Effectiveness of liraglutide 3 mg for the treatment of obesity in a real-world setting without intensive lifestyle intervention

Objective We investigated the efficacy and safety of liraglutide 3 mg daily in combination with diet and exercise 2, 4, and 6 months after initiation in real-world settings in Korea. Methods People first using liraglutide starting in 2018 were recruited from ten sites in Korea. Body weight and body...

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Veröffentlicht in:International Journal of Obesity 2021-04, Vol.45 (4), p.776-786
Hauptverfasser: Park, Jung Ha, Kim, Ju Young, Choi, Jong Han, Park, Hye Soon, Shin, Hyun-Young, Lee, Jae Min, Kim, Jin-Wook, Ko, Hae-Jin, Chon, Suk, Kim, Bu Kyung, Kim, Chul Sik, Lim, Soo
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container_issue 4
container_start_page 776
container_title International Journal of Obesity
container_volume 45
creator Park, Jung Ha
Kim, Ju Young
Choi, Jong Han
Park, Hye Soon
Shin, Hyun-Young
Lee, Jae Min
Kim, Jin-Wook
Ko, Hae-Jin
Chon, Suk
Kim, Bu Kyung
Kim, Chul Sik
Lim, Soo
description Objective We investigated the efficacy and safety of liraglutide 3 mg daily in combination with diet and exercise 2, 4, and 6 months after initiation in real-world settings in Korea. Methods People first using liraglutide starting in 2018 were recruited from ten sites in Korea. Body weight and body mass index (BMI) were measured after 2, 4, and 6 months and compared with baseline values. Results The full cohort comprised 769 participants: 672 in the 2-month group, 427 in the 4-month group, and 219 in the 6-month group. The baseline mean ± standard deviation of BMI and body weight were 32.2 ± 5.1 kg/m 2 , and 87.5 ± 18.8 kg, respectively. Body weight and BMI decreased after initiation of liraglutide treatment: −2.94 kg and −1.08 kg/m 2 at 2 months; −4.23 kg and −1.55 kg/m 2 at 4 months, and −5.14 kg and −1.89 kg/m 2 at 6 months (all P  
doi_str_mv 10.1038/s41366-021-00739-z
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Methods People first using liraglutide starting in 2018 were recruited from ten sites in Korea. Body weight and body mass index (BMI) were measured after 2, 4, and 6 months and compared with baseline values. Results The full cohort comprised 769 participants: 672 in the 2-month group, 427 in the 4-month group, and 219 in the 6-month group. The baseline mean ± standard deviation of BMI and body weight were 32.2 ± 5.1 kg/m 2 , and 87.5 ± 18.8 kg, respectively. Body weight and BMI decreased after initiation of liraglutide treatment: −2.94 kg and −1.08 kg/m 2 at 2 months; −4.23 kg and −1.55 kg/m 2 at 4 months, and −5.14 kg and −1.89 kg/m 2 at 6 months (all P  &lt; 0.001). In the 6-month cohort, 52.5% and 18.3% of subjects lost ≥5% and ≥10% of body weight, respectively. After 6 months, systolic and diastolic blood pressure decreased significantly by 3.90 and 1.93 mmHg, respectively. In those with diabetes mellitus, HbA1c and fasting glucose levels decreased significantly by 1.14% and 27.8 mg/dl, respectively. Among all participants, 27.6% experienced adverse effects, including nausea (20.8%), vomiting (5.2%), diarrhoea (2.5%), and skin rash (3.6%). Documented reasons for discontinuation of treatment were lack of effect (4.4%), adverse events (4.3%), and high cost (3.1%). Conclusions In real-world settings in Korea, daily treatment with liraglutide 3 mg was associated with clinically meaningful weight loss without serious adverse events.