Abstract
The objective of this study is to clarify whether PBM for measures reduction can cause significant changes in the lipid profile. This is an integrative review and only original articles, both in vivo and clinical trials, that were published between 2010 and 2022 were selected. The article references were also analyzed to identify additional studies. A total of 15 articles were critically analyzed. The wavelength used ranged from 532 nm (green) to 956 nm (near infrared), and many authors failed to describe dosimetric parameters properly, as well as other important characteristics for the reproducibility of those found. Although it is not fully clear about the PBM interference level on the lipid profile, in general, there was no significant difference in lipid parameters when PBM was used alone, and when associated with techniques that promote beta-oxidation, there was an improvement in these biochemical variables. PBM use for localized fat reduction do not affect lipid serum levels. Clinical trials using standardized parameters are crucial to obtain more reliable results.
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References
ISAPS (2018) International survey on aesthetic/cosmetic procedures performed in 2018. In: ISAPS International Survey on Aesthetic/Cosmetic Procedures. pp 1–49
Jewell ML, Solish NJ, Desilets CS (2011) Noninvasive body sculpting technologies with an emphasis on high-intensity focused ultrasound. Aesthetic Plast Surg 35:901–912. https://doi.org/10.1007/s00266-011-9700-5
Franco FF, Basso de RCF, Tincani AJ, Kharmandayan P (2012) Complications of classical liposuction performed for cosmetic purposes. Rev Bras Cir Plástica 27:135–140
Mulholland RS, Paul MD, Chalfoun C (2011) Noninvasive body contouring with radiofrequency, ultrasound, cryolipolysis, and low-level laser therapy. Clin Plast Surg 38:503–520. https://doi.org/10.1016/j.cps.2011.05.002
Mazzoni D, Lin MJ, Dubin DP, Khorasani H (2019) Review of non-invasive body contouring devices for fat reduction, skin tightening and muscle definition. Australas J Dermatol 60:278–283. https://doi.org/10.1111/ajd.13090
Friedmann DP (2015) A review of the aesthetic treatment of abdominal and therapeutic options. Dermatologic Surg 41:18–34. https://doi.org/10.1097/DSS.0000000000000209
Zelickson B, Egbert BM, Preciado J et al (2009) Cryolipolysis for Noninvasive fat cell destruction. Dermatologic Surg 35:1462–1470. https://doi.org/10.1111/j.1524-4725.2009.01259.x
Ingargiola MJ, Motakef S, Chung MT et al (2015) Cryolipolysis for Fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg 135:1581–1590. https://doi.org/10.1097/PRS.0000000000001236
Mostafa MSEM, Elshafey MA (2016) Cryolipolysis Versus laser lipolysis on adolescent abdominal adiposity. Lasers Surg Med 48:365–370. https://doi.org/10.1002/lsm.22475
Duncan DI, Hasengschwandtner F (2005) Lipodissolve for subcutaneous fat reduction and skin retraction. Aesthetic Surg J 25:530–543
Reeds DN, Mohammed BS, Klein S et al (2013) Metabolic and Structural effects of phosphatidylcholine and deoxycholate injections on subcutaneous fat: a randomized, controlled trial. Aesthetic Surg J 33:400–408. https://doi.org/10.1177/1090820X13478630
Brandi C, Campana M, Russo F et al (2012) Carbon dioxide: maybe not the only one but an efficient and secure gas for treating local adiposities. Aesthet Plast Surg 36:218–219. https://doi.org/10.1007/s00266-011-9758-0
Park JH, Wee SY, Chang J et al (2018) Carboxytherapy-Induced fat loss is associated with vegf- mediated vascularization. Aesthet Plast Surg 42:1681–1688. https://doi.org/10.1007/s00266-018-1222-y
Fatemi A (2009) High-intensity focused ultrasound effectively reduces adipose tissue. Semin Cutan Med Surg 28:257–262. https://doi.org/10.1016/j.sder.2009.11.005
Guth F, Bitencourt S, Bedinot C et al (2018) Immediate effect and safety of HIFU single treatment for male subcutaneous fat reduction. J Cosmet Dermatol 17:385–389. https://doi.org/10.1111/jocd.12466
