Evidence mapPaperPMID 38828884Full record

SynthesisJournal of clinical research in pediatric endocrinology2024

Efficacy of Glucagon-like Peptide-1 Receptor Agonists in Overweight/Obese and/or T2DM Adolescents: A Meta-analysis Based on Randomized Controlled Trials

Min Dai, Senjie Dai, Lihu Gu, Zhiyi Xiang, Anyi Xu, Siyu Lu, Yang Yang, Cong Zhou

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical research in pediatric endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. 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.

Min DaiZhejiang Chinese Medical University, The Second Clinical Medical College, Zhejiang, ChinaORCID 0009-0003-5018-1903
Senjie DaiZhejiang Chinese Medical University, The Second Clinical Medical College, Zhejiang, ChinaORCID 0009-0000-2440-7583
Lihu GuNingbo No. 2 Hospital, Clinic of General Surgery, Zhejiang, ChinaORCID 0000-0003-3750-2939
Zhiyi XiangZhejiang Chinese Medical University, The First Clinical Medical College, Zhejiang, ChinaORCID 0009-0001-2719-113X
Anyi XuZhejiang Chinese Medical University, The First Clinical Medical College, Zhejiang, ChinaORCID 0009-0004-7231-3994
Siyu LuZhejiang Chinese Medical University, The Second Clinical Medical College, Zhejiang, ChinaORCID 0009-0009-6020-3831
Yang YangZhejiang Chinese Medical University, The Second Clinical Medical College, Zhejiang, ChinaORCID 0009-0007-5809-8636
Cong ZhouNingbo Mingzhou Hospital, Clinic of Endocrinology, Zhejiang, ChinaORCID 0009-0001-8369-5279

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this meta-analysis was to investigate the effect of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on blood glucose and weight in adolescents with overweight/obesity and/or type 2 diabetes mellitus (T2DM) aged <18 years. Methods: PubMed, Embase, Web of Science, and Cochrane Library were searched for all randomized controlled trials (RCTs) up to August 2023 comparing GLP-1RAs with placebo in overweight/obese and/or T2DM adolescents and extracted relevant data for meta-analysis. Results: Fourteen RCTs were included in the meta-analysis with a total of 1,262 participants. Results revealed that the GLP-1RAs group had a more significant reduction in glycosylated hemoglobin A1c (HbA1c; risk difference (RD)=-0.34%, p<0.001) than the control group. However, there was no difference in fasting plasma glucose [fasting plasma glucose (FPG); RD=-2.07 mg/dL, p=0.065] between the two groups. Nonetheless, the experimental group that received exenatide showed no significant reduction in HbA1c (p=0.253) and FPG (p=0.611) between the two groups. The GLP-1RAs group had a more significant decline in body weight (RD=-4.28 kg, p=0.002) and body mass index (BMI) (RD=-1.63 kg/m Conclusion: This study showed that GLP-1RAs reduced HbA1c, FPG, and weight loss in overweight/obese and/or T2DM adolescents. Liraglutide was better than exenatide in terms of glucose reduction. Nevertheless, in terms of weight control, exenatide was more effective than liraglutide.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsOverweightPediatric ObesityRandomized Controlled Trials as TopicAdolescentBlood GlucoseExenatideGlycated HemoglobinHumansLiraglutideObesityTreatment OutcomeBlood GlucoseExenatideGlucagon-Like Peptide-1 Receptor AgonistsGlycated HemoglobinHypoglycemic AgentsLiraglutideFPGGlucagon-like peptide-1 receptor agonistsHbA1cobesityoverweighttype 2 diabetesweight loss

Identifiers

PMID38828884
PMCPMC11590762

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
Read underepoch 390

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.