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Usage of Glucagon-Like Peptide-1 for Obesity in Children; Updated Review of Clinicaltrials.gov

Journal

JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
Volume 16, Issue -, Pages 2179-2187

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/JMDH.S419245

Keywords

obesity; GLP-1; clinical trials; exenatide; semaglutide; liraglutide

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Obesity is a significant health concern in both adults and children, leading to various complications. Glucagon-like peptide-1 receptor agonists (GLP-1) are used to treat diabetes and have been approved as an adjunct to a low-calorie diet for weight loss. However, their efficacy and safety in children have not been well studied.
Background: Obesity in both adults and children is a primary health concern that can lead to many complications at a young age, including insulin resistance, type 2 diabetes, and other diseases. Glucagon-like peptide-1 receptor agonists (GLP-1) are drugs utilized to treat diabetes, but they are also approved as an adjunct to a low-calorie diet to reduce body weight and to enhance the metabolic profile readings for diabetic and non-diabetic patients. However, their efficacy and safety in children have not been extensively examined.Aim: To identify glucagon-like peptide-1 medications for obesity in pediatric participants (aged up to 17 years old).Methods: Analysis of all clinical trials registered on ClinicalTrials.gov for obesity using GLP-1 as a treatment for children.Results: As of January 26th, 2023, 10,828 clinical trials were found. The search included childhood obesity using GLP-1. The number of trials on the use of GLP-1 to treat childhood obesity is limited. The final number of analyzed trials was 19. GLP-1 has been shown to result in the effective management of body gain among children.Conclusion: Exenatide, semaglutide, and liraglutide were the only GLP-1 medications used as the pharmacotherapy option. It has been studied in many circumstances eg, to treat children with severe obesity, PCOS, hypothalamic obesity, glucose tolerance, and as a complementary treatment alongside behavior-lifestyle change and surgery for obesity.

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