Obesity
Conditions
Keywords
Obesity, Obesity Genetics, GLP-1, GLP-1 Receptor Agonists
Brief summary
The obesity epidemic is attributable to dietary and behavioral trends acting on a person's genetic makeup to determine body mass and susceptibility to obesity-related diseases. Furthermore, common forms of obesity have a strong hereditary component and many genetic pathways that contribute to obesity have already ben identified. Glucagon-like peptide-1 (GLP-1) is an incretin hormone that potentiates glucose-stimulated insulin secretion. However, GLP-1 also acts as an appetite-inhibiting hormone affecting the appetite center in the hypothalamus. Today, GLP-1 receptor agonists are available for the treatment of type 2 diabetes, and their treatment potential in obesity is an area of active research. The aim of this study is to explore if the appetite inhibiting effect of GLP-1 is intact in people diagnosed with obesity causing genetic disorders and to investigate the physiological role of GLP-1 on food intake and appetite regulation in this group.
Detailed description
* Exploration of the physiological role of GLP-1 concerning food intake and appetite regulation in obese adults diagnosed with obesity related genetic disorders. * Assessment of the effect of GLP-1 on body composition, bone mineral density, energy expenditure, cardiac function, glucose tolerance, insulin sensitivity, lipid concentrations and neuroendocrine function. * Assessment of the impact of the leptin induced adaptive thermogenesis response in the weight reduced study participants. * Investigating the alteration of the composition of gut bacteria as well as subjective ratings of satiety and hunger before after supplement with GLP-1.
Interventions
S.c. liraglutide 3.0mg once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI above 28 (kg/m2) * age 18-65 years * otherwise healthy
Exclusion criteria
* pregnancy or breastfeeding * Type 2 Diabetes * suffering from severe medical conditions Recruitment for this study finished November 2015
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in insulin levels in reponse to GLP-1 RA treatment in obese genetic mutation carriers vs obese controls | 4 months intervention | pmol/l |
Countries
Denmark