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/s41366-021-00739-z</identifier><identifier>PMID: 33473176</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/163/2743/393 ; 692/699/1702/393 ; 692/699/2743/2037 ; 692/699/2743/393 ; Adult ; Adverse events ; Antidiabetics ; Blood Pressure ; Body Mass Index ; Body size ; Body Weight ; Body weight loss ; Diabetes mellitus ; Diarrhea ; Drug therapy ; Epidemiology ; Exercise ; Female ; Health Promotion and Disease Prevention ; Heart Disease Risk Factors ; Humans ; Internal Medicine ; Life Style ; Liraglutide ; Liraglutide - therapeutic use ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Middle Aged ; Nausea ; Obesity ; Obesity - therapy ; Patient outcomes ; Public Health ; Republic of Korea ; Vomiting ; Weight Loss</subject><ispartof>International Journal of Obesity, 2021-04, Vol.45 (4), p.776-786</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-fd2b44bdc295612b2761701570247ef3f5f36eb2859d1c0ee5aa290371c10ad73</citedby><cites>FETCH-LOGICAL-c473t-fd2b44bdc295612b2761701570247ef3f5f36eb2859d1c0ee5aa290371c10ad73</cites><orcidid>0000-0001-6018-3337 ; 0000-0002-4137-1671 ; 0000-0002-1269-333X ; 0000-0001-9584-0974</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41366-021-00739-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41366-021-00739-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33473176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Jung Ha</creatorcontrib><creatorcontrib>Kim, Ju Young</creatorcontrib><creatorcontrib>Choi, Jong Han</creatorcontrib><creatorcontrib>Park, Hye Soon</creatorcontrib><creatorcontrib>Shin, Hyun-Young</creatorcontrib><creatorcontrib>Lee, Jae Min</creatorcontrib><creatorcontrib>Kim, Jin-Wook</creatorcontrib><creatorcontrib>Ko, Hae-Jin</creatorcontrib><creatorcontrib>Chon, Suk</creatorcontrib><creatorcontrib>Kim, Bu Kyung</creatorcontrib><creatorcontrib>Kim, Chul Sik</creatorcontrib><creatorcontrib>Lim, Soo</creatorcontrib><title>Effectiveness of liraglutide 3 mg for the treatment of obesity in a real-world setting without intensive lifestyle intervention</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective We investigated the efficacy and safety of liraglutide 3 mg daily in combination with diet and exercise 2, 4, and 6 months after initiation in real-world settings in Korea. Methods People first using liraglutide starting in 2018 were recruited from ten sites in Korea. Body weight and body mass index (BMI) were measured after 2, 4, and 6 months and compared with baseline values. Results The full cohort comprised 769 participants: 672 in the 2-month group, 427 in the 4-month group, and 219 in the 6-month group. The baseline mean ± standard deviation of BMI and body weight were 32.2 ± 5.1 kg/m 2 , and 87.5 ± 18.8 kg, respectively. Body weight and BMI decreased after initiation of liraglutide treatment: −2.94 kg and −1.08 kg/m 2 at 2 months; −4.23 kg and −1.55 kg/m 2 at 4 months, and −5.14 kg and −1.89 kg/m 2 at 6 months (all P  &lt; 0.001). In the 6-month cohort, 52.5% and 18.3% of subjects lost ≥5% and ≥10% of body weight, respectively. After 6 months, systolic and diastolic blood pressure decreased significantly by 3.90 and 1.93 mmHg, respectively. In those with diabetes mellitus, HbA1c and fasting glucose levels decreased significantly by 1.14% and 27.8 mg/dl, respectively. Among all participants, 27.6% experienced adverse effects, including nausea (20.8%), vomiting (5.2%), diarrhoea (2.5%), and skin rash (3.6%). Documented reasons for discontinuation of treatment were lack of effect (4.4%), adverse events (4.3%), and high cost (3.1%). 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Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Nausea</subject><subject>Obesity</subject><subject>Obesity - therapy</subject><subject>Patient outcomes</subject><subject>Public Health</subject><subject>Republic of Korea</subject><subject>Vomiting</subject><subject>Weight