One Year's Treatment with the Glucagon-Like Peptide 1 Receptor Agonist Liraglutide Decreases Hepatic Fat Content in Women with Nonalcoholic Fatty Liver Disease and Prior Gestational Diabetes Mellitus in a Randomized, Placebo-Controlled Trial
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One Year's Treatment with the Glucagon-Like Peptide 1 Receptor Agonist Liraglutide Decreases Hepatic Fat Content in Women with Nonalcoholic Fatty Liver Disease and Prior Gestational Diabetes Mellitus in a Randomized, Placebo-Controlled Trial. / Vedtofte, Louise; Bahne, Emilie; Foghsgaard, Signe; Bagger, Jonatan I.; Andreasen, Camilla; Strandberg, Charlotte; Gortz, Peter M.; Holst, Jens J.; Gronbaek, Henning; Svare, Jens A.; Clausen, Tine D.; Mathiesen, Elisabeth R.; Damm, Peter; Gluud, Lise L.; Knop, Filip K.; Vilsboll, Tina.
In: Journal of Clinical Medicine, Vol. 9, No. 10, 3213, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - One Year's Treatment with the Glucagon-Like Peptide 1 Receptor Agonist Liraglutide Decreases Hepatic Fat Content in Women with Nonalcoholic Fatty Liver Disease and Prior Gestational Diabetes Mellitus in a Randomized, Placebo-Controlled Trial
AU - Vedtofte, Louise
AU - Bahne, Emilie
AU - Foghsgaard, Signe
AU - Bagger, Jonatan I.
AU - Andreasen, Camilla
AU - Strandberg, Charlotte
AU - Gortz, Peter M.
AU - Holst, Jens J.
AU - Gronbaek, Henning
AU - Svare, Jens A.
AU - Clausen, Tine D.
AU - Mathiesen, Elisabeth R.
AU - Damm, Peter
AU - Gluud, Lise L.
AU - Knop, Filip K.
AU - Vilsboll, Tina
PY - 2020
Y1 - 2020
N2 - Prior gestational diabetes mellitus (pGDM) is associated with increased risk of nonalcoholic fatty liver disease (NAFLD). Treatment with glucagon-like peptide 1 (GLP-1) receptor agonists has shown beneficial effects in NAFLD patients. We evaluated the effect of the GLP-1 analogue liraglutide on NAFLD features in women with pGDM. Eighty-two overweight/obese, nondiabetic women with pGDM were included. We performed abdominal ultrasound, transient elastography with controlled attenuation parameter (CAP), and blood sampling at baseline and after 1 year. Thirty-seven women were randomized to liraglutide (1.8 mg once-daily) and 45 to placebo. Based on the ultrasound scan, 18 women (22%) had ultrasound-verified NAFLD at baseline and of these, 10 (56%) received liraglutide treatment. After 1 year, eight participants no longer had steatosis, four in each treatment group. The number of participants who developed NAFLD was similar in the two treatment groups; five in the liraglutide group and six in the placebo group (p = 0.74). Compared to placebo, liraglutide reduced the CAP-assessed intrahepatic fat content (-28 (-44;-11) vs. 2 (-13;18) dB/m, p 0.01) and body weight (-4.7 (-6.4;-2.9) vs. -1.4 (-3;0.3) kg, p 0.01). One-year's liraglutide treatment had no effect on the presence of ultrasound-diagnosed NAFLD in overweight/obese nondiabetic women with pGDM, but reduced body weight and steatosis assessed by transient elastography with CAP.
AB - Prior gestational diabetes mellitus (pGDM) is associated with increased risk of nonalcoholic fatty liver disease (NAFLD). Treatment with glucagon-like peptide 1 (GLP-1) receptor agonists has shown beneficial effects in NAFLD patients. We evaluated the effect of the GLP-1 analogue liraglutide on NAFLD features in women with pGDM. Eighty-two overweight/obese, nondiabetic women with pGDM were included. We performed abdominal ultrasound, transient elastography with controlled attenuation parameter (CAP), and blood sampling at baseline and after 1 year. Thirty-seven women were randomized to liraglutide (1.8 mg once-daily) and 45 to placebo. Based on the ultrasound scan, 18 women (22%) had ultrasound-verified NAFLD at baseline and of these, 10 (56%) received liraglutide treatment. After 1 year, eight participants no longer had steatosis, four in each treatment group. The number of participants who developed NAFLD was similar in the two treatment groups; five in the liraglutide group and six in the placebo group (p = 0.74). Compared to placebo, liraglutide reduced the CAP-assessed intrahepatic fat content (-28 (-44;-11) vs. 2 (-13;18) dB/m, p 0.01) and body weight (-4.7 (-6.4;-2.9) vs. -1.4 (-3;0.3) kg, p 0.01). One-year's liraglutide treatment had no effect on the presence of ultrasound-diagnosed NAFLD in overweight/obese nondiabetic women with pGDM, but reduced body weight and steatosis assessed by transient elastography with CAP.
KW - gestational diabetes mellitus
KW - fatty liver
KW - GLP-1 analogue
KW - GLP-1 receptor agonist
KW - hepatic fat
KW - liraglutide
KW - NAFLD
KW - ATTENUATION PARAMETER CAP
KW - MAGNETIC-RESONANCE
KW - JAPANESE PATIENTS
KW - ADIPOSE-TISSUE
KW - STEATOSIS
KW - INFLAMMATION
KW - THERAPY
KW - STEATOHEPATITIS
KW - EPIDEMIOLOGY
KW - ASSOCIATION
U2 - 10.3390/jcm9103213
DO - 10.3390/jcm9103213
M3 - Journal article
C2 - 33036179
VL - 9
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
SN - 2077-0383
IS - 10
M1 - 3213
ER -
ID: 251694937