The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study
Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type...
Ausführliche Beschreibung
Autor*in: |
Oyanagi, Takeshi [verfasserIn] Kawanabe, Shin [verfasserIn] Tsukiyama, Hidekazu [verfasserIn] Nishine, Ami [verfasserIn] Nakamura, Yuta [verfasserIn] Nakagawa, Tomoko [verfasserIn] Kanou, Mayuko [verfasserIn] Kubota, Juri [verfasserIn] Tsunemi, Shingo [verfasserIn] Yokota, Kenichi [verfasserIn] Sone, Masakatsu [verfasserIn] |
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E-Artikel |
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Englisch |
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2024 |
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Anmerkung: |
© The Author(s) 2024 |
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Übergeordnetes Werk: |
Enthalten in: Diabetes therapy - Springer Healthcare, 2010, 15(2024), 11 vom: 09. Sept., Seite 2323-2336 |
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Übergeordnetes Werk: |
volume:15 ; year:2024 ; number:11 ; day:09 ; month:09 ; pages:2323-2336 |
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DOI / URN: |
10.1007/s13300-024-01639-x |
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SPR057748144 |
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520 | |a Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). | ||
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10.1007/s13300-024-01639-x doi (DE-627)SPR057748144 (SPR)s13300-024-01639-x-e DE-627 ger DE-627 rakwb eng 610 VZ Oyanagi, Takeshi verfasserin aut The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). Body composition (dpeaa)DE-He213 Imeglimin (dpeaa)DE-He213 Muscle strength (dpeaa)DE-He213 Type 2 diabetes mellitus (dpeaa)DE-He213 Kawanabe, Shin verfasserin (orcid)0000-0003-4302-6262 aut Tsukiyama, Hidekazu verfasserin aut Nishine, Ami verfasserin aut Nakamura, Yuta verfasserin aut Nakagawa, Tomoko verfasserin aut Kanou, Mayuko verfasserin aut Kubota, Juri verfasserin aut Tsunemi, Shingo verfasserin aut Yokota, Kenichi verfasserin aut Sone, Masakatsu verfasserin aut Enthalten in Diabetes therapy Springer Healthcare, 2010 15(2024), 11 vom: 09. Sept., Seite 2323-2336 (DE-627)632439165 (DE-600)2566702-6 1869-6961 nnns volume:15 year:2024 number:11 day:09 month:09 pages:2323-2336 https://dx.doi.org/10.1007/s13300-024-01639-x X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 11 09 09 2323-2336 |
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10.1007/s13300-024-01639-x doi (DE-627)SPR057748144 (SPR)s13300-024-01639-x-e DE-627 ger DE-627 rakwb eng 610 VZ Oyanagi, Takeshi verfasserin aut The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). Body composition (dpeaa)DE-He213 Imeglimin (dpeaa)DE-He213 Muscle strength (dpeaa)DE-He213 Type 2 diabetes mellitus (dpeaa)DE-He213 Kawanabe, Shin verfasserin (orcid)0000-0003-4302-6262 aut Tsukiyama, Hidekazu verfasserin aut Nishine, Ami verfasserin aut Nakamura, Yuta verfasserin aut Nakagawa, Tomoko verfasserin aut Kanou, Mayuko verfasserin aut Kubota, Juri verfasserin aut Tsunemi, Shingo verfasserin aut Yokota, Kenichi verfasserin aut Sone, Masakatsu verfasserin aut Enthalten in Diabetes therapy Springer Healthcare, 2010 15(2024), 11 vom: 09. Sept., Seite 2323-2336 (DE-627)632439165 (DE-600)2566702-6 1869-6961 nnns volume:15 year:2024 number:11 day:09 month:09 pages:2323-2336 https://dx.doi.org/10.1007/s13300-024-01639-x X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 11 09 09 2323-2336 |
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10.1007/s13300-024-01639-x doi (DE-627)SPR057748144 (SPR)s13300-024-01639-x-e DE-627 ger DE-627 rakwb eng 610 VZ Oyanagi, Takeshi verfasserin aut The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). Body composition (dpeaa)DE-He213 Imeglimin (dpeaa)DE-He213 Muscle strength (dpeaa)DE-He213 Type 2 diabetes mellitus (dpeaa)DE-He213 Kawanabe, Shin verfasserin (orcid)0000-0003-4302-6262 aut Tsukiyama, Hidekazu verfasserin aut Nishine, Ami verfasserin aut Nakamura, Yuta verfasserin aut Nakagawa, Tomoko verfasserin aut Kanou, Mayuko verfasserin aut Kubota, Juri verfasserin aut Tsunemi, Shingo verfasserin aut Yokota, Kenichi verfasserin aut Sone, Masakatsu verfasserin aut Enthalten in Diabetes therapy Springer Healthcare, 2010 15(2024), 11 vom: 09. Sept., Seite 2323-2336 (DE-627)632439165 (DE-600)2566702-6 1869-6961 nnns volume:15 year:2024 number:11 day:09 month:09 pages:2323-2336 https://dx.doi.org/10.1007/s13300-024-01639-x X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 11 09 09 2323-2336 |
