Cardiovascular effects of anti-obesity medications: the perils and promise DOI Creative Commons
Haoyi Zheng

Cardiology Plus, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

Anti-obesity medications have gone through a tumultuous course of approvals and withdrawals, often triggered by serious cardiovascular complications. Early agents, including amphetamines fenfluramine–phentermine, were once widely used but ultimately banned or voluntarily withdrawn due to Sibutramine followed similar trajectory when clinical trials revealed increased event rates, prompting its market withdrawal. Lorcaserin, initially promising for weight management without significant risks, was after postmarketing surveillance potential link cancer incidence. Although more recent medications, orlistat, phentermine–topiramate, naltrexone–bupropion, remain available, their cardiometabolic benefits are modest, long-term outcome data inconclusive still lacking. The emergence glucagon-like peptide 1 (GLP-1) receptor agonists co-agonists has transformed obesity management. Liraglutide, semaglutide, tirzepatide, originally developed type 2 diabetes, demonstrated substantial sustained loss along with notable improvements in markers. In high-risk populations, randomized liraglutide semaglutide also shown reductions major adverse events. Moreover, tirzepatide exhibited patients heart failure preserved ejection fraction obesity. Overall, GLP-1 hold promise, however, questions regarding safety effects broader populations. history approval withdrawal anti-obesity underscores the importance surveillance. As evidence continues accumulate, balance between efficacy will guide optimal use both risk reduction.

Language: Английский

Appropriate use of the fixed-dose, extended-release combination of naltrexone and bupropion as treatment for obesity in primary care DOI Creative Commons

Ethan Lazarus

Obesity Pillars, Journal Year: 2025, Volume and Issue: 14, P. 100170 - 100170

Published: Feb. 26, 2025

Obesity is considered a chronic disease and influenced by biological, environmental, behavioral factors that can contribute to its progression. Although lifestyle changes are integral treating obesity maintaining healthful weight, weight reduction from intervention alone often insufficient because neurophysiologic may work against such in behavior. Research suggests the mechanisms underlying food cravings overlap with dopaminergic signaling brain pathways involved addiction. As result, patients who differentially impacted have better outcomes treatments targeting neural systems implicated both homeostatic hedonic consumption or addictive behaviors. In this clinical review, we describe safety efficacy data for fixed-dose, extended-release combination of naltrexone bupropion (NB-ER) compared monotherapy constituents (naltrexone bupropion), as well discuss appropriate use NB-ER treat obesity. approved treatment obesity, studies showing achieve significant placebo when combined reduced-calorie diet increased physical activity. Across phase 3 trials, responders had mean body 11.7 % at 56 weeks. Of note, unique naltrexone, an opioid receptor antagonist, bupropion, norepinephrine-dopamine reuptake inhibitor associated stimulating pro-opiomelanocortin cells (POMC), together target POMC prevent endogenous negative feedback, thereby decreasing appetite improving weight-related outcomes. Unlike component drugs, optimized The should consider specific characteristics adiposity-related complications individual.

Language: Английский

Citations

0

GLP-1RA: New Hope in Obesity Therapy DOI Open Access
Danfeng Zhang, Hongyun Lu

Journal of Biosciences and Medicines, Journal Year: 2025, Volume and Issue: 13(02), P. 465 - 479

Published: Jan. 1, 2025

Language: Английский

Citations

0

Medikamentöse Therapie der Adipositas bei Kindern und Jugendlichen DOI Creative Commons

Julia Lischka,

Gabriel Torbahn, Katharina Mörwald

et al.

Monatsschrift Kinderheilkunde, Journal Year: 2025, Volume and Issue: unknown

Published: March 5, 2025

Citations

0

Relationships Between Body Image and Body Parameters in Men Under Long-Term Fasting Conditions DOI Open Access
Alicja Głębocka, Wiesław Pilis, Alicja Żak-Łykus

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(6), P. 1023 - 1023

Published: March 14, 2025

Background/Objectives: Fasting and physical exertion positively affect body mass composition. This study aimed to examine the effects of changes induced by eight days water-only fasting a test their influence on satisfaction image parameters in middle-aged men. Methods: Fifteen participants were assessed for (height, mass, composition) psychological (body satisfaction, evaluation parts, determinants) aspects before after intervention, both at rest post-exercise. Correlation concordance coefficients calculated analyzed variables. Results: It was found that intervention led reduction favorable shift composition, while also increasing with one’s its specific parts. impacted volunteers’ self-assessment health status. Selected remained an average level male population did not change following fasting. Attitudes toward weight control methods perceived effectiveness either. Participants favored reducing food intake eliminating high-calorie products from diet, rejecting use pathological typically associated eating disorders. A few associations between corporeality observed, whereas significant correlations parts positive confirmed. Conclusions: The above suggest conditions resulting lead components but do alter image.

Language: Английский

Citations

0

Cardiovascular effects of anti-obesity medications: the perils and promise DOI Creative Commons
Haoyi Zheng

Cardiology Plus, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

Anti-obesity medications have gone through a tumultuous course of approvals and withdrawals, often triggered by serious cardiovascular complications. Early agents, including amphetamines fenfluramine–phentermine, were once widely used but ultimately banned or voluntarily withdrawn due to Sibutramine followed similar trajectory when clinical trials revealed increased event rates, prompting its market withdrawal. Lorcaserin, initially promising for weight management without significant risks, was after postmarketing surveillance potential link cancer incidence. Although more recent medications, orlistat, phentermine–topiramate, naltrexone–bupropion, remain available, their cardiometabolic benefits are modest, long-term outcome data inconclusive still lacking. The emergence glucagon-like peptide 1 (GLP-1) receptor agonists co-agonists has transformed obesity management. Liraglutide, semaglutide, tirzepatide, originally developed type 2 diabetes, demonstrated substantial sustained loss along with notable improvements in markers. In high-risk populations, randomized liraglutide semaglutide also shown reductions major adverse events. Moreover, tirzepatide exhibited patients heart failure preserved ejection fraction obesity. Overall, GLP-1 hold promise, however, questions regarding safety effects broader populations. history approval withdrawal anti-obesity underscores the importance surveillance. As evidence continues accumulate, balance between efficacy will guide optimal use both risk reduction.

Language: Английский

Citations

0