Efetividade do uso da Carboxiterapia no tratamento de estrias: Uma revisão integrativa
Data
2023-12-01
Autores
Rosa, Larissa Gabrielle de Andrade 
Orientadores
Aveiro, Mariana Chaves
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: As estrias ocorrem por diversos fatores, principalmente pela distensão mecânica da pele ocasionada por ganho exacerbado e relativamente rápido de gordura ou excesso de peso, estirão de crescimento, hipertrofia muscular ou gravidez. A carboxiterapia é descrita como uma das formas de tratamento disponíveis para a melhora da aparência das estrias, onde a mesma visa a vasodilatação e angiogênese com posterior melhora da oxigenação tecidual através da produção de uma resposta inflamatória, consequentemente levando ao aumento da produção de fibroblastos, elastina e colágeno no local aplicado. Objetivos: Sintetizar as evidências na literatura sobre a efetividade do uso da carboxiterapia na melhora do aspecto das estrias albas e rubras em mulheres adultas. Métodos: Foi realizada a seleção dos artigos nas bases de dados PUBMED, Biblioteca Virtual em Saúde (BVS) e Web of Science, nos idiomas português, inglês e espanhol. Foram incluídos estudos com participantes de 18 a 45 anos, que realizaram carboxiterapia no tratamentos de estrias. A busca teve como desfecho primário a redução e melhora da aparência das estrias avaliadas preferencialmente por fotografias ou por qualquer outro método que seja capaz de comparar o antes e depois da intervenção e como desfecho secundário a melhora da satisfação corporal, autoestima e qualidade de vida após a intervenção.Os descritores estrias e carboxiterapia, bem como seus sinônimos foram utilizados em português e inglês. Resultados: identificaram-se 43 artigos, destes 6 eram duplicações, 29 não se relacionavam à Carboxiterapia e 3 não se encaixavam aos critérios de inclusão, sendo selecionados 5 artigos. Apenas um estudo não demonstrou a efetividade da Carboxiterapia na melhora da aparência das estrias se comparado o pré e pós aplicação da terapia. Os demais estudos demonstraram uma melhora significativa na aparência e largura das estrias, além de boa satisfação tanto das pacientes quanto dos analisadores. Dois dos artigos incluídos, sugeriram que a Carboxiterapia surte efeitos mais satisfatórios em estrias albas, indo em contrapartida a um dos estudos que sugeriu que a terapia possui melhores efeitos em estrias rubras. Ao ser comparada com outras modalidades de tratamento, sobretudo ao Laser de CO2 fracionado, a Carboxiterapia ofertou uma menor efetividade na melhora do aspecto das estrias, além de que os resultados apareceram mais tardiamente em comparação ao protocolo de aplicação do Laser de CO2 fracionado. Quanto à melhora da satisfação corporal e autoestima, a maioria das participantes de todos os estudos se sentiram contentes com a própria aparência além de recomendarem o tratamento para pessoas conhecidas. Conclusão: A presente revisão integrativa mostrou que a Carboxiterapia pode melhorar a aparência de estrias tanto clínica quanto histopatológica, além de melhorar a satisfação corporal e a auto-estima das pacientes, sendo uma estratégia promissora para tratamento das estrias. No entanto, ao ser comparada com o Laser de CO2 fracionado a terapia surte menos efeitos, sugerindo que talvez a associação entre as terapias seja uma boa opção para efeitos mais consistentes.
