Page last updated: 2024-11-07

spironolactone and Obesity

spironolactone has been researched along with Obesity in 66 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
" We aimed to identify the biomarker profile and biological meaning of biomarkers associated with obesity to assess the effect of spironolactone on the circulating biomarkers and to explore whether obesity might modify the effect of spironolactone."9.51The Effect of Spironolactone in Patients With Obesity at Risk for Heart Failure: Proteomic Insights from the HOMAGE Trial. ( Brunner La Rocca, HP; Clark, AL; Cleland, JGF; Cosmi, F; Cuthbert, J; Ferreira, JP; Girerd, N; Hazebroek, MR; Henkens, MHTM; Heymans, SRB; Mariottoni, B; Pellicori, P; Petutschnigg, J; Pizard, A; Rossignol, P; Verdonschot, JAJ; Waring, OJ; Zannad, F, 2022)
"This prospective clinical trial was designed to assess the effects of a long-term therapy with spironolactone, with and without dietary-induced weight-loss, on clinical features, lipid profile and insulin levels in women with polycystic ovary syndrome (PCOS)."9.11Spironolactone in the treatment of polycystic ovary syndrome: effects on clinical features, insulin sensitivity and lipid profile. ( Armanini, D; Baro, G; Benedini, S; Mantero, F; Sartorato, P; Scaroni, C; Zulian, E, 2005)
"Obesity is common in heart failure with preserved ejection fraction (HFpEF)."7.01Effect of Obesity on Response to Spironolactone in Patients With Heart Failure With Preserved Ejection Fraction. ( Butler, J; Elkholey, K; Papadimitriou, L; Stavrakis, S; Thadani, U, 2021)
"Aldosterone excess has been equally associated with resistant hypertension (RHT) and obstructive sleep apnoea (OSA)."6.84Effects of continuous positive airway pressure treatment on aldosterone excretion in patients with obstructive sleep apnoea and resistant hypertension: a randomized controlled trial. ( Cavalcanti, AH; Cortez, AF; de Souza, F; Margallo, V; Muxfeldt, ES; Salles, GF, 2017)
"Features of visceral obesity and obstructive sleep apnea that may stimulate aldosterone secretion are described here."6.44Obesity, sleep apnea, aldosterone, and hypertension. ( Goodfriend, TL, 2008)
" We aimed to identify the biomarker profile and biological meaning of biomarkers associated with obesity to assess the effect of spironolactone on the circulating biomarkers and to explore whether obesity might modify the effect of spironolactone."5.51The Effect of Spironolactone in Patients With Obesity at Risk for Heart Failure: Proteomic Insights from the HOMAGE Trial. ( Brunner La Rocca, HP; Clark, AL; Cleland, JGF; Cosmi, F; Cuthbert, J; Ferreira, JP; Girerd, N; Hazebroek, MR; Henkens, MHTM; Heymans, SRB; Mariottoni, B; Pellicori, P; Petutschnigg, J; Pizard, A; Rossignol, P; Verdonschot, JAJ; Waring, OJ; Zannad, F, 2022)
"Metabolic syndrome is an important risk factor for proteinuria and chronic kidney disease independent of diabetes and hypertension; however, the underlying mechanisms have not been elucidated."5.33Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors. ( Ando, K; Fujita, T; Gotoda, T; Nagase, M; Nagase, T; Shibata, S; Yoshida, S, 2006)
"Our findings demonstrate, for the first time, that blocking MR with chronic, low-dose spironolactone treatment improves paired-associate learning in individuals with obesity, suggesting that MR activation contributes to hippocampal memory modulation in humans."5.20Effect of mineralocorticoid receptor blockade on hippocampal-dependent memory in adults with obesity. ( Adler, GK; Garg, R; Rotenstein, LS; Sheridan, M, 2015)
"We conclude that 6 weeks of treatment with spironolactone does not change insulin sensitivity or endothelial function in normotensive obese individuals with no other comorbidities."5.19Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects. ( Adler, GK; Garg, R; Kneen, L; Williams, GH, 2014)
"As myocardial fibrosis might be an important contributor to the association of obesity with left ventricular (LV) dysfunction and heart failure, we investigated the effects of spironolactone on LV function and serological fibrosis markers (procollagen type III N-terminal propeptide (PIIINP) and procollagen type I C-terminal propeptide (PICP)) in patients with obesity and abnormal LV performance."5.17Fibrosis and cardiac function in obesity: a randomised controlled trial of aldosterone blockade. ( Kosmala, W; Marwick, TH; Mysiak, A; Przewlocka-Kosmala, M; Szczepanik-Osadnik, H, 2013)
"The objective of the study was to use a combination of GR (RU38486, mifepristone) and MR (spironolactone) antagonists to explore the poorly understood activation of the HPA axis that occurs in obesity."5.14Combined receptor antagonist stimulation of the hypothalamic-pituitary-adrenal axis test identifies impaired negative feedback sensitivity to cortisol in obese men. ( Mattsson, C; Olsson, T; Reynolds, RM; Simonyte, K; Walker, BR, 2009)
"The reduction in proteinuria induced by lisinopril (11."5.14[The antiproteinuric effect of the blockage of the renin-angiotensin-aldosterone system (RAAS) in obese patients. Which treatment option is the most effective? ]. ( Gutiérrez Solís, E; Gutiérrez, E; Huerta, A; Morales, E; Praga, M; Segura, J, 2009)
