Efikasi Liraglutide Dalam Tatalaksana Obesitas Pada Pasien Dewasa Diabetik dan Non-Diabetik

Arya Adi Bramasta, Diana Novitasari

Sari


ABSTRACT

 

Obesity has become increasingly prevalent and is responsible for numerous other conditions like type 2 diabetes, hypertension, and cancer, contributing to a significant burden of disease. According to guidelines, managing obesity demands a multifaceted strategy that includes initiation of a comprehensive lifestyle intervention program and pharmacotherapy.  Currently, evidence has emerged of a new era of pharmacotherapy to support weight management, one of which is liraglutide. Liraglutide is a GLP-1 RA that has been proven to be effective effective for weight loss in both diabetic and non-diabetic patients. Apart from reducing body weight, liraglutide was also found to be useful in reducing HbA1c levels in diabetic patients. Currently,  liraglutide therapy for obesity is advised to be administered at a dose of 3 mg, with a gradual titration. The most common side effects are related to the gastrointestinal system such as nausea and vomiting.

 

Keywords: Liraglutide, Obesity, Overweight, Diabetes, Non-diabetes

 

 

ABSTRAK

 

 Prevalensi obesitas telah meningkat pesat dan berhubungan dengan banyak penyakit lainnya seperti T2DM, hipertensi hingga kanker sehingga menimbulkan beban penyakit yang tinggi. Pedoman merekomendasikan pendekatan multifaktorial untuk tatalaksana obesitas, mencakup inisiasi program intervensi gaya hidup yang komprehensif dan farmakoterapi.  Saat ini telah muncul bukti era baru farmakoterapi untuk mendukung pengelolaan berat badan, salah satunya adalah liraglutide. Liraglutide adalah GLP-1 RA yang telah ditemukan efektif untuk menurunkan berat badan pada pasien diabetik dan non-diabetik. Selain menurunkan berat badan, liraglutide juga ditemukan bermanfaat dalam menurunkan kadar HbA1c pada pasien diabetik. Saat ini, penggunaan liraglutide direkomendasikan pada dosis 3 mg untuk terapi obesitas, dengan cara pemberian dititrasi perlahan. Efek samping yang paling umum terjadi yaitu terkait dengan sistem gastrointestinal seperti mual dan muntah.  

 

Kata Kunci: Liraglutide, Obesitas, Overweight, Diabetes, Non-Diabetes


Kata Kunci


liraglutide, obesitas, overweight, diabetes, non-diabetes

Teks Lengkap:

Download Artikel

Referensi


Alruwaili, H., Dehestani, B., & le Roux, C. W. (2021). Clinical Impact of Liraglutide as a Treatment of Obesity. Clinical Pharmacology: Advances and Applications, Volume 13, 53–60. https://doi.org/10.2147/CPAA.S276085

Anderson, J., Kushner, R., Miller, E., Nadglowski, J., & Still, C. (2023). Overweight and Obesity Management for Primary Care Clinicians: Executive Summary. Clinical Diabetes, 41(1), 85–89. https://doi.org/10.2337/cd22-0082

Baker, J. S., Supriya, R., Dutheil, F., & Gao, Y. (2022). Obesity: Treatments, Conceptualizations, and Future Directions for a Growing Problem. Biology, 11(2), 160. https://doi.org/10.3390/biology11020160

Collins, L., & Costello, R. A. (2023). Glucagon-Like Peptide-1 Receptor Agonists. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/31641522

Cornejo-Estrada, A., Nieto-Rodríguez, C., León-Figueroa, D. A., Moreno-Ramos, E., Cabanillas-Ramirez, C., & Barboza, J. J. (2023). Efficacy of Liraglutide in Obesity in Children and Adolescents: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Children, 10(2), 208. https://doi.org/10.3390/children10020208

Deng, Y., Park, A., Zhu, L., Xie, W., & Pan, C. Q. (2022). Effect of semaglutide and liraglutide in individuals with obesity or overweight without diabetes: a systematic review. Therapeutic Advances in Chronic Disease, 13, 204062232211080. https://doi.org/10.1177/20406223221108064

Destra, E., Anggraeni, N., Firmansyah, Y., & Santoso, A. H. (2023). Waist to hip ratio in Cardiovascular Disease Risk : A Review of the Literature. MAHESA : Malahayati Health Student Journal, 3(6), 1770–1781. https://doi.org/10.33024/mahesa.v3i6.10595

