No specific effect of fluoxetine treatment on fasting glucose, insulin, lipid levels, and blood pressure in healthy men with abdominal obesity

M Visser, J C Seidell, H.P. Koppeschaar, P. Smits

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

In this paper we investigated the effect of fluoxetine (60 mg/d) on serum lipids, glucose and insulin concentrations and blood pressure by means of a randomized, double-blind placebo controlled trial. Thirty-eight overweight (BMI: 26-30 kg/m2), nondiabetic, nonhypertensive men with an abdominal fat distribution (waist/hip ratio: > 0.97) received dietary advice and placebo or fluoxetine for 12 weeks. The changes in serum parameters and blood pressure in the fluoxetine treated group were not different from the placebo treated group, despite a significantly larger weight loss in the fluoxetine group. In both groups serum total-cholesterol concentrations, serum LDL-cholesterol concentrations and the HDL/LDL ratio were significantly improved after treatment. Reductions in fasting glucose concentration and systolic blood pressure were only significant in the placebo group. A reduction of serum triglycerides and an increase of HDL-cholesterol were found in the fluoxetine treated group. In the total study population the changes in serum lipids seemed to be more strongly related to the change in total body fat or subcutaneous abdominal fat (assessed by MRI) compared to the change in visceral fat. The improvement of most of the serum lipids was related to the change in total body fat independent of the mechanism for attaining this fat loss. Our results indicate that fluoxetine treatment has no specific effect beyond that expected for weight loss on serum lipid, glucose and insulin concentrations, and blood pressure in overweight men.

Original languageEnglish
Pages (from-to)152-9
Number of pages8
JournalObesity Research
Volume2
Issue number2
DOIs
Publication statusPublished - Mar 1994

Keywords

  • Abdominal Fat
  • Adult
  • Anti-Obesity Agents
  • Blood Glucose
  • Blood Pressure
  • Body Weight
  • Double-Blind Method
  • Fluoxetine
  • Humans
  • Insulin
  • Lipids
  • Male
  • Middle Aged
  • Obesity
  • Journal Article
  • Randomized Controlled Trial

Fingerprint Dive into the research topics of 'No specific effect of fluoxetine treatment on fasting glucose, insulin, lipid levels, and blood pressure in healthy men with abdominal obesity'. Together they form a unique fingerprint.

Cite this