Does metabolic syndrome mitigate weight loss in overweight Mexican American women treated for 1-year with orlistat and lifestyle modification?
OBJECTIVE
To investigate the effects of a pharmacotherapy (orlistat) plus lifestyle management (OLM) intervention on weight loss in Mexican American women with and without metabolic syndrome (MS).


METHODS
One hundred and seven female participants aged 21-65 years and of Mexican origin were randomized to either OLM or a wait-list control group (WLC) for one year. The lifestyle interventions were tailored to exhibit features of the Mexican culture. Within each group, subjects with MS were compared to those without MS to assess whether its presence mitigates weight loss. Risk factors for MS also were assessed.


RESULTS
Participants with MS in the OLM group experienced significant decreases in weight and body mass index (BMI) as compared to participants without MS. Participants with MS in the OLM group and who completed the study lost 9.3+/-7.5 kg (20.5+/-16.5 lb) as compared to participants with MS in the WLC group, who only lost 0.2+/-3.1 kg (0.4+/-6.8 lb). Further, participants with MS in the OLM group who completed the study experienced a 3.1+/-3.9 kg/m2 decrease in BMI whereas participants with MS in the WLC group only experienced a 0.1+/-1.2 kg/m2 decrease in BMI. No changes in other MS risk factors were significant.


CONCLUSIONS
Patients with MS experienced significant weight loss and decreases in BMI as a result of a lifestyle and pharmacotherapy intervention.
Pinkston
M M
MM
Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, MO 64110, USA. MeganPinkston@umkc.edu
Poston
W S C
WS
Reeves
R S
RS
Haddock
C K
CK
Taylor
J E
JE
Foreyt
J P
JP
D000328:Adult; D000368:Aged; D019440:Anti-Obesity Agents / Q000627:therapeutic use*; D015992:Body Mass Index; D003131:Combined Modality Therapy; D015444:Exercise; D005260:Female; D006801:Humans; D007783:Lactones / Q000627:therapeutic use*; D008019:Life Style; D024821:Metabolic Syndrome / Q000097:blood / Q000208:ethnology / Q000628:therapy*; D017058:Mexican Americans; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000208:ethnology / Q000628:therapy*; D000077403:Orlistat; D050177:Overweight; D012307:Risk Factors; D015431:Weight Loss
D019440:Anti-Obesity Agents; D007783:Lactones; D000077403:Orlistat