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Obesity pharmaceutical correction in metabolic syndrome patients

Abstract

Very high prevalence of obesity and metabolic syndrome (MS) is well known. The need for early treatment start and more selective pharmaceutical treatment of MS has been noted in many publications. As pathogenetic therapy, numerous methods for body mass (BM) reduction have been proposed, due to well-known prevalent role of obesity in MS pathogenesis. Because of various reasons, many medications haven’t achieved wide acceptance in clinical settings. The article summarizes the experience in BM reduction with an effective drug – orlistat (Xenical®). Based on the authentic authors’ data, beneficial effects of orlistat on carbohydrate and lipid metabolism, 24-hour blood pressure profile, and cerebral perfusion are demonstrated. The authors prove that orlistat is highly recommended for cardiovascular complication risk reduction in MS patients.

About the Authors

V. B. Mychka
A.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Scientific and Clinical Complex, Ministry of Health of the Russian Federation, Moscow
Russian Federation


I. E. Chazova
A.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Scientific and Clinical Complex, Ministry of Health of the Russian Federation, Moscow
Russian Federation


V. V. Gornostaev
A.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Scientific and Clinical Complex, Ministry of Health of the Russian Federation, Moscow
Russian Federation


V. B. Sergienko
A.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Scientific and Clinical Complex, Ministry of Health of the Russian Federation, Moscow
Russian Federation


References

1. Hubert HB, Feinleib M, McNamara PM, et al. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham heart study. Circulation 1983; 67: 968-77.

2. Silverstone T. Appetite suppressants. Drugs 1992; 43(6): 820-36.

3. McCann U, Seiden L, Rubin L, Ricaurte G. Brain Serotonin Neurotoxicity and Primary Pulmonary Hypertension From Fenfluramine and Dexfenfluramine. JAMA 1997; 278: 666-72.

4. Weissman N, Tighe J, Gottdiener J, et al. Prevalence of valvular-regurgitation associated with dexfenfluramine three to fine months after discontinuation of treatment. JACC 1999; 34(7):- 2088-95.

5. Guy-Grand B. The clinical uses of dexfenfluramine in the management of obe-sity. Rev Contemp Pharmacother 1991; 2(2): 115-28.

6. Hansen D, Toubro S, Stock M, et al. The effect of sibu-tramine on energy expenditure and appetite during chronic treatment without dietary restriction. Int J Obes Relat Metab Disord 1999; 23(10): 1016-24.

7. Ackroff K, Sclafani A. Effects of the lipase inhibitor orlistat on intake and preference for dietary fat in rats. Am J Physiol 1996; 271(1 Pt 2): 48-54.

8. Despres JP. The impact of orlistat on the multifactorial risk profile of abdominally obese patients. Diabetes 1998; 48: 1-307.

9. Drent M, Larsson I, William-Olsson T, et al. Orlistat (Ro 18- 0647), a lipase inhibitor, in the treatment of human obesity: a multiple dose study. Int J Obes Relat Metab Disord 1995; 19(4): 221-6.

10. Zavoral JH. Treatment with orlistat reduces cardiovascular risk in obese patients. J Hypertens 1998; 16: 2013-7.

11. Hollander P, Elbein S, Hirsch I, et al. Role of orlistat in the treatment of obese patients with type 2 diabetes. Diabetes Care 1998; 21: 1288-94.

12. Kelley D, Bray G, Xavier F, et al. Clinical efficacy of orlistat therapy in overweigh and obese patients with insulin-treated type 2 diabetes. Diabetes Care 2002; 25: 1033-41.

13. Torgerson JS, Hauptman J, Boldrin MN, Sjostrom L. XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care 2004; 27(1): 155-61. Erratum in: Diabetes Care 2004; 27(3):856.

14. Wirth A. Reduction of body weight and co-morbidities by orlistat: The XXL – Primary Health Care Trial. .Diabetes Obes Metab 2005; 7(1): 21-7.

15. Swinburn BA, Carey D, Hills AP, et al. Effect of orlistat on cardiovascular diseases risk in obese adults. Diabetes Obes Metab 2005; 7(3): 254-62.

16. Didangelos TP, Thanopoulou AK, Bouaboulas SH, et al. The Orlistat and Cardiovascular risk in patients with metabolic syndrome and tyre 2 Diabetes (ORLICARDIA) Study. Curr Med Res Opin 2004; 20(09): 1393-401.

17. Guy-Grand B, Drouin P, Eschwege E, et al. Effects of orlistat on obesity-related diseases – a six-month randomized trial. Diabetes Obes Metab 2004; 6(5): 375-83.

18. Zhi J, Melia A, Guerciolini R, et al. Retrospective populationbased analysis of the dose-response (fecal fat excretion) relationship of orlistat in normal and obese volunteers. Clin Pharmacol Ther 1994; 56: 82-5.

19. Hauptman J. Orlistat is a well tolerated, long-term treatment for obesity. Int J Obes Relat Metab Disord 1998; 22 (Suppl. 3): P678.

20. Мычка В.Б., Творогова М.Г., Яськова К.Н., Чазова И.Е. Терапия ксеникалом больных артериальной гипертонией и метаболическим синдромом. Артер гиперт 2002; 8(1): 16-9.


Review

For citations:


Mychka V.B., Chazova I.E., Gornostaev V.V., Sergienko V.B. Obesity pharmaceutical correction in metabolic syndrome patients. Cardiovascular Therapy and Prevention. 2005;4(4):79-84. (In Russ.)

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)