Obesity

Effect of Calorie Restricted Diet Versus Liraglutide on Intrapancreatic Fat Deposition in People With Obesity: A Pilot Study

Obesity (Silver Spring)Published Prospective nonrandomised pilot study

Authors' conclusion

Both CRD and liraglutide significantly and similarly reduce pancreatic, liver, and visceral fat, while improving glycemic-related parameters in people with obesity. Preliminary findings suggest liver and visceral fat loss primarily drive improved insulin resistance, whereas pancreatic fat reduction may relate to subtler insulin dynamics changes, warranting further investigation.

Study context

Population
People with obesity
Participants
23 vs 23
Exposure
Calorie restricted diet vs liraglutide
  • Calorie restricted diet (CRD)n = 23
  • Liraglutiden = 23
Outcome
Change in pancreatic fat fraction (PFF)
Follow-up
24 weeks
Methodological detailsnonrandomized, sub-study of a registered trial
  • Nonrandomized
  • Sub-study of a registered trial

Main finding

As reported in the abstract

Change in PFF
  • Significant and comparable reductions in pancreatic fat fraction (PFF) with both CRD and liraglutide (time effect: p < 0.001)
  • CRD vs Liraglutide: interaction effect: p = 0.560

Observational data: associations, not effects.

Secondary outcomes

OutcomeP value
Body weight, LFF, VFA, HbA1c, HOMA2-IR and ISIMall interaction effects: p > 0.05

Body weight, liver fat fraction (LFF), visceral fat area (VFA), HbA1c, HOMA2-IR and ISIM

Significant and similar improvements in both groups (all time effects: p < 0.001)

Regression of changes in adiposity vs glycemic parameters

ΔHOMA2-IR positively associated with Δweight and ΔLFF but negatively with ΔPFF
ΔISIM negatively associated with ΔVFA and positively with ΔPFF

Original publication

Effect of Calorie Restricted Diet Versus Liraglutide on Intrapancreatic Fat Deposition in People With Obesity: A Pilot Study. Obesity (Silver Spring). Published 24 February 2026. doi:10.1002/oby.70153

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