"This prospective clinical trial was designed to assess the effects of a long-term therapy with spironolactone, with and without dietary-induced weight-loss, on clinical features, lipid profile and insulin levels in women with polycystic ovary syndrome (PCOS)."5.11Spironolactone in the treatment of polycystic ovary syndrome: effects on clinical features, insulin sensitivity and lipid profile. ( Armanini, D; Baro, G; Benedini, S; Mantero, F; Sartorato, P; Scaroni, C; Zulian, E, 2005)
"A fixed, low-dose of spironolactone, added to chronic ACE inhibitor therapy, reduced blood pressure and urinary albumin excretion in obese subjects with hypertension and preexistent target organ damage."3.75Low-dose spironolactone, added to long-term ACE inhibitor therapy, reduces blood pressure and urinary albumin excretion in obese patients with hypertensive target organ damage. ( Bald, E; Bomback, AS; Chwatko, G; Muskala, P; Nowicki, M, 2009)
"The spironolactone Y5 antagonist significantly reduced body weight in C57BL DIO mice, but not in Npy5r(-/-) DIO mice."3.74Effects of a novel Y5 antagonist in obese mice: combination with food restriction or sibutramine. ( Fukami, T; Gomori, A; Ishihara, A; Ito, J; Iwaasa, H; Kanatani, A; Kitazawa, H; MacNeil, DJ; Mashiko, S; Matsushita, H; Mitobe, Y; Moriya, R; Takahashi, T; Van der Ploeg, LH, 2008)
"Obesity is common in heart failure with preserved ejection fraction (HFpEF)."3.01Effect of Obesity on Response to Spironolactone in Patients With Heart Failure With Preserved Ejection Fraction. ( Butler, J; Elkholey, K; Papadimitriou, L; Stavrakis, S; Thadani, U, 2021)
"Aldosterone excess has been equally associated with resistant hypertension (RHT) and obstructive sleep apnoea (OSA)."2.84Effects of continuous positive airway pressure treatment on aldosterone excretion in patients with obstructive sleep apnoea and resistant hypertension: a randomized controlled trial. ( Cavalcanti, AH; Cortez, AF; de Souza, F; Margallo, V; Muxfeldt, ES; Salles, GF, 2017)
"Obesity has been shown to be associated with increased left ventricular mass (LVM) and heart sympathetic activity even in nonhypertensive subjects."2.71Effect of losartan and spironolactone on left ventricular mass and heart sympathetic activity in prehypertensive obese subjects: a 16-week randomized trial. ( Amador, N; Encarnación, JJ; Guízar, JM; López, M; Rodríguez, L, 2005)
"Features of visceral obesity and obstructive sleep apnea that may stimulate aldosterone secretion are described here."2.44Obesity, sleep apnea, aldosterone, and hypertension. ( Goodfriend, TL, 2008)
"Idiopathic hirsutism is the second most common cause."2.44[Hirsutism]. ( Pijl, H; van Zuuren, EJ, 2007)
"Metformin has proven to be effective in the management of the metabolic disturbances, anovulation and hirsutism and is now a widely accepted therapy."2.43[Polycystic ovary syndrome. New pathophysiological discoveries--therapeutic consequences]. ( Madsbad, S; Nilas, L; Nørgaard, K; Svendsen, PF, 2005)
"(Hirsutism is an off-label use of COCs."1.72Female Pelvic Conditions: Polycystic Ovary Syndrome. ( Brady, PH; Gin, GT; Rosenblum, E; Wilkinson, LD, 2022)
"This newly defined subtype of chronic daily headache appears to be caused by a state of elevated CSF pressure."1.48A New Subtype of Chronic Daily Headache Presenting in Older Women. ( Rozen, TD, 2018)
"Metabolic syndrome is a major risk factor for the development of diabetes mellitus and cardiovascular diseases."1.42Adipocyte Mineralocorticoid Receptor Activation Leads to Metabolic Syndrome and Induction of Prostaglandin D2 Synthase. ( Adler, GK; Alvarez de la Rosa, D; El Mogrhabi, S; Fallo, F; Feraco, A; Jaisser, F; Nguyen Dinh Cat, A; Quilliot, D; Rossignol, P; Sierra-Ramos, C; Touyz, RM; Urbanet, R; Venteclef, N, 2015)
"Aldosterone plays a crucial role in cardiovascular disease."1.39Endothelial mineralocorticoid receptor activation mediates endothelial dysfunction in diet-induced obesity. ( Berger, S; Lohmann, C; Lüscher, TF; Matter, CM; Miranda, MX; Nussberger, J; Ruschitzka, F; Schäfer, N; van Tits, LJ; Vergopoulos, A; Verrey, F; Winnik, S, 2013)
"In patients with congestive heart failure (CHF), use of loop diuretic therapy may result in acute kidney insufficiency (AKI)."1.39Predisposing factors for acute kidney injury in Hispanic patients treated with diuretics for decompensated heart failure. ( Cangiano, JL; López, JE; Marmorato, R; Pagán, P; Ramírez, T; Ricci, F; Soto-Salgado, M; Vega, J, 2013)
"Eplerenone treatment significantly reduced insulin resistance, suppressed macrophage infiltration and ROS production in adipose tissues, and corrected the mRNA levels of obesity-related genes in obese mice."1.35Blockade of mineralocorticoid receptor reverses adipocyte dysfunction and insulin resistance in obese mice. ( Fujita, K; Funahashi, T; Hibuse, T; Hirata, A; Hiuge, A; Kihara, S; Maeda, N; Okada, T; Shimomura, I, 2009)
"Metabolic syndrome is an important risk factor for proteinuria and chronic kidney disease independent of diabetes and hypertension; however, the underlying mechanisms have not been elucidated."1.33Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors. ( Ando, K; Fujita, T; Gotoda, T; Nagase, M; Nagase, T; Shibata, S; Yoshida, S, 2006)
"Hirsutism is the manifestation of hyperandrogenemia in PCOS."1.32The treatment of polycystic ovary syndrome. ( Ajossa, S; Guerriero, S; Melis, GB; Orrù, M; Paoletti, AM, 2004)
"Total starvation is effective for acute weight reduction in obesity."1.26[Complications in null-diet]. ( Mordasini, R; Oster, P; Raetzer, H; Schellenberg, B; Schlierf, G, 1977)

