日本2型糖尿病患者口服西马鲁肽后食物偏好的变化:KAMOGAWA-DM队列

Junya Hironaka, Emi Ushigome, Yuriko Kondo, Yoshitaka Hashimoto, Takafumi Osaka, Saori Majima, Naoko Nakanishi, Hiroshi Okada, Takafumi Senmaru, Masahide Hamaguchi, Masahiro Yamazaki, Michiaki Fukui
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摘要

背景:本研究旨在探讨口服西马鲁肽对日本2型糖尿病患者饮食偏好变化的影响。方法:这项回顾性多中心研究纳入了75例口服西马鲁肽治疗的2型糖尿病患者。主要观察结果为口服西马鲁肽治疗3个月后简明型自我管理饮食史问卷(BDHQ)评分的变化。次要结局是3个月后饮食问卷(CoEQ)、糖化血红蛋白(HbA1c)和体重指数(BMI)控制的变化。结果:23名参与者的中位年龄、BMI和HbA1c分别为64.0岁、26.9 kg/m2和7.6% (59 mmol/mol)。BDHQ结果显示总能量显著降低。在单个营养素中,碳水化合物减少最多。CoEQ结果特别显示,3个月后,对甜食、巧克力或巧克力味食品、淀粉类食品的渴望、用餐满意度、对食物渴望的频率和强度、抵抗对食物渴望的困难、以及对食物渴望的反应的进食频率显著降低。平均HbA1c和BMI显著降低。结论:在日本2型糖尿病患者中,口服西马鲁肽治疗降低了总能量摄入并改变了食物偏好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in food preferences after oral semaglutide administration in Japanese patients with type 2 diabetes: KAMOGAWA-DM cohort.

Background: This study aimed to investigate the effects of oral semaglutide on the changes in food preference of Japanese patients with type 2 diabetes.

Methods: This retrospective multicenter study included 75 patients with type 2 diabetes who received oral semaglutide. The primary outcome was the change in the score of brief-type self-administered diet history questionnaire (BDHQ) score 3 months after the initiation of oral semaglutide treatment. The secondary outcome was the change in the Control of Eating Questionnaire (CoEQ), HbA1c, and body mass index (BMI) after 3 months.

Results: The median age, BMI, and HbA1c of the 23 participants were 64.0 years, 26.9 kg/m2, and 7.6% (59 mmol/mol). The BDHQ results showed total energy was significantly reduced. Among the individual nutrients, carbohydrates most decreased. The CoEQ results particularly showed declines in cravings for something sweet, chocolate or chocolate flavored foods, and starchy foods, satisfaction at meals, frequency and intensity of food craving, difficulty of resisting the craving for food, and frequency of eating in response to cravings for food were significantly lower after 3 months. The mean HbA1c and BMI significantly decreased.

Conclusions: In Japanese patients with type 2 diabetes, oral semaglutide treatment decreased total energy intake and changed food preferences.

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