Drucker, D. J., Dritselis, A., & Kirkpatrick, P. (2010). Liraglutide. Nature Reviews Drug Discovery, 9(4), 267–268. https://doi.org/10.1038/nrd3148

Durrer Schutz, D., Busetto, L., Dicker, D., Farpour-Lambert, N., Pryke, R., Toplak, H., Widmer, D., Yumuk, V., & Schutz, Y. (2019). European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care. Obesity Facts, 12(1), 40–66. https://doi.org/10.1159/000496183

Elkind-Hirsch, K. E., Chappell, N., Shaler, D., Storment, J., & Bellanger, D. (2022). Liraglutide 3 mg on weight, body composition, and hormonal and metabolic parameters in women with obesity and polycystic ovary syndrome: a randomized placebo-controlled-phase 3 study. Fertility and Sterility, 118(2), 371–381. https://doi.org/10.1016/j.fertnstert.2022.04.027

Gadde, K. M., Martin, C. K., Berthoud, H.-R., & Heymsfield, S. B. (2018). Obesity. Journal of the American College of Cardiology, 71(1), 69–84. https://doi.org/10.1016/j.jacc.2017.11.011

Garvey, W. T., Birkenfeld, A. L., Dicker, D., Mingrone, G., Pedersen, S. D., Satylganova, A., Skovgaard, D., Sugimoto, D., Jensen, C., & Mosenzon, O. (2020). Efficacy and Safety of Liraglutide 3.0 mg in Individuals With Overweight or Obesity and Type 2 Diabetes Treated With Basal Insulin: The SCALE Insulin Randomized Controlled Trial. Diabetes Care, 43(5), 1085–1093. https://doi.org/10.2337/dc19-1745

Ghanim, H., Batra, M., Green, K., Abuaysheh, S., Hejna, J., Makdissi, A., Borowski, R., Kuhadiya, N. D., Chaudhuri, A., & Dandona, P. (2020). Liraglutide treatment in overweight and obese patients with type 1 diabetes: A 26‐week randomized controlled trial; mechanisms of weight loss. Diabetes, Obesity and Metabolism, 22(10), 1742–1752. https://doi.org/10.1111/dom.14090

Holly, J. M. P., Biernacka, K., & Perks, C. M. (2019). Systemic Metabolism, Its Regulators, and Cancer: Past Mistakes and Future Potential. Frontiers in Endocrinology, 10, 65. https://doi.org/10.3389/fendo.2019.00065

Holst, J. J. (2007). The Physiology of Glucagon-like Peptide 1. Physiological Reviews, 87(4), 1409–1439. https://doi.org/10.1152/physrev.00034.2006

Janez, M., Rizzo, M., Haluzík, M., & Janež, A. (2022). Efficacy of GLP-1 RA Approved for Weight Management in Patients With or Without Diabetes: A Narrative Review. Advances in Therapy, 39(6), 2452–2467. https://doi.org/10.1007/s12325-022-02153-x

Knudsen, L. B., & Lau, J. (2019). The Discovery and Development of Liraglutide and Semaglutide. Frontiers in Endocrinology, 10. https://doi.org/10.3389/fendo.2019.00155

Ladenheim, E. (2015). Liraglutide and obesity: a review of the data so far. Drug Design, Development and Therapy, 1867. https://doi.org/10.2147/DDDT.S58459

Lundgren, J. R., Janus, C., Jensen, S. B. K., Juhl, C. R., Olsen, L. M., Christensen, R. M., Svane, M. S., Bandholm, T., Bojsen-Møller, K. N., Blond, M. B., Jensen, J.-E. B., Stallknecht, B. M., Holst, J. J., Madsbad, S., & Torekov, S. S. (2021). Healthy Weight Loss Maintenance with Exercise, Liraglutide, or Both Combined. New England Journal of Medicine, 384(18), 1719–1730. https://doi.org/10.1056/NEJMoa2028198

Mehta, A., Marso, S. P., & Neeland, I. J. (2017). Liraglutide for weight management: a critical review of the evidence. Obesity Science & Practice, 3(1), 3–14. https://doi.org/10.1002/osp4.84

Pi-Sunyer, X., Astrup, A., Fujioka, K., Greenway, F., Halpern, A., Krempf, M., Lau, D. C. W., le Roux, C. W., Violante Ortiz, R., Jensen, C. B., & Wilding, J. P. H. (2015). A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management. New England Journal of Medicine, 373(1), 11–22. https://doi.org/10.1056/NEJMoa1411892

