Table 5 Changes in BMI measurements and laboratory results in children treated with anti-obesity medications (AOMs)- all AOMs and by medication type.
Last measurement before first drug purchase | Minimal measurement during treatment period* | Last measurement before end of treatment | First measurement after end of treatment | P time | P sex | P time×sex | |
|---|---|---|---|---|---|---|---|
All AOMs | |||||||
BMI-Z Score | |||||||
Males | 3.15 (0.05) a | 2.63 (0.04) b | 2.93 (0.04) c | 2.87 (0.06) c | <0.001 | <0.001 | 0.987 |
Females | 2.98 (0.05) a | 2.47 (0.03) b | 2.76 (0.03) c | 2.73 (0.04) c | <0.001 | ||
Fasting blood glucose(mg/dL) | |||||||
Males | 140.8 (3.3) a | 96.4 (2.8) b | 126.4 (4.2) c | 115.8 (3.5) d | <0.001 | <0.001 | 0.384 |
Females | 128.6 (2.6) a | 92.2 (1.8) b | 115.6 (2.8) c | 109.2 (2.3) c | <0.001 | ||
HbA1c (%) | |||||||
Males | 6.8 (0.10) a | 5.8 (0.08) b | 6.3 (0.08) c | 6.5 (0.16) a,c | <0.001 | <0.001 | 0.266 |
Females | 6.4 (0.07) a | 5.6 (0.05) b | 5.9 (0.05) c | 6.0 (0.10) c | <0.001 | ||
Triglycerides (mg/dL) | |||||||
Males | 153.7 (5.7) a | 99.9 (4.4) b | 141.7 (8.1) a | 141.8 (8.0) a | <0.001 | 0.745 | 0.511 |
Females | 152.5 (4.2) a | 106.9 (3.2) b | 135.6 (5.8) c | 135.7 (5.9) c | <0.001 | ||
HDL- Cholesterol (mg/dL) | |||||||
Males | 42.0 (0.6) a | 48.0 (0.5) b | 42.2 (0.7) a,c | 43.8 (0.5) c | <0.001 | 0.686 | 0.227 |
Females | 42.1 (0.5) a | 47.0 (0.4) b | 43.2 (0.5) a,c | 44.2 (0.4) c | <0.001 | ||
LDL-cholesterol (mg/dL) | |||||||
Males | 96.3 (1.4) | 92.1 (2.0) | 95.3 (1.6) | 93.3 (2.0) | 0.298 | 0.659 | 0.758 |
Females | 97.9 (1.3) | 93.3 (1.6) | 93.9 (1.5) | 94.2 (1.6) | 0.065 | ||
Total cholesterol (mg/dL) | |||||||
Males | 167.6 (1.9) a | 150.8 (1.5) b | 164.3 (2.1) a | 165.9 (2.6) a | <0.001 | 0.321 | 0.996 |
Females | 168.6 (1.4) a | 152.5 (1.1) b | 165.4 (1.6) a | 167.3 (2.0) a | <0.001 | ||
ALT (U/L) | |||||||
Males | 33.0 (1.4) | 30.0 (1.8) | 29.5 (1.5) | 29.7 (1.9) | 0.286 | 0.012 | 0.996 |
Females | 36.0 (1.2) | 33.1 (1.5) | 31.9 (1.4) | 32.3 (1.6) | 0.087 | ||
Metformin (n = 1 267) | |||||||
BMI-Z Score | |||||||
Males | 2.98 (0.07) a | 2.46 (0.05) b | 2.81 (0.05) c | 2.68 (0.07) c | <0.001 | 0.002 | 0.965 |
Females | 2.83 (0.06) a | 2.34 (0.04) b | 2.68 (0.04) c | 2.59 (0.05) c | <0.001 | ||
Fasting blood glucose(mg/dL) | |||||||
