Acute Effect of Manual Lymphatic Drainage on Natriuresis and Lipolysis in Young Women

• Autor(a) principal: Camargo,Érica A. M
• Data de Publicação: 2018
• Outros Autores: Borghi,Filipy, Souza,Aglécio Luiz de, Marcorin,Denise Maria, Rodrigues,Luana de Lima, Crege,Danilo Roberto Xavier de Oliveira, Ishizu,Larissa Yuri, Silva,Priscila Cristina da, Grassi-Kassisse,Dora Maria, Pires-de-Campos,Maria Silvia Mariani
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Journal of Cardiovascular Sciences (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472018000300274
• topic: Musculoskeletal Manipulations; Natriuresis; Lipolysis; Lymphatic System

Abstract Background: The importance of scientific validation of supporting techniques to various treatments is unquestionable. In this context, the influence of manual lymphatic drainage (MLD) on natriuresis and lipolysis and its interaction with oral contraceptives still need to be investigated. Objectives: To evaluate the acute effect of MLD on natriuresis and lipolysis in young women using or not oral contraceptives. Methods: Twenty-nine non-users of oral contraceptives and 29 oral contraceptive users, self-reported healthy, sedentary, normal weight women were enrolled. Analyses were conducted on two different days - control (C), without therapeutic intervention and MLD day. Four urine samples were collected at 60-minute intervals. MLD was performed in lower limbs and abdomen for 45 min following the Leduc method. Urinary flow rate and urinary sodium, glycerol and atrial natriuretic peptide excretion were analyzed. Data normality was tested by the Shapiro-Wilk test. Data without normal distribution were expressed as median and interquartile range (25%-75%), while normally distributed data were expressed as mean ± standard error. Mann-Whitney test was used for unpaired data and Wilcoxon test for paired data. Data with normal distribution were evaluated by the unpaired t-Student test. Statistical significance was set at 5%. Results: One MLD session had an acute effect on both groups, increasing natriuresis in non-users of oral contraceptives and glycerol and atrial natriuretic peptide excretion in oral contraceptive users. Conclusion: Oral contraceptives influence the effect of MLD on natriuresis.