Randomized, double-blind, placebo-controlled, multicenter study of sibutramine in obese hypertensive patients.

Abstract:

OBJECTIVES:To compare weight loss efficacy, safety and tolerability of sibutramine and placebo in mildly to moderately obese hypertensive subjects; to assess the effect of weight loss on blood pressure. DESIGN:Randomized, double-blind, parallel-group; 3-week placebo run-in and 12-week treatment phase. SETTING:Nine hospital outpatient clinics and general practices in the Netherlands. PARTICIPANTS:127 men and women, 18-65 years old, with body mass indices (BMI) ranging from 27 to 40 kg/m(2) and stabilized hypertension - mean resting diastolic blood pressure of 90-120 mm Hg - with or without antihypertensive medication. INTERVENTIONS:Sibutramine 10 mg once daily; placebo. MAIN OUTCOME MEASURES:Body weight, blood pressure, routine laboratory and clinical safety monitoring. RESULTS:Of 113 evaluable patients, 54 received sibutramine and 59 placebo. Weight reduction was significantly greater with sibutramine from week 2 onwards (last observation carried forward): mean, 4.4 kg with sibutramine and 2.2 kg with placebo (p = 0.002); mean percentage weight reduction, 4.7 and 2.3%, respectively (p < 0.001); mean BMI reduction, 1.6 and 0.8 kg/m(2), respectively (p < 0.01). Reduction in excessive body weight was associated with a reduction in blood pressure in both groups, although the mean reduction in supine diastolic blood pressure was numerically, but not statistically significantly, greater in the placebo group (5.7 mm Hg) compared with the sibutramine group (4.0 mm Hg; p = 0.21). Similar reductions were seen in supine systolic blood pressure. Both treatments were well tolerated. CONCLUSIONS:Sibutramine 10 mg once daily is a useful, effective therapy for obesity in the presence of stable hypertension.

journal_name

Cardiology

journal_title

Cardiology

authors

Hazenberg BP

doi

10.1159/000047310

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

152-8

issue

3

eissn

0008-6312

issn

1421-9751

pii

47310

journal_volume

94

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    authors: Blane GF

    更新日期:1989-01-01 00:00:00

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    authors: Neto JA,Gallo L Jr,Manço JC,Rassi A,Amorim DS

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    pub_type: 杂志文章

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    更新日期:1996-05-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1993-01-01 00:00:00

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章

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    更新日期:1994-01-01 00:00:00

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    pub_type: 杂志文章,评审

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    更新日期:1994-01-01 00:00:00

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    更新日期:1993-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1993-01-01 00:00:00

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    journal_title:Cardiology

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    pub_type: 临床试验,杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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