Males | 153.4 (4.1) a | 101.0 (3.6) b | 135.2 (5.0) c | 126.1 (4.5) c | <0.001 | <0.001 | 0.322 |
Females | 136.4 (2.7) a | 95.1 (2.3) b | 121.7 (3.3) c | 115.6 (2.8) c | <0.001 | ||
HbA1c (%) | |||||||
Males | 6.7 (0.13) a | 5.8 (0.10) b | 6.3 (0.10) c | 6.5 (0.20) ac | <0.001 | <0.001 | 0.385 |
Females | 6.5 (0.08) a | 5.6 (0.06) b | 5.9 (0.06) c | 5.9 (0.11) c | <0.001 | ||
Triglycerides (mg/dL) | |||||||
Males | 159.6 (7.6) a | 101.6 (5.8) b | 144.1 (11.0) a | 144.4 (11.2) a | <0.001 | 0.413 | 0.614 |
Females | 156.3 (5.2) a | 106.8 (4.0) b | 134.2 (7.1) c | 134.7 (7.3) c | <0.001 | ||
HDL- Cholesterol (mg/dL) | |||||||
Males | 41.5 (0.7) a | 47.0 (0.5) b | 42.2 (0.8) a | 43.0 (0.6) a | <0.001 | 0.125 | 0.438 |
Females | 42.1 (0.5) a | 46.7 (0.4) b | 43.4 (0.6) a,c | 44.1 (0.5) c | <0.001 | ||
LDL-cholesterol (mg/dL) | |||||||
Males | 94.9 (1.7) | 92.8 (2.6) | 94.5 (1.9) | 93.9 (2.6) | 0.920 | 0.539 | 0.735 |
Females | 98.2 (1.5) | 93.1 (1.9) | 94.3 (1.7) | 94.1 (1.9) | 0.114 | ||
Total cholesterol (mg/dL) | |||||||
Males | 166.4 (2.4) a | 150.7 (1.8) b | 164.0 (3.5) a | 164.3 (3.5) a | <0.001 | 0.178 | 0.987 |
Females | 169.0 (1.6) a | 152.1 (1.2) b | 165.6 (1.9) a | 166.9 (2.2) a | <0.001 | ||
ALT (U/L) | |||||||
Males | 32.2 (1.6) | 30.1 (2.2) | 27.9 (1.8) | 29.4 (2.2) | 0.336 | 0.008 | 0.999 |
Females | 35.9 (1.4) | 33.3 (1.7) | 31.4 (1.6) | 33.1 (1.9) | 0.190 | ||
GLP-1 receptor agonist (n = 420) | |||||||
BMI-Z Score | |||||||
Males | 3.45 (0.05) a | 3.08 (0.05) b | 3.22 (0.05) c | 3.31 (0.06) ac | <0.001 | <0.001 | 0.978 |
Females | 3.28 (0.05) a | 2.95 (0.05) b | 3.06 (0.05) c | 3.16 (0.06) ac | <0.001 | ||
Fasting blood glucose(mg/dL) | |||||||
Males | 92.8 (1.3) a | 82.4 (1.0) b | 86.8 (1.7) c | 87.4 (1.2) c | <0.001 | 0.876 | 0.972 |
Females | 93.1 (1.3) a | 82.2 (1.2) b | 86.4 (2.1) b,c | 88.4 (1.5) c | <0.001 | ||
HbA1c (%) | |||||||
Males | 6.9 (0.17) a | 5.7 (0.14) b | 6.2 (0.14) c | 6.5 (0.24) a,c | <0.001 | 0.010 | 0.254 |
Females | 6.3 (0.14) a | 5.6 (0.11) b | 5.9 (0.10) c | 6.4 (0.21) a | <0.001 | ||
Triglycerides (mg/dL) | |||||||
Males | 136.0 (7.6) a | 95.8 (6.1) b | 135.2 (10.0) a | 135.3 (10.1) a | <0.001 | 0.123 | 0.983 |
Females | 144.0 (6.3) a | 107.8 (4.9) b | 142.2 (9.0) a | 142.9 (9.1) a | <0.001 | ||
HDL- Cholesterol (mg/dL) | |||||||
