Evidence map›Paper›PMID 41737647›Full record

SynthesisJournal of obesity2026

Long-Term Effects of Orlistat on Lipid Metabolism and Anthropometric Indices: A Meta-Analysis of Clinical Trials.

Alireza Khodadadiyan, Yalda Khazraei, Maliheh Kamali, Kimiya Kolaei, Parmida Aminzadeh, Golnaz Yazdanpanah, Ali Shams, Maryam Feili, Melika Ghaffari, Mehrasa Hosseini and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Alireza KhodadadiyanCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0001-6698-6552
Yalda KhazraeiCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0000-6002-538X
Maliheh KamaliCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0002-6578-8949
Kimiya KolaeiCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0001-7949-0641
Parmida AminzadehCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0006-3172-1072
Golnaz YazdanpanahCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0001-3337-9796
Ali ShamsCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0001-1140-839X
Maryam FeiliCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0004-8553-3814
Melika GhaffariSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0009-0005-5307-6265
Mehrasa HosseiniCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0002-2719-2124
Mehdi BazrafshanCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0003-0804-2611
Hamed Bazrafshan DrissiCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0002-5705-3504
Alireza ArzhangzadehCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran, sums.ac.ir.ORCID 0000-0002-7466-7487

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Orlistat is a potent lipase inhibitor utilized as a preventive agent for obesity and fat absorption control. Existing literature presents conflicting findings regarding its impact on lipid parameters. Methods: This systematic review followed the PRISMA guidelines and was registered in PROSPERO (ID: CRD42024550889). A comprehensive search of PubMed, Scopus, Web of Science, and Cochrane Register of Controlled Trials was conducted for studies published before January 19, 2025. Eligible studies included randomized controlled trials (RCTs) evaluating orlistat in adults (≥ 18 years) with dyslipidemia. Furthermore, the Grading of Recommendations, Assessment, Development, and Evaluations assessment tool was employed to analyze the certainty of evidence or each outcome. Results: A total number of 1369 participants, with 682 in treatment and 687 in control categories, were included in our study. Orlistat reduced body mass index (BMI) (SMD [95% CI]: -0.30 [-0.58, -0.03], Conclusion: Our findings suggest that orlistat meaningfully reduces BMI but is associated with decreased HDL-C, which may be undesirable given HDL-C's protective role in cardiovascular health. Evidence for reductions in TG and WC is uncertain: the primary meta-analysis showed no statistically significant effects, whereas trim-and-fill sensitivity analysis suggested potential reductions. No significant short-term impact on TG was observed, though a modest reduction may emerge with prolonged use.

Indexed as

Anti-Obesity AgentsLipid MetabolismObesityOrlistatAnthropometryBody Mass IndexDyslipidemiasHumansRandomized Controlled Trials as TopicAnti-Obesity AgentsOrlistatanthropometric indiceslipid-lowering drugslipid profilenutritionobesityorlistat

Identifiers

PMID41737647
PMCPMC12927897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.