Cited by 215Pharmacology and Obesity TreatmentDiabetes Treatment and ManagementRegulation of Appetite and Obesity

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index; none of the 68 sources its claims cite is checked for support yet.

Efficacy of GLP-1 RA Approved for Weight Management in Patients With or Without Diabetes: A Narrative Review

Open access
Jensterle, Mojca, Rizzo, Manfredi, Haluzík, Martin, Janež, Andrej·2022·Advances in Therapy

Abstract

The approval of once daily liraglutide, 3.0 mg, and once weekly semaglutide, 2.4 mg, for chronic weight management provides a novel effective strategy against obesity. The reliable models that might predict weight reducing potential at the individual level have not been identified yet. However, the coexistence of diabetes has been consistently related with less effective response than in people without this comorbidity. We aimed to review the efficacy of GLP-1 RAs approved for weight management in individuals with and without diabetes and discuss some potential mechanisms for consistently observed differences in efficacy between these two populations. The mean weight loss difference between GLP-1 RAs and placebo as add-on to lifestyle intervention in patients with diabetes was 4% to 6.2% compared to 6.1 to 17.4% in people without diabetes. Semaglutide compared to liraglutide resulted in greater weight loss. Some hypothetical explanations for the weaker anti-obesity response for both GLP-1 RAs in people with diabetes include the background medications that promote weight gain, the fear of hypoglycaemia inherently related to the treatment of diabetes, a decrease in glycosuria and subsequently less weight loss in diabetics, an altered microbiota in patients with obesity and diabetes and a genetic background that predispose to weight gain in patients with diabetes. Moreover, people with diabetes may have had obesity for longer and may be less adherent to exercise, which seems to potentiate the effects of GLP-1 RA. Emerging multimodal approaches combining peptides targeting receptors at different levels might therefore be of additional benefit particularly in patients with diabetes.

Overview

Integrity signals

Registry

Crossref · 10.1007/s12325-022-02153-x

Cites

29 of 29 references verified0 citation errors · 0 not checkable

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Verify all 68 references — free account
  • It may state two separate claims as one. 16
  • Probably not a substantial claim. 2
18 of 18
  • The paper relies on this without support.

    Weight loss of 15% or more has a disease-modifying effect in people with diabetes.

    “This observation is of clinical importance since loss of 15% or more of body weight can have a disease-modifying effect in people with diabetes.”
  • The paper relies on this without support.

    Weight loss of at least 10% to 15% leads to significant health benefits.

    “Until recently, the treatment gap existed in the therapeutic strategy to achieve ≥ 10 to ≥ 15% of weight loss, which leads to significant health benefits.”
2 of 2

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Metadata

Authors
Jensterle, M., Rizzo, M., Haluzík, M., & Janež, A.
Affiliations
  • University of Ljubljana (SI)
  • University of Palermo (IT)
Corresponding author
Janež, Andrej
Venue
Advances in Therapy
Published
2022-05-03
Volume
39
Issue
6
Pages
2452-2467
ISSN
  • 0741-238X (ISSN-L)
  • 1865-8652
OpenAlex
W4225300035
Cited by
215
References
29
Citations by year
2026: 39 · 2025: 66 · 2024: 62 · 2023: 39 · 2022: 9
FWCI
6.32
Type
journal article
Language
en
Open access
Locations
  • Advances in Therapy (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
Funders
Javna Agencija za Raziskovalno Dejavnost RS (P1-0170, P3-0298)
Topics
  • Health Sciences › Medicine › Pharmacology (medical) › Pharmacology and Obesity Treatment
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Keywords
GLP-1 receptor agonists, obesity, weight management, liraglutide, semaglutide, diabetes mellitus, weight loss efficacy, lifestyle intervention, hypoglycemia, glycosuria, gut microbiota, exercise adherence
MeSH terms
Glucagon-Like Peptide-1 Receptor, Liraglutide, Diabetes Mellitus, Type 2, Glucagon-Like Peptides, Humans, Hypoglycemic Agents, Obesity, Weight Gain, Weight Loss, Glucagon-Like Peptide 1

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