PMID- 19573120 OWN - NLM STAT- MEDLINE DCOM- 20100222 LR - 20191210 IS - 1464-5491 (Electronic) IS - 0742-3071 (Linking) VI - 26 IP - 7 DP - 2009 Jul TI - The effect of anti-inflammatory (aspirin and/or statin) therapy on body weight in Type 2 diabetic individuals: EAT, a retrospective study. PG - 708-13 LID - 10.1111/j.1464-5491.2009.02747.x [doi] AB - AIMS: Obesity is associated with inflammation. Anti-inflammatory interventions such as aspirin and statins (anti-IFRx) might be a novel approach to the treatment of obesity and Type 2 diabetes mellitus (T2DM). The present study was designed to determine whether exposure to anti-IFRx is associated with weight loss in T2DM patients. METHODS: Exposure to anti-IFRx was compared between T2DM patients with a history of weight loss (n = 100) and those with no weight loss or with weight gain (n = 102) during a 1-year follow-up period. Logistic regression was used to develop odds ratios for weight loss status. RESULTS: Subjects who lost weight were more frequently exposed to anti-IFRx (85.0 vs. 71.5%, P = 0.018) than subjects who maintained or gained weight during follow-up. The 158 subjects exposed to anti-IFRx were older (64.2 +/- 9.4 vs. 60.6 +/- 11.2 years, P = 0.04), had longer duration T2DM (14.5 +/- 9.5 vs. 9.0 +/- 9.4 years, P = 0.001), had greater prevalence of dyslipidaemia (72 vs. 19%, P < 0.0001) hypertension (57.3 vs. 38.1%, P = 0.03) and cardiovascular disease (37.7 vs. 9.5%, P < 0.0001) than subjects not exposed to anti-IFRx. In a logistic regression model for weight change status, anti-IFRx exposure was significantly associated with weight status (odds ratio = 2.3, 95% confidence interval 1.1-4.8, P = 0.02, an association that persisted), even after controlling for age, sex, baseline body mass index, years since diagnosis, OHA therapy and co-morbidities. CONCLUSIONS: Exposure to anti-IFRx more than doubled the odds of weight loss in T2DM patients. Results of this study justify a randomized clinical trial to determine definitively the role of anti-IFRx in weight loss in subjects with T2DM. FAU - Boaz, M AU - Boaz M AD - Epidemiology and Research Unit, Wolfson Medical Center, Holon, Israel. mboaz8@yahoo.com FAU - Lisy, L AU - Lisy L FAU - Zandman-Goddard, G AU - Zandman-Goddard G FAU - Wainstein, J AU - Wainstein J LA - eng PT - Evaluation Study PT - Journal Article PL - England TA - Diabet Med JT - Diabetic medicine : a journal of the British Diabetic Association JID - 8500858 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - R16CO5Y76E (Aspirin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacology/therapeutic use MH - Aspirin/*pharmacology/therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy MH - Female MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*pharmacology/therapeutic use MH - Logistic Models MH - Male MH - Middle Aged MH - Obesity/metabolism MH - Retrospective Studies MH - Weight Loss/*drug effects MH - Young Adult EDAT- 2009/07/04 09:00 MHDA- 2010/02/23 06:00 CRDT- 2009/07/04 09:00 PHST- 2009/07/04 09:00 [entrez] PHST- 2009/07/04 09:00 [pubmed] PHST- 2010/02/23 06:00 [medline] AID - DME2747 [pii] AID - 10.1111/j.1464-5491.2009.02747.x [doi] PST - ppublish SO - Diabet Med. 2009 Jul;26(7):708-13. doi: 10.1111/j.1464-5491.2009.02747.x.