Cited by 759Pharmacology and Obesity TreatmentBariatric Surgery and OutcomesEating Disorders and Behaviors

Executive Summary

Open access
·1998·Obesity Research

Abstract

As of September 1997, the Food and Drug Administration (FDA) requested the voluntary withdrawal from the market of dexfenfturarnine and fenfturamine due to a reported association between valvular disease and the use of dexfenfturamine or fenfturamine alone or combined with phentermine.The use of these drugs for weight reduction, therefore, is not recommended in this report.Sibutramine is approved by FDA for long-term use.It has limited but definite effects on weight loss and can facilitate weight loss maintenance.(Note: FDA approval for orlistat is pending a resolution of labeling issues and results of Phase III trials.)

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Registry

Crossref · 10.1002/j.1550-8528.1998.tb00690.x

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  • Short-term studies show numerous benefits of weight loss, including improvements in glycemic control, cardiovascular disease risk factors, quality of life, and other obesity-related comorbidities.

    “This recommendation is based on short-term studies showing numerous benefits of weight loss, including improvements in glycemic control, cardiovascular disease risk factors, quality of life and other obesity-related comorbidities.2”

    From Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes (2013) · cites this paper as [2]

    The Evidence-Based Guidelines and Blood Glucose sections (p. 58S) report improvements in cardiovascular risk factors and blood glucose with weight loss; the diabetes discussion (p. 90S) also reports improved glycemic control. The Surgery section reports improvements in obesity-related comorbidities, but says only that obesity impairs quality of life—not that short-term weight-loss studies found quality-of-life improvements. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • ATP III cutpoints for abdominal obesity came from the 1998 NIH obesity clinical guidelines: waist circumference at least 102 cm for men and at least 88 cm for women.

    “Its cutpoints for abdominal obesity came from the definition in the 1998 National Institutes of Health obesity clinical guidelines 108 ; they were a waist circumference of Ն102 cm (Ն40 in) for men and Ն88 cm (Ն35 in) for women.”
  • Weight reduction and keeping a lower weight are best accomplished through reduced calorie intake, more physical activity, and behavior-change principles.

    “Both weight reduction and maintenance of a lower weight are best achieved by a combination of reduced caloric intake and increased physical activity and the use of principles of behavior change.”

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Cited by

Sorted by citations

Venue
Obesity Research
Publisher
Wiley
Published
1998-09
Volume
6
Issue
S2
ISSN
  • 1071-7323 (ISSN-L)
  • 1550-8528
OpenAlex
W4246016694
Cited by
758
References
0
Citations by year
2026: 9 · 2025: 6 · 2024: 11 · 2023: 11 · 2022: 15 · 2021: 14 · 2020: 14 · 2019: 19 · 2018: 16 · 2017: 23 · 2016: 32 · 2015: 36 · 2014: 50 · 2013: 45 · 2012: 42
FWCI
10.98
Type
journal article
Language
en
Open access
Locations
Obesity Research (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
dexfenfluramine, fenfluramine, valvular heart disease, phentermine, sibutramine, orlistat, weight loss, weight loss maintenance, obesity pharmacotherapy, drug safety

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