Research

Studies (66)

TimeframeStudies, this research(%)All Research%
pre-199012 (18.18)18.7374
1990's3 (4.55)18.2507
2000's18 (27.27)29.6817
2010's25 (37.88)24.3611
2020's8 (12.12)2.80

Authors

AuthorsStudies
Verdonschot, JAJ1
Ferreira, JP1
Pizard, A1
Pellicori, P1
Brunner La Rocca, HP1
Clark, AL1
Cosmi, F1
Cuthbert, J1
Girerd, N1
Waring, OJ1
Henkens, MHTM1
Mariottoni, B1
Petutschnigg, J1
Rossignol, P2
Hazebroek, MR1
Cleland, JGF1
Zannad, F1
Heymans, SRB1
Bakhtiari, M1
Asadipooya, K1
Harrington, J1
Tseliou, E1
Shah, S1
Shah, KS1
Wilkinson, LD1
Brady, PH1
Gin, GT1
Rosenblum, E1
Zeng, X1
Xie, YJ1
Liu, YT1
Long, SL1
Mo, ZC1
Cadegiani, FA1
Goren, A1
Wambier, CG1
Paulus, R1
Schmidt, B1
Elkholey, K1
Papadimitriou, L1
Butler, J1
Thadani, U1
Stavrakis, S1
Rozen, TD1
Zhu, JJ1
Chen, YP1
Yang, M1
Liu, BL1
Dong, J1
Dong, HR1
Rui, HL1
Cheng, H1
Muneyyirci-Delale, O1
Co, S1
Winer, N1
Olatunji, LA1
Adeyanju, OA1
Michael, OS1
Usman, TO1
Tostes, RC1
Soladoye, AO1
Schäfer, N1
Lohmann, C1
Winnik, S1
van Tits, LJ1
Miranda, MX1
Vergopoulos, A1
Ruschitzka, F1
Nussberger, J1
Berger, S1
Lüscher, TF1
Verrey, F1
Matter, CM1
Pojoga, LH1
Baudrand, R1
Adler, GK5
Ricci, F1
Ramírez, T1
Marmorato, R1
Vega, J1
Pagán, P1
López, JE1
Soto-Salgado, M1
Cangiano, JL1
Hwang, MH1
Yoo, JK1
Luttrell, M1
Kim, HK1
Meade, TH1
English, M1
Segal, MS1
Christou, DD1
Garg, R3
Kneen, L1
Williams, GH1
Armani, A1
Cinti, F1
Marzolla, V1
Morgan, J1
Cranston, GA1
Antelmi, A1
Carpinelli, G1
Canese, R1
Pagotto, U1
Quarta, C1
Malorni, W1
Matarrese, P1
Marconi, M1
Fabbri, A1
Rosano, G1
Cinti, S1
Young, MJ1
Caprio, M2
Bender, SB2
DeMarco, VG2
Padilla, J1
Jenkins, NT1
Habibi, J2
Garro, M2
Pulakat, L1
Aroor, AR2
Jaffe, IZ1
Sowers, JR2
Rotenstein, LS1
Sheridan, M1
Urbanet, R1
Nguyen Dinh Cat, A1
Feraco, A1
Venteclef, N1
El Mogrhabi, S1
Sierra-Ramos, C1
Alvarez de la Rosa, D1
Quilliot, D1
Fallo, F1
Touyz, RM1
Jaisser, F1
Jia, G1
Ramirez-Perez, FI1
Martinez-Lemus, LA1
Hayden, MR1
Sun, Z1
Meininger, GA1
Manrique, C1
Whaley-Connell, A1
Takahashi, F1
Goto, M1
Wada, Y1
Hasebe, N1
de Souza, F1
Muxfeldt, ES1
Margallo, V1
Cortez, AF1
Cavalcanti, AH1
Salles, GF1
Goodfriend, TL1
Mattsson, C1
Reynolds, RM1
Simonyte, K1
Olsson, T1
Walker, BR1
Hirata, A2
Maeda, N2
Hiuge, A1
Hibuse, T1
Fujita, K1
Okada, T2
Kihara, S1
Funahashi, T2
Shimomura, I2
Morales, E1
Huerta, A1
Gutiérrez, E1
Gutiérrez Solís, E1
Segura, J1
Praga, M1
Bomback, AS1
Muskala, P1
Bald, E1
Chwatko, G1
Nowicki, M1
Artini, PG1
Di Berardino, OM1
Simi, G1
Papini, F1
Ruggiero, M1
Monteleone, P1
Cela, V1
Tirosh, A1
Costa, MB1
Andrade Ezequiel, DG1
Morais Lovis, JC1
Oliveira, MM1
Baumgratz de Paula, R1
Polyzos, SA1
Kountouras, J1
Zavos, C1
Deretzi, G1
Tokuyama, H1
Wakino, S1
Hara, Y1
Washida, N1
Fujimura, K1
Hosoya, K1
Yoshioka, K1
Hasegawa, K1
Minakuchi, H1
Homma, K1
Hayashi, K1
Itoh, H1
Nakatsuji, H1
Hiuge-Shimizu, A1
Billings, FT1
Pretorius, M1
Schildcrout, JS1
Mercaldo, ND1
Byrne, JG1
Ikizler, TA1
Brown, NJ1
Bendersky, M1
Kosmala, W1
Przewlocka-Kosmala, M1
Szczepanik-Osadnik, H1
Mysiak, A1
Marwick, TH1
BLOCH, J1
de Paula, RB1
da Silva, AA1
Hall, JE1
Ajossa, S1
Guerriero, S1
Paoletti, AM1
Orrù, M1
Melis, GB1
Amador, N1
Encarnación, JJ1
Guízar, JM1
Rodríguez, L1
López, M1
Zulian, E1
Sartorato, P1
Benedini, S1
Baro, G1
Armanini, D1
Mantero, F1
Scaroni, C1
Svendsen, PF1
Nilas, L1
Nørgaard, K1
Madsbad, S1
Fleischman, A1
Mansfield, J1
Nagase, M2
Yoshida, S1
Shibata, S2
Nagase, T1
Gotoda, T2
Ando, K1
Fujita, T2
Tubek, S1
Fève, B1
Claës, A1
Viengchareun, S1
Lombès, M1
Zennaro, MC1
Pimenta, E1
Calhoun, DA1
Oparil, S1
Matsui, H1
van Zuuren, EJ1
Pijl, H1
Mashiko, S1
Ishihara, A1
Iwaasa, H1
Moriya, R1
Kitazawa, H1
Mitobe, Y1
Ito, J1
Gomori, A1
Matsushita, H1
Takahashi, T1
MacNeil, DJ1
Van der Ploeg, LH1
Fukami, T1
Kanatani, A1
Aron, DC1
Tyrrell, JB1
Fitzgerald, PA1
Findling, JW1
Forsham, PH1
Zhurova, MV1
Rybina, LV1
Mendonca, E1
Albuquerque, L1
Jacome, L1
Luis, ML1
Rosa, FC1
Lovejoy, JC1
Bray, GA1
Bourgeois, MO1
Macchiavelli, R1
Rood, JC1
Greeson, C1
Partington, C1
Spark, RF2
Arky, RA2
Boulter, PR2
Saudek, CD1
O'Brian, JT1
Oster, P1
Mordasini, R1
Raetzer, H1
Schellenberg, B1
Schlierf, G1
Kolanowski, J1
Desmecht, P1
Crabbé, J1
McKenna, KM1
Pepperell, RJ1
Evans, J1
Giocoli, G1
Casanova, P1
Delboy, C1
Bittnerová, H1
Rath, R1
Masek, J1
Plauchu, M1
Bourlier, V1
Meunier, P1
Mugler, A1

