Effectiveness and Safety of Antiobesity Medications in Patients With Obesity and Inflammatory Bowel Disease

Author:

Pham Jonathan T.1ORCID,Ghusn Wissam23ORCID,Acosta Andres23ORCID,Loftus Edward V.2ORCID,Johnson Amanda M.2

Affiliation:

1. Department of Internal Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA;

2. Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA;

3. Precision Medicine for Obesity Program, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.

Abstract

INTRODUCTION: Limited data exist evaluating antiobesity medications (AOM) in patients with inflammatory bowel disease (IBD). METHODS: We performed a case-control study evaluating the effectiveness and safety of AOM in patients with IBD with obesity, matched to non-IBD controls. RESULTS: After 12 months, the case (n = 36) and control (n = 36) groups achieved similar percent total body weight loss of −6.9 ± 8.3 and −8.1 ± 7.0 (P = 0.30), respectively. Side effect profiles were similar between groups. Seven patients experienced an IBD flare, all managed medically. DISCUSSION: AOM use in patients with IBD demonstrated similar effectiveness and safety when compared with that observed in the non-IBD population.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Gastroenterology,Hepatology

Reference15 articles.

1. Obesity in IBD: Epidemiology, pathogenesis, disease course and treatment outcomes;Singh;Nat Rev Gastroenterol Hepatol,2017

2. Impact of obesity on the management of inflammatory bowel disease;Johnson;Gastroenterol Hepatol (N Y),2020

3. The impact of obesity on the clinical course of inflammatory bowel disease: A meta-analysis;Hu;Med Sci Monit,2017

4. Effects of obesity on the course of inflammatory bowel disease;Pavelock;Proc (Bayl Univ Med Cent).,2019

5. Impact of bariatric surgery on outcomes of patients with inflammatory bowel disease: A nationwide inpatient sample analysis, 2004-2014;Sharma;Obes Surg,2018

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