ISSN 1662-4009 (online)

ey0016.11-15 | Treatment of Severe Obesity: Next Steps | ESPEYB16

11.15. Working toward precision medicine approaches to treat severe obesity in adolescents: report of an NIH workshop

AS Kelly , MD Marcus , JA Yanovski , SZ Yanovski , SK Osganian

To read the full abstract: Int J Obes (2005) 2018; 42(11):1834–1844This paper presents the results of a multidisciplinary expert workshop to identify current knowledge and more importantly current gaps in knowledge on the epidemiological and biopsychosocial determinants of obesity and its optimal treatment approaches.Childhood obesity is a global ...

ey0018.12-3 | Type 2 Diabetes | ESPEYB18

12.3. Bone mass and density in youth with type 2 diabetes, obesity, and healthy weight

JM Kindler , A Kelly , PR Khoury , LE Levitt Katz , EM Urbina , BS Zemel

Diabetes Care. 2020 Oct;43(10):2544–2552. doi: 10.2337/dc19-2164. PMID: 32778556.In brief: This cross-sectional study compared bone mineral density (BMD), lean body mass and abdominal visceral fat between 180 individuals with T2DM, 226 with obesity, and 238 with normal weight, aged 10–23 years. The findings suggest that T2DM in youth may have a detrimental effect on bone accru...

ey0016.12-6 | Metabolic Syndrome | ESPEYB16

12.6. Early life adversity with height stunting is associated with cardiometabolic risk in adolescents independent of Body Mass Index

BM Reid , MM Harbin , JL Arend , AS Kelly , DR Dengel , MR Gunnar

To read the full abstract: J Pediatr 2018;202:143–149.Summary: In a case control study of 30 post-institutionalized youths compared with 90 age- and BMI percentile-matched youths living in the Minneapolis-Saint Paul metropolitan area, early life stress, as reflected by height-stunted growth in institutional care, was associated with cardiovascular and metabolic risk in yout...

ey0019.11-16 | Weight regulation and endocrine circuits (including interventions) | ESPEYB19

11.16. Exenatide for weight-loss maintenance in adolescents with severe obesity: A randomized, placebo-controlled trial

CK Fox , JM Clark , KD Rudser , JR Ryder , AC Gross , BM Nathan , M Sunni , DR Dengel , CJ Billington , MO Bensignor , AS Kelly

Lusc0001@umn.edu Obesity (Silver Spring) 2022, 30(5):1105–1115. https://doi.org/10.1002/oby.23395Brief Summary: This 52-week randomised placebo-controlled trial showed that exenatide XR improves stabilisation of BMI reduction after lifestyle intervention in adolescents with obesity.Maintaining weight loss after an in...

ey0017.11-12 | Pharmacologic Treatment | ESPEYB17

11.12. A randomized, controlled trial of liraglutide for adolescents with obesity

AS Kelly , P Auerbach , M Barrientos-Perez , I Gies , PM Hale , C Marcus , LD Mastrandrea , N Prabhu , S; NN8022-4180 Trial Investigators Arslanian

To read the full abstract: N Engl J Med. 2020;382(22):2117–2128. doi: https://pubmed.ncbi.nlm.nih.gov/32233338/Kelly et al. randomly assigned (1:1) n =251 obese adolescents (age 12 to <18 years) to receive either liraglutide (3.0 mg), a long-acting glucagon-like peptide-1 agonist, or placebo subcutaneously once daily in addition to lifestyle therapy. Liraglutide w...

ey0015.5-9 | Life-long skeletal consequences of delayed puberty | ESPEYB15

5.9 Genetically Determined Later Puberty Impacts Lowered Bone Mineral Density in Childhood and Adulthood

DL Cousminer , JA Mitchell , A Chesi , SM Roy , HJ Kalkwarf , JM Lappe , V Gilsanz , SE Oberfield , JA Shepherd , A Kelly , SE McCormack , BF Voight , BS Zemel , SF Grant