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
"Bioprofiling Response to Mineralocorticoid Receptor Antagonists for the Prevention of Heart Failure. A Proof of Concept Clinical Trial Within the EU FP 7 (European Union FP7) HOMAGE Programme Heart OMics in AGing "[NCT02556450]Phase 2528 participants (Actual)Interventional2016-01-31Completed
Effectiveness of the Combination Liraglutide and Metformin on Weight Loss, Metabolic - Endocrine Parameters and Pregnancy Rate in Women With Polycystic Ovarian Syndrome, Obesity and Infertility[NCT05952882]Phase 3188 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Mineralocorticoid Receptor and Obesity Induced Cardiovascular Complications[NCT01406015]38 participants (Actual)Interventional2009-02-28Completed
HYpertension Therapy With Valsartan Versus EpleRenone for Obese Patients: A Randomized Clinical Trial[NCT03476616]Phase 4330 participants (Anticipated)Interventional2018-09-01Not yet recruiting
Mineralocorticoid Receptor, Coronary Microvascular Function, and Cardiac Efficiency in Hypertension[NCT05593055]Phase 475 participants (Anticipated)Interventional2023-08-25Recruiting
Efficacy of Continuous Positive Airway Pressure (CPAP) on Blood Pressure Control of Resistant Hypertension Patients With Obstructive Sleep Apnea Syndrome (OSAS).[NCT01508754]Phase 4125 participants (Actual)Interventional2012-01-31Completed
Cardiometabolic Effects of Eplerenone in HIV Infection[NCT02629094]Phase 25 participants (Actual)Interventional2015-12-02Terminated
The Effect of Spironolactone and Vitamin E Versus Vitamin E on Serum Adipocytokines Levels in Patients With Biopsy-proven Nonalcoholic Fatty Liver Disease-A Phase II Study[NCT01147523]Phase 230 participants (Actual)Interventional2010-01-31Completed
RAAS, Inflammation, and Post-operative AF[NCT00141778]Phase 2/Phase 3455 participants (Actual)Interventional2005-04-30Completed
Pilot Randomized Controlled Trial of Spironolactone in Young Women With Nonalcoholic Steatohepatitis (NASH)[NCT03576755]Phase 1/Phase 220 participants (Actual)Interventional2019-01-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

Insulin resistance was measured using the 75 G glucose tolerance test. Participants ingested 75 grams of glucose in 300-400 mL of water over 5 minutes. Blood samples were taken before ingesting glucose and then every 30 minutes for 120 minutes. HOMA-IR was calculated using the Insulin and glucose levels obtained. A negative change (decrease in insulin resistance) indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to ingesting glucose and every 30 minutes for 120 minutes)

,
InterventionIR index (Mean)
BaselineChange from Baseline at Week 6
Placebo3.40.1
Spironolactone2.70.1

Change From Baseline in Insulin Sensitivity Index (ISI)

Insulin sensitivity was measured using the 75 gram (G) glucose tolerance test. Participants ingested 75 grams of glucose in 300-400 milliliters (mL) of water over 5 minutes. Blood samples were taken before ingesting glucose and then every 30 minutes for 120 minutes. Insulin sensitivity index was calculated by Matsuda and Defronzo's formula using the values obtained. A positive change from Baseline (increase in insulin sensitivity) indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to ingesting glucose and every 30 minutes for 120 minutes)

,
InterventionIS index (Mean)
BaselineChange from Baseline at Week 6
Placebo4.6-1.1
Spironolactone3.7-0.1

Change From Baseline in Para-aminohippurate (PAH) Clearance

Renal plasma blood flow was determined by clearance of para-aminohippurate (PAH). A loading dose of PAH (8 mg/kg) was given intravenously followed by a 1 hour constant infusion of PAH at a rate of 12 mg/minute (min). Plasma samples were obtained at Baseline and at 50 and 60 minutes. PAH clearance was calculated from the plasma levels and infusion rates and reported in millimeters (mL)/minute (min). A positive change from Baseline indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to PAH infusion and at 50 and 60 minutes post PAH infusion)

,
InterventionmL/min (Mean)
BaselineChange from Baseline at Week 6
Placebo521-5.2
Spironolactone488-2.3

Change From Baseline in Post-ischemic Dilatation

Ultrasonography of the brachial artery was performed to evaluate endothelial function by flow mediated dilatation (FMD) studies. A blood pressure cuff was placed on the participant's upper arm and was compressed for 5 minutes. After release of compression, brachial artery diameter and blood flow velocity were measured. FMD was expressed as the percentage change in brachial artery diameter. A positive change from Baseline indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6

,
Interventionpercent dilalation (Mean)
BaselineChange from Baseline at Week 6
Placebo10.2-2.0
Spironolactone9.6-1.2

Improvement of Cardiac Steatosis: Mean Change in Intraventricular Septum Percentage of Lipid by MR Spectroscopy.

Mean change in intraventricular septum percentage of lipid by MR spectroscopy. This was calculated by subtracting the baseline intraventicular septum percentage value of lipid from the week 24 intraventicular septum percentage value of lipid by MR spectroscopy. (NCT02629094)
Timeframe: 24 weeks

Interventionpercentage of lipid (Mean)
Eplerenone-0.33

Improvement of Hepatic Steatosis: Mean Change in Hepatic Percentage of Lipid by MR Spectroscopy

Mean change in hepatic percentage of lipid by MR spectroscopy. This was calculated by subtracting the baseline hepatic percentage value of lipid from the week 24 hepatic percentage value of lipid by MR spectroscopy. (NCT02629094)
Timeframe: 24 weeks

Interventionpercentage of lipid (Mean)
Eplerenone13

Acute Renal Failure

Percentage of patients with a creatinine concentrations >2.5mg/dl (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average, depending on the study group.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril0.7
Spironolactone0.7

Death

The percentage of patients in each study arm who died. (NCT00141778)
Timeframe: Measured until the time of hospital discharge

Interventionpercentage of patients (Number)
Placebo1.4
Ramipril2.0
Spironolactone0

Hypokalemia

Percentage of patients who had a serum potassium concentrations <3.5 milliequivalents (mEq)/L (NCT00141778)
Timeframe: Measured until the time of hospital discharge, which was an average of 5.7 to 6.8 days depending on the treatment arm.

