Wan Haijun, Xu Nuo, Wang Lijuan, Liu Yaping, Fatahi Somaye, Sohouli Mohammad Hassan, Guimarães Nathalia Sernizon
Department of Gastroenterology and Hepatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Day Operation Management Center, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Diabetol Metab Syndr. 2024 Nov 6;16(1):264. doi: 10.1186/s13098-024-01501-x.
Considering the increasing prevalence of obesity/overweight, its treatment or prevention with new interventions can greatly help health and reduce its adverse effects in people. One of these new interventions is investigating the effect of Survodutide as a dual agonist of glucagon and GLP-1 receptors, which seems to be able to influence weight loss processes in different ways. In this study, we investigated the effect of injectable Survodutide on weight loss.
In order to identify all randomized controlled trials that investigated the effects of Survodutide on factores related to obesity, a systematic search was conducted in the original databases using predefined keywords until August 2024. The pooled weighted mean difference and 95% confidence intervals were computed using the random-effects model.
The Findings from 18 treatment arms with 1029 participants indicated significant reductions in weight (WMD: -8.33 kg; 95% CI: -10.80, -5.86; I = 99.6%), body mass index (BMI) (WMD:-4.03 kg/m; 95% CI: -4.86, -3.20; I2 = 72.7%), and waist circumferences (WC) (WMD: -6.33 cm; 95% CI: -8.85 to -3.81; I = 99.5%) following the Survodutide injection compared to the control group. Subgroup analysis reveals that longer interventions (more than 16 weeks) and higher doses (more than 2 mg/week) of Survodutide are associated with more significant reductions in weight and WC. These results were also observed in the meta-regression analysis.
The results of this meta-analysis show that Survodutide is effective in reducing weight, BMI and waist circumference, especially with longer interventions and higher doses.
鉴于肥胖/超重的患病率不断上升,采用新的干预措施对其进行治疗或预防可极大地促进健康并减少其对人们的不良影响。这些新干预措施之一是研究司美格鲁肽作为胰高血糖素和GLP-1受体双重激动剂的作用,它似乎能够以不同方式影响体重减轻过程。在本研究中,我们调查了注射用司美格鲁肽对体重减轻的影响。
为了确定所有研究司美格鲁肽对肥胖相关因素影响的随机对照试验,我们在原始数据库中使用预定义关键词进行了系统检索,直至2024年8月。使用随机效应模型计算合并加权平均差和95%置信区间。
来自18个治疗组、1029名参与者的研究结果表明,与对照组相比,注射司美格鲁肽后体重(加权平均差:-8.33千克;95%置信区间:-10.80,-5.86;I² = 99.6%)、体重指数(BMI)(加权平均差:-4.03千克/米²;95%置信区间:-4.86,-3.20;I² = 72.7%)和腰围(WC)(加权平均差:-6.33厘米;95%置信区间:-8.85至-3.81;I² = 99.5%)均显著降低。亚组分析显示,司美格鲁肽较长时间的干预(超过16周)和较高剂量(超过2毫克/周)与体重和腰围的更显著降低相关。这些结果在Meta回归分析中也得到了观察。
这项Meta分析的结果表明,司美格鲁肽在减轻体重、BMI和腰围方面有效,尤其是在较长时间的干预和较高剂量时。