Tilinca, M. C., Tiuca, R. A., Burlacu, A., & Varga, A. (2021). A 2021 Update on the Use of Liraglutide in the Modern Treatment of ‘Diabesity’: A Narrative Review. Medicina, 57(7), 669. https://doi.org/10.3390/medicina57070669

Timothy Garvey, W. (2019). The diagnosis and evaluation of patients with obesity. Current Opinion in Endocrine and Metabolic Research, 4, 50–57. https://doi.org/10.1016/j.coemr.2018.10.001

Trenson, L., Trenson, S., van Nes, F., Moyson, C., Lannoo, M., Deleus, E., Meulemans, A., Matthys, C., Mertens, A., Van der Schueren, B., & Vangoitsenhoven, R. (2022). Liraglutide for Weight Management in the Real World: Significant Weight Loss Even if the Maximal Daily Dose Is Not Achieved. Obesity Facts, 15(1), 83–89. https://doi.org/10.1159/000520217

Trujillo, J. M., Nuffer, W., & Smith, B. A. (2021). GLP-1 receptor agonists: an updated review of head-to-head clinical studies. Therapeutic Advances in Endocrinology and Metabolism, 12, 204201882199732. https://doi.org/10.1177/2042018821997320




DOI: https://doi.org/10.33024/mnj.v6i2.12883

Refbacks

  • Saat ini tidak ada refbacks.


Penerbit: Universitas Malahayati


 Creative Commons License

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License

Main Sambil Santai Jackpot Datang Pemain Ini Bongkar Trik Scatter Efektif

Modal Kecil Kemenangan Besar Scatter Ganda Membawa Puluhan Juta Dalam Sekejap

Modal Pas Pasān Tak Jadi Masalah Strategi Tepat Bikin Kemenangan Fantastis

Pengalaman Nyata Modal Mini Tembus Puluhan Juta Semua Berkat Timing Yang Tepat

Retrigger Bertubi Tubi Sensasi Menang Besar Tanpa Henti Di Mahjong Ways

Scatter Muncul Di Saat Tak Terduga Uang Mengalir Deras Dalam Hitungan Menit

Scatter Tak Henti Retrigger Jalan Halus Cerita Pemain Raih Kemenangan Fantastis

Turbo Off Aktif Jackpot Meluncur Cerita Nyata Pemain Yang Tidak Menyangka

Turbo Off Scatter Ganda Kombinasi Ampuh Raih Jackpot Di Tengah Malam

Member Asal Kalimantan Utara Salah Download Mustang Gold Malah Bunyi Jackpot Gak Berhenti

Nelayan Asal Bitung Baca Tutorial Extra Juicy Saat HP Nyala Sendiri Malah Jackpot Beruntun Rp 95 Juta

Orang Asal Manado Kepencet Anak Saat Main 5 Lions Megaways Malah Aplikasi Lag Justru Beruntung

Pemain Asal Kebumen Belajar Wild West Gold Dari YouTube Malah Bunyi Jackpot Gak Berhenti

Pemain Kupang Cek Notifikasi Big Bass Bonanza Malah Temukan RTP 100 Persen

Penjual Cilok Asal Singaraja Coba Coba Gems Bonanza Saat Coffee Break Malah Ketemu Bug Cahaya Profit 300 Juta

SPB Bandar Lampung Belajar Trik Mustang Gold Dari YouTube Sambil Jualan Malah Bonus Berkali Kali Rp 105 Juta

Tukang Jahit Jambi Modal 50 Ribu Main Prosperity Lion Malah Berubah Nasib 180 Derajat

Wanita Asal Sulawesi Tenggara Download Wild West Gold Megaways Malah HP Panas Saat Di Indomaret

Zara Tukang Jam Ngetes Pola Fortune Rabbit Malah HP Panas Saat Bongkar Algoritma

3 Player Palangkaraya Riset Google Double Fortune Malah Crack Sistem SPBU Profit 35 Juta

4 Player Banjar Lihat HP Satu Sama Lain Gates Of Olympus Malah Temukan Timing Scatter Bersamaan

4 Player Samarinda Baca Artikel Mahjong Panda Di Warung Kopi Malah Ketemu Bug Scatter Melimpah

5 Player Gresik Parkir Lama Main Prosperity Lion Malah Dapat Win Streak Profit 85 Juta

5 Player Semarang Lihat Iklan Lucky Neko Sore Hari Malah Dapat Maxwin Beruntun 500 Juta

10 Trik Mahjong Wins Yang Diklaim Pemain Malah Bikin Suara Coin Terus Berbunyi

Angel Digital Marketing Lihat Iklan Spirited Wonders Saat Ngantri Makan Malah Alarm Berbunyi Jadi Sultan Dadakan

