Evidence map›Paper›PMID 38015342›Full record

ArticleEating and weight disorders : EWD2023

Liraglutide 3.0 mg and mental health: can psychiatric symptoms be associated to adherence to therapy? Insights from a clinical audit.

Silvia Tempia Valenta, Michele Stecchi, Federica Perazza, Chiara Nuccitelli, Nicola Villanova, Loris Pironi, Anna Rita Atti, Maria Letizia Petroni

Open access · diamondAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Silvia Tempia ValentaDepartment of Biomedical and NeuroMotor Sciences, Alma Mater University of Bologna, Bologna, Italy.
Michele StecchiIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy.
Federica PerazzaIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy.
Chiara NuccitelliIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy.
Nicola VillanovaIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy.
Loris PironiIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy.
Anna Rita AttiDepartment of Biomedical and NeuroMotor Sciences, Alma Mater University of Bologna, Bologna, Italy.
Maria Letizia PetroniIRCCS-Azienda Ospedaliera di Bologna Sant'Orsola-Malpighi, 40138, Bologna, Italy. marialetizia.petroni@unibo.it.ORCID http://orcid.org/0000-0002-7040-6466
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLiraglutide 3.0 mg, a glucagon-like peptide-1 (GLP-1) analogue, is a medication approved for obesity treatment. This study aimed to investigate the relationship between psychiatric symptoms, including depression, anxiety, and binge eating, and their impact on therapy adherence.

methodsA clinical audit was carried out on a cohort of 54 adults with obesity treated with liraglutide 3.0 mg. We retrospectively analyzed the connection between psychiatric symptoms assessed through the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Binge Eating Scale (BES). Adherence to therapy was assessed by the maximum dosage (MD) and treatment duration (TD).

resultsNotably, a discontinuation rate of 59% was encountered. However, among those who continued the treatment, we observed a negative association between anxiety symptoms (STAI score) and MD, depression symptoms (BDI score) and TD, and a higher likelihood of binge eating (BES score > 17) and TD. Moreover, presence of psychiatric symptoms did not compromise drug's effectiveness in achieving weight loss, which was 4.43% (± 5.5 SD) in the whole sample and 5.3% (± 6.3 SD) in the subgroup evaluated at 12 weeks.

conclusionWe observed a high discontinuation rate in real-life clinical setting, where Liraglutide 3.0 therapy is paid out-of-pocket. While psychiatric symptoms might play a role in diminishing adherence to therapy, they do not prevent drug's effectiveness to promote weight loss. This finding underscores the potential advantages of liraglutide 3.0 mg therapy for individuals contending with obesity while simultaneously managing mental health challenges. LEVEL OF EVIDENCE: Level V, descriptive studies.

Indexed as

BulimiaMental HealthAdultAlkanesulfonic AcidsClinical AuditHumansLiraglutideObesityRetrospective StudiesWeight LossAlkanesulfonic AcidsBESLiraglutideAdherenceAnxietyBinge eatingDepressionGLP-1 receptor agonistsObesity

Identifiers

PMID38015342
PMCPMC10684642
OpenAlexW4389074497

What Socratic holds

Texttitle and abstract
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.