Neira R, Arroyave J, Ramirez H et al (2002) Fat liquefaction: effect of low-level laser energy on adipose tissue. Plast Reconstr Surg 110:912–922
Neira R, Ortiz-Neira C (2002) Low-level laser-assisted liposculpture: clinical report of 700 cases. Aesthet Surg J 22:451–455. https://doi.org/10.1067/maj.2002.128622
Brown SA, Rohrich RJ, Kenkel J et al (2004) Effect of low-level laser therapy on abdominal adipocytes before lipoplasty procedures. Plast Reconstr Surg 113:1796–1804. https://doi.org/10.1097/01.PRS.0000117302.73214.1A
Alizadeh Z, Halabchi F, Mazaheri R et al (2016) Review of the Mechanisms and effects of noninvasive body contouring devices on cellulite and subcutaneous fat. Int J Endocrinol Metab 14:e36727. https://doi.org/10.5812/ijem.36727.Review
Jalian HR, Avram MM (2012) Body Contouring: The skinny on noninvasive fat removal. Semin Cutan Med Surg 31:121–125. https://doi.org/10.1016/j.sder.2012.02.004
Karu T (1999) Primary and secondary mechanisms of action of visible to near-IR radiation on cells. J Photochem Photobiol B Biol 49:1–17. https://doi.org/10.1016/S1011-1344(98)00219-X
Karu TI (2010) Multiple roles of cytochrome c oxidase in mammalian cells under action of red and IR-A radiation. IUBMB Life 62:607–610. https://doi.org/10.1002/iub.359
Duarte FO, Sene-Fiorese M, De Aquino Junior AE et al (2015) Can low-level laser therapy (LLLT) associated with an aerobic plus resistance training change the cardiometabolic risk in obese women? A placebo-controlled clinical trial. J Photochem Photobiol B Biol 153:103–110. https://doi.org/10.1016/j.jphotobiol.2015.08.026
Jackson RF, Dedo DD, Roche GC et al (2009) Low-level laser therapy as a non-invasive approach for body contouring: a randomized, controlled study. Lasers Surg Med 41:799–809. https://doi.org/10.1002/lsm.20855
Gupta AK, Foley KA (2017) A critical assessment of the evidence for low-level laser therapy in the treatment of hair loss. Dermatologic Surg 43:188–197. https://doi.org/10.1097/DSS.0000000000000904
Avci P, Nyame TT, Gupta GK et al (2014) Low-Level laser therapy for fat layer reduction: a comprehensive review. Lasers Surg Med 45:349–357. https://doi.org/10.1002/lsm.22153.Low-Level
Eldesoky MTM, Abutaleb EEA, Mousa GSM (2016) Ultrasound cavitation versus cryolipolysis for non-invasive body contouring. Australas J Dermatol 57:288–293. https://doi.org/10.1111/ajd.12386
Jackson RF, Stern FA, Neira R et al (2012) Application of low-level laser therapy for noninvasive body contouring. Lasers Surg Med 44:211–217. https://doi.org/10.1002/lsm.22007
Bani D, Quattrini A, Freschi G, Lo Russo G (2013) Histological and ultrastructural effects of ultrasound-induced cavitation on human skin adipose tissue. Plast Reconstr Surg 1:e41. https://doi.org/10.1097/GOX.0b013e3182
Tonucci LB, Mourão DM, Ribeiro AQ, Bressan J (2014) Noninvasive Body contouring: biological and aesthetic effects of low-frequency, low-intensity ultrasound device. Aesthet Plast Surg 38:959–967. https://doi.org/10.1007/s00266-014-0391-6
Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. PLoS Med 18:e1003583. https://doi.org/10.1371/JOURNAL.PMED.1003583
Aquino AE, Sene-Fiorese M, Paolillo FR et al (2013) Low-level laser therapy (LLLT) combined with swimming training improved the lipid profile in rats fed with high-fat diet. Lasers Med Sci 28:1271–1280. https://doi.org/10.1007/s10103-012-1223-z
Savoia A, Landi S, Vannini F, Baldi A (2013) Low-level laser therapy and vibration therapy for the treatment of localized adiposity and fibrous cellulite. Dermatol Ther (Heidelb) 3:41–52. https://doi.org/10.1007/s13555-013-0026-x
Mafra FFP, Macedo MM, Lopes AV et al (2020) 904 nm Low-level laser irradiation decreases expression of catabolism-related genes in white adipose tissue of wistar rats: possible roles of laser on metabolism. Photobiomodulation, Photomed, Laser Surg 38:11–18. https://doi.org/10.1089/photob.2018.4609
