author_facet Fox, Claudia K.
Marlatt, Kara L.
Rudser, Kyle D.
Kelly, Aaron S.
Fox, Claudia K.
Marlatt, Kara L.
Rudser, Kyle D.
Kelly, Aaron S.
author Fox, Claudia K.
Marlatt, Kara L.
Rudser, Kyle D.
Kelly, Aaron S.
spellingShingle Fox, Claudia K.
Marlatt, Kara L.
Rudser, Kyle D.
Kelly, Aaron S.
Clinical Pediatrics
Topiramate for Weight Reduction in Adolescents With Severe Obesity
Pediatrics, Perinatology and Child Health
author_sort fox, claudia k.
spelling Fox, Claudia K. Marlatt, Kara L. Rudser, Kyle D. Kelly, Aaron S. 0009-9228 1938-2707 SAGE Publications Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1177/0009922814542481 <jats:p> Background. Medications for use as an adjunct to lifestyle modification therapy (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 body mass index (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/m<jats:sup>2</jats:sup>) were identified for inclusion. The 6-month percent change in BMI was −4.9, 95% confidence interval (−7.1, −2.8), P &lt; .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. </jats:p> Topiramate for Weight Reduction in Adolescents With Severe Obesity Clinical Pediatrics
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title Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_unstemmed Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_full Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_fullStr Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_full_unstemmed Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_short Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_sort topiramate for weight reduction in adolescents with severe obesity
topic Pediatrics, Perinatology and Child Health
url http://dx.doi.org/10.1177/0009922814542481
publishDate 2015
physical 19-24
description <jats:p> Background. Medications for use as an adjunct to lifestyle modification therapy (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 body mass index (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/m<jats:sup>2</jats:sup>) were identified for inclusion. The 6-month percent change in BMI was −4.9, 95% confidence interval (−7.1, −2.8), P &lt; .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. </jats:p>
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author Fox, Claudia K., Marlatt, Kara L., Rudser, Kyle D., Kelly, Aaron S.
author_facet Fox, Claudia K., Marlatt, Kara L., Rudser, Kyle D., Kelly, Aaron S., Fox, Claudia K., Marlatt, Kara L., Rudser, Kyle D., Kelly, Aaron S.
author_sort fox, claudia k.
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description <jats:p> Background. Medications for use as an adjunct to lifestyle modification therapy (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 body mass index (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/m<jats:sup>2</jats:sup>) were identified for inclusion. The 6-month percent change in BMI was −4.9, 95% confidence interval (−7.1, −2.8), P &lt; .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. </jats:p>
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spelling Fox, Claudia K. Marlatt, Kara L. Rudser, Kyle D. Kelly, Aaron S. 0009-9228 1938-2707 SAGE Publications Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1177/0009922814542481 <jats:p> Background. Medications for use as an adjunct to lifestyle modification therapy (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 body mass index (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/m<jats:sup>2</jats:sup>) were identified for inclusion. The 6-month percent change in BMI was −4.9, 95% confidence interval (−7.1, −2.8), P &lt; .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. </jats:p> Topiramate for Weight Reduction in Adolescents With Severe Obesity Clinical Pediatrics
spellingShingle Fox, Claudia K., Marlatt, Kara L., Rudser, Kyle D., Kelly, Aaron S., Clinical Pediatrics, Topiramate for Weight Reduction in Adolescents With Severe Obesity, Pediatrics, Perinatology and Child Health
title Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_full Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_fullStr Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_full_unstemmed Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_short Topiramate for Weight Reduction in Adolescents With Severe Obesity
title_sort topiramate for weight reduction in adolescents with severe obesity
title_unstemmed Topiramate for Weight Reduction in Adolescents With Severe Obesity
topic Pediatrics, Perinatology and Child Health
url http://dx.doi.org/10.1177/0009922814542481