Evidence mapPaperPMID 40837607Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2025

Effectiveness of Sodium-Glucose Transporter 2 Inhibitors and Semaglutide on Body Composition in Type 2 Diabetes Mellitus and Chronic Kidney Disease: A Real-World Cohort Study with Bioelectrical Impedance Analysis.

Qing Yang, Chunmei Qin, Yanlin Lang, Wenjie Yang, Fenghao Yang, Jia Yang, Ke Liu, Jiamin Yuan, Yutong Zou, Fang Liu

Abstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Qing YangDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Chunmei QinDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Yanlin LangDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.ORCID 0000-0002-9701-2360
Wenjie YangDepartment of Project Design and Statistics, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Fenghao YangDepartment of Clinical Medicine, Southwest Medical University, Luzhou, People's Republic of China.
Jia YangDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Ke LiuDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Jiamin YuanDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Yutong ZouDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.
Fang LiuDepartment of Nephrology, West China Hospital of Sichuan University, Chengdu, People's Republic of China.ORCID 0000-0003-1121-3004

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sodium-glucose transporter 2 inhibitors (SGLT-2Is) and Semaglutide may increase the risk of sarcopenia and bone fragility in vulnerable populations, yet their effects on body composition in patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) remain unclear. This study evaluated changes in body composition by SGLT-2Is alone or combined with Semaglutide. Methods: This retrospective cohort included T2DM-CKD patients treated with SGLT-2Is ± Semaglutide for ≥6 months. Body composition (fat, muscle, water, bone mineral content [BMC]) was measured via bioelectrical impedance analysis pre- and post-treatment. Results: Among 73 participants (SGLT-2Is: n = 61; combination: n = 12), both groups showed reductions in total fat mass, total muscle mass, total body water, and BMC. Combination therapy exhibited greater fat mass loss (-0.9 kg [IQR: -3.7,0.4] vs -0.6 kg [-1.7,0.7]; Conclusion: SGLT-2Is with/without Semaglutide reduced body composition parameters of fat, muscle, water, and BMC in T2DM-CKD. Combination therapy exacerbated absolute muscle loss but increased the muscle mass-to-body weight percentage, without significantly altering fat-to-muscle ratio. Baseline muscle and fat mass may influence treatment-related changes. Long-term studies in high-risk populations are needed.

Indexed as

body compositionchronic kidney diseasesemaglutideskeletal muscle indexsodium-glucose transporter 2 inhibitorstype 2 diabetes mellitus

Identifiers

PMID40837607
PMCPMC12363543

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.