Evaluation of Short-Term (1st and 3rd Month) Anthropometric Results in Obesity Patients Initiating Semaglutide Treatment: Experience of Two Tertiary Centers

Yıl 2025, Cilt: 52 Sayı: 4, 821 - 826, 12.12.2025

Eşref Araç , İhsan Solmaz , Ömer Faruk Alakuş

https://doi.org/10.5798/dicletip.1841074

Öz

Objective: This study aimed to evaluate the weight and Body Mass Index (BMI) changes at the 1st and 3rd months in obese patients with high treatment adherence who started semaglutide treatment at two tertiary hospitals in Diyarbakır, Türkiye
Methods: This retrospective cohort study included 170 patients who started semaglutide treatment, regularly attended their 1st and 3rd-month follow-ups, and did not discontinue treatment. The patients' initial, 1st-month, and 3rd-month weight and BMI values were recorded. Statistical analysis was performed using the repeated measures ANOVA test.
Results: The patients' initial mean weight was 104.97 ± 14.53 kg, and the mean BMI was 37.07 ± 4.38 kg/m². At the end of the 3rd month of treatment, the mean weight decreased to 96.04 ± 13.92 kg, and the mean BMI decreased to 33.92 ± 4.20 kg/m². A statistically significant difference was found between the baseline, 1st-month, and 3rd-month measurements for both weight and BMI values (p<0.001). Patients lost an average of 8.51% of their initial body weight after 3 months.
Conclusion: Semaglutide treatment provides a high rate of clinically significant weight loss in the short term in obese patients with high treatment adherence.

Anahtar Kelimeler

Obesity , Semaglutide , GLP-1 Receptor Agonists , Body Mass Index

Semaglutide Başlanan Obezite Hastalarında Kısa Dönem (1. ve 3. Ay) Antropometrik Sonuçların Değerlendirilmesi: İki Üçüncü Basamak Merkez Deneyimi

Öz

Amaç: Bu çalışmanın amacı, Diyarbakır'daki iki üçüncü basamak hastanede semaglutid tedavisine başlanan ve tedaviye yüksek uyum gösteren obezite hastalarında 1. ve 3. aylardaki kilo ve Vücut Kitle İndeksi (VKİ) değişimlerini değerlendirmektir.
Yöntemler: Bu retrospektif kohort çalışmaya, semaglutid tedavisine başlanan, 1. ve 3. ay kontrollerine düzenli gelen ve tedaviyi kesmeyen toplam 170 hasta dahil edildi. Hastaların başlangıç, 1. ay ve 3. ay kilo ve VKİ değerleri kaydedildi. İstatistiksel analiz Tekrarlayan Ölçümler ANOVA testi ile yapıldı.
Bulgular: Hastaların başlangıç ortalama kilosu 104,97 ± 14,53 kg ve ortalama VKİ'si 37,07 ± 4,38 kg/m² olarak bulundu. Tedavinin 3. ayı sonunda ortalama kilo 96,04 ± 13,92 kg'a, ortalama VKİ ise 33,92 ± 4,20 kg/m²'ye düştü. Kilo ve VKİ değerlerinin başlangıç, 1. ay ve 3. ay ölçümleri arasında istatistiksel olarak anlamlı bir fark saptandı (p<0,001). Hastalar 3 ay sonunda başlangıç kilolarının ortalama %8,51'ini kaybetti.
Sonuç: Semaglutid tedavisi, yüksek uyumlu obezite hastalarında kısa dönemde klinik açıdan anlamlı düzeyde kilo kaybı sağlamaktadır.

Anahtar Kelimeler

Obezite , Semaglutid , GLP-1 Reseptör Agonistleri , Vücut Kitle İndeksi.

Kaynakça

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