Introduction Liraglutide 3.0 mg, a glucagon-like peptide-1 (GLP-1) analogue, is a medication approved for obesity treatment. This study aimed to investigate the relationship between psychiatric symptoms, including depression, anxiety, and binge eating, and their impact on therapy adherence.Methods A clinical audit was carried out on a cohort of 54 adults with obesity treated with liraglutide 3.0 mg. We retrospectively analyzed the connection between psychiatric symptoms assessed through the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Binge Eating Scale (BES). Adherence to therapy was assessed by the maximum dosage (MD) and treatment duration (TD).Results Notably, a discontinuation rate of 59% was encountered. However, among those who continued the treatment, we observed a negative association between anxiety symptoms (STAI score) and MD, depression symptoms (BDI score) and TD, and a higher likelihood of binge eating (BES score > 17) and TD. Moreover, presence of psychiatric symptoms did not compromise drug's effectiveness in achieving weight loss, which was 4.43% (+/- 5.5 SD) in the whole sample and 5.3% (+/- 6.3 SD) in the subgroup evaluated at 12 weeks.Conclusion We observed a high discontinuation rate in real-life clinical setting, where Liraglutide 3.0 therapy is paid out-of-pocket. While psychiatric symptoms might play a role in diminishing adherence to therapy, they do not prevent drug's effectiveness to promote weight loss. This finding underscores the potential advantages of liraglutide 3.0 mg therapy for individuals contending with obesity while simultaneously managing mental health challenges.Level of evidence Level V, descriptive studies.

Liraglutide 3.0 mg and mental health: can psychiatric symptoms be associated to adherence to therapy? Insights from a clinical audit / Tempia Valenta, Silvia; Stecchi, Michele; Perazza, Federica; Nuccitelli, Chiara; Villanova, Nicola; Pironi, Loris; Atti, Anna Rita; Petroni, Maria Letizia. - In: EATING AND WEIGHT DISORDERS. - ISSN 1590-1262. - ELETTRONICO. - 28:1(2023), pp. 99.1-99.10. [10.1007/s40519-023-01625-5]

Liraglutide 3.0 mg and mental health: can psychiatric symptoms be associated to adherence to therapy? Insights from a clinical audit

Tempia Valenta, Silvia;Stecchi, Michele;Perazza, Federica;Nuccitelli, Chiara;Pironi, Loris;Atti, Anna Rita;Petroni, Maria Letizia
2023

Abstract

Introduction Liraglutide 3.0 mg, a glucagon-like peptide-1 (GLP-1) analogue, is a medication approved for obesity treatment. This study aimed to investigate the relationship between psychiatric symptoms, including depression, anxiety, and binge eating, and their impact on therapy adherence.Methods A clinical audit was carried out on a cohort of 54 adults with obesity treated with liraglutide 3.0 mg. We retrospectively analyzed the connection between psychiatric symptoms assessed through the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Binge Eating Scale (BES). Adherence to therapy was assessed by the maximum dosage (MD) and treatment duration (TD).Results Notably, a discontinuation rate of 59% was encountered. However, among those who continued the treatment, we observed a negative association between anxiety symptoms (STAI score) and MD, depression symptoms (BDI score) and TD, and a higher likelihood of binge eating (BES score > 17) and TD. Moreover, presence of psychiatric symptoms did not compromise drug's effectiveness in achieving weight loss, which was 4.43% (+/- 5.5 SD) in the whole sample and 5.3% (+/- 6.3 SD) in the subgroup evaluated at 12 weeks.Conclusion We observed a high discontinuation rate in real-life clinical setting, where Liraglutide 3.0 therapy is paid out-of-pocket. While psychiatric symptoms might play a role in diminishing adherence to therapy, they do not prevent drug's effectiveness to promote weight loss. This finding underscores the potential advantages of liraglutide 3.0 mg therapy for individuals contending with obesity while simultaneously managing mental health challenges.Level of evidence Level V, descriptive studies.
2023
Liraglutide 3.0 mg and mental health: can psychiatric symptoms be associated to adherence to therapy? Insights from a clinical audit / Tempia Valenta, Silvia; Stecchi, Michele; Perazza, Federica; Nuccitelli, Chiara; Villanova, Nicola; Pironi, Loris; Atti, Anna Rita; Petroni, Maria Letizia. - In: EATING AND WEIGHT DISORDERS. - ISSN 1590-1262. - ELETTRONICO. - 28:1(2023), pp. 99.1-99.10. [10.1007/s40519-023-01625-5]
Tempia Valenta, Silvia; Stecchi, Michele; Perazza, Federica; Nuccitelli, Chiara; Villanova, Nicola; Pironi, Loris; Atti, Anna Rita; Petroni, Maria Letizia
File in questo prodotto:
File Dimensione Formato  
s40519-023-01625-5.pdf

accesso aperto

Tipo: Versione (PDF) editoriale
Licenza: Licenza per Accesso Aperto. Creative Commons Attribuzione (CCBY)
Dimensione 980.28 kB
Formato Adobe PDF
980.28 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/969171
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact