The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes

Objective. To study the effect of liraglutide on the thickness of epicardial adipose tissue (EAT) in type 2 diabetes mellitus (T2DM) patients with abdominal obesity. Methods. Abdominal obesity T2DM patients with poor glycemic control were collected and treated with liraglutide. The changes of blood...

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Main Authors: Na Zhao, Xiaoying Wang, Yongbo Wang, Junjie Yao, Chunhong Shi, Jianling Du, Ran Bai
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2021/5578216
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author Na Zhao
Xiaoying Wang
Yongbo Wang
Junjie Yao
Chunhong Shi
Jianling Du
Ran Bai
author_facet Na Zhao
Xiaoying Wang
Yongbo Wang
Junjie Yao
Chunhong Shi
Jianling Du
Ran Bai
author_sort Na Zhao
collection DOAJ
description Objective. To study the effect of liraglutide on the thickness of epicardial adipose tissue (EAT) in type 2 diabetes mellitus (T2DM) patients with abdominal obesity. Methods. Abdominal obesity T2DM patients with poor glycemic control were collected and treated with liraglutide. The changes of blood glucose, blood lipid, waist circumference, body mass index (BMI), and EAT thickness were compared after 3 months of treatment with liraglutide. Cardiac magnetic resonance imaging (MRI) was used to measure EAT thickness. Results. After 3 months of treatment with liraglutide, glycosylated hemoglobin (HbA1c) decreased from 9.81±1.46% to 6.94±1.29% (95%CI=2.14–3.59, p<0.001). The weight decreased from 91.67±16.29 kg to 87.29±16.43 kg (95%CI=2.97–5.79, p<0.001). Waist circumference before treatment was 103.69±9.14 cm, and after treatment was 96.42±8.42 cm (95%CI=5.04–9.50, p<0.001). Total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) were significantly lower than those before treatment. TC decreased from 5.34±1.05 mmol/L to 4.86±0.97 mmol/L (95%CI=0.15–0.82, p<0.001). TG was 1.89 (1.48-3.17) and then to 1.92±0.69 (p=0.03). LDL-C decreased from 3.39±0.84 mmol/L to 3.01±0.74 mmol/L (95%CI=0.17–0.59, p=0.001). HDL-C increased by 1.7% after treatment, with no significant difference (p=0.062). More importantly, the thickness of EAT decreased from 5.0 (5.0-7.0) mm to 3.95±1.43 mm (p<0.001) after liraglutide administered for 3 months. Conclusion. Liraglutide significantly reduces EAT thickness in T2DM with abdominal obesity, which provides theoretical support for the cardiovascular benefits of liraglutide.
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spelling doaj-art-2f54444904f94ecf8e2a1a3f259366e62025-08-20T03:55:16ZengWileyJournal of Diabetes Research2314-67532021-01-01202110.1155/2021/5578216The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 DiabetesNa Zhao0Xiaoying Wang1Yongbo Wang2Junjie Yao3Chunhong Shi4Jianling Du5Ran Bai6Department of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismDepartment of Endocrinology and MetabolismObjective. To study the effect of liraglutide on the thickness of epicardial adipose tissue (EAT) in type 2 diabetes mellitus (T2DM) patients with abdominal obesity. Methods. Abdominal obesity T2DM patients with poor glycemic control were collected and treated with liraglutide. The changes of blood glucose, blood lipid, waist circumference, body mass index (BMI), and EAT thickness were compared after 3 months of treatment with liraglutide. Cardiac magnetic resonance imaging (MRI) was used to measure EAT thickness. Results. After 3 months of treatment with liraglutide, glycosylated hemoglobin (HbA1c) decreased from 9.81±1.46% to 6.94±1.29% (95%CI=2.14–3.59, p<0.001). The weight decreased from 91.67±16.29 kg to 87.29±16.43 kg (95%CI=2.97–5.79, p<0.001). Waist circumference before treatment was 103.69±9.14 cm, and after treatment was 96.42±8.42 cm (95%CI=5.04–9.50, p<0.001). Total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) were significantly lower than those before treatment. TC decreased from 5.34±1.05 mmol/L to 4.86±0.97 mmol/L (95%CI=0.15–0.82, p<0.001). TG was 1.89 (1.48-3.17) and then to 1.92±0.69 (p=0.03). LDL-C decreased from 3.39±0.84 mmol/L to 3.01±0.74 mmol/L (95%CI=0.17–0.59, p=0.001). HDL-C increased by 1.7% after treatment, with no significant difference (p=0.062). More importantly, the thickness of EAT decreased from 5.0 (5.0-7.0) mm to 3.95±1.43 mm (p<0.001) after liraglutide administered for 3 months. Conclusion. Liraglutide significantly reduces EAT thickness in T2DM with abdominal obesity, which provides theoretical support for the cardiovascular benefits of liraglutide.http://dx.doi.org/10.1155/2021/5578216
spellingShingle Na Zhao
Xiaoying Wang
Yongbo Wang
Junjie Yao
Chunhong Shi
Jianling Du
Ran Bai
The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
Journal of Diabetes Research
title The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
title_full The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
title_fullStr The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
title_full_unstemmed The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
title_short The Effect of Liraglutide on Epicardial Adipose Tissue in Type 2 Diabetes
title_sort effect of liraglutide on epicardial adipose tissue in type 2 diabetes
url http://dx.doi.org/10.1155/2021/5578216
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