Can alternating lower body negative and positive pressure during exercise alter regional body fat distribution or skin appearance?
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The purpose of this study was to determine whether physical activity, with and without lower body pressure, leads to increased regional fat loss in the lower extremities of overweight females. Eighty-six obese women with a female phenotype were randomly assigned into four groups: control group (C), diet only (D), diet plus exercise (DE) or diet, exercise and lower body pressure intervention (DEP). The three treatment groups followed the same diet, the two exercise groups (DE and DEP) additionally followed an endurance training program of 30 min of cycling at 50%VO2max three times per week with or without lower body pressure. Body composition and fat distribution were assessed by DXA. Body size circumference measurements were recorded as well as subjective ratings of cellulite and skin appearance. As expected, all test groups (D, DE, DEP) showed a significant decrease (p < 0.05) in total body mass and fat mass. DXA revealed significant differences between the experimental groups and C. The DEP group also lost significantly more body mass and fat mass when compared with D, while no significant difference was observed between the other groups. A similar pattern was seen for circumference measurement data. A significant perceived improvement was made by the DEP group when compared with C, D and DE groups for skin condition and also between the DEP versus C and D groups for cellulite. The combination of diet and exercise is successful for weight reduction. The additional application of lower body pressure especially affects skin appearance.
KeywordsBody fat distribution Lower body negative pressure Lower body positive pressure Spot reduction Training Weight loss
- Badger C, Preston N, Seers K, Mortimer P (2004) Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst Rev. 18(4):CD003241Google Scholar
- Boucard C, Després JP, Maurège P (1993) Genetic and nongenetic determinants of regional fat distribution. Endocr Rev 14(1):72–93Google Scholar
- Bülow J (2004) Physical activity and adipose tissue metabolism. Scand J Med Sci Sports 14:72–73Google Scholar
- DGE, ÖGE, SGE, SVE: Referenzwerte für die Nährstoffzufuhr (2008) 1. Auflage. 3. Vollständig korrigierter Nachdruck. Umschau Braus GmbH, Verlagsgesellschaft. Frankfurt am MainGoogle Scholar
- Jensen MD (2002) Adipose tissue and fatty acid metabolism in humans. JR Soc Med 95(Suppl) 42:3–7Google Scholar
- Kiefer I, Rieder A, Rathmanner Th, Meidlinger B, Barisch C, Lawrence K, Dorner T, Kunze M (2006) Erster Österreichischer Adipositasbericht 2006. Hrsg: Altern mit ZukunftGoogle Scholar
- Kostek MA, Pescatello LS, Seip RL, Angelopoulos TJ, Clarkson PM, Gordon PM, Moyna NM, Visich PS, Zoeller RF, Thompson PD, Hoffman EP, Price TB (2007) Subcutaneous fat alterations resulting from an upper-body resistance training program. Med Sci Sports Exerc 39(7):1177–1185PubMedCrossRefGoogle Scholar
- Lohmann TG, Roche AF, Martorell R. (eds) (1991) Anthropometric Standardization Reference Manual. Human KineticsGoogle Scholar
- Pavicic T, Borelli C, Korting HC (2006) Cellulite–das größte Hautproblem des Gesunden? Eine Annäherung. JDDG 4:8661–8870Google Scholar
- Perdersen SB, Kristensen K, Hermann PA, Katzenellenbogen JA, Rechelsen B (2004) Estrogen controls lipolysis by up-regulating alpha2A-adrenergic receptors directly in human adipose tissue through the estrogen receptor alpha. Implications for the female fat distribution. J Clin Endocrinol Metab 89(4):1869–1878CrossRefGoogle Scholar
- Richmand DM, O′Donnell TF, Zelikovski A (1985) Sequential pneumatic compression for lymphedema. Arch Surg 120 :116–119Google Scholar
- Toth MJ, Tchernof A, Sites CK, Poehlman ET (2000) Menopause-related changes in body fat distribution. Ann N Y Acad Sci 904:502–506Google Scholar