Evidence mapPaperPMID 42555627Full record

Observational studyDiabetes/metabolism research and reviews2026

Weight Loss-Dependent Changes in Body Composition and Bone Health in People With Obesity and Type 1 Diabetes Treated With Liraglutide, Semaglutide, or Tirzepatide.

Ebaa Al Ozairi, Mohammad Irshad, Jumana Alkandri, Anant Mashankar, Stuart R Gray, Carel W le Roux

Abstract readObservational Study
In one paragraph

Observational study in Diabetes/metabolism research and reviews, 2026. 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

6 authors.

Ebaa Al OzairiDAFNE Unit, Clinical Care Research and Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait.ORCID https://orcid.org/0000-0001-5006-4369
Mohammad IrshadDAFNE Unit, Clinical Care Research and Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait.ORCID https://orcid.org/0000-0002-7520-0221
Jumana AlkandriDAFNE Unit, Clinical Care Research and Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait.
Anant MashankarDiagnostic Imaging Center, Dasman Diabetes Institute, Kuwait City, Kuwait.ORCID https://orcid.org/0000-0001-6166-4626
Stuart R GraySchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-8969-9636
Carel W le RouxDiabetes Complications Research Centre, University College Dublin, Dublin, UK.ORCID https://orcid.org/0000-0001-5521-5445

Funding

Kuwait Foundation for the Advancement of SciencesMinistry of Health Kuwait
6 · The paper itself

Abstract

aimsThis study examined changes in body composition and bone mineral density (BMD) over 12 months in people with obesity and type 1 diabetes (T1D) treated with a GLP-1 receptor agonist alone (GLP-1RA) or a dual glucose-dependent insulinotropic polypeptide (GIP/GLP-1RA). MATERIALS AND

methodsThis real-world observational study included 70 people with obesity and T1D treated with GLP-1RA alone or dual GIP/GLP-1RA. Dual-energy X-ray absorptiometry (DEXA) was used to quantify regional and total fat mass, lean mass, bone mineral content (BMC) and BMD at baseline and after 12 months of treatment. Overall changes were quantified, and changes stratified by percentage weight loss using repeated measures analysis.

resultsOver 12 months body weight (-6.33%; 95% CI: -7.92, -4.73; p < 0.001), HbA1c (-0.48%; 95% CI: -0.74, -0.22; p < 0.001), total tissue fat (-1.42%; 95% CI: -2.47, -0.36; p = 0.009), fat mass (-5.90%; 95% CI: -10.50, -1.57; p = 0.001), and lean mass (-1.75%; 95% CI: -3.50, -0.48; p = 0.005) decreased, while total BMC and BMD remained unchanged. Total lean mass loss was associated with body weight loss (R

conclusionsIn people with obesity and T1D, 12-month GLP-1RA alone or dual GIP/GLP-1RA therapy resulted in clinically meaningful weight loss, improved glycaemic control, preferential fat mass reduction, modest lean mass loss, and preservation of total BMD. People achieving > 10% weight loss derived the greatest metabolic benefit without compromising bone health, although the loss of lean mass was greater.

Indexed as

Body CompositionBone DensityDiabetes Mellitus, Type 1Glucagon-Like PeptidesHypoglycemic AgentsLiraglutideObesityWeight LossAdultFemaleFollow-Up StudiesGastric Inhibitory PolypeptideHumansMaleMiddle AgedPrognosisGastric Inhibitory PolypeptideGlucagon-Like PeptidesHypoglycemic AgentsLiraglutideSemaglutideTirzepatidebody compositionbone healthdual GIP/GLP‐1RAGLP‐1RAobesityT1D

Identifiers

PMID42555627
PMCPMC13440749

What Socratic holds

Texttitle and abstract
LicenceCC BY
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.