scholarly journals Comparison of Beinaglutide Versus Metformin for Weight Loss in Overweight and Obese Non-diabetic Patients

Author(s):  
Lijun Gao ◽  
Hong Huang ◽  
Lu Zhang ◽  
Ningjing Zhang ◽  
Yuzhe Fu ◽  
...  

Abstract Purpose We compared the efficacy and safety of beinaglutide, a glucagon-like peptide-1 (GLP-1) analogue with metformin in lowering the bodyweight of patients who were overweight/obese and non-diabetic. Patients and Methods Seventy-eight non-diabetic patients were randomly selected and beinaglutide or metformin was administered for 12 weeks. The primary endpoints were changes in body weight and the proportions of patients who lost≥5 and≥10% of their baseline body weights. Results A total of 64 patients completed the study; patients in the beinaglutide group exhibited more bodyweight loss than those in the metformin group [(9.5±0.8%; 9.1±0.9 kg) and (5.1±0.9%; 4.5±0.8 kg), respectively, corresponding to a difference of approximately 4.5 kg (95% confidence interval, 2.2–6.9 kg; P<0.01)]. In the beinaglutide group, 90.6 and 40.6% of the patients lost≥5 and≥10% of their body weight, respectively, whereas, in the metformin group, these rates were 46.9 and 12.5%, respectively (P<0.01 and P<0.05). Weight loss following beinaglutide treatment mainly resulted from the loss of fat mass. Compared to metformin, beinaglutide induced a greater decrease in the body mass index, weight circumference, percent body fat, and body fat mass (total, trunk, limb, android, and gynoid). Additionally, beinaglutide decreased serum insulin levels and ameliorated insulin resistance. Conclusions Beinaglutide is more efficient than metformin at reducing weight and fat mass in patients who are overweight/obese and non-diabetic. Beinaglutide may be a useful therapeutic option for overweight/obesity control in the Chinese population.

1995 ◽  
Vol 79 (3) ◽  
pp. 818-823 ◽  
Author(s):  
A. S. Ryan ◽  
R. E. Pratley ◽  
D. Elahi ◽  
A. P. Goldberg

Percent body fat increases with age and is often accompanied by a loss in muscle mass, strength, and energy expenditure. The effects of 16 wk of resistive training (RT) alone or with weight loss (RTWL) on strength (isokinetic dynamometer), body composition (dual-energy X-ray absorptiometry), resting metabolic rate (RMR) (indirect calorimetry), and sympathetic nervous system activity (catecholamines) were examined in 15 postmenopausal women (50–69 yr). RT resulted in significant improvements in upper and lower body strength in both groups (P < 0.01). The nonobese women in the RT group (n = 8) did not change their body weight or fat mass with training. In the obese RTWL group (n = 7), body weight, fat mass, and percent body fat were significantly decreased (P < 0.001). Fat-free mass and RMR significantly increased with training in both groups combined (P < 0.05). There were no significant changes in resting arterialized plasma norepinephrine or epinephrine levels in either group with training. RT increases strength with and without weight loss. Furthermore, RT and RTWL increase fat-free mass and RMR and decrease percent fat in postmenopausal women. Thus, RT may be a valuable component of an integrated weight management program in postmenopausal women.


1994 ◽  
Vol 77 (2) ◽  
pp. 933-940 ◽  
Author(s):  
K. E. Friedl ◽  
R. J. Moore ◽  
L. E. Martinez-Lopez ◽  
J. A. Vogel ◽  
E. W. Askew ◽  
...  

We examined body composition changes in 55 normal young men during an 8-wk Army combat leadership training course involving strenuous exercise and low energy intake, with an estimated energy deficit of 5.0 +/- 2.0 MJ/day and a resultant 15.7 +/- 3.1% weight loss. Percent body fat (BF) measured by dual-energy X-ray absorptiometry (DEXA) averaged 14.3% (range 6–26%) and 5.8 +/- 1.8% (range 4–11%) at the beginning and end of the course, respectively. Men who achieved a minimum percent BF (4–6%) by 6 wk demonstrated only small additional total and subcutaneous fat losses in the final 2 wk and sacrificed increasingly larger proportions of fat-free mass. Percent BF estimated from skinfold thicknesses reflected relative changes in fat mass, although actual percent BF was overestimated. Instead of reaching a plateau after fat stores were substantially depleted, abdominal, hip, and thigh girths continued to decline with body weight loss. Final percent BF for the leanest men was similar to that observed after a 25% body weight reduction in the 1950 Minnesota study (5.2% by underwater weighting), and height-corrected final fat mass was the same (1.0 +/- 0.2 vs. 0.9 +/- 0.7 kg fat/m2), suggesting that these values represent a minimal body fat content in healthy men and that weight loss subsequent to achieving this level is contributed from the fat-free mass. Our results suggest that 4–6% BF or approximately 2.5 kg fat represents the lower limit for healthy men, as assessed by DEXA or by underwater weighing.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 658-658
Author(s):  
Alex Schick ◽  
James Boring ◽  
Amber Courville ◽  
Isabelle Gallagher ◽  
Juen Guo ◽  
...  

