Chartoumpekis Dionysios, Favre Lucie
Service d'endocrinologie, diabétologie et métabolisme, Département de médecine, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Rev Med Suisse. 2023 Mar 22;19(819):555-561. doi: 10.53738/REVMED.2023.19.819.555.
Obesity is a chronic and recurrent metabolic disease associated with serious complications and increased mortality. Bariatric surgery was until recently the only intervention that could lead to significant and sustained weight loss. A better understanding of the endocrine regulation of appetite has allowed the development of new treatments. GLP-1 analogues are already available and a dual treatment of GLP-1 analogue and GIP has recently shown even greater efficacy in terms of weight loss. We present a summary of the known mechanisms of action and clinical data that support the use of these molecules in the treatment of obesity.
肥胖是一种慢性复发性代谢疾病,伴有严重并发症且死亡率增加。直到最近,减肥手术仍是唯一能导致显著且持续体重减轻的干预措施。对食欲内分泌调节的更好理解促使了新治疗方法的发展。胰高血糖素样肽-1(GLP-1)类似物已可获得,并且GLP-1类似物与胃抑肽(GIP)的联合治疗最近在减肥方面显示出更大疗效。我们总结了支持这些分子用于治疗肥胖的已知作用机制和临床数据。