Farr · Current opinion in endocrinology, diabetes, and obesity 2015 · narrative review · n=?

Leptin applications in 2015: what have we learned about leptin and obesity?

Cited 233 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of previous literature without systematic review or original human trial data

PubMed 26313897 · doi:10.1097/MED.0000000000000184 · record verified 2026-08-29

What was done

This narrative review summarized advancements in leptin therapeutics, examining its clinical utility across leptin-deficient states, lipodystrophy, and typical polygenic obesity.

What was found

The abstract reports no numerical data or effect sizes. Qualitatively, leptin therapy reverses morbid obesity caused by congenital leptin deficiency and improves lipodystrophy, leading to regulatory approval in the USA and Japan. Conversely, because typical obesity is characterized by hyperleptinemia and leptin resistance, leptin monotherapy is ineffective for inducing weight loss, though combination approaches and weight maintenance remain under investigation.

Why it matters

It clarifies that leptin administration is therapeutic for rare leptin-deficient conditions and lipodystrophy, but ineffective as a standalone treatment for common obesity.

Limits

The abstract provides no sample sizes, effect estimates, or statistical data. As a narrative review, it lacks systematic search methodology and quantitative meta-analytic synthesis.

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