Journal
OBESITY
Volume 24, Issue 12, Pages 2553-2561Publisher
WILEY
DOI: 10.1002/oby.21633
Keywords
-
Categories
Funding
- University of Minnesota Clinical and Translational Science Institute
- Vikings Children's Fund
- Minnesota Obesity Center (NIH Grant) [P30DK050456 NORC]
- National Center for Advancing Translational Sciences [UL1TR000114]
- NIH/NHLBI [F32-HL127851]
Ask authors/readers for more resources
Objective: To assess the safety and efficacy of short-term meal replacement therapy followed by topiramate for body mass index (BMI) reduction in adolescents with severe obesity. Methods: Adolescents (ages 12-18 years) with severe obesity (BMI >= 1.2 times the 95th percentile or BMI >= 35 kg/m(2)) were recruited for this double-blind, randomized, placebo-controlled trial. Participants completed 4 weeks of meal replacement therapy followed by randomization (1: 1) to either 24 weeks of topiramate 75 mg/day or placebo. Mean changes were compared between groups. Results: Thirty adolescents (mean age 15.2 +/- 1.7 years, mean BMI 40.3 +/- 4.6 kg/m(2)) completed the meal replacement phase and were randomized; 21 completed the study. The difference in mean percent change in BMI between the topiramate and placebo groups was not significant (-1.9%; 95% CI: -5.2% to +1.5%; P = 0.291). Significant improvements in visceral fat and very-low-density lipoprotein cholesterol were observed in the topiramate compared with the placebo group. There were no concerning changes in neurocognitive function or bone health. Conclusions: In this pilot study, 4 weeks of meal replacement therapy followed by 24 weeks of low-dose topiramate compared with meal replacement therapy alone did not result in significant BMI reduction for adolescents with severe obesity.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available