Evidence mapPaperPMID 41060519Full record

ArticleJournal of endocrinological investigation2025

Effects of 6-month treatment with the GLP-1 receptor agonist liraglutide on 24-hour energy metabolism and body composition in adults with obesity.

Alessio Basolo, Giordano Paolucci, Paolo Piaggi, Valentina Angeli, Susanna Bechi Genzano, Paola Fierabracci, Edda Vignali, Chiara Bologna, Guido Salvetti, Luca Chiovato and 4 more

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Effects of Glucagon-Like Peptide-1 Receptor Agonists (Mono and Combination Therapy) on Energy Expenditure: A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    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

14 authors.

Alessio Basolo *Endocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy. alessio.basolo@unipi.it.ORCID http://orcid.org/0000-0001-6888-7080
Giordano Paolucci *Endocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Paolo PiaggiDepartment of Information Engineering, University of Pisa, Pisa, 56122, Italy.
Valentina AngeliEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Susanna Bechi GenzanoEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Paola FierabracciEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Edda VignaliEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Chiara BolognaEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Guido SalvettiEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.
Luca ChiovatoDepartment of Internal Medicine, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, 27100, Italy.
Andrea NataliDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, 56122, Italy.
Jonathan KrakoffObesity and Diabetes Clinical Research Section, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Phoenix, AZ, USA.
Alberto LandiDepartment of Information Engineering, University of Pisa, Pisa, 56122, Italy.
Ferruccio SantiniEndocrinology Unit, University Hospital of Pisa, Pisa, 56124, Pisa, Italy.

Funding

European Union Italian National Recovery and Resilience Plan (PNRR) Spoke 8, WP1European Union Spoke 6 - Precision Medicine \& Personalized Healthcare (CUP I53C22000780001)Italian Ministry of University and Research 202229ET3S
6 · The paper itself

Abstract

purposeGlucagon-like peptide 1 receptor agonists (GLP-1 RAs) are effective drugs for weight loss and management of obesity-related comorbidities. Their role in 24-hour energy metabolism remains unclear. This study evaluated the effect of liraglutide treatment on 24-hour energy metabolism and body composition in a real-life clinical setting.

methodsThis prospective study enrolled 11 patients with obesity (8 females; mean age 49 ± 9 years; weight 103 ± 18 kg) treated with liraglutide for 6 months at clinically titrated doses at the Obesity and Lipodystrophy Center, University Hospital of Pisa. Measurements of 24-hour energy expenditure (24hEE), 24-hour sleeping metabolic rate (24hSMR), and substrate oxidation (carbohydrates, lipids, proteins) were obtained via whole-room indirect calorimetry prior to start the therapy (V1) and after 6 months (V2). Body composition was assessed by Dual-Energy X-ray Absorptiometry (DXA) at V1 and V2.

resultsAt V2, participants showed significant weight loss (- 10.5 kg, p < 0.001), primarily driven by a decrease in total fat mass (- 8.7 kg, p < 0.001), with a marked reduction in trunk fat mass (- 5.1 kg, p < 0.001). A modest yet statistically significant reduction in total lean soft tissue was also observed (- 1.7 kg, p = 0.02). No changes in 24hEE and 24hSMR could be detected. Fat oxidation increased (+ 352 kcal/d, p = 0.03), while carbohydrate oxidation decreased (- 422 kcal/d, p = 0.003), and protein oxidation remained stable.

conclusionLiraglutide induces significant weight loss in patients with obesity, primarily through fat mass reduction, while largely preserving lean soft tissue. These changes are accompanied by a shift toward fat oxidation, without relevant variations in 24hEE.

Indexed as

Body CompositionEnergy MetabolismGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLiraglutideObesityAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesWeight LossGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLiraglutideEnergy expenditureFat oxidationGLP-1 receptor agonistLean soft tissueLiraglutideObesity

Identifiers

PMID41060519

What Socratic holds

Texttitle and abstract
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.