity is equal to or less than 450 METs/minutes/week (metabolic equivalents = METs);
  • Who have stabilized weight, that is, who have not acquired or eliminated more than 2.5 kg in the 6 months preceding the screening;
  • Absence of signs/symptoms of disease.

Who cannot join

  • Women who have used drugs that alter body composition in the last 3 months prior to starting treatments; who use sensitizing agents, diuretics or are undergoing photodynamic therapy;
  • Participants who are undergoing aesthetic treatments to reduce abdominal/waist circumferences; those who have been previously submitted to abdominoplasty or liposuction surgeries; those who are on a diet therapy monitoring to reduce their measurements; those who are using or have taken drugs or food supplements in last 90 days, in order to reduce their measurements and their weight, which may affect their lipid metabolism, appetite or nutrients absorption; those who have been submitted previously to oophorectomy; those with signs and/or symptoms of climacteric at the menopause; pregnant or lactating women or who are planning a pregnancy before the end of treatment participation.
  • Participants who have abdominal hernia; osteoporosis; phlebitis and thrombophlebitis; autoimmune diseases; cardiovascular problems (hypertension, cardiac insufficiency, arrhythmia, thrombosis); metabolic dysfunctions (diabetes and thyroid disorders); hepatitis or other liver diseases (non-alcoholic fatty liver disease, cirrhosis); respiratory issues (asthma, chronic obstructive pulmonary disease); haematological disturbances (anaemia); renal; dermatological (reduced sensitivity); digestive disorders (gastritis, ulcers); neurological (dementia or schizophrenia), or who have cognitive impairment that may compromise the proper understanding of informed consent; who have already been affected by important inflammatory processes and/or who have a history of cancer;
  • Participants who present tattoos and/or piercings in the region to be treated, who use intrauterine devices, pacemakers, or other electromagnetic implants, as well as joint prostheses.

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Universidade Nove de Julho

    São Paulo, 01504001

Other trials in Brazil

About this study

Official title: Comparative Study of the Use of Phototherapy and Ultrasound to Reduce Localized Fat

Light and ultrasound can be interesting alternatives to reduce abdominal fat. Thus, the main objective of this study will be to evaluate the effects of these isolated techniques and their association in subcutaneous abdominal localized fat. These techniques will be used adding muscle electrostimulation in all groups. A total of 40 female participants will be recruited at the university outpatient, which will be distributed among four experimental groups: light + sham ultrasound + electrostimulation; light sham + ultrasound + electrostimulation; combined treatment (light + ultrasound) + electrostimulation; sham combined treatment + electrostimulation. The treatments will consist of eight sessions, twice a week for a month, being 90 minutes per session.

Read the detailed description

The search for the ideal shape and the lifestyle that favours the increase of adipose depots are some factors responsible for the increasing demand for procedures to reduce localized fat. It has been shown that photobiomodulation (PBM) and low-frequency ultrasound (LOFU) can be interesting alternatives to treat this aesthetic dysfunction. However, there is no consensus about the best parameters for the application of these therapeutic resources. Thus, the main objective of this study will be to evaluate the effects of these isolated techniques and their association in subcutaneous abdominal localized fat.This will be a controlled, randomised, double-blind, single-centred clinical trial. Infrared light emitting diode - LED - (830±20 nm, 71 milliwatt per square centimeter mW/cm², 127.8 J/cm²), low-frequency ultrasound (30 kilohertz (kHz), 3 W/cm²) and combination of techniques will be used, adding muscle electrostimulation in all groups (2500 Hz, 30 bps, 50%). A total of 40 female participants will be recruited at the university outpatient, which will be distributed among four experimental groups that will compose the pilot study: PBM + sham ultrasound + electromyostimulation; PBM sham + LOFU + electromyostimulation; combined treatment (PBM + LOFU) + electromyostimulation; sham combined treatment + electromyostimulation. At each session, the participants will receive 30 minutes PBM with an abdominal strap, subsequent demarcation on the target area to be treated with LOFU for 30 minutes and completion with 20 minutes of electrically induced muscle contraction. The treatments will consist of eight sessions, twice a week for a month. The main outcome of this study will be abdominal skinfold reduction and the secondary variables will be including anthropometric data, local temperature, nutritional routine and physical activity data, quality of life, self-esteem, satisfaction grade with the treatment and visual changes.