Abstract Objectives To describe the effects of ad libitum low-fat (LF) and low-carbohydrate (LC) diets on body weight and fat mass. Methods Sixteen adults without diabetes spent 29 continuous days residing at the Metabolic Clinical Research Unit of the NIH Clinical Center where they were fed ad libitum either an animal-based, LC diet (75% fat, 10% carbohydrates, 15% protein) or a plant-based, LF diet (75% carbohydrates, 10% fat, 15% protein). Participants were randomly assigned to one diet for the first phase of the study (14 days), after which they were switched to the other diet for the remainder of the study. Participants were given three meals daily and were provided with additional snacks amounting to 200% of their daily energy requirements as determined by their resting energy expenditure multiplied by 1.6. Subjects were told that this was not a weight loss study and were not informed about the primary study aim. They were instructed to eat as much or as little as they desired. Total body weight and fat mass were measured using a calibrated scale and dual-energy X-ray absorptiometry, respectively. Subjects were blinded to their data and wore loose-fitting scrubs to avoid any feedback regarding changes in the fit of their clothing. Results Subjects included 7 women and 9 men, with an age of (mean ± SE) 29 ± 1.7 years and BMI of 27.5 ± 1.5 at baseline. Participants lost weight on both diets, with the LC diet resulting in 1.34 ± 0.31 kg of weight loss (P = 0.0006) and the LF diet resulting in 1.09 ± 0.31 kg of weight loss (P = 0.003) which was not significantly different from the LC diet (P = 0.58). However, participants lost 0.6 ± 0.17 kg of body fat on the LF diet (P = 0.002) but the LC diet did not result in significant body fat loss (0.04 ± 0.17 kg; P = 0.8) and the difference in body fat loss between the diets was statistically significant (P = 0.03). Conclusions While participants lost similar amounts of weight on both diets, only the LF diet led to significant body fat loss. Early weight loss with a LC diet does not necessarily reflect a similar state of negative energy balance as compared with a LF diet. Funding Sources Intramural Research Program of the National Institutes of Diabetes and Digestive and Kidney Diseases.


2019 ◽  
Vol 6 (1) ◽  
pp. 51-57 ◽  
Author(s):  
O. A. Gerasimchik ◽  
Ya. V. Girsh

Background. The steady growth of obesity in the children’s age group determines the need for integrated modern approaches to diagnosis and therapy.Objective. To determine the body composition of adolescents with different body mass for the quantitative analysis of the internal environment of the organism using the method bioimpendancemetria.Design and methods. To determine the composition of the body, 121 adolescents aged 10–17 years were examined, the average age was 13.9 years (± 2.1). Evaluation of anthropometric data and determination of BMI at the 1st stage of the study allowed to identify 3 groups of patients: group 1 — adolescents with normal body weight, 40 people (33 %), group 2 — overweight, 48 people (40 %) and group 3 — obese, 33 adolescents (27 %). At stage 2nd, the analysis of the body structure using computer impedance, which allows to determine the composition of the body in a percentage.Results. When assessing the structure of the body, in group with normal body weight, the content of adipose tissue corresponds to the normal value. In adolescents overweight and obesity in 100 % of cases there was an increased content of fat mass. In the group of adolescents with normal body weight, the percentage deviation of AKM is 16–17 %, in the group with excess body weight 12–40 %. Insufficient as well as excessive percentage of AKM causes hunger. The higher AKM in full adolescents, the more difficult the process of weight loss. During the evaluation of the main metabolism it was found that in the group of obese patients the indicators exceeded those in the groups with normal and overweight.Conclusion. The use of bioimpedance analysis allows to create an optimal set of sequential effects aimed at correcting the fat mass, water composition and muscle mass of the patient, which determines a more directed and effective weight loss and the possibility of dynamic control.


