利拉鲁肽与运动:肥胖的可能治疗方法?

Obesities Pub Date : 2022-08-17 DOI:10.3390/obesities2030023
A. P. A. Macêdo, R. F. Vieira, Guilherme Domingos Brisque, G. F. Abud, J. Pauli
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引用次数: 1

摘要

(1) 背景:肥胖已成为世界范围内一个重要的公共卫生问题,其作为一种慢性疾病的特征反映了一种复杂和多因素条件的影响。肥胖的治疗是基于生活方式干预,诱导负能量平衡。然而,对于许多超重和肥胖的人来说,坚持生活方式干预是一个挑战。因此,肥胖管理中的药物治疗被用于提高患者对生活方式改变的依从性,并克服减肥带来的生物适应。在这些药物中,利拉鲁肽脱颖而出。利拉鲁肽是人胰高血糖素样肽-1(GLP-1)的类似物,GLP-1是一种调节葡萄糖依赖性胰岛素分泌和胰高血糖蛋白释放的激素。(2) 结果:利拉鲁肽对糖尿病和肥胖患者的减肥和血糖控制似乎是有效的,利拉鲁苷和运动的结合也可以带来减肥的好处。此外,利拉鲁肽和体育锻炼的结合可以预防利拉鲁苷给药中观察到的不良反应。(3) 结论:利拉鲁肽似乎有助于改善患有或不患有糖尿病的肥胖患者的心脏代谢,利拉鲁素与体育锻炼的结合可以预防利拉鲁苷给药中观察到的不良反应。
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Liraglutide and Exercise: A Possible Treatment for Obesity?
(1) Background: Obesity has become an important public health problem worldwide, and its characterization as a chronic disease reflects the impact of a complex and multifactorial condition. The treatment for obesity is based on lifestyle interventions that induce a negative energy balance. However, adherence to a lifestyle intervention is a challenge for many overweight and obese people. Thus, pharmacotherapy in the management of obesity is used to increase patient adherence to lifestyle changes and overcome the biological adaptations that occur with weight loss. Among these drugs, liraglutide stands out. Liraglutide is an analog of human glucagon-like peptide-1 (GLP-1), a hormone that regulates glucose-dependent insulin secretion, and glucagon release. (2) Results: Liraglutide appears to be effective in weight reduction and glycemic control in diabetic and obese patients, and combination of liraglutide and exercise can also bring benefits in weight loss. Furthermore, the combination of liraglutide and physical exercise can prevent adverse effects observed in the administration of liraglutide. (3) Conclusions: liraglutide seems to contribute to cardiometabolic improvement in obese individuals with or without diabetes, and the combination of liraglutide and physical exercise can prevent adverse effects observed in the administration of liraglutide.
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