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本文引用的文献

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Exploring the Role of Guilt in Eating Disorders: A Pilot Study.探究内疚感在饮食失调中的作用:一项初步研究。
Clin Pract. 2025 Mar 10;15(3):56. doi: 10.3390/clinpract15030056.
2
Fluoxetine promotes IL-10-dependent metabolic defenses to protect from sepsis-induced lethality.氟西汀促进白细胞介素-10依赖的代谢防御,以保护机体免受败血症诱导的致死性影响。
Sci Adv. 2025 Feb 14;11(7):eadu4034. doi: 10.1126/sciadv.adu4034.
3
The impact of glucagon-like peptide-1 (GLP-1) agonists in the treatment of eating disorders: a systematic review and meta-analysis.胰高血糖素样肽-1(GLP-1)激动剂在饮食失调治疗中的作用:一项系统评价和荟萃分析。
Eat Weight Disord. 2025 Feb 1;30(1):10. doi: 10.1007/s40519-025-01720-9.
4
The current clinical approach to feeding and eating disorders aimed to increase personalization of management.当前针对进食和饮食障碍的临床方法旨在提高管理的个性化程度。
World Psychiatry. 2025 Feb;24(1):4-31. doi: 10.1002/wps.21263.
5
9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes-2025.9. 血糖治疗的药理学方法:2025年糖尿病护理标准
Diabetes Care. 2025 Jan 1;48(Supplement_1):S181-S206. doi: 10.2337/dc25-S009.
6
8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Care in Diabetes-2025.8. 肥胖与体重管理在2型糖尿病预防和治疗中的应用:2025年糖尿病照护标准
Diabetes Care. 2025 Jan 1;48(Supplement_1):S167-S180. doi: 10.2337/dc25-S008.
7
Repurposing Semaglutide and Liraglutide for Alcohol Use Disorder.将司美格鲁肽和利拉鲁肽用于治疗酒精使用障碍
JAMA Psychiatry. 2025 Jan 1;82(1):94-98. doi: 10.1001/jamapsychiatry.2024.3599.
8
Guidelines for Rigorous and Reproducible Research on Other Specified Feeding or Eating Disorder: Commentary on Dang et al. (2024).关于其他特定进食障碍的严谨和可重复研究指南:评 Dang 等人(2024 年)。
Int J Eat Disord. 2024 Oct;57(10):2041-2044. doi: 10.1002/eat.24262. Epub 2024 Oct 25.
9
Bulimia Nervosa and Depression, from the Brain to the Gut Microbiota and Back.神经性贪食症和抑郁症:从大脑到肠道微生物群再到大脑。
Front Biosci (Landmark Ed). 2024 Aug 9;29(8):277. doi: 10.31083/j.fbl2908277.
10
Mechanisms of action and therapeutic applications of GLP-1 and dual GIP/GLP-1 receptor agonists.胰高血糖素样肽-1(GLP-1)及双重葡萄糖依赖性促胰岛素多肽(GIP)/GLP-1受体激动剂的作用机制与治疗应用
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饮食失调背景下的胰高血糖素样肽-1受体激动剂:一种有前景的治疗选择还是一把双刃剑?

Glucagon-like Peptide-1 Receptor Agonists in the Context of Eating Disorders: A Promising Therapeutic Option or a Double-Edged Sword?

作者信息

Kałas Maria, Stępniewska Ewelina, Gniedziejko Michał, Leszczyński-Czeczatka Jakub, Siemiński Mariusz

机构信息

Department of Emergency Medicine, Medical University of Gdańsk, 80-214 Gdańsk, Poland.

Emergency Department, University Clinical Center, 80-952 Gdańsk, Poland.

出版信息

J Clin Med. 2025 Apr 30;14(9):3122. doi: 10.3390/jcm14093122.

DOI:10.3390/jcm14093122
PMID:40364152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12072339/
Abstract

Glucagon-like peptide-1 Receptor Agonists (GLP-1 RAs) have been one of the most discussed issues in medicine for the past few years. Initially dedicated to patients with type 2 diabetes mellitus (T2DM), the medicine turned out to be an effective weight-loss treatment for people beyond this population. Whereas their beneficial somatic and metabolic effect are beyond doubt, their possible psychiatric adverse reactions have raised concerns. Eating disorders (EDs) are among the mental illnesses whose number is increasing worldwide. Thus, this review aims to summarize the status of knowledge on the correlation between the popularity of GLP-1 RAs and EDs. The conclusions are not unequivocal, pointing out that GLP-1 ARs have the potential to be an effective therapeutic option in some cases of Eds, but if used inappropriately, may increase morbidity of eating disorders.

摘要

在过去几年里,胰高血糖素样肽-1受体激动剂(GLP-1 RAs)一直是医学领域讨论最多的话题之一。这种药物最初是针对2型糖尿病(T2DM)患者研发的,但后来发现它对该人群以外的人也是一种有效的减肥治疗方法。尽管它们有益的躯体和代谢作用毋庸置疑,但其可能的精神科不良反应却引发了人们的关注。饮食失调(EDs)是全球范围内发病率不断上升的精神疾病之一。因此,本综述旨在总结关于GLP-1 RAs的普及与EDs之间相关性的知识现状。结论并不明确,指出GLP-1 ARs在某些饮食失调病例中有可能成为一种有效的治疗选择,但如果使用不当,可能会增加饮食失调的发病率。