Obesity and the Cardiorenal Metabolic Syndrome: Therapeutic Modalities and Their Efficacy in Improving Cardiovascular and Renal Risk Factors

被引:19
作者
Jindal, Ankur [1 ]
Brietzke, Stephen [1 ]
Sowers, James R. [1 ,2 ,3 ]
机构
[1] Univ Missouri, Columbia Sch Med, Dept Internal Med, Columbia, MO 65212 USA
[2] Univ Missouri, Columbia Sch Med, Dept Med Pharmacol & Physiol, Columbia, MO 65212 USA
[3] Harry S Truman VA Med Ctr, Columbia, MO USA
关键词
Obesity; Cardiorenal metabolic syndrome; Cardiovascular disease; Kidney; LOW-FAT DIET; CONTROLLED-RELEASE PHENTERMINE/TOPIRAMATE; BODY-MASS INDEX; WEIGHT-LOSS; LOW-CARBOHYDRATE; BARIATRIC SURGERY; OVERWEIGHT ADULTS; RANDOMIZED-TRIAL; MEDICAL THERAPY; BLOOD-PRESSURE;
D O I
10.1159/000343803
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prevalence of obesity has increased rapidly in the United States. Obesity affects about one third of the adult population and, even though it is attributed to excess calorie intake and inadequate physical activity, its etiopathogenesis is much more complex and is an area of active study. Lifestyle modifications (with a focus on increased activity and decreased calorie intake) have modest efficacy in the treatment of obesity. There is a dearth of safe and effective therapeutic modalities to treat obesity. In this review, we discuss the role of different treatment options in the management of obesity and its comorbidities, with a focus on recently approved drugs and the emerging role of bariatric surgery. Copyright (C) 2012 S. Karger AG, Basel
引用
收藏
页码:314 / 327
页数:14
相关论文
共 71 条
[1]   Controlled-Release Phentermine/Topiramate in Severely Obese Adults: A Randomized Controlled Trial (EQUIP) [J].
Allison, David B. ;
Gadde, Kishore M. ;
Garvey, William Timothy ;
Peterson, Craig A. ;
Schwiers, Michael L. ;
Najarian, Thomas ;
Tam, Peter Y. ;
Troupin, Barbara ;
Day, Wesley W. .
OBESITY, 2012, 20 (02) :330-342
[3]  
[Anonymous], 2010, SURG GEN VIS HLTH FI
[4]  
[Anonymous], 1980, SCIENCE, DOI DOI 10.1126/SCIENCE.208.4448.1138
[5]  
[Anonymous], 2010, 200063 NDA END MET D
[6]  
[Anonymous], 1998, OBES RES S2, V39, P6
[7]   Effects of liraglutide in the treatment of obesity: a randomised, double-blind, placebo-controlled study [J].
Astrup, Arne ;
Rossner, Stephan ;
Van Gaal, Luc ;
Rissanen, Aila ;
Niskanen, Leo ;
Al Hakim, Mazin ;
Madsen, Jesper ;
Rasmussen, Mads F. ;
Lean, Michael E. J. .
LANCET, 2009, 374 (9701) :1606-1616
[8]   Nutritional deficiencies after bariatric surgery [J].
Bal, Bikram S. ;
Finelli, Frederick C. ;
Shope, Timothy R. ;
Koch, Timothy R. .
NATURE REVIEWS ENDOCRINOLOGY, 2012, 8 (09) :544-556
[9]   Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels - A meta-analysis of 21 cohort studies including more than 300,000 persons [J].
Bogers, Rik P. ;
Bemelmans, Wanda J. E. ;
Hoogenveen, Rudolf T. ;
Boshuizen, Hendriek C. ;
Woodward, Mark ;
Knekt, Paul ;
van Dam, Rob M. ;
Hu, Frank B. ;
Visscher, Tommy L. S. ;
Menotti, Alessandro ;
Thorpe, Roland J., Jr. ;
Jamrozik, Konrad ;
Calling, Susanna ;
Strand, Bjorn Heine ;
Shipley, Martin J. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (16) :1720-1728
[10]  
Bombelli M, 2012, NUTR METAB CARDIOVAS