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Evidence-Based Medicine 2001; 6:54
© 2001 Evidence-Based Medicine

Orlistat with diet was effective and safe for weight loss and coronary risk reduction in obesity

Lindgärde F, on behalf of the Orlistat Swedish Multimorbidity Study Group.The effect of orlistat on body weight and coronary heart disease risk profile in obese patients: the Swedish Multimorbidity Study.J Intern Med 2000 Sep;248:245–54[Medline]

QUESTION: What is the effectiveness of orlistat for weight loss and coronary artery disease risk factor reduction in people who are obese and have >=1 coronary risk factor?

Design
Randomised (unclear allocation concealment*), blinded (patients, outcome assessors),* placebo controlled trial with 1 year follow up.

Setting
33 primary care centres in Sweden.

Patients
376 patients between 18 and 75 years of age (mean age 53 y, 64% women) who had a body mass index between 28 and 38 kg/m2. Patients had to have >=1 of the following: fasting serum glucose concentration >=6.7 mmol/l or type-2 diabetes mellitus treated with sulfonylurea or metformin (not insulin); cholesterol concentration >=6.5 mmol/l or low density lipoprotein (LDL) cholesterol concentration >=4.2 mmol/l on >=2 occasions, or lipid lowering medication; or diastolic blood pressure concentration >=90 mm Hg on >=2 occasions or on hypertension treatment. Exclusion criteria were lactation, pregnancy, or not using adequate contraception; recent myocardial infarction; gastrointestinal surgery for weight reduction; gastrointestinal disorders; pancreatic disease; history of postsurgical adhesions; excessive alcohol intake; substance abuse; or use of systemic steroids or weight or lipid . . . [Full text of this article]

Paul D Levinson, MD

Memorial Hospital of Rhode Island Pawtucket, Rhode Island, USA







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