Males | 42.8 (1.2) a | 50.4 (0.9) b | 42.4 (1.4) a | 45.5 (1.0) a | <0.001 | 0.181 | 0.768 |
Females | 41.8 (1.1) a | 48.2 (0.8) b | 42.4 (1.2) a | 44.5 (1.0) a | <0.001 | ||
LDL-cholesterol (mg/dL) | |||||||
Males | 99.6 (2.3) | 92.1 (3.1) | 98.4 (2.8) | 93.3 (3.1) | 0.154 | 0.861 | 0.464 |
Females | 97.1 (2.7) | 95.5 (3.6) | 93.2 (3.2) | 96.0 (3.6) | 0.818 | ||
Total cholesterol (mg/dL) | |||||||
Males | 170.1 (2.9) a | 151.5 (2.3) b | 166.5 (3.5) a | 168.3 (3.8) a | <0.001 | 0.812 | 0.803 |
Females | 167.8 (3.1) a | 154.3 (2.4) b | 165.9 (3.6) a | 170.6 (4.5) a | <0.001 | ||
ALT (U/L) | |||||||
Males | 35.2 (2.8) | 30.0 (3.5) | 33.9 (3.2) | 30.1 (3.5) | 0.549 | 0.684 | 0.952 |
Females | 37.3 (2.5) | 32.0 (3.2) | 33.0 (2.9) | 30.5 (3.5) | 0.355 | ||
Orlistat (n = 30) | |||||||
BMI-Z Score | |||||||
Males | 3.37 (0.57) | 2.63 (0.45) | 3.24 (0.45) | 2.31 (0.52) | 0.452 | 0.023 | 0.402 |
Females | 2.42 (0.37) | 1.93 (0.21) | 2.32 (0.21) | 2.48 (0.26) | 0.323 | ||
Fasting blood glucose(mg/dL) | |||||||
Males | 88.0 (4.4) | 82.0 (3.1) | 91.0 (5.0) | 90.9 (3.3) | 0.232 | 0.249 | 0.848 |
Females | 85.2 (3.7) | 81.1 (2.5) | 82.7 (4.5) | 89.3 (2.8) | 0.187 | ||
HbA1c (%) | |||||||
Males | 7.7 (1.1) | 5.6 (0.9) | 5.9 (0.9) | 7.5 (1.6) | 0.424 | 0.043 | 0.354 |
Females | 6.1 (0.4) | 5.6 (0.4) | 5.6 (0.3) | 5.3 (0.6) | 0.692 | ||
Triglycerides (mg/dL) | |||||||
Males | 163.8 (41.2) | 99.6 (38.1) | 162.7 (50.0) | 162.8 (50.4) | 0.612 | 0.014 | 0.402 |
Females | 107.2 (15.4) | 99.9 (12.2) | 85.0 (21.2) | 85.5 (21.8) | 0.780 | ||
HDL- Cholesterol (mg/dL) | |||||||
Males | 46.5 (5.2) | 47.0 (4.8) | 32.5 (9.1) | 43.3 (6.4) | 0.547 | 0.411 | 0.657 |
Females | 45.1 (3.1) | 47.6 (2.5) | 44.0 (4.0) | 43.5 (3.1) | 0.740 | ||
LDL-cholesterol (mg/dL) | |||||||
Males | 98.8 (13.8) | 81.4 (15.1) | 68.5 (23.9) | 81.4 (15.1) | 0.669 | 0.886 | 0.839 |
Females | 100.2 (7.7) | 74.8 (10.4) | 85.6 (9.4) | 74.8 (10.4) | 0.164 | ||
Total cholesterol (mg/dL) | |||||||
Males | 171.4 (17.2) | 145.0 (16.0) | 118.0 (29.9) | 174.7 (21.1) | 0.336 | 0.721 | 0.338 |
Females | 161.0 (8.2) | 143.3 (6.6) | 147.5 (10.3) | 142.8 (12.2) | 0.380 | ||
ALT (U/L) | |||||||
Males | 26.3 (7.6) | 28.8 (8.3) | 20.5 (13.1) | 30.3 (9.3) | 0.934 | 0.530 | 0.740 |
Females | 29.2 (6.7) | 37.1 (9.1) | 36.3 (8.1) | 21.6 (10.8) | 0.643 | ||