Application of Therapeutic Hot and Cold Agents Result in Altered Measurement of Skinfold Thickness

Susan Lennie
Newcastle University, Newcastle upon Tyne, England, United Kingdom
Lia Garden
Robert Gordon University, Aberdeen, Scotland, United Kingdom
Andy Hall
Robert Gordon University, Aberdeen, Scotland, United Kingdom

Publicado 06-12-2024

Palabras clave

  • Antropometría,
  • Grosor de los pliegues cutáneos,
  • Crioterapia,
  • Termoterapia

Cómo citar

Lennie, S., Garden, L., & Hall, A. (2024). Application of Therapeutic Hot and Cold Agents Result in Altered Measurement of Skinfold Thickness. La Revista Internacional De Cineantropometría, 4(3), 1–10. https://doi.org/10.34256/ijk2431

Dimensions

Resumen

Introducción: La determinación precisa de la composición corporal es crucial para la evaluación y el entrenamiento atlético. La Sociedad Internacional para el Avance de la Cineantropometría sugiere que las mediciones de los pliegues cutáneos pueden verse afectadas por condiciones como el entrenamiento reciente, la competencia, la natación en sauna o la ducha, ya que el calor puede aumentar los valores debido a un aumento asociado en el flujo sanguíneo; sin embargo, este efecto no se ha demostrado previamente. Métodos: Este ensayo de intervención, con diseño cruzado, tuvo como objetivo investigar el efecto de las temperaturas superficiales de la piel modificadas después de aplicaciones térmicas tópicas en el grosor del pliegue cutáneo en el bíceps y el tríceps. Se registró el grosor del pliegue cutáneo (GF) y la temperatura de la superficie de la piel antes y después de la aplicación de una almohadilla térmica y una almohadilla de gel frío en 54 adultos jóvenes. Resultados: La aplicación de calor condujo a una reducción pequeña, pero significativa, en el GF del tríceps y ningún cambio significativo en el GF del bíceps, mientras que la aplicación de frío resultó en un aumento pequeño, pero significativo, en el GF del bíceps pero no en el GF del tríceps. Estos cambios pueden atribuirse a alteraciones en la extensibilidad del tejido y la velocidad de deslizamiento. Conclusiones: Este estudio indica que la aplicación tópica de calor o frío puede influir en la medición de los pliegues cutáneos, lo que resalta la importancia de estandarizar las condiciones de medición. Sin embargo, se necesitan más investigaciones para aclarar si se trata de un efecto biológico o de un error técnico de medición.

