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贝那鲁肽作为胰高血糖素样肽-1受体激动剂对心脏代谢因子的影响:一项系统评价和荟萃分析。

The effect of beinaglutide as an glucagon-like peptide-1 receptor agonists on cardiometabolic factors: a systematic review and meta-analysis.

作者信息

Xu Yan, Velu Periyannan, Hu Li, Guimarães Nathalia Sernizon

机构信息

Department of Emergency Medicine, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, 64600, China.

Department of Biochemistry and Biotechnology, Annamalai University, Chidambaram, Tamil Nadu, 608002, India.

出版信息

Diabetol Metab Syndr. 2025 Apr 1;17(1):110. doi: 10.1186/s13098-025-01633-8.

Abstract

BACKGROUND

Considering the important role of cardiometabolic risk factors in different societies on increasing the burden of non-communicable diseases, in this study we will investigate the possible effects of Beinaglutide as an glucagon-like peptide-1 receptor agonists (GLP-1RAs) on these risk factors.

METHODS

In order to identify all randomized controlled trials that investigated the effects of Beinaglutide on cardiometabolic factors, a systematic search was conducted in the original databases using predefined keywords until July 2024. The pooled weighted mean difference and 95% confidence intervals were computed using the random-effects model.

RESULTS

A quantitative meta-analysis results from 7 studies with 872 participants showed that Beinaglutide has a significant lowering effect on weight (WMD: -3.74 kg; 95% CI: -5.03, -2.45), body mass index (BMI) (WMD:-1.64 kg/m; 95% CI: -2.10, -1.17), waist circumference (WC) (WMD: -3.19 cm; 95% CI: -4.65 to -1.73), triglycerid (TG) levels (WMD: -0.14 mmol/l with; 95% CI: -0.25, -0.04), and systolic blood pressure (SBP) (WMD: -1.76 mm/Hg; 95% CI: -2.61, -0.91). Furthermore, the results obtain from subgroup analysis showed a greater effect of Beinaglutide on the reduction of weight and TG during the intervention of more than 12 weeks. In addition, body weight loss was greater in doses less than 0.4 mg compared to doses greater than or equal to 0.4 mg.

CONCLUSIONS

The results of this meta-analysis show that Beinaglutide is effective in reducing factors related to obesity, TG as wll as SBP, especially with longer interventions and lower doses.

摘要

背景

鉴于心脏代谢危险因素在不同社会中对增加非传染性疾病负担的重要作用,在本研究中,我们将调查贝那鲁肽作为一种胰高血糖素样肽-1受体激动剂(GLP-1RAs)对这些危险因素的可能影响。

方法

为了确定所有研究贝那鲁肽对心脏代谢因素影响的随机对照试验,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7月。使用随机效应模型计算合并加权平均差和95%置信区间。

结果

来自7项研究、共872名参与者的定量荟萃分析结果显示,贝那鲁肽对体重(加权平均差:-3.74 kg;95%置信区间:-5.03,-2.45)、体重指数(BMI)(加权平均差:-1.64 kg/m²;95%置信区间:-2.10,-1.17)、腰围(WC)(加权平均差:-3.19 cm;95%置信区间:-4.65至-1.73)、甘油三酯(TG)水平(加权平均差:-0.14 mmol/L;95%置信区间:-0.25,-0.04)和收缩压(SBP)(加权平均差:-1.76 mmHg;95%置信区间:-2.61,-0.91)有显著降低作用。此外,亚组分析结果显示,在干预超过12周期间,贝那鲁肽对体重减轻和TG降低的作用更大。此外,与剂量大于或等于0.4 mg相比,剂量小于0.4 mg时体重减轻更多。

结论

这项荟萃分析的结果表明,贝那鲁肽在降低与肥胖、TG以及SBP相关的因素方面是有效的,尤其是在干预时间较长和剂量较低的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbab/11959866/7a0f0ea63af1/13098_2025_1633_Fig1_HTML.jpg

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