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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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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 measuredATP 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.”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [108]
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.”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [108]
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Evenson, K. R., Aytur, S., & Borodulin, K. (2009) · Journal of Women s Health · doi:10.1089/jwh.2008.1309 · Cited by 186 · see citing works
Lack of Weight Gain and Relapse Risk in a Large Tuberculosis Treatment Trial
Khan, A., Sterling, T. R., Reves, R. R., Vernon, A. N., & Horsburgh, C. R. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200511-1834oc · Cited by 186 · see citing works
The Effect of Obesity on Clinical Outcomes After Lumbar Fusion
Djurasovic, M., Bratcher, K. R., Glassman, S. D., et al. (2008) · Spine · doi:10.1097/brs.0b013e31817b8f6f · Cited by 186 · see citing works
The Implications of Maternal Overweight and Obesity on the Course of Pregnancy and Birth Outcomes
Siega‐Riz, A., Siega‐Riz, A., & Laraia, B. A. (2006) · Maternal and Child Health Journal · doi:10.1007/s10995-006-0115-x · Cited by 184 · see citing works
Morasco, B. J., Pietrzak, R. H., Blanco, C., Grant, B. F., Hasin, D. S., & Petry, N. M. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000238466.76172.cd · Cited by 184 · see citing works
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Weight Change Is Associated With Change in Arterial Stiffness Among Healthy Young Adults
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Nonsurgical Management of Obesity in Adults
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Cardiovascular Risk Factors in Young Adult Survivors of Childhood Acute Lymphoblastic Leukemia
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The Roles of High School Completion and GED Receipt in Smoking and Obesity
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Obesity among Patients with HIV: The Latest Epidemic
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Body mass index and cancer: Results from the Northern Sweden Health and Disease Cohort
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Calcium Intake Trends and Health Consequences from Childhood through Adulthood
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Association of left ventricular hypertrophy with metabolic risk factors: the HyperGEN study
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- 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
- bronze
- doi.org
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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