A one-year trial to assess the value of orlistat in the management of obesity.
James WP, Avenell A, Broom J, Whitehead J.
Summary: This study was designed to assess the efficacy and tolerability of Orlistat 120mg as a weight loss pill compared to a calorie reduced diet alone. Patients 18 or older with BMI between 30 and 43 were placed on calorie reduced diets taking either Orlistat or a placebo 3 times a day for 52 weeks.
The study found a 5.5kg reduction in body weight of the placebo group compared to an average 8.6kg reduction in body weight of the orlistat group. They also found that the placebo group tended to gain some weight back, whereas the Xenical Orlistat group maintained their weight loss. The orlistat group also experienced a total LDL cholesterol drop by 4.2%. However, the researchers noted that the orlistat group experienced increase in intestinal symptoms, but were well tolerated. They concluded that taking Xenical diet pill with a healthy, low calorie diet confers advantages in long term management of obesity.
Randomised placebo-controlled trial of orlistat for weight loss and prevention of weight regain in obese patients.
Sjostrom L, Rissanen A, Andersen T, Boldrin M, Golay A, Koppeschaar HP, Krempf M.
Summary: The study involved 743 patients in a randomised trail over a 2 year period treated with 120mg Xenical or a placebo. The patients followed a reduced calorie diet with a 600 kcal/day deficit. The study found that in year 1, the Orlistat group lost on average 10.2% body weight compared to 6.1% loss for the placebo group. During year 2, they found that patients who continued with Orlistat regained half as much weight compared to the placebo group.
Total and LDL cholesterol levels also reduced more in the orlistat group, who also experienced more gastrointestinal events compared to placebo group. They concluded that taking Xenical Orlistat with a healthy diet promotes significant weight loss and reduces weight re-gain after a 2 year period.
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