Haddad Fatma, Dokmak Ghadeer, Bader Maryam, Karaman Rafik
Pharmaceutical Sciences Department, Faculty of Pharmacy, Al-Quds University, Jerusalem 9103401, Palestine.
Faculty of Life Sciences, University of Bradford, Bradford BD7 1DP, UK.
Life (Basel). 2023 Apr 14;13(4):1012. doi: 10.3390/life13041012.
Obesity is a complex metabolic condition that can have a negative impact on one's health and even result in mortality. The management of obesity has been addressed in a number of ways, including lifestyle changes, medication using appetite suppressants and thermogenics, and bariatric surgery for individuals who are severely obese. Liraglutide and semaglutide are two of the five Food and Drug Administration (FDA)-approved anti-obesity drugs that are FDA-approved agents for the treatment of type 2 diabetes mellitus (T2DM) patients. In order to highlight the positive effects of these drugs as anti-obesity treatments, we analyzed the weight loss effects of T2DM agents that have demonstrated weight loss effects in this study by evaluating clinical studies that were published for each agent. Many clinical studies have revealed that some antihyperglycemic medications can help people lose weight, while others either cause weight gain or neutral results. Acarbose has mild weight loss effects and metformin and sodium-dependent glucose cotransporter proteins-2 (SGLT-2) inhibitors have modest weight loss effects; however, some glucagon-like peptide-1 (GLP-1) receptor agonists had the greatest impact on weight loss. Dipeptidyl peptidase 4 (DPP-4) inhibitors showed a neutral or mild weight loss effect. To sum up, some of the GLP-1 agonist drugs show promise as weight-loss treatments.
肥胖是一种复杂的代谢状况,会对人的健康产生负面影响,甚至导致死亡。肥胖的管理方法多种多样,包括改变生活方式、使用食欲抑制剂和产热剂的药物治疗,以及针对重度肥胖个体的减肥手术。利拉鲁肽和司美格鲁肽是美国食品药品监督管理局(FDA)批准的五种抗肥胖药物中的两种,它们也是FDA批准的用于治疗2型糖尿病(T2DM)患者的药物。为了突出这些药物作为抗肥胖治疗的积极效果,我们通过评估每种药物已发表的临床研究,分析了在本研究中已显示出减肥效果的T2DM药物的减肥效果。许多临床研究表明,一些降血糖药物可以帮助人们减肥,而另一些药物则会导致体重增加或产生中性结果。阿卡波糖有轻度减肥效果,二甲双胍和钠-葡萄糖协同转运蛋白2(SGLT-2)抑制剂有适度减肥效果;然而,一些胰高血糖素样肽-1(GLP-1)受体激动剂对减肥的影响最大。二肽基肽酶4(DPP-4)抑制剂显示出中性或轻度减肥效果。总之,一些GLP-1激动剂药物有望成为减肥治疗药物。