Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

This study was designed to investigate the effect of cryolipolysis on insulin resistance in obese postmenopausal women. Forty obese postmenopausal women with insulin resistance participated in this study. They were selected randomly from the outpatient clinic of Kasre El Ainy University Hospital. Their ages ranged from 50 to 60 years old and their body mass index was >30 kg/m². They were diagnosed as having insulin resistance; if they had one or more of the signs of insulin resistance as fatigue, brain fogginess, inability to focus, weight gain, difficulty losing weight, fat storage in and around abdominal organ, elevated blood triglyceride levels, sleepiness especially after meals, acanthosis nigricans and HOMA-IR (measuring insulin resistance equation) was more than (1). Women with body mass index (BMI) < 30 kg/m2, cardio-respiratory diseases, diabetes mellitus, malignancy, severe hemorrhage, acute viral disease and mental disorders, smokers and life threatening disorders as renal failure were excluded from the study.They were divided into two groups equal in numbers; group A (Control group) consisted of 20 women and treated by moderate restricted diet (low carbohydrate, moderate protein and moderate fat) for 5 months, group B (Study group) consisted of 20 women treated by the same moderate restricted diet in as group A and cryolipolysis sessions on abdominal obesity (1 session / 3week, for 5 months). BMI was assessed by using standard weight-height scale, waist circumference was assessed by tape measurement, skin fold thickness was assessed by skin fold caliper, insulin resistance was assessed by Homeostatic Model Assessment (HOMA-IR) for all women in both groups (A, B) before and after treatment

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