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The effectiveness of interventions to treat hypothalamic obesity in survivors of childhood brain tumours: a systematic review.

Kuan-Wen WangR ChauA FlemingL BanfieldS K SinghD L JohnstonS M ZelcerS R RassekhS BurrowM ValenciaR J de SouzaL ThabaneM C Samaan
Published in: Obesity reviews : an official journal of the International Association for the Study of Obesity (2017)
Eleven publications were included in this systematic review (lifestyle intervention n = 2, pharmacotherapy n = 6 and bariatric surgery n = 3). While some studies demonstrated effectiveness of interventions to manage obesity in SCBT and alter markers of obesity and cardiometabolic risk, the evidence base was limited and of low quality, and studies focused on hypothalamic obesity. We conclude that there is urgent need to conduct adequately powered trials of sufficient duration, using existing and novel therapies to manage obesity, reduce the burden of cardiometabolic disorders and improve outcomes in SCBT.
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