Abstract
Obesity is a multifactorial metabolic condition characterized by an abnormal or excessive
accumulation of fat in the adipose tissue, capable of decreasing life expectancy. Chronically,
the exacerbated inflammatory response interferes with the proper functioning of organs
and tissues, becoming the cornerstone of various major metabolic imbalances in different systems,
such as the central nervous system. Considering this, obesity’s meta-inflammation indirectly
affects brain regions related to psychiatric illnesses and cognitive function. Also, it has
been established that several neurobiological mechanisms related to appetite regulation and
impulse control disorders could explain the onset of obesity. Thus, due to the high prevalence
of mental illnesses linked to obese patients and the fact that a bidirectional relation between
these two entities has been observed, many efforts have been made to establish an effective and
secure pharmacological approach to obesity. In this context, several psychotropics and appetite-
suppressant drugs, along with lifestyle changes, have been highlighted as promising therapeutic
tools against obesity.
Keywords:
Obesity, adipose tissue, neurobiological disorders, pharmacological approach, lifestyle, heavyweight.
[21]
Lutz TA. Control of food intake and energy expenditure by amylin-therapeutic implications. Int J Obes 2005 2005; 33 (Suppl 1): S24-7.
[86]
Salman A, Hegazy M, AbdElfadl S. Combined adiponectin deficiency and resistance in obese patients: Can it solve part of the puzzle in nonalcoholic steatohepatitis. OAMJMS 2020; 3(2): 298-302.
[134]
Goodman DW. Lisdexamfetamine dimesylate (vyvanse), a prodrug stimulant for attentiondeficit/hyperactivity disorder. P T Peer-Rev J Formul Manag 2010; 35(5): 273-87.
[139]
Gustafson A, King C, Rey JA. Lorcaserin (Belviq): A selective serotonin 5-HT2C agonist in the treatment of obesity. P T Peer-Rev J Formul Manag 2013; 38(9): 525-34.
[166]
Onakpoya IJ, Lee JJ, Mahtani KR, Aronson JK, Heneghan CJ. Naltrexone-bupropion (Mysimba) in management of obesity: A systematic review and meta-analysis of unpublished clinical study reports. Br J Clin Pharmacol 2020; 86(4): 646-67.
[191]
Aronne LJ, Tonstad S, Moreno M, et al. A clinical trial assessing the safety and efficacy of taranabant, a CB1R inverse agonist, in obese and overweight patients: A high-dose study. Int J Obes 2005 2010; 34(5): 919-35.
[192]
Proietto J, Rissanen A, Harp JB, et al. A clinical trial assessing the safety and efficacy of the CB1R inverse agonist taranabant in obese and overweight patients: low-dose study. Int J Obes 2005 2010; 34(8): 1243-54.