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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
欧利斯塔特对肥胖青少年体重和身体组成的影响:一项随机对照试验
Jean-Pierre Chanoine1, Sarah Hampl, Craig Jensen
1Endocrinology and Diabetes Unit, British Columbia Children's Hospital, Vancouver, Canada. jchanoine@cw.bc.ca
JAMA
|June 16, 2005
概括
奥利斯塔特,结合生活方式的改变,显著有助于青少年的体重管理. 这种肥胖治疗方法在一年内改善了BMI和脂肪量减少,但副作用是可以控制的.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肥胖问题研究研究
- 药理干预药理干预
背景情况:
- 儿童和青少年超重和肥胖的患病率不断上升.
- 在这种人口群体中,行为疗法对持续减肥的成功有限.
- 青少年肥胖症的药理疗法尚未得到充分探索.
研究的目的:
- 评估orlistat在青少年体重管理中的有效性和安全性.
- 评估orlistat对身体质量指数 (BMI) 和其他人类测量指标的影响.
- 调查orlistat对肥胖青少年代谢参数的影响.
主要方法:
- 多中心,随机,双盲,安慰剂对照试验.
- 在54周的时间里,参与了539名肥胖青少年 (年龄为12-16岁).
- 与低热量饮食,运动和行为治疗一起服用orlistat (120毫克三次) 或安慰剂.
主要成果:
- 与安慰剂相比,奥利斯塔特显著降低了BMI (0.55对0.31的增加,P = .001).
- 较高的百分比的orlistat接受者实现了≥5%和≥10%的BMI减少 (26.5%和13.3%对比15.7%和4.5%).
- 奥尔利斯塔特减少了脂肪质量和腰围,胃肠道不良事件更频繁.
结论:
- 作为生活方式干预措施的辅助,orlistat有效地改善了肥胖青少年的体重管理.
- 在这群人群中,一年的orlistat治疗没有显示出任何重大安全问题.
- 胃肠道副作用更常见于orlistat,但一般为轻度至中度.
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