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Intranasal Oxytocin for Obesity
Franziska Plessow1, Liya Kerem1,2, Marie-Louis Wronski1,3
1Neuroendocrine Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston.
NEJM Evidence
|May 30, 2024
Summary
Intranasal oxytocin did not lead to weight loss in adults with obesity over 8 weeks. While it reduced caloric intake in a test meal, it did not improve body composition or energy expenditure.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pharmacology
Background:
- Preclinical studies suggest oxytocin aids weight loss by reducing food intake and increasing energy expenditure.
- The efficacy of oxytocin in treating human obesity remains unestablished.
Purpose of the Study:
- To investigate the effectiveness of intranasal oxytocin in treating obesity in adults.
- To evaluate oxytocin's impact on body weight, body composition, energy expenditure, and caloric intake.
Main Methods:
- A randomized, double-blind, placebo-controlled trial involving adults with obesity.
- Participants received intranasal oxytocin (24 IU) or placebo four times daily for 8 weeks.
- Primary endpoint: change in body weight; secondary endpoints: changes in body composition, resting energy expenditure, and caloric intake.
Main Results:
- No significant difference in body weight change was observed between the oxytocin and placebo groups.
- Oxytocin did not show beneficial effects on body composition or resting energy expenditure.
- Oxytocin administration was associated with a reduction in caloric intake during a test meal.
Conclusions:
- Intranasal oxytocin administered for 8 weeks did not result in significant weight reduction in adults with obesity.
- Further research may be needed to explore oxytocin's role in appetite regulation.
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