Article ; Online: Approach to the Patient With Hypothalamic Obesity.
The Journal of clinical endocrinology and metabolism
2022 Volume 108, Issue 5, Page(s) 1236–1242
Abstract: Hypothalamic obesity (HO) is defined as abnormal weight gain due to physical destruction of the hypothalamus. Suprasellar tumors, most commonly craniopharyngiomas, are a classic cause of HO. HO often goes unnoticed initially as patients, families, and ... ...
Abstract | Hypothalamic obesity (HO) is defined as abnormal weight gain due to physical destruction of the hypothalamus. Suprasellar tumors, most commonly craniopharyngiomas, are a classic cause of HO. HO often goes unnoticed initially as patients, families, and medical teams are focused on oncologic treatments and management of panhypopituitarism. HO is characterized by rapid weight gain in the first year after hypothalamic destruction followed by refractory obesity due to an energy imbalance of decreased energy expenditure without decreased food intake. Currently available pharmacotherapies are less effective in HO than in common obesity. While not a cure, dietary interventions, pharmacotherapy, and bariatric surgery can mitigate the effects of HO. Early recognition of HO is necessary to give an opportunity to intervene before substantial weight gain occurs. Our goal for this article is to review the pathophysiology of HO and to discuss available treatment options and future directions for prevention and treatment. |
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MeSH term(s) | Humans ; Pituitary Neoplasms/complications ; Pituitary Neoplasms/diagnosis ; Pituitary Neoplasms/therapy ; Hypothalamic Diseases/complications ; Hypothalamic Diseases/diagnosis ; Craniopharyngioma/complications ; Craniopharyngioma/diagnosis ; Craniopharyngioma/therapy ; Obesity/complications ; Obesity/therapy ; Weight Gain |
Language | English |
Publishing date | 2022-11-28 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural |
ZDB-ID | 3029-6 |
ISSN | 1945-7197 ; 0021-972X |
ISSN (online) | 1945-7197 |
ISSN | 0021-972X |
DOI | 10.1210/clinem/dgac678 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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