Often recommended for heavy, swollen legs, lymphatic drainage also appeals to those seeking to slim down. But can it really contribute to weight loss? Discover here whether lymphatic drainage can be considered a slimming ally.
Often recommended for heavy, swollen legs, lymphatic drainage also appeals to those seeking to slim down. But can it really contribute to weight loss? Discover here whether lymphatic drainage can be considered a slimming ally.
Lymphatic drainage does not cause fat mass loss nor weight reduction: any decrease in circumference is temporary and linked to the mobilization of interstitial fluids.
Lymphatic drainage can nevertheless improve certain metabolic markers, particularly when combined with a balanced diet and regular physical activity.
Reduced lymphatic drainage efficiency can limit adipocytes’ capacity to release stored fats, contributing to a body’s resistance to weight loss.
Although not a “slimming” treatment, lymphatic drainage plays a role in regulating adipose tissue metabolism and can be incorporated into an overweight prevention strategy.
The lymphatic drainage is a gentle massage designed to stimulate the lymphatic system, which consists of organs and vessels that carry lymph, a colorless fluid. This system, working parallel to the blood network, is responsible for collecting waste and toxins produced by cells and transporting them to the lymph nodes, where they filter these substances and generate antibodies if bacteria or viruses are present. Normally, this process unfolds naturally in about 48 hours. However, it can be slowed by various factors—such as an accumulation of fatty cells or poor circulation—leading to a feeling of swelling or heaviness in certain areas of the body, most often in the legs. Lymphatic drainage aims to combat this slowdown.
Lymphatic drainage does not eliminate adipose tissue mass.
In fact, although lymphatic drainage is often presented as a method that can help with weight loss, it is important to distinguish its actual effects from certain misconceptions. Although the lymphatic drainage may temporarily reduce the volume of the abdomen or other areas of the body, there is no solid evidence indicating that it leads to fat loss or a lasting reduction in weight. The majority of circumference decreases observed after lymphatic drainage are due to a mobilization of interstitial fluids, and not to the loss of adipose tissue.
Some studies, however, suggest that lymphatic drainage can improve certain metabolic markers, such as insulin sensitivity or inflammation, particularly when combined with a balanced diet and regular exercise. One study examined the impact of manual lymphatic drainage on the metabolic parameters of 60 participants with normal, overweight, or obese BMI. Participants underwent three lymphatic drainage sessions per week for one month. The results showed significant improvements: in overweight patients, postprandial blood glucose dropped from 119 mg/dL to 100 mg/dL, while other indicators of glucose metabolism and insulin sensitivity—such as insulin, leptin, and the HOMA-IR index—also improved.
The researchers concluded by hypothesizing that lymphatic drainage, in association with a balanced diet and regular physical activity, could play a preventive role in obesity and insulin resistance.
The importance of lymphatic drainage for fat metabolism was also highlighted by a study conducted with 28 pre-menopausal women presenting a similar fat mass but differing lymphatic drainage efficiency in the lower limbs. The results showed that those with impaired lymphatic drainage exhibited a lower lipolytic activity and a reduced response to adrenergic stimulation. In other words, inefficient lymphatic drainage appears to limit adipocytes’ capacity to release stored fats, which could contribute to the resistance of certain areas to weight loss.
This observation suggests that lymphatic drainage does not directly induce weight loss, but rather plays a role in the regulation of adipose tissue metabolism.
MEHRARA B. J. & al. Obesity-induced lymphatic dysfunction is reversible with weight loss. The Journal of Physiology (2016).
ROSSMEISLOVA L. & al. Lymphatic drainage affects lipolytic activity of femoral adipose tissue in women. International Journal of Obesity (2020).
KOELMEYER L. A. & al. Manual lymphatic drainage treatment for lymphedema: A systematic review of the literature. Journal of Cancer Survivorship (2021).
KOZINSKI M. & al. Effect of manual lymphatic drainage on the concentrations of selected adipokines, cytokines, C-reactive protein and parameters of carbohydrate and lipid metabolism in patients with abnormal body mass index: Focus on markers of obesity and insulin resistance. International Journal of Molecular Sciences (2023).