Arabpour-Dahoue M, Mohammadzadeh E, Avan A et al (2019) Leptin level decreases after treatment with the combination of radiofrequency and ultrasound cavitation in response to the reduction in adiposity. Diabetes Metab Syndr Clin Res Rev 13:1137–1140. https://doi.org/10.1016/j.dsx.2019.01.046
Sumithran P, Prendergast LA, Delbridge E et al (2011) Long-term persistence of hormonal adaptations to weight loss. Obstet Gynecol Surv 365:1597–1604. https://doi.org/10.1097/ogx.0b013e318247c6f7
Schulz C, Paulus K, Jöhren O, Lehnert H (2012) Intranasal leptin reduces appetite and induces weight loss in rats with Diet-Induced Obesity (DIO). Endocrinology 153:143–153. https://doi.org/10.1210/en.2011-1586
Caruso-davis MK, Guillot TS, Podichetty VK et al (2011) Efficacy of Low-level laser therapy for body contouring and spot fat reduction. Obes Surg 21:722–729. https://doi.org/10.1007/s11695-010-0126-y.Efficacy
Mcrae E, Boris J (2013) Independent Evaluation of low-level laser therapy at 635 nm for non-invasive body contouring of the waist, hips, and thighs. Lasers Surg Med 45:1–7. https://doi.org/10.1002/lsm.22113
Martins MG, Martins MIM, de Souza AH et al (2022) Evaluation of lipolysis and toxicological parameters of low-level laser therapy at different wavelengths and doses in the abdominal subcutaneous tissue. Lasers Med Sci 37:1235–1244. https://doi.org/10.1007/s10103-021-03378-y
Silva G, Ferraresi C, de Almeida RT et al (2018) Infrared photobiomodulation (PBM) therapy improves glucose metabolism and intracellular insulin pathway in adipose tissue of high-fat fed mice. Lasers Med Sci 33:559–571. https://doi.org/10.1007/s10103-017-2408-2
Paolillo FR, Campos TYTB, Alvarez C et al (2021) Synergic effects of ultrasound and laser therapies on mesentery for management of obesity and diabetes in rats. J Biophotonics 14:e202100109
Hexsel D, Caspary P, Camozzato FO et al (2016) Redução de medidas corporais após nove sessões de tratamento com laser de baixa intensidade. Surg Cosmet Dermatol 8:210–216. https://doi.org/10.5935/scd1984-8773.201683891
Croghan IT, Ebbert JO, Schroeder DR et al (2016) A randomized, open-label pilot of the combination of low-level laser therapy and lorcaserin for weight loss. BMC Obes 3:42. https://doi.org/10.1186/s40608-016-0122-4
Wang Y, Huang YY, Wang Y et al (2017) Red (660 nm) or near-infrared (810 nm) photobiomodulation stimulates, while blue (415 nm), green (540 nm) light inhibits proliferation in human adipose-derived stem cells. Sci Rep 7:7781. https://doi.org/10.1038/s41598-017-07525-w
Redman LM, Ravussin E (2010) Lorcaserin for the treatment of obesity. Drugs Today 46:901–910. https://doi.org/10.1358/dot.2010.46.12.1556433
Jackson RF, Roche GC, Wisler K (2010) Reduction in cholesterol and triglyceride serum levels following low-level laser irradiation: a noncontrolled, nonrandomized pilot study. Am J Cosmet Surg 27:177–184
Al-Agamy NN, Al-Nahas NG, Obay HE (2021) Cryolipolysis versus cold laser on lipid profile and body composition in women with central obesity. Turkish J Physiother Rehabil 32:9287–9293
Said MT, Elnhas NG (2016) Impact of cold laser on lipid profile in abdominal obese women. Int J PharmTech Res 9:115–120
Barbosa P, Coimbra C, Noites A et al (2021) Effect of one session of aerobic exercise associated with abdominal laser therapy in lipolytic activity, lipid profile, and inflammatory markers. J Cosmet Dermatol 20:1714–1723. https://doi.org/10.1111/jocd.13781
Mohamed RA, Yousef AM, Ata HK (2018) Effect of electro acupuncture versus low level laser therapy on lipid profile in obesity. Phys Ther Rehabil 5:9. https://doi.org/10.7243/2055-2386-5-9
Paolillo FR, Borghi-Silva A, Arena R et al (2017) Effects of phototherapy plus physical training on metabolic profile and quality of life in postmenopausal women. J Cosmet Laser Ther 19:364–372
Kim S, Kim Y, Lee G, Kim J (2017) Does treadmill walking with near-infrared light applied to the abdominal area reduce local adiposity and body weight? J Phys Ther Sci 29:1753–1756. https://doi.org/10.1589/jpts.29.1753