Bryan Penjaga Toko Download Aplikasi Zeus Vs Hades Malah Game Freeze Tapi Bonus Terus Muncul

Khalid Petugas Farmasi Iseng Coba Double Fortune Saat Istirahat Malah Cahaya Muncul Bonus Terus

Mekanik Bengkel Liat TikTok Spirited Wonders Malah Nemu 7 Trik Hit Rate Extreme

Owner: syndicate

togel online

mega4d

mega4d

slot777

toto 4d

bandar togel

slot777

toto macau

slot777

rtp slot

toto 4d

mega4d

mega4d

mega4d

mega4d

mega4d

mega4d

toto 4d

slot777

nana4d

slot777

toto 4d

scatter hitam

nana4d

toto 4d

slot resmi

situs toto

toto 4d

slot777

slot gacor

slot777

scatter hitam

nana4d

nana4d

toto 4d

slot777

slot777

toto 4d

slotnota123 com

slotnota707 com

slot777

Toto Slot

Slot Gacor

Toto 4D

Situs Gacor

Toto 4D

Situs Toto

Slot Gacor

Situs Toto

Situs Toto

Toto 4D

Slot Gacor

Slot777

Slot Gacor

Slot Gacor

Slot88

Slot Bonus

Slot88

slot777

slot 200

slot88

link gacor

Slot Thailand

Slot Gacor

SLOT88

Slot Thailand

Situs Gacor

Link Gacor

SLOT88

Situs Gacor

Link Gacor

slot88

Slot88

slot88

Slot88

Slot88

Link Gacor

Situs Gacor

Slot88

Slot Thailand

.

Slot Gacor

slot777

slot777

slot777

slot gacor

slot777

slot777

Slot777

slot jepang

Slot777

Slot777

Slot Jepang

Slot777

Slot88

slot88

slot88

slot88

slot88

slot88

slot88

slot777

matauangslot

matauangslot

matauangslot

matauangslot

slot777

slot777

slot777

slot777

slot777

slot777

slot777

slot jepang

scatter hitam

slot777

https://periodicosulbrabra.org/

https://jsju.net/index.php/

https://biosuss.com/

Situs Gacor

slot resmi

https://tibafs.com/

https://jihms.com/

https://esp.co.id/

https://esp.co.id/web/

https://esp.co.id/wp/

https://esp.co.id/history/

slot88matauangslot.app -asli

slot88matauangslot.com -asli

slot88matauangslot.net -asli

slot88matauangslot.dev -asli

slot88matauangslot.online -asli

slot88matauangslot.live -asli

slot88matauangslot.org -asli

slot88matauangslot.pro -asli

slot88matauangslot.store -asli

slot88matauangslot.site -asli

slot88aslijp.online -asli

slot88asliresmi.online -asli

slot88linkdaftar.online -asli

slot88akunbaru.online -asli

slot88bonus100.online -asli

dewislot88asli.online -asli

dewaslot88asli.online -asli

megaslot88asli.online -asli

slot88aslijp.com -asli

slot88asliresmi.com -asli

slot88linkdaftar.com -asli

slot88akunbaru.com -asli

slot88bonus100.com -asli

dewislot88asli.com -asli

megaslot88asli.com -asli

slot777matauangslot.app -asli

slot777matauangslot.com -asli

slot777matauangslot.net -asli

slot777matauangslot.dev -asli

slot777matauangslot.online -asli

slot777matauangslot.org -asli

slot777matauangslot.pro -asli

slot777matauangslot.store -asli

slot777matauangslot.site -asli

https://wiralearning.uniwara.ac.id/

https://wiraadmisi.uniwara.ac.id/

https://pps.uniwara.ac.id/

http://pmb.uniwara.ac.id/

https://apkpurut.uniwara.ac.id

https://ebaak.uniwara.ac.id/

Slot Gacor

https://elibs.uniwara.ac.id/

https://uniwara.ac.id/

Toto Slot

Slot Gacor

Situs Gacor

Toto 4D

Situs Toto

Slot Gacor

Situs Toto

Situs Toto

Toto 4D

Slot Gacor

Slot777

Slot88

Toto 4D

Situs Toto

Situs Toto

Toto 4D

Slot777

SLOT777

Slot777

Slot777

Slot777

Slot777

Toto 4D

Slot777