Cochrane · systematic review · CD011688

Fluoxetine for adults who are overweight or obese

Serralde-Zúñiga, AE, Gonzalez Garay, AG, Rodríguez-Carmona, Y, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 3 · 42.9%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: fluoxetine compared with placebo

Population: overweight or obese adults
7 questions
OutcomeEffectEvidenceStatus / GRADE
Weight loss (kg) (a) All fluoxetine dosages (b) Fluoxetine 60 mg/d(c) Fluoxetine 40 mg/d(d) Fluoxetine 20 mg/d
Summary of findings: fluoxetine vs placebo
no estimate extracted10 studies · 956 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Health‐related quality of life
Summary of findings: fluoxetine vs placebo
no estimate extractedNRNo studies
Any adverse event (N)
Summary of findings: fluoxetine vs placebo
RR 1.18 [0.99, 1.42]9 studies · 1253 participantsLow
Downgraded: risk of bias, imprecision
Anthropometric measurements other than weight loss in kg (BMI reduction measured inkg/m²)
Summary of findings: fluoxetine vs placebo
no estimate extracted3 studies · 97 participantsVery low
Downgraded: risk of bias, imprecision
Morbidity: depression (N)
Summary of findings: fluoxetine vs placebo
RR 1.2 [0.57, 2.52]3 studies · 393 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality
Summary of findings: fluoxetine vs placebo
no estimate extractedNRNo studies
Socioeconomic effects
Summary of findings: fluoxetine vs placebo
no estimate extractedNRNo studies