Loss</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kk1rFTEUhgdR7LX6B1xIQBA3U0-SSXJnWUr9gIIbXYfMzMm9KTNJTTKW21Vd-jf9JWZ6a7UikkUg5znv-chbVc8pHFHg6zepoVzKGhitARRv66sH1Yo2StaiadXDagUcVA1CioPqSUrnACAEsMfVAeeN4lTJVfXt1Frss_uKHlMiwZLRRbMZ5-wGJPzH9fdpQ2yIJG-R5IgmT-jzwoUOk8s74jwxpATG-jLEcSAJc3Z-Qy5d3oY5l3hGn0qBomwx5d2IN2-xlMwu-KfVI2vGhM9u78Pq89vTTyfv67OP7z6cHJ_Vfek113ZgXdN0Q89aISnrmJJUARUKWKPQcissl9ixtWgH2gOiMIa1wBXtKZhB8cPq9V73IoYvc2lETy71OI7GY5iTLjKtath6vaAv_0LPwxx96U4zAZJSIcvq76iNGVE7b0OOpl9E9bEUUjZQll2oo39Q5Qw4uT54tK6830t49UfCtiw2b1NYPiT4dB9ke7CPIaWIVl9EN5m40xT0YhC9N4guBtE3BtFXJenF7WhzN-Fwl_LLEQXgeyCVkN9g_D37f2R_AsMExrM</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Park, Jung Ha</creator><creator>Kim, Ju Young</creator><creator>Choi, Jong Han</creator><creator>Park, Hye Soon</creator><creator>Shin, Hyun-Young</creator><creator>Lee, Jae Min</creator><creator>Kim, Jin-Wook</creator><creator>Ko, Hae-Jin</creator><creator>Chon, Suk</creator><creator>Kim, Bu Kyung</creator><creator>Kim, Chul Sik</creator><creator>Lim, Soo</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6018-3337</orcidid><orcidid>https://orcid.org/0000-0002-4137-1671</orcidid><orcidid>https://orcid.org/0000-0002-1269-333X</orcidid><orcidid>https://orcid.org/0000-0001-9584-0974</orcidid></search><sort><creationdate>20210401</creationdate><title>Effectiveness of liraglutide 3 mg for the treatment of obesity in a real-world setting without intensive lifestyle intervention</title><author>Park, Jung Ha ; 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Methods People first using liraglutide starting in 2018 were recruited from ten sites in Korea. Body weight and body mass index (BMI) were measured after 2, 4, and 6 months and compared with baseline values. Results The full cohort comprised 769 participants: 672 in the 2-month group, 427 in the 4-month group, and 219 in the 6-month group. The baseline mean ± standard deviation of BMI and body weight were 32.2 ± 5.1 kg/m 2 , and 87.5 ± 18.8 kg, respectively. Body weight and BMI decreased after initiation of liraglutide treatment: −2.94 kg and −1.08 kg/m 2 at 2 months; −4.23 kg and −1.55 kg/m 2 at 4 months, and −5.14 kg and −1.89 kg/m 2 at 6 months (all P  &lt; 0.001). In the 6-month cohort, 52.5% and 18.3% of subjects lost ≥5% and ≥10% of body weight, respectively. After 6 months, systolic and diastolic blood pressure decreased significantly by 3.90 and 1.93 mmHg, respectively. In those with diabetes mellitus, HbA1c and fasting glucose levels decreased significantly by 1.14% and 27.8 mg/dl, respectively. Among all participants, 27.6% experienced adverse effects, including nausea (20.8%), vomiting (5.2%), diarrhoea (2.5%), and skin rash (3.6%). Documented reasons for discontinuation of treatment were lack of effect (4.4%), adverse events (4.3%), and high cost (3.1%). Conclusions In real-world settings in Korea, daily treatment with liraglutide 3 mg was associated with clinically meaningful weight loss without serious adverse events.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33473176</pmid><doi>10.1038/s41366-021-00739-z</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6018-3337</orcidid><orcidid>https://orcid.org/0000-0002-4137-1671</orcidid><orcidid>https://orcid.org/0000-0002-1269-333X</orcidid><orcidid>https://orcid.org/0000-0001-9584-0974</orcidid></addata></record>
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subjects 692/163/2743/393
692/699/1702/393
692/699/2743/2037
692/699/2743/393
Adult
Adverse events
Antidiabetics
Blood Pressure
Body Mass Index
Body size
Body Weight
Body weight loss
Diabetes mellitus
Diarrhea
Drug therapy
Epidemiology
Exercise
Female
Health Promotion and Disease Prevention
Heart Disease Risk Factors
Humans
Internal Medicine
Life Style
Liraglutide
Liraglutide - therapeutic use
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Nausea
Obesity
Obesity - therapy
Patient outcomes
Public Health
Republic of Korea
Vomiting
Weight Loss
title Effectiveness of liraglutide 3 mg for the treatment of obesity in a real-world setting without intensive lifestyle intervention
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