Evidence map›Paper›PMID 41358327›Full record

ArticleJournal of diabetes and metabolic disorders2025

"Efficacy of SGLT2 inhibitors in non-diabetic non-alcoholic fatty liver disease: a systematic review and meta-analysis".

Muhammad Sharjeel Abbas, Mrunalini Dandamudi, Tooba Rehman, Muhammad Aqib Faizan, Izza Zahra, John Cedric Mojica, Musab Riyan Ahmed, Karishma Bai, Izza Shakeel, Zunaira Shahzad and 1 more

Abstract read
In one paragraph

Article in Journal of diabetes and metabolic disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. The Role of SGLT2 Inhibitors in the Prevention of Type 2 Diabetes: A Narrative Review of Current Evidence.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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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

11 authors.

Muhammad Sharjeel AbbasGomal Medical College, Khyber Medical University, Peshawar, Pakistan.ORCID 0009-0001-6003-4873
Mrunalini DandamudiMontefiore Medical Center, Moses Campus, Bronx, New York, USA.ORCID 0009-0001-3580-0783
Tooba RehmanGomal Medical College, Khyber Medical University, Peshawar, Pakistan.ORCID 0009-0001-1527-4333
Muhammad Aqib FaizanGomal Medical College, Khyber Medical University, Peshawar, Pakistan.ORCID 0009-0002-6023-3992
Izza ZahraFoundation University Medical College, Islamabad, Pakistan.ORCID 0009-0001-2301-6692
John Cedric MojicaUniversity of the East Ramon Magsaysay Medical Center, Quezon City, Metro Manila, Philippines.ORCID 0009-0004-8944-4798
Musab Riyan AhmedGomal Medical College, Khyber Medical University, Peshawar, Pakistan.ORCID 0009-0003-1952-6205
Karishma BaiDepartment of Medicine, Allama Iqbal Medical College, Lahore, Punjab, Pakistan.ORCID 0009-0002-0765-144X
Izza ShakeelPeople's University of Medical and Health Sciences for Women (PUMHS), Nawabshah, Sindh, Pakistan.ORCID 0009-0003-6627-4135
Zunaira ShahzadFatima Jinnah Medical University, Lahore, Punjab, Pakistan.ORCID 0009-0009-9729-1214
Juliana GiorgiSirio Libanes Hospital, São Paulo, Brazil.ORCID 0009-0007-7271-4845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-alcoholic fatty liver disease (NAFLD), now termed metabolic dysfunction-associated steatotic liver disease (MASLD), is a common chronic liver condition with significant metabolic and cardiovascular implications. Although sodium-glucose cotransporter 2 inhibitors (SGLT2i) have demonstrated hepatic benefits in diabetic populations, their role in non-diabetic individuals with NAFLD remains unclear. Objective: This meta-analysis aimed to evaluate the effects of SGLT2 inhibitors in non-diabetic NAFLD/MASLD patients. Methods: PubMed, Embase, and CENTRAL were searched up to May 2025 for randomized controlled trials (RCTs) comparing SGLT2i with placebo or other pharmacologic agents in non-diabetic adults with NAFLD. Primary outcomes included changes in hepatic function; secondary outcomes assessed anthropometric, metabolic, and imaging-based markers of hepatic steatosis and fibrosis. A random-effects model was applied to estimate pooled mean differences (MDs) and 95% confidence intervals (CIs). Results: Five RCTs comprising 273 non-diabetic patients (142 in the SGLT2i group) were included. SGLT2i significantly improved liver enzymes: AST (MD = -2.03; 95% CI: -3.24 to -0.82; Conclusion: SGLT2i significantly improves liver enzyme levels and anthropometric markers in non-diabetic individuals with NAFLD/MASLD, suggesting potential therapeutic benefits. However, their effects on hepatic steatosis resolution and fibrosis progression remain inconclusive. Graphical Abstract: Supplementary Information: The online version contains supplementary material available at 10.1007/s40200-025-01797-0.

Identifiers

PMID41358327
PMCPMC12678672

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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.