Almost postmenopausal women store significant extra visceral adipose tissue with unexplained mechanism, yet. Postmenopausal obese women with excess abdominal obesity have raised metabolic risk of numerous cardiovascular diseases, which negatively influence health policy concern. Therefore, actual need to recommend non-invasive approach that cover this lack of quantitative knowledge in clinical management of obese postmenopausal women.

Postmenopausal women are usually troubled by increasing weight and waist circumference caused by obesity and androcidal fat redistribution. Abdominal adiposity, defined as a waist circumference ≥88cm in women, measured in the upright position, plus significant elevated lipid profile values. In postmenopausal women, a higher level of physical activity was associated with a more optimal body composition, including lower adiposity and higher lean mass. Management of abdominal obesity involves different techniques i.e., dietary management, exercise therapy, even lifestyle management, and pharmacological management, and surgical interventions. Extracorporeal shockwave provides cavitation phenomena that may facilitate better management of abdominal obesity. Thus, current study will be conducted to investigate effect of extracorporeal shockwave on abdominal adiposity and lipid profile in obese post-menopausal women.

Inclusion Criteria:

• Their age range 45-60 years old.
• Their body mass index range 30-35 kg/m square.
• Only, obese postmenopausal women with at least one year after stoppage of menses.

Exclusion Criteria:

• Receiving pharmacological treatment.
• Receiving any form of electrotherapy.
• Whom with metabolic, hematological or renal dysfunction.
• Whom have dermatological or cardiovascular or respiratory, digestive or rheumatic disorders.

Current study focuses on Obese Postmenopausal women, based on well-known associated abdominal obesity.

Will Share whole raw data, therapeutic protocol details for future systematic review and/ or meta-analysis. wish to be valuable

Double masking (Investigator and Participant)