Interventionpercentage of patients (Number)
Placebo11.6
Ramipril13.8
Spironolactone6.8

Hypotension

Percentage of patients with hypotension defined as a systolic blood pressure <90 mmHg and/or prolonged requirement for vasopressor use. (NCT00141778)
Timeframe: Measured during and after surgery, until discharge, from 5.7 to 6.8 days on average.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril10.6
Spironolactone10.2

Length of Hospital Stay (Days)

(NCT00141778)
Timeframe: Measured from the day of surgery until the time of hospital discharge

Interventiondays (Mean)
Placebo6.8
Ramipril5.7
Spironolactone5.8

Postoperative Atrial Fibrillation

The primary endpoint of the study was the percentage of patients with electrocardiographically confirmed AF of at least 10 secs duration at any time following the end of surgery until hospital discharge, an average from 5.7 days in the ramipril group to 6.8 days in the placebo group. Patients were monitored continuously on telemetry throughout the postoperative period until discharge. Electrocardiograms were obtained for any rhythm changes detected on telemetry monitoring, and in addition, electrocardiograms were performed preoperatively, at admission to the intensive care unit, and daily starting on postoperative day 1. All electrocardiograms and rhythm strips were reviewed in a blinded fashion by a single cardiac electrophysiologist. (NCT00141778)
Timeframe: Measured from admission to the ICU until discharge from hospital

Interventionpercentage of patients (Number)
Placebo27.2
Ramipril27.8
Spironolactone25.9

Stroke

Percentage of patients in each study group who experience a cerebrovascular event, confirmed by CT. (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average depending on the study arm.

Interventionpercentage of patients (Number)
Placebo2.7
Ramipril1.3
Spironolactone2.0

Time to Tracheal Extubation

It is the time in minutes that it took to extubate the patient after surgery. (NCT00141778)
Timeframe: It is the time (in minutes) from admission to the ICU until tracheal extubation

Interventionminutes (Mean)
Placebo1091.3
Ramipril970.1
Spironolactone576.4

Perioperative C-reactive Protein (CRP) Concentrations

C-reactive protein was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionug/mL (Mean)
Initiation of surgeryPostoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4
Placebo4.151.4134.8128.394.1
Ramipril4.349.9131.0164.8105.2
Spironolactone3.964.3127.8189.4126.5

Perioperative Interleukin(IL)-6 Concentrations

Interleukin-6 was measured at several time points (see time points in table) over the course of the study (NCT00141778)
Timeframe: Perioperative period

,,
Interventionpg/ml (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo4.712.015.6130.0119.0100.3
Ramipril4.620.528.8202.1171.095.5
Spironolactone6.611.317.4145.7164.9109.6

Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations

Plasminogen activator inhibitor-1 (PAI-1) was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionng/mL (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo19.619.221.036.455.228.1
Ramipril16.219.722.038.947.925.7
Spironolactone17.317.320.134.048.931.0

Reviews

9 reviews available for spironolactone and Obesity

ArticleYear
Polycystic ovarian syndrome: Correlation between hyperandrogenism, insulin resistance and obesity.
    Clinica chimica acta; international journal of clinical chemistry, 2020, Volume: 502

    Topics: Androgens; Female; Humans; Hyperandrogenism; Hypoglycemic Agents; Insulin Resistance; Metformin; Obe

2020
Obesity, sleep apnea, aldosterone, and hypertension.
    Current hypertension reports, 2008, Volume: 10, Issue:3

    Topics: Aldosterone; Humans; Hypertension; Metabolic Syndrome; Mineralocorticoid Receptor Antagonists; Obesi

2008
Best methods for identification and treatment of PCOS.
    Minerva ginecologica, 2010, Volume: 62, Issue:1

    Topics: Androgens; Aromatase Inhibitors; Clomiphene; Contraceptives, Oral, Hormonal; Diagnosis, Differential

2010
Mineralocorticoid receptor antagonists and the metabolic syndrome.
    Current hypertension reports, 2010, Volume: 12, Issue:4

    Topics: Aldosterone; Antihypertensive Agents; Eplerenone; Humans; Hypertension; Inflammation; Insulin Resist

2010
[Resistant hypertension].
    Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina), 2012, Volume: 69, Issue:3

    Topics: Age Factors; Aldosterone; Coronary Vasospasm; Disease Management; Diuretics; Humans; Hyperaldosteron

2012
[Polycystic ovary syndrome. New pathophysiological discoveries--therapeutic consequences].
    Ugeskrift for laeger, 2005, Aug-22, Volume: 167, Issue:34

    Topics: Contraceptives, Oral; Diabetes Mellitus, Type 2; Female; Genetic Predisposition to Disease; Humans;

2005
Mechanisms and treatment of resistant hypertension.
    Arquivos brasileiros de cardiologia, 2007, Volume: 88, Issue:6

    Topics: Blood Pressure Monitoring, Ambulatory; Contraceptives, Oral; Diuretics; Drug Resistance; Humans; Hyp

2007
[Hirsutism].
    Nederlands tijdschrift voor geneeskunde, 2007, Oct-20, Volume: 151, Issue:42

    Topics: Androgen Antagonists; Androgens; Contraceptives, Oral; Cyproterone Acetate; Female; Hirsutism; Human

2007
Renin, aldosterone and glucagon in the natriuresis of fasting.
    The New England journal of medicine, 1975, Jun-19, Volume: 292, Issue:25

    Topics: Adrenocorticotropic Hormone; Aldosterone; Dietary Carbohydrates; Dietary Proteins; Fasting; Fludroco

