Evidence map›Paper›PMID 30174450›Full record

ReviewDiabetes, metabolic syndrome and obesity : targets and therapy2018

Medications that cause weight gain and alternatives in Canada: a narrative review.

Sean Wharton, Lilian Raiber, Kristin J Serodio, Jasmine Lee, Rebecca Ag Christensen

Abstract readReview
In one paragraph

Review in Diabetes, metabolic syndrome and obesity : targets and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  10. Can switching to doravirine/lamivudine/tenofovir DF halt or reverse INSTI-associated weight gain?Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
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  14. Weight, Anthropometric and Metabolic Changes After Discontinuing Antiretroviral Therapy Containing Tenofovir Alafenamide in People With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
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  16. Article
  17. Observational
  18. Article
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  20. Obesity Management in Adults: A Review.JAMA · 2023 · on this map
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sean WhartonThe Wharton Medical Clinic, Toronto, Canada, wharton@whartonmedicalclinic.com.
Lilian RaiberThe Wharton Medical Clinic, Toronto, Canada, wharton@whartonmedicalclinic.com.
Kristin J SerodioThe Wharton Medical Clinic, Toronto, Canada, wharton@whartonmedicalclinic.com.
Jasmine LeeThe Wharton Medical Clinic, Toronto, Canada, wharton@whartonmedicalclinic.com.
Rebecca Ag ChristensenThe Wharton Medical Clinic, Toronto, Canada, wharton@whartonmedicalclinic.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cause of the obesity epidemic is multifactorial, but may, in part, be related to medication-induced weight gain. While clinicians may strive to do their best to select pharmacotherapy(ies) that has the least negative impact on weight, the literature regarding the weight effects of medication is often limited and devoid of alternative therapies.

resultsAntipsychotics, antidepressants, antihyperglycemics, antihypertensives and corticosteroids all contain medications that were associated with significant weight gain. However, there are several medication alternatives within the majority of these classes associated with weight neutral or even weight loss effects. Further, while not all of the classes of medication examined in this review have weight-favorable alternatives, there exist many other tools to mitigate weight gain associated with medication use, such as changes in dosing, medication delivery or the use of adjunctive therapies.

conclusionMedication-induced weight gain can be frustrating for both the patient and the clinician. As the use of pharmaceuticals continues to increase, it is pertinent for clinicians to consider the weight effects of medications prior to prescribing or in the course of treatment. In the case where it is not feasible to make changes to medication, adjunctive therapies should be considered.

Indexed as

adjunctive therapyadverse effects of medicationsobesityweight gainweight lossweight neutral

Identifiers

PMID30174450
PMCPMC6109660

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.