Evidence map›Paper›PMID 42738931›Full record

ReviewNutrients2026

Hidden Malnutrition in the GLP-1 Era: Micronutrient Status, Protein Adequacy, and Lean Mass as Emerging Nutritional Considerations-A Narrative Review.

Tamara Sorić, Ana Sarić, Andrija Ivanišin, Mario Lovrić, Mirta Milić, Martina Matovinović, Marijana Matek Sarić

Abstract readReview
In one paragraph

Review in Nutrients, 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

7 authors.

Tamara SorićPsychiatric Hospital Ugljan, Otočkih dragovoljaca 42, 23275 Ugljan, Croatia.ORCID 0000-0002-4435-8472
Ana SarićSchool of Medicine, Catholic University of Croatia, Ilica 242, 10000 Zagreb, Croatia.
Andrija IvanišinIndependent Researcher, 10000 Zagreb, Croatia.
Mario LovrićInstitute for Anthropological Research, Ljudevita Gaja 32, 10000 Zagreb, Croatia.ORCID 0000-0002-3541-9624
Mirta MilićDivision of Toxicology, Institute for Medical Research and Occupational Health, Ksaverska cesta 2, 10001 Zagreb, Croatia.ORCID 0000-0002-9837-7185
Martina MatovinovićDepartment of Internal Medicine, Division of Metabolic Diseases, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia.ORCID 0000-0002-6325-7394
Marijana Matek SarićDepartment of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia.ORCID 0000-0003-2734-7955

Funding

European Union - Next Generation EU 533-03-23-0006Next Generation EU (BioAntroPop) IA-INT-2024
6 · The paper itself

Abstract

Glucagon-like peptide-1 (GLP-1) receptor agonists and dual glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 receptor agonists have transformed obesity management by producing substantial, sustained weight loss and improving metabolic health. Alongside these benefits, their effects on appetite, food intake, and gastrointestinal function have raised increasing interest in the nutritional consequences of pharmacologically induced weight loss. Although reductions in energy intake contribute to therapeutic efficacy, they may also influence protein intake, dietary quality, micronutrient adequacy, and skeletal muscle health, particularly in individuals with pre-existing nutritional vulnerability. This narrative review summarizes current evidence regarding nutritional considerations during GLP-1-based therapy, including changes in dietary intake, protein and micronutrient adequacy, body composition, muscle health, and nutritional assessment. Particular attention is given to populations at increased nutritional risk, practical approaches to nutritional monitoring, and strategies to support adequate nutrition during treatment. Current evidence suggests that nutritional responses to GLP-1-based therapy are heterogeneous and cannot be adequately evaluated using body weight alone. Assessment of dietary intake, body composition, muscle function, physical performance, and individual clinical characteristics provides a more comprehensive understanding of nutritional status than anthropometric measures alone. While routine supplementation or intensive monitoring is not supported for all patients, a risk-based and individualized approach appears appropriate, particularly for older adults and individuals with sarcopenic obesity, previous bariatric surgery, chronic gastrointestinal disease, or persistent treatment-related gastrointestinal symptoms. Future research should establish clinically meaningful nutritional outcomes and determine which nutritional interventions improve patient-centered outcomes during long-term obesity management.

Indexed as

Dietary ProteinsGlucagon-Like Peptide 1MalnutritionMicronutrientsNutritional StatusObesityBody CompositionGlucagon-Like Peptide-1 Receptor AgonistsHumansNutrition AssessmentWeight LossDietary ProteinsGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsMicronutrientsbody compositionGLP-1 receptor agonistshidden malnutritionmicronutrientsnutritional assessmentnutritional monitoringobesitypatient-centered careprotein intakesarcopenic obesity

Identifiers

PMID42738931
PMCPMC13567228

What Socratic holds

Textmetadata
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.