Introduction: Stretch marks occur due to various factors, mainly mechanical distension of the skin caused by exacerbated and relatively rapid gain of fat or excess weight, growth spurt, muscle hypertrophy or pregnancy. Carboxytherapy is described as one of the forms of treatment available for improving the appearance of stretch marks, where it aims to vasodilate and angiogenize with subsequent improvement in tissue oxygenation through the production of an inflammatory response, consequently leading to increased production of fibroblasts, elastin and collagen at the applied site. Objectives: To synthesize the evidence in the literature on the effectiveness of carboxytherapy in improving the appearance of striae alba and rubra in adult women. Methods: Articles were selected from the PUBMED, Virtual Health Library (VHL) and Web of Science databases in Portuguese, English and Spanish. We included studies with participants aged between 18 and 45 who had undergone carboxytherapy to treat stretch marks. The primary outcome of the search was the reduction and improvement in the appearance of stretch marks, preferably assessed using photographs or any other method capable of comparing before and after the intervention, and the secondary outcome was improved body satisfaction, self-esteem and quality of life after the intervention. The descriptors stretch marks and carboxytherapy, as well as their synonyms, were used in Portuguese and English. Results: 43 articles were identified, of which 6 were duplicates, 29 were not related to Carboxytherapy and 3 did not meet the inclusion criteria, and 5 articles were selected. Only one study did not demonstrate the effectiveness of Carboxytherapy in improving the appearance of stretch marks when comparing the pre- and post-application of the therapy. The other studies showed a significant improvement in the appearance and width of the stretch marks, as well as good satisfaction among both the patients and the analyzers. Two of the included articles suggested that carboxytherapy has more satisfactory effects on albino stretch marks, in contrast to one of the studies which suggested that the therapy has better effects on red stretch marks. When compared to other treatment modalities, especially fractionated CO2 laser, carboxytherapy was less effective in improving the appearance of stretch marks, and the results appeared later compared to the fractionated CO2 laser application protocol. In terms of improved body satisfaction and self-esteem, the majority of participants in all the studies felt happy with their appearance and recommended the treatment to people they knew. Conclusion: This integrative review showed that carboxytherapy can improve the appearance of stretch marks both clinically and histopathologically, as well as improving patients' body satisfaction and self-esteem, making it a promising strategy for treating stretch marks. However, when compared with fractionated CO2 laser, the therapy has less effect, suggesting that perhaps combining the therapies is a good option for more consistent effects.
Introduction: Stretch marks occur due to various factors, mainly mechanical distension of the skin caused by exacerbated and relatively rapid gain of fat or excess weight, growth spurt, muscle hypertrophy or pregnancy. Carboxytherapy is described as one of the forms of treatment available for improving the appearance of stretch marks, where it aims to vasodilate and angiogenize with subsequent improvement in tissue oxygenation through the production of an inflammatory response, consequently leading to increased production of fibroblasts, elastin and collagen at the applied site. Objectives: To synthesize the evidence in the literature on the effectiveness of carboxytherapy in improving the appearance of striae alba and rubra in adult women. Methods: Articles were selected from the PUBMED, Virtual Health Library (VHL) and Web of Science databases in Portuguese, English and Spanish. We included studies with participants aged between 18 and 45 who had undergone carboxytherapy to treat stretch marks. The primary outcome of the search was the reduction and improvement in the appearance of stretch marks, preferably assessed using photographs or any other method capable of comparing before and after the intervention, and the secondary outcome was improved body satisfaction, self-esteem and quality of life after the intervention. The descriptors stretch marks and carboxytherapy, as well as their synonyms, were used in Portuguese and English. Results: 43 articles were identified, of which 6 were duplicates, 29 were not related to Carboxytherapy and 3 did not meet the inclusion criteria, and 5 articles were selected. Only one study did not demonstrate the effectiveness of Carboxytherapy in improving the appearance of stretch marks when comparing the pre- and post-application of the therapy. The other studies showed a significant improvement in the appearance and width of the stretch marks, as well as good satisfaction among both the patients and the analyzers. Two of the included articles suggested that carboxytherapy has more satisfactory effects on albino stretch marks, in contrast to one of the studies which suggested that the therapy has better effects on red stretch marks. When compared to other treatment modalities, especially fractionated CO2 laser, carboxytherapy was less effective in improving the appearance of stretch marks, and the results appeared later compared to the fractionated CO2 laser application protocol. In terms of improved body satisfaction and self-esteem, the majority of participants in all the studies felt happy with their appearance and recommended the treatment to people they knew. Conclusion: This integrative review showed that carboxytherapy can improve the appearance of stretch marks both clinically and histopathologically, as well as improving patients' body satisfaction and self-esteem, making it a promising strategy for treating stretch marks. However, when compared with fractionated CO2 laser, the therapy has less effect, suggesting that perhaps combining the therapies is a good option for more consistent effects.
Descrição
Citação
ROSA, Larissa Gabrielle de Andrade. Efetividade do uso da Carboxiterapia no tratamento de estrias: Uma revisão integrativa. 2023. 39 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2023.