Being tested
Photobiomodulation (PBM) with infrared LED, Low-frequency ultrasound (LOFU), Muscle electrostimulation
Keywords
LLLT, Cavitation, Photobiomodulation

What participants receive

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

  • Photobiomodulation (PBM) with infrared LEDDevice

    Also called Low-level light therapy (LLLT)

    All participants will receive 30 minutes of PBM (or PBM sham), with an abdominal strap containing 4 LED clusters with 72 devices that emit 830 nm wavelength with 20 nm spectral width, in continuous operating mode, 5 mW average radiant power per LED, 71 mW/cm² power density at aperture, 20.4 cm² of total area irradiated, 71 mW/cm² of irradiance at target, exposure duration of 1800 seconds, 127.8 J/cm² of radiant exposure, 2.6 kJ of radiant energy, per contact application technique, twice a week for a month, totaling 8 sessions.

  • Low-frequency ultrasound (LOFU)Device

    Subsequently the demarcation of the target area for LOFU treatment (Thoor DGM Electronica, Santo André, São Paulo, Brazil), the application of the neutral conductive gel will occur for the use of low-frequency ultrasound for 30 minutes, which will occur with 22 cm² effective radiating area (ERA) size, <8 BNR emission intensity, 40 kHz frequency, continuous mode, 60W, 100 cm² of total treated area, twice a week for a month, totaling 8 sessions.

  • Muscle electrostimulationDevice

    The session will end with 20 minutes of Russian Current (Tensor DGM Electronica, Santo André, São Paulo, Brazil), whose carrier frequency occurs in 2500 Hz, which will be adjusted according to the parameters described by Evangelista et al. (2003), which are: pulse frequency of 30 Hz; up/down ramp of 2 seconds each; support/rest time of 13 seconds each. The current intensity used will be the maximum supported by each participant and that is comfortable and sufficient to provide visible contraction. The treatment will consist of eight sessions that will occur twice a week, totaling a month of treatment.

Study groups in NCT05155683
Study groupRoleWhat they receive
PhotobiomodulationActive comparatorPBM with infrared LED application + sham ultrasound + muscle electrostimulation
Receives: Device: Photobiomodulation (PBM) with infrared LED; Device: Muscle electrostimulation
low frequency ultrasoundActive comparatorLED sham PBM + LOFU + muscle electrostimulation
Receives: Device: Low-frequency ultrasound (LOFU); Device: Muscle electrostimulation
Combined treatment (PBM + LOFU)Active comparatorCombined treatment (PBM + LOFU) + muscle electrostimulation
Receives: Device: Photobiomodulation (PBM) with infrared LED; Device: Low-frequency ultrasound (LOFU); Device: Muscle electrostimulation
Sham TreatmentSham comparatorSham combined treatment + muscle electrostimulation
Receives: Device: Muscle electrostimulation

What is being measured

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

  1. Abdominal skinfold change

    This outcome will be measured in millimeters (mm) by direct reading using adipometer (Sanny, American Medical do Brasil Ltda., São Bernardo do Campo, Brazil).

    Measured: Before the start (Day 0), after the fourth session (Day 15) and after the treatments (Day 30).

Secondary outcomes (17)
  1. Anthropometric data (body weight)

    Body weight will be measured in kilograms (kg) using a calibrated digital scale.

    Measured: Day 0, Day 15 and Day 30.

  2. Anthropometric data (height)

    Height will be measured in centimeters (cm) and will be collected using a standard stadiometer.

    Measured: Day 0.

  3. Anthropometric data (body mass index)

    The body mass index (BMI) will be calculated from data obtained from the weight (in kilograms) and height (in centimeters) of each participant. The final value will be provided in kg/cm².