Citas

  1. Ackland, T.R., Elliott, B., Bloomfield, J. (2009). Applied anatomy and biomechanics in sport. Human Kinetics, United Kingdom.
  2. Ackland, T.R., Lohman, T.G., Sundgot-Borgen, J., Maughan, R. J., Meyer, N.L., Stewart, A.D., Müller, W. (2012). Current status of body composition assessment in sport: review and position statement on behalf of the ad hoc research working group on body composition health and performance, under the auspices of the IOC Medical Commission. Sports medicine, 42: 227-249. https://doi.org/10.2165/11597140-000000000-00000
  3. Bacchetti, P., Wolf, L.E., Segal, M.R., McCulloch, C.E. (2005). Ethics and sample size. American Journal of Epidemiology, 161(2): 105-110. https://doi.org/10.1093/aje/kwi014
  4. Bleakley, C.M., Costello, J.T. (2013). Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Archives of Physical Medicine and Rehabilitation, 94(1): 149-163. https://doi.org/10.1016/j.apmr.2012.07.023
  5. Bleakley, C.M., Hopkins, J.T. (2010). Is it possible to achieve optimal levels of tissue cooling in cryotherapy? Physical Therapy Reviews, 15(4): 344-350. https://doi.org/10.1179/174328810X12786297204873
  6. Bullen, B.A., Quaade, F., Olesen, E., & Lund, S.A. (1965). Ultrasonic reflections used for measuring subcutaneous fat in humans. Human Biology, 37(4): 375-384.
  7. Cintra-Andrade, J.H., Ripka, W.L., & Heymsfield, S.B. (2023). Skinfold calipers: Which instrument to use? Journal of Nutritional Science, 12: e82. https://doi.org/10.1017/jns.2023.58
  8. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1): 155-159. https://doi.org/10.1037//0033-2909.112.1.155
  9. Draper, D.O., & Ricard, M.D. (1995). Rate of temperature decay in human muscle following 3 MHz ultrasound: The stretching window revealed. Journal of Athletic Training, 30(4): 304-397.
  10. Draper, D.O., Castel, J.C., Castel, D. (1995). Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. Journal of Orthopaedic & Sports Physical Therapy, 22(4): 142-150. https://doi.org/10.2519/jospt.1995.22.4.142
  11. Du, X., Li, B., Liu, H., Yang, D., Yu, W., Liao, J., Huang, Z., & Xia, K. (2014). The response of human thermal sensation and its prediction to temperature step-change (cool-neutral-cool). PloS One, 9(8): e104320. https://doi.org/10.1371/journal.pone.0104320.
  12. Durnin, J.V., & Womersley, J. (1974). Body fat assessed from total body density and its estimation from skinfold thickness: Measurements on 481 men and women aged from 16 to 72 years. British Journal of Nutrition, 32(1): 77-97. https://doi.org/10.1079/bjn19740060
  13. Esparza-Ros, F., Moreira, A.C., Vaquero-Cristóbal, R., Barrigas, C., Albaladejo-Saura, M., & Vieira, F. (2022). Differences between four skinfold calipers in the assessment of adipose tissue in young adult healthy population. Nutrients, 14(10): 2085. https://doi.org/10.3390/nu14102085
  14. Esparza-Ros, F., Vaquero-Cristóbal, R., & Marfell-Jones, M. (2019). International standards for anthropometry assessment. Murcia, SPAIN: The International Society for the Advancement of Kinanthropometry.
  15. Franklin, P.J., Green, D.J., & Cable, N.T. (1993). The influence of thermoregulatory mechanisms on post-exercise hypotension in humans. Journal of Physiology, 470(1): 231-241. https://doi.org/10.1113/jphysiol.1993.sp019856
  16. Geerligs, M., Peters, G.W.M., Ackermans, P.A.J., Oomens, C.W.J. & Baaijens, F.P.T. (2008). Linear viscoelastic behavior of subcutaneous adipose tissue. Biorheology, 45(6): 677-688.
  17. Gomes, A.C., Landers, G.J., Binnie, M.J., Goods, P.S.R., Fulton, S.K., & Ackland, T.R. (2020). Body composition assessment in athletes: Comparison of a novel ultrasound technique to traditional skinfold measures and criterion DXA measure. Journal of Science and Medicine in Sport, 23(11): 1006-1010. https://doi.org/10.1016/j.jsams.2020.03.014
  18. Hoffmann, J., Thiele, J., Kwast, S., Borger, M.A., Schroter, T., Falz, R., & Busse, M. (2022). Measurement of subcutaneous fat tissue: Reliability and comparison of caliper and ultrasound via systematic body mapping. Scientific Reports, 12: 15798. https://doi.org/10.1038/s41598-022-19937-4
  19. Hopkins, W., Marshall, S., Batterham, A., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine & Science in Sports & Exercise, 41: 3-13. https://doi.org/10.1249/MSS.0b013e31818cb278
  20. International Society for the Advancement of Kinanthropometry (ISAK). (2001). International standards for anthropometric assessment. The International Society for the Advancement of Kinanthropometry, Australia.
  21. Jutte, L., Hawkins, J., Miller, K.C., Long, B.C., & Knight, K.L. (2012). Skinfold thickness at 8 common cryotherapy sites in various athletic populations. Journal of Athletic Training, 47(2): 170-177. https://doi.org/10.4085/1062-6050-47.2.170
  22. Kalli, K., & Fousekis, K. (2020). The effects of cryotherapy on athletes’ muscle strength, flexibility, and neuromuscular control: A systematic review of the literature. Journal of Bodywork and Movement Therapies, 24(2): 175-188. https://doi.org/10.1016/j.jbmt.2019.11.001
  23. Kanlayanaphotporn, R., Janwantanakul, P. (2005). Comparison of skin surface temperature during the application of various cryotherapy modalities. Archives of Physical Medicine and Rehabilitation, 86(7): 1411-1415. https://doi.org/10.1016/j.apmr.2004.11.034
  24. Kasper, A.M., Langan-Evans, C., Hudson, J.F., Brownlee, T.E., Harper, L.D., Naughton, R.J., Morton, J.P., & Close, G.L. (2021). Come back skinfolds, all is forgiven: A narrative review of the efficacy of common body composition methods in applied sports practice. Nutrients, 13(4): 1075. https://doi.org/10.3390/nu13041075
