Obesity

GLP-1 receptor agonists in pediatric obesity and diabetes: a systematic review of efficacy, metabolic effects, and safety

Diabetes Res Clin PractPublished Systematic review

Authors' conclusion

GLP-1 RAs are effective adjuncts for pediatric obesity and T2DM

Study context

Population
Children and adolescents aged 6 to <18 years with obesity or T2D; PubMed-indexed studies 2000–20257 RCTs and 6 meta-analyses
Participants
901 children
Comparison
GLP-1 RAs vs placebo
Outcome
Efficacy of GLP-1 RAs

Pooled result

As reported in the abstract

  • Semaglutide 2.4 mg/week produced the greatest BMI reduction in adolescents with obesity, followed by liraglutide 3.0 mg/day
  • Liraglutide 3.0 mg/day also improved BMI SDS in adolescents and younger children
  • In youth-onset T2D, liraglutide 1.8 mg/day and dulaglutide significantly improved HbA1c vs placebo

Further pooled results

Metabolic effects

Weight-reducing agents improved insulin resistance and modestly reduced TG; LDL-C changes were minimal

Safety

Gastrointestinal adverse events, mainly nausea and vomiting, were most frequent, generally transient and dose dependent
No significant adverse effects on linear growth or pubertal progression were reported

Original publication

GLP-1 receptor agonists in pediatric obesity and diabetes: a systematic review of efficacy, metabolic effects, and safety. Diabetes Res Clin Pract. Published 28 June 2026. doi:10.1016/j.diabres.2026.113400

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