    Measured: Day 0, Day 15 and Day 30.

  4. Anthropometric data (waist circumference)

    A properly trained researcher will measure the waist circumference in centimeters (cm), respecting the reference points according to the World Health Organisation (WHO).

    Measured: Day 0, Day 15 (body weight, BMI, waist and hip circumferences, abdominal and suprailiac skinfold only), and Day 30.

  5. Anthropometric data (hip circumference)

    A properly trained researcher will measure the hip circumference in centimeters (cm), respecting the reference points according to the World Health Organisation (WHO).

    Measured: Day 0, Day 15 and Day 30.

  6. Anthropometric data (waist/hip circumference ratio)

    The waist/hip circumference ratio will be obtained by dividing the values obtained in centimeters in order to verify a possible change in the cardiovascular risk profile.

    Measured: Day 0, Day 15 and Day 30.

  7. Anthropometric data (skinfold measures)

    A properly trained researcher will realize the skinfolds evaluation that allows to assess the prediction of body fat based on subcutaneous fat and body density and these will be collected using an adipometer according to the methodology proposed by Pollock and Wilmore (1993) for the measurements referring to the seven skinfolds - tricipital, subscapular, bicipital, suprailiac, abdominal, thigh and leg (medial calf) locations, which will be obtained in millimeters (mm).

    Measured: Day 0, Day 15 (abdominal and suprailiac skinfolds only), and Day 30.

  8. Local temperature

    Thermographic image will be captured using a Compact Thermal Camera (C2, FLIR Systems, Oregon, USA), which calculates the temperature of a given surface through the infrared emission and it will allow verify if there will be any change in local temperature after treatment.

    Measured: Day 0 and Day 30.

  9. Bioimpedance analysis (weight)

    The weight (in kilograms) will be obtained from bioimpedance analysis (Biodynamics Corp., Shoreline - WA, USA) that will allow estimation of body components in a non-invasive way. To obtain legitimate values, each participant will be instructed to drink an average of 2 litres of water and avoid the use of diuretic medication on the day before the exam, do not perform physical activity for at least 12 hours before the test, do not drink alcohol or drinks containing caffeine, not having a menstrual period and, on the day of the exam, fasting of at least 4 hours will be necessary.

    Measured: Day 0 and Day 30.

  10. Bioimpedance analysis (fat mass percentage)

    The fat mass percentage (%) will be obtained from bioimpedance analysis (Biodynamics Corp., Shoreline - WA, USA) that will allow estimation of body components in a non-invasive way. To obtain legitimate values, each participant will be instructed to drink an average of 2 litres of water and avoid the use of diuretic medication on the day before the exam, do not perform physical activity for at least 12 hours before the test, do not drink alcohol or drinks containing caffeine, not having a menstrual period and, on the day of the exam, fasting of at least 4 hours will be necessary.

    Measured: Day 0 and Day 30.

  11. Bioimpedance analysis (lean mass percentage)

    The lean mass percentage (%) will be obtained from bioimpedance analysis (Biodynamics Corp., Shoreline - WA, USA) that will allow estimation of body components in a non-invasive way. To obtain legitimate values, each participant will be instructed to drink an average of 2 litres of water and avoid the use of diuretic medication on the day before the exam, do not perform physical activity for at least 12 hours before the test, do not drink alcohol or drinks containing caffeine, not having a menstrual period and, on the day of the exam, fasting of at least 4 hours will be necessary.

    Measured: Day 0 and Day 30.

  12. Nutritional assessment

    The nutritional routine will be documented as follows: the 24-hour food recall will be collected at the time of the initial evaluation (D0); during treatment, participants will have to fill their daily diet at least three times a week on a nutritional planner, which should contain all the food eaten on those chosen days; and after the end of treatment (D30) the participants will answer again the 24-hour food recall.

    Measured: Day 0, during the study period (3 times per week) and Day 30.

