MMSL 2016, 85(1):13-18 | DOI: 10.31482/mmsl.2016.003

ORLISTAT AND PHENTERMINE IN WEIGHT LOSS IN SELECTED CZECH POPULATIONOriginal article

Vladimír Pavlík ORCID...1, Jana Fajfrová ORCID...1*, Jan M. Horáček ORCID...1, Václav Šafka ORCID...1, Pavla Krutišová ORCID...1, Miroslav Urban1, Peter Urban2, Jana Gazdačková3, Petr Navrátil4
1 Department of Military Internal Medicine and Military Hygiene, Faculty of Military Health Sciences, University of Defence, Hradec Králové
2 First Faculty of Medicine, Charles University, Prague
3 Language Centre, Faculty of Military Health Sciences, University of Defence, Hradec Králové
4 Military Medical Department, Division of Support, Ministry of Defence, Prague

Aim: To describe effectiveness of orlistat and phentermine in soldiers of the Armed Forces of the Czech Republic.

Methods: In ambulatory patients, some anthropometric and biochemical parameters were compared before administration with 120 mg of orlistat three times a day or 15 mg of phentermine once a day. The same parameters were compared after a three-month therapy. This group included 289 patients (238 males and 51 females) who were administered the same dose of orlistat or phentermine for the entire period of time.

Results: Statistically significant weight loss in both genders, on average by 4.6 ± 4.2 kg in males and by 5.3 ± 4.3 kg in females, was observed in patients taking orlistat within three months. Statistically significant weight loss, on average by 6.5 ± 6.0 kg in males and by 5.2 ± 4.3 kg in females, was also observed in patients taking phentermine for the same period of time. As for monitored biochemical parameters, a decrease of total cholesterol, HDL cholesterol and glucose at a statistically significant level (p<0.05) was observed in the group of females, the same statistically significant decrease, but in triglycerides, was proved in the group of males. Then a decrease of total cholesterol and increase of HDL cholesterol at a statistically significant level (p<0.001) was observed in the group of males.

Conclusion: We can state that in our patients we have proven a positive effect of orlistat or phentermine substitution on their weight reduction.

Keywords: Anti-obesity agents; Pharmacotherapy of obesity; Weight reduction; Health support; Czech Armed Forces

Received: February 11, 2016; Revised: February 19, 2016; Published: March 4, 2016  Show citation

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Pavlík, V., Fajfrová, J., Horáček, J.M., Šafka, V., Krutišová, P., Urban, M., ... Navrátil, P. (2016). ORLISTAT AND PHENTERMINE IN WEIGHT LOSS IN SELECTED CZECH POPULATION. MMSL85(1), 13-18. doi: 10.31482/mmsl.2016.003
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References