1975

Trials

15 trials available for spironolactone and Obesity

ArticleYear
The Effect of Spironolactone in Patients With Obesity at Risk for Heart Failure: Proteomic Insights from the HOMAGE Trial.
    Journal of cardiac failure, 2022, Volume: 28, Issue:5

    Topics: Biomarkers; Female; Glucose Intolerance; Heart Failure; Humans; Male; Mineralocorticoid Receptor Ant

2022
Effect of Obesity on Response to Spironolactone in Patients With Heart Failure With Preserved Ejection Fraction.
    The American journal of cardiology, 2021, 05-01, Volume: 146

    Topics: Aged; Comorbidity; Diuretics; Double-Blind Method; Female; Heart Failure; Humans; Male; Obesity; Pre

2021
Mineralocorticoid receptors modulate vascular endothelial function in human obesity.
    Clinical science (London, England : 1979), 2013, Volume: 125, Issue:11

    Topics: Abdominal Fat; Aged; Body Composition; Body Mass Index; Brachial Artery; Cross-Over Studies; Double-

2013
Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Adolescent; Adult; Aldosterone; Blood Pressure; Body Mass Index; Body Weight; Brachial Artery; Doubl

2014
Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Adolescent; Adult; Aldosterone; Blood Pressure; Body Mass Index; Body Weight; Brachial Artery; Doubl

2014
Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Adolescent; Adult; Aldosterone; Blood Pressure; Body Mass Index; Body Weight; Brachial Artery; Doubl

2014
Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Adolescent; Adult; Aldosterone; Blood Pressure; Body Mass Index; Body Weight; Brachial Artery; Doubl

2014
Effect of mineralocorticoid receptor blockade on hippocampal-dependent memory in adults with obesity.
    Obesity (Silver Spring, Md.), 2015, Volume: 23, Issue:6

    Topics: Adult; Animals; Female; Hippocampus; Humans; Magnetic Resonance Imaging; Male; Memory; Middle Aged;

2015
Effects of continuous positive airway pressure treatment on aldosterone excretion in patients with obstructive sleep apnoea and resistant hypertension: a randomized controlled trial.
    Journal of hypertension, 2017, Volume: 35, Issue:4

    Topics: Aged; Aldosterone; Continuous Positive Airway Pressure; Coronary Vasospasm; Diuretics; Female; Follo

2017
Combined receptor antagonist stimulation of the hypothalamic-pituitary-adrenal axis test identifies impaired negative feedback sensitivity to cortisol in obese men.
    The Journal of clinical endocrinology and metabolism, 2009, Volume: 94, Issue:4

    Topics: Adult; Blood Pressure; Cross-Over Studies; Double-Blind Method; Feedback; Female; Hormone Antagonist

2009
[The antiproteinuric effect of the blockage of the renin-angiotensin-aldosterone system (RAAS) in obese patients. Which treatment option is the most effective? ].
    Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2009, Volume: 29, Issue:5

    Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Benz

2009
Aldosterone antagonist decreases blood pressure and improves metabolic parameters in obese patients with the metabolic syndrome.
    Journal of clinical hypertension (Greenwich, Conn.), 2010, Volume: 12, Issue:9

    Topics: Adult; Aged; Blood Pressure; Female; Humans; Hypertension; Male; Metabolic Syndrome; Middle Aged; Mi

2010
Fibrosis and cardiac function in obesity: a randomised controlled trial of aldosterone blockade.
    Heart (British Cardiac Society), 2013, Volume: 99, Issue:5

    Topics: Body Mass Index; Double-Blind Method; Echocardiography, Doppler; Female; Fibrosis; Follow-Up Studies

2013
Effect of losartan and spironolactone on left ventricular mass and heart sympathetic activity in prehypertensive obese subjects: a 16-week randomized trial.
    Journal of human hypertension, 2005, Volume: 19, Issue:4

    Topics: Adult; Antihypertensive Agents; Blood Pressure; Body Mass Index; Diuretics; Double-Blind Method; Ech

2005
Spironolactone in the treatment of polycystic ovary syndrome: effects on clinical features, insulin sensitivity and lipid profile.
    Journal of endocrinological investigation, 2005, Volume: 28, Issue:1

    Topics: Adolescent; Adult; Androgen Antagonists; Area Under Curve; Body Mass Index; Caloric Restriction; Die

2005
Exogenous androgens influence body composition and regional body fat distribution in obese postmenopausal women--a clinical research center study.
    The Journal of clinical endocrinology and metabolism, 1996, Volume: 81, Issue:6

    Topics: Adipose Tissue; Androgen Antagonists; Androgens; Body Composition; Cardiovascular Diseases; Female;

1996
Sodium balance and renal tubular sensitivity to aldosterone during total fast and carbohydrate refeeding in the obese.
    European journal of clinical investigation, 1976, Jan-30, Volume: 6, Issue:1

    Topics: Aldosterone; Fasting; Female; Glucose; Humans; Kidney Tubules; Natriuresis; Obesity; Spironolactone;

1976
[Clinical test of a diuretic preparation combining a spironoloctone and a sulfonamide derivative].
    Marseille medical, 1965, Volume: 102, Issue:6

    Topics: Adult; Aged; Clinical Trials as Topic; Diuretics; Female; Heart Failure; Humans; Male; Middle Aged;

1965

Other Studies

42 other studies available for spironolactone and Obesity

ArticleYear
Metainflammation in COVID-19.
    Endocrine, metabolic & immune disorders drug targets, 2022, Volume: 22, Issue:12

    Topics: Aged; Angiotensin-Converting Enzyme 2; COVID-19; Dipeptidyl Peptidase 4; Eplerenone; Female; Humans;

2022
Paying Homage to the Power of Proteomics: Insights Into Obesity and Heart Failure From the HOMAGE Trial.
    Journal of cardiac failure, 2022, Volume: 28, Issue:5

    Topics: Heart Failure; History, 20th Century; Humans; Obesity; Proteomics; Spironolactone

2022
Female Pelvic Conditions: Polycystic Ovary Syndrome.
    FP essentials, 2022, Volume: 515

    Topics: Acne Vulgaris; Anovulation; Female; Finasteride; Gonadotropin-Releasing Hormone; Hirsutism; Humans;

