GLP-1s for Children: Benefits & Safety in T2D/Obesity
- Childhood obesity currently affects approximately 1 in 5 children and adolescents younger than 18 years, a figure that has been steadily rising alongside an increase in type 2...
- the approval of these medications, coupled with updated pediatric guidelines, has led to a significant increase in GLP-1 use for both T2D and obesity in children and adolescents...
- Given the rising use of GLP-1s among youth, concerns regarding their psychological impacts are warranted.
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GLP-1 Receptor Agonists: A Growing Treatment for Childhood Obesity and Type 2 Diabetes
Overview and Treatment Options for Childhood Obesity
Childhood obesity currently affects approximately 1 in 5 children and adolescents younger than 18 years, a figure that has been steadily rising alongside an increase in type 2 diabetes (T2D) cases. Historically, treatment for T2D in children was limited to metformin and insulin. However, since 2019, the FDA has approved several glucagon-like peptide-1 receptor agonists (GLP-1s) for use in this patient population, including liraglutide (Victoza; Novo Nordisk), semaglutide (Ozempic, Wegovy; Novo Nordisk), dulaglutide (Trulicity; Eli Lilly and Company), and extended-release exenatide (Bydureon BCise; Amylin Pharmaceuticals).
the approval of these medications, coupled with updated pediatric guidelines, has led to a significant increase in GLP-1 use for both T2D and obesity in children and adolescents between 2020 and 2023. Furthermore, tirzepatide, a dual-action medication targeting both GLP-1 and GIP receptors, is currently being investigated for potential use in the same population. This represents a significant shift in the therapeutic landscape for pediatric metabolic disorders.
Given the rising use of GLP-1s among youth, concerns regarding their psychological impacts are warranted. Suicide rates are a growing public health issue, with approximately 17% of US youth reporting suicidal ideation and 7% to 8% attempting suicide annually. Careful monitoring and consideration of mental health are crucial when prescribing these medications.
Safety and Efficacy of GLP-1s in Children and Adolescents
To comprehensively assess the efficacy and safety of GLP-1s in children and adolescents under 18 years with obesity, prediabetes, or T2D, researchers conducted a systematic review and meta-analysis of data from 18 randomized clinical trials. These trials were identified through
