Obesity and diabetes : the final frontier

INTRODUCTION: Obesity is a key target in the treatment and prevention of diabetes and independently to reduce the burden of cardiovascular disease. We reviewed the options now available and anticipated to deal with obesity.

AREAS COVERED: We considered the epidemiology, genetics, and causation of obesity and the relationship to diabetes, and the dietary, pharmaceutical, and surgical management of the condition. The literature search covered both popular media via Google Search and the academic literature as indexed on PubMed with search terms including obesity, childhood obesity, adipocytes, insulin resistance, mechanisms of satiety, bariatric surgery, GLP-1 receptor agonists, and SGLT2 inhibitors.

EXPERT OPINION: Although bariatric surgery has been the primary approach to treating obese individuals, the emergence of agents impacting the brain satiety centers now promises effective, non-invasive treatment of obesity for individuals with and without diabetes. The GLP-1 receptor agonists have assumed the primary role in treating obesity with significant weight loss. Long-term results with semaglutide and tirzepatide are now approaching the success seen with bariatric surgery. Future agents combining the benefits of satiety control and thermogenesis to dissipate caloric excess are under investigation.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Expert review of endocrinology & metabolism - 18(2023), 1 vom: 07. Jan., Seite 81-94

Sprache:

Englisch

Beteiligte Personen:

Rendell, Marc S [VerfasserIn]

Links:

Volltext

Themen:

Glucagon-Like Peptide-1 Receptor
Hypoglycemic Agents
Journal Article
Liraglutide
Obesity
Prediabetes
Research Support, Non-U.S. Gov't
Review
Semaglutide
Tirzapatide
Type 2 diabetes

Anmerkungen:

Date Completed 13.02.2023

Date Revised 15.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17446651.2023.2168643

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352208651