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GLP1-RA 在减重手术后优化体重减轻中的作用:系统评价和荟萃分析。

Role of GLP1-RA in Optimizing Weight Loss Post-Bariatric Surgery: A Systematic Review and Meta-Analysis.

机构信息

Lincoln American University School of Medicine, Kingston, Guyana.

Windsor University School of Medicine, Cayon, Saint Kitts and Nevis.

出版信息

Obes Surg. 2024 Oct;34(10):3888-3896. doi: 10.1007/s11695-024-07486-w. Epub 2024 Aug 31.

Abstract

Bariatric surgery is a widely used intervention for significant weight loss, yet some patients face challenges with insufficient weight loss or weight regain post-surgery. To address this issue, adjunctive treatments like glucagon-like peptide-1 receptor agonists (GLP1-RAs) are being explored for their potential to enhance weight loss outcomes. This meta-analysis was conducted to evaluate the effectiveness of GLP1-RAs in improving weight loss after bariatric surgery compared to a placebo. By systematically reviewing and analyzing data from three randomized controlled trials (RCTs) involving 130 patients, we found that GLP1-RA therapy, particularly liraglutide (1.8-3 mg), significantly reduced mean BMI and body weight percentage at six months. Future studies should explore newer GLP1-RAs with weekly dosing and include longer follow-up periods to assess the durability of these outcomes.

摘要

减重手术是一种广泛应用于显著减重的干预手段,但有些患者在手术后仍面临减重不足或体重反弹的挑战。为了解决这个问题,正在探索胰高血糖素样肽-1 受体激动剂(GLP1-RAs)等辅助治疗方法,以评估其在增强减重手术效果方面的潜力。这项荟萃分析旨在评估 GLP1-RAs 在改善减重手术后体重方面的有效性,与安慰剂相比。通过对涉及 130 名患者的三项随机对照试验(RCT)的数据进行系统回顾和分析,我们发现 GLP1-RA 治疗,特别是利拉鲁肽(1.8-3mg),在六个月时显著降低了平均 BMI 和体重百分比。未来的研究应探索具有每周剂量的新型 GLP1-RAs,并包括更长的随访期,以评估这些结果的持久性。

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