2022
Spironolactone may provide protection from SARS-CoV-2: Targeting androgens, angiotensin converting enzyme 2 (ACE2), and renin-angiotensin-aldosterone system (RAAS).
    Medical hypotheses, 2020, Volume: 143

    Topics: Androgen Antagonists; Androgens; Angiotensin-Converting Enzyme 2; Angiotensin-Converting Enzyme Inhi

2020
90-year-old man • dyspnea • lower extremity edema • limitations in daily activities • Dx?
    The Journal of family practice, 2020, Volume: 69, Issue:9

    Topics: Activities of Daily Living; Aged, 80 and over; Diagnosis, Differential; Diuretics; Dyspnea; Edema; F

2020
A New Subtype of Chronic Daily Headache Presenting in Older Women.
    Journal of women's health (2002), 2018, Volume: 27, Issue:2

    Topics: Acetazolamide; Cerebrospinal Fluid Pressure; Female; Head-Down Tilt; Headache Disorders; Humans; Mid

2018
Aldosterone is involved in the pathogenesis of obesity-related glomerulopathy through activation of Wnt/β-catenin signaling in podocytes.
    Molecular medicine reports, 2018, Volume: 17, Issue:3

    Topics: Aldosterone; Animals; beta Catenin; Disease Models, Animal; Down-Regulation; Eplerenone; Glomerulone

2018
Vascular compliance in women with polycystic ovary syndrome treated with spironolactone.
    Journal of clinical hypertension (Greenwich, Conn.), 2018, Volume: 20, Issue:10

    Topics: Adult; Blood Pressure; Body Mass Index; Cardiovascular Diseases; Elasticity; Female; Glucose Intoler

2018
Ameliorative effect of low-dose spironolactone on obesity and insulin resistance is through replenishment of estrogen in ovariectomized rats.
    Canadian journal of physiology and pharmacology, 2019, Volume: 97, Issue:1

    Topics: Animals; Dose-Response Relationship, Drug; Estrogens; Female; Inflammation Mediators; Insulin Resist

2019
Endothelial mineralocorticoid receptor activation mediates endothelial dysfunction in diet-induced obesity.
    European heart journal, 2013, Volume: 34, Issue:45

    Topics: Adipose Tissue; Aldosterone; Animals; Antioxidants; Aorta; Cyclooxygenase 1; Cyclooxygenase Inhibito

2013
Mineralocorticoid receptor throughout the vessel: a key to vascular dysfunction in obesity.
    European heart journal, 2013, Volume: 34, Issue:45

    Topics: Animals; Diet, High-Fat; Endothelium, Vascular; Eplerenone; Male; Mineralocorticoid Receptor Antagon

2013
Predisposing factors for acute kidney injury in Hispanic patients treated with diuretics for decompensated heart failure.
    Puerto Rico health sciences journal, 2013, Volume: 32, Issue:2

    Topics: Acute Kidney Injury; Adult; Aged; Blood Urea Nitrogen; Creatinine; Diabetes Mellitus; Drug Utilizati

2013
Mineralocorticoid receptor antagonism induces browning of white adipose tissue through impairment of autophagy and prevents adipocyte dysfunction in high-fat-diet-fed mice.
    FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2014, Volume: 28, Issue:8

    Topics: Adipocytes; Adipogenesis; Adipose Tissue, Brown; Adipose Tissue, White; Aldosterone; Androstenes; An

2014
Mineralocorticoid receptor antagonism treats obesity-associated cardiac diastolic dysfunction.
    Hypertension (Dallas, Tex. : 1979), 2015, Volume: 65, Issue:5

    Topics: Animals; Diastole; Disease Models, Animal; Echocardiography; Heart Ventricles; Mineralocorticoid Rec

2015
Adipocyte Mineralocorticoid Receptor Activation Leads to Metabolic Syndrome and Induction of Prostaglandin D2 Synthase.
    Hypertension (Dallas, Tex. : 1979), 2015, Volume: 66, Issue:1

    Topics: 3T3-L1 Cells; Adipocytes, White; Aldosterone; Animals; Cell Line, Tumor; Dibenzocycloheptenes; Enzym

2015
Low-Dose Mineralocorticoid Receptor Blockade Prevents Western Diet-Induced Arterial Stiffening in Female Mice.
    Hypertension (Dallas, Tex. : 1979), 2015, Volume: 66, Issue:1

    Topics: Animals; Aorta; Arteriosclerosis; Diet, Western; Dose-Response Relationship, Drug; Endothelial Cells

2015
Successful Treatment with an Antihypertensive Drug Regimen Including Eplerenone in a Patient with Malignant Phase Hypertension with Renal Failure.
    Internal medicine (Tokyo, Japan), 2015, Volume: 54, Issue:19

    Topics: Adrenergic beta-Antagonists; Adult; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Cal

2015
Blockade of mineralocorticoid receptor reverses adipocyte dysfunction and insulin resistance in obese mice.
    Cardiovascular research, 2009, Oct-01, Volume: 84, Issue:1

    Topics: 3T3-L1 Cells; Adipocytes; Adipose Tissue; Animals; Eplerenone; Insulin Resistance; Male; Mice; Mice,

2009
Low-dose spironolactone, added to long-term ACE inhibitor therapy, reduces blood pressure and urinary albumin excretion in obese patients with hypertensive target organ damage.
    Clinical nephrology, 2009, Volume: 72, Issue:6

    Topics: Albuminuria; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Blood Pressure Monitoring, Am

2009
Spironolactone revisited.
    Journal of clinical hypertension (Greenwich, Conn.), 2011, Volume: 13, Issue:10

    Topics: Blood Pressure; Female; Humans; Hypertension; Male; Metabolic Syndrome; Mineralocorticoid Receptor A

2011
Role of mineralocorticoid receptor/Rho/Rho-kinase pathway in obesity-related renal injury.
    International journal of obesity (2005), 2012, Volume: 36, Issue:8

    Topics: Animals; Chemokine CCL2; Diet, Fat-Restricted; Diet, High-Fat; Eplerenone; Gene Expression Regulatio

2012
Contribution of glucocorticoid-mineralocorticoid receptor pathway on the obesity-related adipocyte dysfunction.
    Biochemical and biophysical research communications, 2012, Mar-09, Volume: 419, Issue:2

