Trial reportObesity (Silver Spring, Md.)2023

Weight loss maintenance with exercise and liraglutide improves glucose tolerance, glucagon response, and beta cell function.

Simon B K Jensen, Christian R Juhl, Charlotte Janus, Julie R Lundgren, Christoffer Martinussen, Christoffer Wiingaard, Cecilie Knudsen, Ruth Frikke-Schmidt, Bente M Stallknecht, Jens J Holst and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2023. The graph read 4 numbers from its abstract, feeding 2 cells of the map: it supports the treatment in 2. Cited by 11 papers.

4numbers the graph read from it
2cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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.

← favours the comparatorfavours the treatment →
-14.093.00 · no effect
Beta cell functioncombination of exercise and liraglutide vs placebofavours the treatment · t2d, obesityfeeds 2 cells of the map
improved 49.016.0 to 93.0p = 0.002
After 1 year of treatment, the combination group had decreased postprandial glucose response by -9% (95% CI: -14% to -3%; p = 0.002), improved beta cell function by 49% (95% CI: 16% to 93%; p = 0.002), and decreased glucagon response by -18% (95% CI: -34% to -3%; p = 0.024) compared with placebo.
Postprandial glucose responseliraglutide alone vs placebofavours the treatment · t2d, obesityfeeds one cell of the map
improved -7.00-12.0 to -1.00p = 0.018
Compared with placebo, liraglutide alone improved postprandial glucose response by -7% (95% CI: -12% to -1%; p = 0.018), but not beta cell function or glucagon.
Postprandial glucose responsecombination of exercise and liraglutide vs placebofavours the treatment · t2d, obesityfeeds 2 cells of the map
decrease -9.00-14.0 to -3.00p = 0.002
After 1 year of treatment, the combination group had decreased postprandial glucose response by -9% (95% CI: -14% to -3%; p = 0.002), improved beta cell function by 49% (95% CI: 16% to 93%; p = 0.002), and decreased glucagon response by -18% (95% CI: -34% to -3%; p = 0.024) compared with placebo.

Read, but not usablea number the graph found but could not read as for or against

Glucagon responsecombination of exercise and liraglutide vs placebodirection of benefit for this outcome is not defined · t2d, obesityfeeds 2 cells of the map
decrease -18.0-34.0 to -3.00p = 0.024
After 1 year of treatment, the combination group had decreased postprandial glucose response by -9% (95% CI: -14% to -3%; p = 0.002), improved beta cell function by 49% (95% CI: 16% to 93%; p = 0.002), and decreased glucagon response by -18% (95% CI: -34% to -3%; p = 0.024) compared with placebo.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×glycemic control

SupportsOpen on the map →What to test next →

40 readable studies in this cell: 89 favour the treatment, 16 find no difference, 10 favour the comparator.

Belief with this paper
0.90replicated · 63 families support, 7 contradict · against placebo
Without it
0.90This paper does not move the number.
← favours the comparatorfavours the treatment →
0 · no effect
This paper · 2023
improved 49.016.0 to 93.0
NCT017204463,297 enrolled · 2013
Δ -0.66-0.80 to -0.52
NCT036893742,274 enrolled · 2018
Δ -0.29-0.38 to -0.20
NCT039879191,879 enrolled · 2019
Δ -0.51-0.64 to -0.38
NCT026078651,864 enrolled · 2016
Δ -0.50-0.60 to -0.40
NCT013360231,663 enrolled · 2011
Treatment contrast -0.64-0.75 to -0.53
NCT040178321,441 enrolled · 2019
Δ -0.20-0.30 to -0.10
NCT018365231,398 enrolled · 2013
Δ -0.20-0.32 to -0.07
NCT019301881,231 enrolled · 2013
Δ -1.06-1.21 to -0.91
NCT007344741,202 enrolled · 2008
Δ -0.71-0.87 to -0.55
NCT020581471,170 enrolled · 2014
Δ -0.29-0.38 to -0.19
NCT003184611,091 enrolled · 2006
Δ -1.09-1.30 to -0.88
NCT021289321,089 enrolled · 2014
Δ -0.81-0.96 to -0.67

Diet, exercise & lifestyle×glycemic control

SupportsOpen on the map →What to test next →

5 readable studies in this cell: 4 favour the treatment, 1 find no difference, 0 favour the comparator.

Belief with this paper
0.99replicated · 2 families support, 0 contradict · against placebo
Without it
0.50This paper moves it by +0.49. It would be one trial.
← favours the comparatorfavours the treatment →
0 · no effect
This paper · 2023
improved 49.016.0 to 93.0
mean decreases -0.50-0.80 to -0.30
4 · 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.

5 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Simon B K JensenDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Christian R JuhlDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Charlotte JanusDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Julie R LundgrenDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Christoffer MartinussenDepartment of Endocrinology, Copenhagen University Hospital-Hvidovre, Hvidovre, Denmark.
Christoffer WiingaardDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Cecilie KnudsenDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Ruth Frikke-SchmidtDepartment of Clinical Biochemistry, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Bente M StallknechtDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Jens J HolstDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Sten MadsbadDepartment of Endocrinology, Copenhagen University Hospital-Hvidovre, Hvidovre, Denmark.
Signe S TorekovDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-6779-0252
University of Copenhagen · DKHvidovre Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

objectiveThe aim of this study was to investigate glucose tolerance, glucagon response, and beta cell function during a 1-year maintenance period with either exercise, the glucagon-like peptide-1 receptor agonist liraglutide, or the combination after diet-induced weight loss.

methodsIn this randomized placebo-controlled trial, adults with obesity (BMI: 32-43 kg/m

resultsA total of 195 participants were randomized. After 1 year of treatment, the combination group had decreased postprandial glucose response by -9% (95% CI: -14% to -3%; p = 0.002), improved beta cell function by 49% (95% CI: 16% to 93%; p = 0.002), and decreased glucagon response by -18% (95% CI: -34% to -3%; p = 0.024) compared with placebo. Compared with placebo, liraglutide alone improved postprandial glucose response by -7% (95% CI: -12% to -1%; p = 0.018), but not beta cell function or glucagon. Exercise alone had similar postprandial glucose response, beta cell function, and glucagon response as placebo.

conclusionsOnly the combination of exercise and liraglutide improved glucose tolerance, beta cell function, and glucagon responses after weight loss.

Indexed as

Diabetes Mellitus, Type 2LiraglutideAdultBlood GlucoseDouble-Blind MethodExerciseGlucagonGlucoseHumansHypoglycemic AgentsWeight LossBlood GlucoseGlucagonGlucoseHypoglycemic AgentsLiraglutide

Identifiers

PMID36942420
OpenAlexW4328048056

What OpenQuestion holds

Texttitle and abstract
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 OpenQuestion graph.