  13. Physical activity assessment

    The physical exercises performed by the participants during the study will be registered using the International Physical Activity Questionnaire (IPAQ), short version.

    Measured: Day 0, Day 15 and Day 30.

  14. Quality of life scale

    The WHOQOL-BREF (Brief version of the World Helath Organization quality of life questionanaire) is the smaller version of the WHOQOL-100 quality of life questionnaire. WHOQOL-BREF consists of 26 questions, whose answers follow a Likert scale (from 1 to 5, the higher the score, better is the quality of life). This questionnaire has 2 questions that assess quality of life in general, being that the others make up 4 domains (physical, psychological, social relations and environment).

    Measured: Day 0 and Day 30.

  15. Self-esteem scale

    The body shape questionnaire (BSQ) has 34 questions and each question has six possible answers, as follows: 1) Never, 2) Rarely, 3) Sometimes, 4) Often, 5) Very often and 6) Always. Quantification of the level of concern in relation to self-image is done through a sum of responses. Result less than or equal to 110 points indicates there is no concern; greater than 110 and less than or equal to 138 points indicates a slight concern; greater than 138 and less than or equal to 167 points indicates moderate concern and if greater than 168 points indicates serious concern.

    Measured: Day 0 and Day 30.

  16. Visual change assessment

    Visual change assessment will be investigated from standardized photograph captures. Participants will be instructed to wear bathing or gym clothes and they will be positioned with their backs to a black background wall, at a distance of 0.7 m from it, on a paper template fixed to the ground, as suggested by Dias et al., (2017). Then, a professional trained for this purpose will be positioned at a distance of 1 m from the participant and will capture four records of her, these being in the anterior, posterior and lateral positions (90° to the right and to the left). Focal length, room lighting and recording mode will also be standardized.

    Measured: Day 0 and Day 30.

  17. Satisfaction degree with treatment

    The participants satisfaction grade with the treatment will be verified by means of a questionnaire containing seven multiple choice questions prepared by our research group based on data contained in the literature. The degree of discomfort during the treatment will be evaluated; if discomfort occurred, for how long did it persist; the degree of satisfaction in relation to the results achieved; the percentage degree of improvement of the complaint; whether the observed effects were below, within or above what was expected; whether she would do the treatment again; and how much would it indicate the treatment for someone close to it with the same complaint.

    Measured: Day 30.

Timeline

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

  1. First posted13 Dec 2021
  2. Study start1 Mar 2022
  3. Primary completion30 May 2023
  4. Study completion30 Jun 2023

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
Factorial
Model description
The abdomen of the participants will be cleaned by using a neutral cleansing soap. Each participant will receive safety glasses for eye protection, which will also contribute to blindness of the study. PBM will be applied when using abdominal straps as developed by Cosmedical (Mauá, São Paulo, Brazil). The abdomen strap will be covered with a sheet and that will also help with the blindness of the study. After randomization, the study population will be divided into four groups (n= 10 per group), which are: (1) Group A - PBM with infrared LED application + sham ultrasound + muscle electrostimulation; (2) Group B - LED sham PBM + ultrasound + muscle electrostimulation; (3) Group C - combined treatment (PBM + ultrasound) + muscle electrostimulation; (4) Group D - sham combined treatment + muscle electrostimulation.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05155683
Sponsor's protocol ID
MMS
Status last verified
Dec 2023
First submitted
3 Nov 2021
Last updated
12 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).

Questions about this trial

What is this clinical trial studying?

A study testing Photobiomodulation (PBM) with infrared LED, Low-frequency ultrasound (LOFU) and Muscle electrostimulation in people with Subcutaneous Fat Disorder, run by University of Nove de Julho at 1 site in Brazil.

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 6 inclusion and 4 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 12 Dec 2023. 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 Brazil. 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. Some participants in this study may receive a placebo. 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?

Abdominal skinfold change (time frame: Before the start (Day 0), after the fourth session (Day 15) and after the treatments (Day 30).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Dec 2023.

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