Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Pediatr+(Phila) 2015 ; 54 (1): 19-24 Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Topiramate for Weight Reduction in Adolescents with Severe Obesity #MMPMID25027265
Fox CK; Marlatt KL; Rudser KD; Kelly AS
Clin Pediatr (Phila) 2015[Jan]; 54 (1): 19-24 PMID25027265show ga
Background: Medications for use as an adjunct to lifestyle modification (LSM) for severe adolescent obesity are limited. Topiramate results in weight reduction in adults with obesity, but has not been studied in adolescents. Objective: To examine the effect of topiramate plus LSM on BMI reduction in adolescents with severe obesity. Methods: Data for this retrospective chart review were collected from patients attending a pediatric weight management program who were treated with LSM plus topiramate for 3 months minimum. Mean BMI percent change from baseline was evaluated using t-tests. Results: Twenty-eight patients (mean age 15.2±2.5 years, mean baseline BMI 46.2±10.3 kg/m2) were identified for inclusion. The 6-month percent change in BMI was ?4.9, 95% CI (?7.1, ?2.8), p <0.001. Conclusions: Topiramate with concurrent LSM was associated with clinically-meaningful BMI reduction in adolescents with severe obesity. Randomized controlled clinical trials examining efficacy and safety of topiramate for severe obesity in adolescents are needed.