Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background & purpose: fat located within the abdominal cavity; is the best correlate of most of metabolic complications , that accounts to a large extent for the increased risk of cardiovascular disease. Ultrasonic Lipolysis is a well-recognized and a successful treatment method in a management of localized fat removal, hence the purpose of this study was to investigate the effect of Ultrasonic Lipolysis on BMI, waist circumference, WHR and blood cholesterol level in centerally obese women. Subjects: Fourty obese Women with cenerally obesity, aged 30 to 40 years , with Bmi from 30 -40Kg/m2; waist circumference > 88 cm and waist hip ratio > 0.9 participated in the study. Method: subjects were randomly assigned into 2 groups; study with 20 women received ultrasonic lipolysis two times per week, at an eight week interval, as well as low caloric low fat diet (1200-1500 cal/day) & abdominal exercise (3 times per week) for eight consecutive weeks. The control group with 20 women received only low caloric, low fat diet (1200-1500 calories/day) & abdominal exercise (3 times per week) for eight consecutive weeks. Weight height scale was used to measure body weight & height, a tape measurement was used to determine the waist and hip circumference. A blood sample was taken to determine blood cholesterol levels. All measurements were obtained in the first intervention session (pre-intervention) and after the last session (post-intervention). Results: When comparing both groups post-test; there was no significant difference for body weight and BMI, where t and p values were (.58),(0.56)and (-.91),(0.36). However, waist circumference , waist hip ratio and blood cholesterol levels showed significant differences with t and p value (4.44) (0.0001) , (-16.07) (0.0001) and (-2.71) (.01) respectively. Conclusion: Ultrasonic lipolysis had a significant effect on reducing abdominal fat by its significant decrease in waist circumference ; waist hip ratio; and blood cholesterol levels in obese centrally women

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