  25. Kennet, J., Hardaker, N., Hobbs, S., Selfe, J. (2007). Cooling efficiency of 4 common cryotherapeutic agents. Journal of Athletic Training, 42(3): 343-348.
  26. Kissinger, H.E. (1956). Variation of peak temperature with heating rate in differential thermal analysis. Journal of Research of the National Bureau of Standards, 57(4): 217-221. http://dx.doi.org/10.6028/jres.057.026
  27. Lehmann, J.F. (1990). Therapeutic heat and cold. Williams & Wilkins, Baltimore
  28. Marfell-Jones, M., Olds, T., Stewart, A., & Carter, J.E.L. (2006) International standards for anthropometric assessment. The International Society for the Advancement of Kinanthropometry, South Africa.
  29. Mattar, E.H. (2011). Effect of age on the biomechanical and microcirculatory properties of the skin in healthy individuals and during venous ulceration. Indian Journal of Dermatology, 56(1): 19-24. https://doi.org/10.4103/0019-5154.77545
  30. Meeusen, R., Lievens, P. (1986). The use of cryotherapy in sports injuries. Sports Medicine, 3(6): 398-414. https://doi.org/10.2165/00007256-198603060-00002
  31. Mochlovitz, S. (1996). Thermal agents in rehabilitation. F.A. Davis Company, Philadelphia.
  32. Nadler, S.F., Weingand, K., Kruse, R.J. (2004). The physiological basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician, 7(3): 395-399.
  33. Norton, K., Hayward, S., Charles, S., Rees, M. (2000). The effects of hypohydration and hyperhydration on skinfold measurements. The International Society for the Advancement of Kinanthropometry, Australia.
  34. Norton, K., Olds, T. (1996). Anthropometrica: a textbook of body measurement for sports and health courses. University of New South Wales Press.
  35. Nösslinger, H., Mair, E., Toplak, H., Hörmann-Wallner, M. (2022). Measuring subcutaneous fat thickness using skinfold calipers vs. high-resolution B-scan ultrasonography in healthy volunteers: A pilot study. Clinical Nutrition Open Science, 41: 19-32. https://doi.org/10.1016/j.nutos.2021.11.007
  36. Perini, T.A., De Oliveira, G.L., Ornellas, J.D.S., De Oliveira, F.P. (2005). Technical error of measurement in anthropometry. Revista Brasileira de Medicina do Esporte, 11(1): 86-90. https://doi.org/10.1590/S1517-86922005000100009
  37. Racinais, S., Cocking, S., & Périard, J.D. (2017). Sports and environmental temperature: From warming-up to heating-up. Temperature, 4(3): 227-257. https://doi.org/10.1080/23328940.2017.1356427
  38. Remvig, L., Duhn, P.H., Ullman, S., Kobayasi, T., Hansen, B., Juul-Kristensen, B., Jurvelin, J.S. & Arokoski, J. (2009). Skin extensibility and consistency in patients with Ehlers–Danlos syndrome and benign joint hypermobility syndrome. Scandinavian Journal of Rheumatology, 38(3): 227-230. https://doi.org/10.1080/03009740802520714
  39. Ruiz, L., Colley, J.R.T., & Hamilton, P.J.S. (1971). Measurement of triceps skinfold thickness: An investigation of sources of variation. British Journal of Preventive and Social Medicine, 25(3): 165-167. https://doi.org/10.1136/jech.25.3.165
  40. Saltin, B., & Hermansen, L. (1966). Esophageal, rectal, and muscle temperature during exercise. Journal of Applied Physiology, 21(6): 1757-1762. https://doi.org/10.1152/jappl.1966.21.6.1757
  41. Shankman, G.A., & Manske, R.C. (2014). Fundamental orthopaedic management for the physical therapist assistant. Elsevier Health Sciences, Oxford.
  42. Shim, A., Cross, P., Norman, S., Hauer, P. (2014). Assessing various body composition measurements as an appropriate tool for estimating body fat in national collegiate athletic association division I female collegiate athletes. American Journal of Sports Science and Medicine, 2(1): 1-5.
  43. Sicotte, M., Ledoux, M., Zunzunegui, M., Ag Aboubacrine, S., Nguyen, V. & the ATARAO group (2010). Reliability of anthropometric measures in a longitudinal cohort of patients initiating ART in West Africa. BMC Medical Research Methodology, 10: 102-110. https://doi.org/10.1186/1471-2288-10-102
  44. Sommer, G., Eder, M., Kovacs, L., Pathak, H., Bonitz, L., Mueller, C., Regitnig, P., & Holzapfel, G.A. (2013). Multiaxial mechanical properties and constitutive modeling of human adipose tissue: A basis for preoperative simulations in plastic and reconstructive surgery. Acta Biomaterialia, 9(11): 9036-9048. https://doi.org/10.1016/j.actbio.2013.06.011
  45. Stewart, A., Marfell-Jones, M., Olds, T., & De Ridder, H. (2011). International standards for anthropometric assessment. Lower Hutt. The International Society for the Advancement of Kinanthropometry, New Zealand.
  46. Sugihara, T., Ohura, T., Homma, K., & Igawa, H.H. (1991). The extensibility in human skin: Variation according to age and site. British Journal of Plastic Surgery, 44(6): 418-422. https://doi.org/10.1016/0007-1226(91)90199-t
  47. Sunitha, J. (2010). Cryotherapy – A review. Journal of Clinical and Diagnostic Research, 4(2): 2325-2329.
  48. Toselli, S. (2021). Body composition and physical health in sports practice: An editorial. International Journal of Environmental Research and Public Health, 18(9): 4534. https://doi.org/10.3390/ijerph18094534
  49. Uchio, Y., Ochi, M., Fujihara, A., Adachi, N., Iwasa, J., & Sakai, Y. (2003). Cryotherapy influences joint laxity and position sense of the healthy knee joint. Archives of Physical Medicine and Rehabilitation, 84(1): 131-135. https://doi.org/10.1053/apmr.2003.50074
  50. Wang, Y., Li, S., Zhang, Y., Chen, Y., Yan, F., Han, L., Ma, Y. (2021). Heat and cold therapy reduce pain in patients with delayed onset muscle soreness: A systematic review and meta-analysis of 32 randomized controlled trials. Physical Therapy in Sport, 48: 177-187. https://doi.org/10.1016/j.ptsp.2021.01.004