胰高血糖素样肽-1受体激动剂Semaglutide对肥胖治疗的临床影响:综述

IF 2.5 Q2 PHARMACOLOGY & PHARMACY
Clinical Pharmacology : Advances and Applications Pub Date : 2022-08-03 eCollection Date: 2022-01-01 DOI:10.2147/CPAA.S374741
Nasser M Alorfi, Alanood S Algarni
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引用次数: 6

摘要

目的:肥胖和超重对健康构成威胁,在成年人中比营养不良更常见。根据脂肪堆积和身体质量指数(BMI) > 30来分类。几十年来,世界范围内的肥胖人数显著增加。在过去几年中,采取了几种策略来管理体重并遏制该疾病日益流行的趋势;然而,药物选择的改进空间仍然存在。这篇综述旨在消化过去选定的临床和实验研究,并了解西马鲁肽治疗肥胖的作用。方法:对西马鲁肽的临床应用、作用机制、药代动力学、药效学及副作用等相关文献进行综述。仅纳入并评估了使用Semaglutide治疗肥胖的人类受试者的研究。结果:Semaglutide通过抑制食欲和饥饿感来促进体重减轻,减少能量摄入,控制饮食,并抑制对脂肪,能量密集食物的相对偏好。此外,肥胖与Semaglutide之间的关系已被广泛研究,大多数研究揭示了Semaglutide的减肥功效。总的来说,semaglutide的药代动力学显示糖化血红蛋白A1c (HbA1c)和总体重下降。在接受Semaglutide治疗的患者中观察到的常见不良反应包括胃肠道不良事件,如恶心、呕吐、腹泻、便秘和腹部痉挛。结论:综述的结果表明,西马鲁肽似乎是有益的,最显著的是它对减肥的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Impact of Semaglutide, a Glucagon-Like Peptide-1 Receptor Agonist, on Obesity Management: A Review.

Purpose: Obesity and overweight pose a threat to health and are more common than undernutrition among adults. It is categorized by fat accumulation and a body mass index (BMI) of > 30. A significant increase in worldwide obesity has been ongoing over several decades. Over the past few years, several strategies have been followed for weight management and to counteract the increasing prevalence of the disease; however, room for improvement with pharmacological options still exists. This review aimed to digest selected past clinical and experimental studies and understand the role of semaglutide treatment for obesity.

Methods: Articles related to the clinical uses of semaglutide, mechanism of action, pharmacokinetics, pharmacodynamics, and side effects of the drug were identified. Only studies with human subjects who used Semaglutide for obesity management were included and assessed.

Results: Semaglutide promotes weight loss via appetite and hunger suppression, decreases energy intake, controls eating, and depresses the relative fondness for fatty, energy-dense foods. Moreover, the relationship between obesity and Semaglutide has been widely investigated, and most studies reveal the efficacy of Semaglutide on weight loss. Overall, the pharmacokinetics of semaglutide shows a drop in glycosylated hemoglobin A1c (HbA1c) and total body weight. The usual adverse effects observed in patients treated with Semaglutide include gastrointestinal adverse events, like nausea, vomiting, diarrhea, constipation, and abdominal cramps.

Conclusion: The findings from the review suggest that semaglutide appears to be beneficial, most notably in its contribution to weight reduction.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
14
审稿时长
16 weeks
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