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Evaluating appetite/satiety hormones and eating behaviours as predictors of weight loss maintenance with GLP‐1RA therapy in adolescents with severe obesity.
- Source :
-
Pediatric Obesity . May2024, Vol. 19 Issue 5, p1-10. 10p. - Publication Year :
- 2024
-
Abstract
- Summary: Introduction: Whilst glucagon‐like peptide‐1 receptor agonists (GLP1‐RAs) are effective for treating adolescent obesity, weight loss maintenance (WLM; preventing weight regain) remains a challenge. Our goal was to investigate appetite/satiety hormones and eating behaviours that may predict WLM with exenatide (a GLP1‐RA) versus placebo in adolescents with severe obesity. Methods: Adolescents who had ≥5% body mass index (BMI) reduction with meal replacement therapy were randomized to 52 weeks of once‐weekly exenatide extended release or placebo. In this secondary analysis, eating behaviours and appetite/satiety regulation hormones post‐meal replacement therapy (pre‐randomization to exenatide or placebo) were evaluated as possible predictors of WLM. Percent change in BMI from randomization to 52 weeks served as the primary measure of WLM. Results: The analysis included 66 adolescents (mean age 16.0 years; 47% female). Lower leptin response to meal testing was associated with greater WLM in terms of BMI percent change in those receiving exenatide compared to placebo (p = 0.007) after adjusting for sex, age and BMI. There were no other significant predictors of WLM. Conclusions: Prior to exenatide, lower leptin response to meals was associated with improved WLM with exenatide compared to placebo. The mostly null findings of this study suggest that GLP1‐RA treatment may produce similar WLM for adolescents with obesity regardless of age, BMI, sex and eating behaviours. [ABSTRACT FROM AUTHOR]
- Subjects :
- *GLUCAGON-like peptide-1 agonists
*WEIGHT loss
*SATISFACTION
*HORMONES
*PREDICTION models
*BODY mass index
*SECONDARY analysis
*ADOLESCENT health
*LEPTIN
*RESEARCH funding
*REGULATION of body weight
*SEX distribution
*EXENATIDE
*APPETITE
*DESCRIPTIVE statistics
*AGE distribution
*FOOD habits
*HORMONE therapy
*CHILDHOOD obesity
*MEALS
*COMPARATIVE studies
*ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 20476302
- Volume :
- 19
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Pediatric Obesity
- Publication Type :
- Academic Journal
- Accession number :
- 176536264
- Full Text :
- https://doi.org/10.1111/ijpo.13105