2017 ◽  
Vol 8 (1) ◽  
pp. 250-261 ◽  
Author(s):  
Minkyung Kim ◽  
Minjoo Kim ◽  
Miso Kang ◽  
Hye Jin Yoo ◽  
Min Sun Kim ◽  
...  

Probiotic supplementation increased the levels of C8:1, C14:1, C10, and C12:1 acylcarnitines, and these increases were correlated with a decrease in the body weight, body fat percentage, body fat mass and L1 subcutaneous fat area.


1968 ◽  
Vol 46 (1) ◽  
pp. 101-107
Author(s):  
Peter B. Karch ◽  
John R. Beaton

With adult male rats, experiments were carried out to ascertain the different effects, if any, of isocaloric diets high in carbohydrate, fat, or protein fed in restricted amounts of 9 g per rat per day on body weight loss and composition. It was observed that the nature of the diet did not alter rate, amount, or composition of body weight loss when fed in restricted amount for a period of 12 days. Further, the nature of the diet did not alter significantly the following parameters during restriction: water intake, urine volume, resting metabolic rate, spontaneous activity, urine and feces calorie values. In an experiment with hypothalamic-obese rats, the body weight loss and composition were not significantly different among the dietary-restricted groups. An important observation in this experiment was that as body fat decreased markedly owing to restricted feeding, body water increased markedly and counterbalanced approximately 60% of the potential weight loss due to the decrease in body fat. Our reported observations do not support the hypothesis that the composition of the diet may determine the rate and amount of body weight loss as a consequence of restricted food intake. They do support the hypothesis that the calorie intake, not the nature of the source of calories, determines the rate and amount of weight loss, at least for relatively short periods of food restriction.


2006 ◽  
Vol 52 (6) ◽  
pp. 672-683 ◽  
Author(s):  
Yuji Tominaga ◽  
Tatsumasa Mae ◽  
Mitsuaki Kitano ◽  
Yoshiro Sakamoto ◽  
Hideyuki Ikematsu ◽  
...  

2006 ◽  
Vol 27 (3) ◽  
pp. 264-270 ◽  
Author(s):  
Asja Wagener ◽  
Armin O. Schmitt ◽  
Soner Aksu ◽  
Werner Schlote ◽  
Christina Neuschl ◽  
...  

Mouse lines long-term selected for high fatness offer the possibility to identify individual genes involved in the development of obesity. The Berlin Fat Mouse (BFM) line has been selected for low protein content and afterward for high fatness. Three Berlin Fat Mouse Inbred (BFMI) lines, which are derivates of the selection line BFM and an unselected control line (C57BL/6; B6) were systematically phenotyped between 3 and 20 wk. The body weights and body compositions were measured on a weekly basis. We demonstrated that the BFMI lines dispose of more body weight, body fat mass, and body lean mass than the control line B6 because of a better feed efficiency in these lines. In contrast to other growth-selected mouse lines, the BFMI lines exhibited a general increase in body fat mass but only a marginal increase in body lean mass. The three BFMI lines also showed line- and sex-specific patterns and varied in their response to high-fat diet. The phenotypic differences between the BFMI lines can be traced back to different sets of fixed alleles contributing to fat accumulation and diet-induced obesity. Our results demonstrate that the genetically related BFMI lines are novel models to study the genetic as well as the nutritional aspects of obesity.


1964 ◽  
Vol 19 (5) ◽  
pp. 863-867 ◽  
Author(s):  
Arthur M. Kodama ◽  
Nello Pace

Body fat content and the melting point and fatty acid composition of body fat of hamsters exposed to 35, 27, 20, 15, 10, and 6 C for 2 weeks were determined. The relationship between exposure temperature and body fat content and composition resembled that between environmental temperature and metabolic rate. Below the critical temperature, there was a progressive decrease in total body fat content and melting point accompanied by a decrease in the mole fraction of palmitic acid and an increase in the mole fraction of oleic acid. The softening of body fat in cold-exposed animals appears to be the result of an increased mobilization of depot fat in response to a higher metabolic rate in the cold, a mobilization which is at least partially selective with respect to individual fatty acids or triglycerides. Examination of changes in whole body composition revealed that 72% of the loss in body weight of hamsters exposed to 6 C was due to a decrease in body fat content. In contrast, the decrease in body fat content accounted for only 28% of the body weight loss of pair-fed hamsters kept at 27 C on reduced caloric intake to match the body weight loss experienced by cold-exposed animals. It appears, therefore, that cold exposure induces a more effective fat depot mobilization than does reduced caloric intake. heat exposure; cold exposure; body composition Submitted on February 3, 1964


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