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 1; 3T3-L1 Cells; Adipocytes; Adipokines; Animals; Body Mas

2012
Obesity and oxidative stress predict AKI after cardiac surgery.
    Journal of the American Society of Nephrology : JASN, 2012, Volume: 23, Issue:7

    Topics: Acute Kidney Injury; Aged; Angiotensin-Converting Enzyme Inhibitors; Biomarkers; Body Mass Index; Ca

2012
[Cushing's syndrome, adiposity, hyperaldosteronism. Effect of spirolactone].
    Wiener klinische Wochenschrift, 1963, May-17, Volume: 75

    Topics: Adiposity; Cushing Syndrome; Humans; Hyperaldosteronism; Obesity; Spironolactone

1963
Aldosterone antagonism attenuates obesity-induced hypertension and glomerular hyperfiltration.
    Hypertension (Dallas, Tex. : 1979), 2004, Volume: 43, Issue:1

    Topics: Animals; Dogs; Eplerenone; Glomerular Filtration Rate; Hemodynamics; Hormones; Hypertension; Mineral

2004
The treatment of polycystic ovary syndrome.
    Minerva ginecologica, 2004, Volume: 56, Issue:1

    Topics: Adult; Androgen Antagonists; Cabergoline; Cardiovascular Diseases; Clomiphene; Cyproterone Acetate;

2004
Diagnosis and treatment of polycystic ovarian syndrome and insulin resistance.
    Pediatric annals, 2005, Volume: 34, Issue:9

    Topics: Cardiovascular Diseases; Diabetes Mellitus, Type 2; Female; Humans; Hyperandrogenism; Hyperlipidemia

2005
Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors.
    Journal of the American Society of Nephrology : JASN, 2006, Volume: 17, Issue:12

    Topics: Adipocytes; Adrenal Glands; Aldosterone; Animals; Cyclic N-Oxides; Disease Models, Animal; Eplerenon

2006
Differences in selected zinc metabolism parameters in obese and normal-weight hypertensive patients following treatment with spironolactone.
    Biological trace element research, 2006,Winter, Volume: 114, Issue:1-3

    Topics: Adolescent; Adult; Body Mass Index; Case-Control Studies; Humans; Hypertension; Middle Aged; Mineral

2006
Pivotal role of the mineralocorticoid receptor in corticosteroid-induced adipogenesis.
    FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2007, Volume: 21, Issue:9

    Topics: Adipocytes, White; Adipogenesis; Adipose Tissue, White; Aldosterone; Animals; Cell Differentiation;

2007
Salt-induced nephropathy in obese spontaneously hypertensive rats via paradoxical activation of the mineralocorticoid receptor: role of oxidative stress.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 50, Issue:5

    Topics: Aldosterone; Animals; Antioxidants; Cyclic N-Oxides; Disease Models, Animal; Eplerenone; Hypertensio

2007
Effects of a novel Y5 antagonist in obese mice: combination with food restriction or sibutramine.
    Obesity (Silver Spring, Md.), 2008, Volume: 16, Issue:7

    Topics: Adiposity; Animals; Anti-Obesity Agents; Appetite Depressants; Blood Glucose; Body Weight; Caloric R

2008
Cushing's syndrome: problems in diagnosis.
    Medicine, 1981, Volume: 60, Issue:1

    Topics: ACTH Syndrome, Ectopic; Adenoma; Adrenal Cortex Function Tests; Adrenocortical Hyperfunction; Adult;

1981
[Effect of verospiron and hypothiazide on the indices of electrolyte metabolism in neuroendocrinological obesity].
    Vrachebnoe delo, 1980, Issue:11

    Topics: Adolescent; Adult; Diuretics; Female; Humans; Hydrochlorothiazide; Middle Aged; Mineralocorticoid Re

1980
Pseudotumor cerebri in a patient with Bartter's syndrome and obesity.
    Nephron, 1996, Volume: 72, Issue:1

    Topics: Adolescent; Bartter Syndrome; Female; Hematologic Tests; Humans; Indomethacin; Obesity; Potassium Ch

1996
[Complications in null-diet].
    Schweizerische medizinische Wochenschrift, 1977, Sep-24, Volume: 107, Issue:38

    Topics: Acetone; Adult; Allopurinol; Arrhythmias, Cardiac; Diet, Reducing; Edema; Female; Humans; Ischemic A

1977
Hirsutism in a gynaecological context.
    The Australian & New Zealand journal of obstetrics & gynaecology, 1990, Volume: 30, Issue:2

    Topics: Adult; Anovulation; Contraceptives, Oral, Hormonal; Female; Gonadal Steroid Hormones; Hirsutism; Hum

1990
Effect of aldosterone blockade during fasting and refeeding.
    The American journal of clinical nutrition, 1973, Volume: 26, Issue:4

    Topics: Adrenal Glands; Adult; Aldosterone; Dietary Carbohydrates; Fasting; Female; Humans; Kidney Tubules,

1973
[Sodium balance during fasting and realimentation with special reference to a form of therapy for obesity].
    Annali dell'Istituto superiore di sanita, 1971, Volume: 7, Issue:4

    Topics: Aldosterone; Diet, Sodium-Restricted; Fasting; Food; Glucose Tolerance Test; Humans; Insulin; Ketone

1971
[On the pathogenesis of the changes in water, sodium, and potassium metabolism caused by fasting in obese women].
    Ceskoslovenska gastroenterologie a vyziva, 1969, Volume: 23, Issue:1

    Topics: Aldosterone; Diet; Fasting; Female; Humans; Obesity; Potassium; Sodium; Spironolactone; Water-Electr

1969
[Spironolactone-benzothiadiazine association in the treatment of female obesity with water and salt retention].
    Lyon medical, 1965, Sep-12, Volume: 214, Issue:37

    Topics: Adult; Aged; Benzothiadiazines; Female; Humans; Middle Aged; Obesity; Spironolactone

1965
[Effects of spirolactone in some cases of obesity (study of 53 cases)].
    Bulletins et memoires de la Societe medicale des hopitaux de Paris, 1965, Oct-29, Volume: 116, Issue:13

    Topics: 17-Ketosteroids; Adrenal Cortex Hormones; Adult; Aldosterone; Female; Humans; Middle Aged; Obesity;

1965