  1. Frühbeck, G.; Toplak, H.; Woodward, E.; Yumuk, V.; Maislos, M.; Oppert, JM. Executive Committee of the European Association for the Study of Obesity. Obesity: the gateway to ill health - an EASO position statement on a rising public health, clinical and scientific challenge in Europe. Obes. Facts. 2013, 6(2), 117-120. Go to original source... Go to PubMed...
  2. James, WP. The epidemiology of obesity: the size of the problem. J. Intern. Med. 2008, 263, 336-352. Go to original source... Go to PubMed...
  3. Ginter, E.; Simko, V. Adult obesity at the beginning of the 21st century: epidemiology, pathophysiology and health risk. Bratisl. Med. J. 2008, 109, 224-230.
  4. Fajfrová, J., Pavlík, V., Psutka, J., Husarová, M., Krutišová, P., Fajfr, M. Prevalence of overweight and obesity in professional soldiers of the Czech army over a 11-year period. Vojnosanitetski pregled. 2016 OnLine-First (00):112-112. DOI:10.2298/VSP141120112F Go to original source...
  5. Chaloupka, J.; Býma, S.; Hlúbik, P. Advanced Preventive Care Program in the Army of the Czech Republic. Voj. Zdrav. Listy. 2000, 69(2), 57-62 (in Czech).
  6. Pavlík, V.; Fajfrová, J.; Husárová, M.; Hlúbik, P. Prevention of overweight and obesity in the Army of the Czech Republic. Hygiena. 2011, 56(3), 85-87 (in Czech).
  7. Hainer, V. Comparative efficiency and safety of pharmacological approaches to the management of obesity. Diabetes Care. 2011, 34, 349-355. Go to original source... Go to PubMed...
  8. Bray, GA. Medical therapy for obesity. Mt. Sinai. J. Med. 2010, 77(5), 407-17. Go to original source... Go to PubMed...
  9. Matoulek, M. The manual of practical obesitology. NOL, Prague 2014, p 11-38 (in Czech).
  10. Van Gaal, LF.; Broom, JI.; Enzi, G.; Toplak, H. Efficacy and tolerability of orlistat in the treatment of obesity: a 6 - month dose-ranging study. Orlistat Dose-Ranging Study Group. Eur. J. Clin. Pharmacol. 1998, 54, 125-132. Go to original source...
  11. Derosa, G.; Maffioli, P.; Salvadeo, SA.; Ferrari, I.; Gravina, A.; Mereu, R. Comparison of orlistat treatment and placebo in obese type 2 diabetic patients. Expert. Opin. Pharmacother. 2010, 11, 1971-82. Go to original source... Go to PubMed...
  12. Allison, DB.; Gadde, KM.; Garvey, WT.; Peterson, CA.; Schwiers, ML.; Najarian, T. Controlled-release phentermine/topiramate in severely obese adults: a randomized controlled trial. Obesity. 2012, 20, 330-42. Go to original source... Go to PubMed...
  13. Gadde, KM.; Day WW. Low-dose, controlledrelease phentermin/topiramate for reduction of weight. Obesity reviews 2010, 11(1), 42-43.
  14. Hollander, P.; Elbein, SC.; Hirsch, I. Role of orlistat in the treatment of obese patients with type 2 diabetes. A one year randomized double blind study. Diab care. 1998, 21, 1288-1294. Go to original source... Go to PubMed...
  15. Sjostrom, L.; Rissanen, A.; Andersen, T. Randomized placebo controlled trial of orlistat for weight loss and prevention of weight regain in obese patients. European Multicentre Orlistat study Group. Lancet. 1998, 352, 167-172. Go to original source...
  16. Zhi, J.; Melia, AT.; Guerciolini, R. Retrospective population based analysis of the dose response (fecal fat excretion) relationship of orlistat in normal and obese volunteers. Clin. Pharmacol. Ther. 1994, 56, 82-85. Go to original source... Go to PubMed...
  17. Bays, HE.; Gadde, KM. Phentermine/topiramate for weight reduction and treatment of adverse metabolic consequences in obesity. Drugs Today. 2011, 47, 903-914. Go to original source... Go to PubMed...
  18. Waden, TA.; Berkowitz, RI.; Womble, LG.; Sarwer, DB.; Phelan, S.; Cato, RK. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N. Engl. J. Med. 2005, 353, 2111-2116. Go to original source... Go to PubMed...
  19. Ornellas, T.; Chavez, B. A New Approach to Weight Loss in Obese Adults. Pharmacy and Therapeutics. 2011, 36, 255-256, 261-262.
  20. Li, Z.; Maglione, M.; Tu, W.; Mojica, W.; Arterburn, D.; Shugarman, LR. Pharmacologic treatment of obesity. Ann. Intern. Med. 2005, 142, 532-538. Go to original source...
  21. Holes-Lewis, KA.; Malcolm, R.; O'Neil, PM. Pharmacotherapy of obesity: clinical treatments and considerations. Am. J. Med. Sci. 2013, 345, 284-288. Go to original source... Go to PubMed...