Study Indicates Ozempic Less Effective for Psychological Consumption Issues
- Recent study indicates that weight loss drugs may not be as beneficial for persons with emotional eating habits.
- These treatments operate by curbing hunger, therefore they could not help excessive eating driven by depression.
- Healthcare experts should examine a patient's relationship with food before recommending weight loss drugs or procedures.
Slimming treatments are less successful for individuals whose consumption behaviors are linked to feelings such as anxiety.
The finding comes from recent study shared on September 16 in a research journal.
Investigators found that semaglutide-based medications like Wegovy were more successful for weight loss in individuals who overeat due to external triggers like the sight or smell of meals, compared to those who eat due to emotional reasons.
These outcomes suggest that healthcare professionals must evaluate a patient's eating pattern prior to prescribing slimming drugs.
"GLP-1 receptor medications prove beneficial for people who have obesity or high blood glucose readings due to overeating triggered by external stimuli. But, their efficacy is less in situations where emotional consumption is the main reason," commented a lead author participating in the study.
Specialists not participating in the study concur that psychological factors must be addressed prior to prescribing weight loss medication or bariatric surgery.
"This is not about excessive consumption. We must to tackle root issues beforehand," said a weight loss specialist.
"Everyone is unique," noted another expert. "We need to understand who a person is and what their reason is for excessive eating."
A dietitian participating in weight management stated: "The was a small research but provided an interesting insight related to emotional eating and outcomes in weight loss."
Emotional Consumption and Obesity
In their research, scientists monitored 92 individuals with adult-onset blood sugar issues who were starting therapy with semaglutide drugs.
The team monitored the subjects’ results at the start, three months into treatment, and one year after treatment started.
Information was gathered on body weight, fat percentage, eating habits, and blood markers such as glucose and cholesterol levels.
The scientists honed in on 3 types of dietary habits:
- Emotional consumption, where individuals eat in response to negative emotions.
- Environmental eating, where individuals consume because of the appearance or smell of food.
- Restrained eating, where individuals control their diet to reduce weight.
These scientists found that subjects overall saw reductions in body weight, cholesterol readings, and adipose levels during the 12-month therapy. Sugar readings additionally improved, but the differences were not significantly meaningful.
However, the outcomes were more noticeable for individuals with external eating habits compared to those with emotional or restrained dietary behaviors.
They noted that individuals with environmental consumption issues had sustained improvements in their habits, while those with psychological or controlled eating patterns had returned to their baseline behaviors after one year.
An expert stated that eating patterns are complicated. People can overeat due to boredom.
"Consumption is a multifaceted activity," the expert said. "People overeat for many reasons."
Another specialist noted that it can be difficult for a physician to diagnose psychological problems, so those with potential eating issues should be assessed by a psychologist prior to any treatment is recommended.
The specialist noted that GLP-1 medications work by suppressing appetite cravings, but if a person is overeating for psychological reasons, then drugs and surgery might not the most suitable option.
"Suppressing hunger may ultimately not be very effective for some individuals," he commented.
Another professional stated: "We must to help patients identify the challenges. We need to guide people more effectively comprehend the cues."
Dealing with Psychological Eating
A dietitian stated that she approaches eating behaviors differently depending on a person's particular issue.
Regarding psychological consumption, the emphasis is on a individual's relationship with eating.
"Food can alter the way we feel, making us feel calm or soothed, but a lot of the foods selected when eating emotionally are not nutrient dense options, so the feeling is temporary followed by a drop and a need to eat additional items to feel relaxed again," this expert explained. "
"This can be a difficult pattern because the food does not truly resolve and only provides a support that might contribute to various negative outcomes due to a low nutrient-dense, rich in ultra-processed food pattern."
Regarding external consumption issues, it is more centered on the triggers to which a person reacts.
"I have patients who will drive in their car to obtain emotional eating items (think fast food, takeaway, ice cream) so the trigger is not in the home, but they are thinking about it," this expert commented. "
"In some, it might be that they notice, smell, or are around a food and that is sufficient it requires to consume it in excess. This is why dealing with the underlying reasons of emotional consumption is so crucial."
For controlled dietary habits, it is more about how food is perceived.
"An aspect of a mindful, intuitive eating method often means permitting items into the eating plan occasionally versus saying ‘I can never have that food’ and then overindulging on it and experiencing guilty later," the expert stated.
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