Medicinal strategies in the treatment of obesity
Abstract
When prevention fails, medicinal treatment of obesity may become a necessity. Any strategic medicinal development must recognize that obesity is a chronic, stigmatized and costly disease that is increasing in prevalence. Because obesity can rarely be cured, treatment strategies are effective only as long as they are used, and combined therapy may be more effective than monotherapy. For a drug to have significant impact on body weight it must ultimately reduce energy intake, increase energy expenditure, or both. Currently approved drugs for long-term treatment of obesity include sibutramine, which inhibits food intake, and orlistat, which blocks fat digestion.
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Inhibiting reuptake of norepinephrine, dopamine, and serotonin is the strategy employed by drugs such as sibutramine, which are effective but have side effects such as increased blood pressure and heart rate.
“inhibiting their reuptake is the strategy employed by drugs such as sibutramine, which have proven effective but have side effects such as increased blood pressure and heart rate [40].”
From Regulation of obesity and insulin resistance by nitric oxide (2014) · cites this paper as [40]
Orlistat promotes weight loss, but side effects caused discontinuation of the medication in many patients.
“orlistat promotes weight loss; however, side effects caused discontinuation of the medication in many patients [40].”
From Regulation of obesity and insulin resistance by nitric oxide (2014) · cites this paper as [40]
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- Authors
- Bray, G. A., & Tartaglia, L. A.
- Affiliations
- Pennington Biomedical Research Center (US)
- Takeda Oncology (United States) (US)
- ORCID
- Bray, George A.
- Venue
- Nature
- Published
- 2000-04
- Volume
- 404
- Issue
- 6778
- Pages
- 672-677
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W1489925379
- Cited by
- 432
- References
- 93
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 15 · 2020: 11 · 2019: 14 · 2018: 12 · 2017: 14 · 2016: 19 · 2015: 11 · 2014: 25 · 2013: 12 · 2012: 23
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Keywords
- obesity, anti-obesity drugs, sibutramine, orlistat, energy expenditure, energy intake, combination therapy, chronic disease, obesity treatment strategies
- MeSH terms
- Adipose Tissue, Dietary Fats, Eating, Energy Metabolism, Humans, Intestinal Absorption, Neuropeptides, Obesity, Anti-Obesity Agents
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.
What counts as a claim ›How we measure confidence ›How we check this ›
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