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10.1007/s13300-024-01639-x doi (DE-627)SPR057748144 (SPR)s13300-024-01639-x-e DE-627 ger DE-627 rakwb eng 610 VZ Oyanagi, Takeshi verfasserin aut The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). Body composition (dpeaa)DE-He213 Imeglimin (dpeaa)DE-He213 Muscle strength (dpeaa)DE-He213 Type 2 diabetes mellitus (dpeaa)DE-He213 Kawanabe, Shin verfasserin (orcid)0000-0003-4302-6262 aut Tsukiyama, Hidekazu verfasserin aut Nishine, Ami verfasserin aut Nakamura, Yuta verfasserin aut Nakagawa, Tomoko verfasserin aut Kanou, Mayuko verfasserin aut Kubota, Juri verfasserin aut Tsunemi, Shingo verfasserin aut Yokota, Kenichi verfasserin aut Sone, Masakatsu verfasserin aut Enthalten in Diabetes therapy Springer Healthcare, 2010 15(2024), 11 vom: 09. Sept., Seite 2323-2336 (DE-627)632439165 (DE-600)2566702-6 1869-6961 nnns volume:15 year:2024 number:11 day:09 month:09 pages:2323-2336 https://dx.doi.org/10.1007/s13300-024-01639-x X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 11 09 09 2323-2336 |
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10.1007/s13300-024-01639-x doi (DE-627)SPR057748144 (SPR)s13300-024-01639-x-e DE-627 ger DE-627 rakwb eng 610 VZ Oyanagi, Takeshi verfasserin aut The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). Body composition (dpeaa)DE-He213 Imeglimin (dpeaa)DE-He213 Muscle strength (dpeaa)DE-He213 Type 2 diabetes mellitus (dpeaa)DE-He213 Kawanabe, Shin verfasserin (orcid)0000-0003-4302-6262 aut Tsukiyama, Hidekazu verfasserin aut Nishine, Ami verfasserin aut Nakamura, Yuta verfasserin aut Nakagawa, Tomoko verfasserin aut Kanou, Mayuko verfasserin aut Kubota, Juri verfasserin aut Tsunemi, Shingo verfasserin aut Yokota, Kenichi verfasserin aut Sone, Masakatsu verfasserin aut Enthalten in Diabetes therapy Springer Healthcare, 2010 15(2024), 11 vom: 09. Sept., Seite 2323-2336 (DE-627)632439165 (DE-600)2566702-6 1869-6961 nnns volume:15 year:2024 number:11 day:09 month:09 pages:2323-2336 https://dx.doi.org/10.1007/s13300-024-01639-x X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2024 11 09 09 2323-2336 |
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Oyanagi, Takeshi |
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the effects of imeglimin on muscle strength in patients with type 2 diabetes: a prospective cohort study |
title_auth |
The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study |
abstract |
Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). © The Author(s) 2024 |
abstractGer |
Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). © The Author(s) 2024 |
abstract_unstemmed |
Introduction A bidirectional relationship has been observed between type 2 diabetes mellitus and sarcopenia, especially among older adults. While previous studies have reported that imeglimin improves mitochondrial function, they have not assessed its effects on muscle strength in patients with type 2 diabetes. Therefore, we aimed to investigate the effects of imeglimin on muscle strength in patients with type 2 diabetes. Methods In this prospective cohort study, we recruited consenting patients with type 2 diabetes (20–75 years). Changes in lean body mass (LBM), fat mass, quadriceps muscle strength, and grip strength from baseline (week 0) to week 24 were evaluated and compared between patients treated with imeglimin therapy (group I) and those who did not take imeglimin (controls, group C). Results We recruited 27 patients treated with imeglimin (group I) and 29 controls (group C), and 50 of them completed the study (group I: n = 23; group C: n = 27). The change in LBM, total body fat mass, or skeletal muscle index from baseline to week 24 did not differ significantly between the two groups. However, group I exhibited a significantly higher percent change in quadriceps knee extension strength from baseline to week 24 than group C (13 ± 19% and 2.1 ± 14%, p = 0.022). Conversely, the difference in percent change in grip strength was not significant. Multivariable analysis showed that imeglimin use was significantly associated with a percent change in quadriceps knee extension strength, independent of age, sex, body mass index, and skeletal mass index (β = 0.325, p = 0.0014). Conclusions Imeglimin positively affected muscle strength in patients with type 2 diabetes without altering LBM. Therefore, imeglimin exerts a unique effect on skeletal muscles in humans. Further randomized controlled trials are needed to validate these findings. Trial Registration This research was registered in the University Hospital Medical Information Network (UMIN, UMIN000054715). © The Author(s) 2024 |
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The Effects of Imeglimin on Muscle Strength in Patients with Type 2 Diabetes: A Prospective Cohort Study |
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Kawanabe, Shin Tsukiyama, Hidekazu Nishine, Ami Nakamura, Yuta Nakagawa, Tomoko Kanou, Mayuko Kubota, Juri Tsunemi, Shingo Yokota, Kenichi Sone, Masakatsu |
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Kawanabe, Shin Tsukiyama, Hidekazu Nishine, Ami Nakamura, Yuta Nakagawa, Tomoko Kanou, Mayuko Kubota, Juri Tsunemi, Shingo Yokota, Kenichi Sone, Masakatsu |
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