Zago M, Capodaglio P, Ferrario C et al (2018) Whole-body vibration training in obese subjects: A systematic review. PLoS ONE 13:e0202866. https://doi.org/10.1371/journal.pone.0202866
Maddalozzo G, Iwaniec U, Turner R et al (2008) Whole-body vibration slows the acquisition of fat in mature female rats. Int J Obes 32:1348–1354. https://doi.org/10.1038/jid.2014.371
Jankowski M, Gawrych M, Adamska U et al (2017) Low-level laser therapy (LLLT) does not reduce subcutaneous adipose tissue by local adipocyte injury but rather by modulation of systemic lipid metabolism. Lasers Med Sci 32:475–479. https://doi.org/10.1007/s10103-016-2021-9
Hamida ZH, Comtois AS, Portmann M et al (2011) Effect of electrical stimulation on lipolysis of human white adipocytes. Appl Physiol Nutr Metab 36:271–275. https://doi.org/10.1139/h11-011
Kemmler W, von Stengel S (2013) Whole-body electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: Subanalysis of the TEST-III trial. Clin Interv Aging 8:1353–1364. https://doi.org/10.2147/CIA.S52337
Choi EJ, Kim YJ, Lee SY (2018) Effects of electrical muscle stimulation on waist circumference in adults with abdominal obesity a randomized, double-blind, sham-controlled trial. J Nepal Med Assoc 56:904–911. https://doi.org/10.31729/jnma.3826
Marreira M, Rocha Mota L, Silva DFT, Pavani C (2020) Study protocol for the use of photobiomodulation with red or infrared LED on waist circumference reduction: a randomised, double-blind clinical trial. BMJ Open 10:e036684. https://doi.org/10.1136/bmjopen-2019-036684
Sliney DH (2007) Radiometric Quantities and units used in photobiology and photochemistry: recommendations of the Commission Internationale de l’Eclairage (International Commission on Illumination). Photochem Photobiol 83:425–432. https://doi.org/10.1562/2006-11-14-ra-1081
Jenkins PA, Carroll JD (2011) How to report low-level laser therapy (LLLT)/photomedicine dose and beam parameters in clinical and laboratory studies. Photomed Laser Surg 29:785–787. https://doi.org/10.1089/pho.2011.9895
Hadis MA, Zainal SA, Holder MJ et al (2016) The dark art of light measurement: accurate radiometry for low-level light therapy. Lasers Med Sci 31:789–809. https://doi.org/10.1007/s10103-016-1914-y
Fagundes DJ, Taha MO (2004) Animal disease model: choice’s criteria and current animals specimens. Acta Cirúrgica Bras 19:59–65
De Souza RF (2009) What is a randomized clinical trial? Med (Ribeirão Preto) 42:3–8. https://doi.org/10.11606/issn.2176-7262.v42i1p3-8
Nassab R (2015) The evidence behind noninvasive body contouring devices. Aesthetic Surg J 35:279–293. https://doi.org/10.1093/asj/sju063
Kopin L, Lowenstein CJ (2017) Dyslipidemia. Ann Intern Med 71:275–279. https://doi.org/10.7326/aitc201712050
Stone NJ, Robinson JG, Lichtenstein AH et al (2014) 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 63:2889–2934. https://doi.org/10.1161/01.cir.0000437738.63853.7a
Acknowledgements
This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001.
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This work was supported by Universidade Nove de Julho (UNINOVE). Michelle Mota Sena is supported by Coordenação de Aperfeiçoamento de Pessoal do Nível Superior (CAPES) (www.capes.gov.br) No. 88887.475547/2020–00.
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MMS, MM, and CP contributed to the study conception. The literature search and data analysis were performed by GPA, MT, and MMA, with supervision of MMS and MM. MMS and CP drafted the work. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Sena, M.M., Marreira, M., de Almeida, G.P. et al. Can the use of photobiomodulation for localized fat reduction induce changes in lipid profile? A critical integrative review. Lasers Med Sci 38, 23 (2023). https://doi.org/10.1007/s10103-022-03662-5
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DOI: https://doi.org/10.1007/s10103-022-03662-5