To read the full abstract: J Bone Miner Res 2018;33:430-436Bone mass increases dramatically during puberty. The process of sexual maturation is therefore likely to impact lifelong bone health. Bone mineral density (BMD) tracks throughout life and later age at menarche is associated with increased osteoporosis risk in women, possibly because of combined effects of later menarche and lower peak bone ma...

ey0015.11-19 | Bariatric surgery – new findings | ESPEYB15

11.19 Factors associated with long-term weight-loss maintenance following bariatric surgery in adolescents with severe obesity

JR Ryder , AC Gross , CK Fox , AM Kaizer , KD Rudser , TM Jenkins , MB Ratcliff , AS Kelly , S Kirk , RM Siegel , TH Inge

To read the full abstract: Int J Obes (Lond). 2018 Jan;42(1):102-107This cohort of n=50 adolescents who underwent bariatric surgery is highly important, since such long-term follow-up data are rare. Until today, only this study cohort described here by Ryder et al. and the Swedish nationwide study (AMOS) of adolescents with severe obesity who underwent laparoscopic Roux-en-Y gastric bypass (3) hav...

ey0020.9-17 | Patient Care: Bariatric Surgery, New Drugs, and Appropriate Language | ESPEYB20

9.17. Once-weekly semaglutide in adolescents with obesity

D Weghuber , T Barrett , M Barrientos-Perez , I Gies , D Hesse , OK Jeppesen , AS Kelly , LD Mastrandrea , R Sorrig , S Arslanian , STEP TEENS Investigators

Brief summary: This phase 3 double-blind, parallel-group, randomized, placebo-controlled trial over 68 weeks randomised (2:1) 201 adolescents with obesity to receive semaglutide 2.4 mg once weekly or placebo. Both groups also received lifestyle intervention. The primary endpoint was the percentage change in BMI. Treatment with semaglutide produced clinically relevant reductions in BMI and body weight, and improvements in cardiovascular risk factors, which were all significantl...

ey0019.15-10 | Assorted Conditions | ESPEYB19

15.10. Metabolomic profiling reveals extensive adrenal suppression due to inhaled corticosteroid therapy in asthma

P Kachroo , ID Stewart , RS Kelly , M Stav , K Mendez , A Dahlin , DI Soeteman , SH Chu , M Huang , M Cote , HM Knilhtila , K Lee-Sarwar , M McGeachie , A Wang , AC Wu , Y Virkud , P Zhang , NJ Wareham , EW Karlson , CE Wheelock , C Clish , ST Weiss , C Langenberg , JA Lasky-Su

Nat Med. 2022;28(4):814-22. doi: 10.1038/s41591-022-01714-5.PubMed ID: 35314841Brief summary: This study performed large-scale metabolomic profiling across 14 000 adults from 4 cohorts and identified 17 steroid metabolites whose levels were reduced in individuals with prevalent asthma. The largest reductions were associated with inhaled corticosteroid (ICS) treatment, and these were valida...

ey0020.13-5 | Section | ESPEYB20

13.5. Intermittently scanned continuous glucose monitoring for type 1 diabetes

L Leelarathna , ML Evans , S Neupane , G Rayman , S Lumley , I Cranston , P Narendran , K Barnard-Kelly , CJ Sutton , RA Elliott , VP Taxiarchi , G Gkountouras , M Burns , W Mubita , N Kanumilli , M Camm , H Thabit , EG Wilmot , FLASH-UK Trial Study Group

In Brief: This multicenter, randomised controlled trial in 156 adults (mean age 44 years) with type 1 diabetes (T1D) showed benefits of intermittently scanned continuous glucose monitoring (CGM) (intervention) compared to usual monitoring of blood glucose levels by fingerprick testing on: lower HbA1c (−0.5%; P<0.001), 130 minutes/day longer duration of ‘in target’ glucose levels, and 43 minutes/day shorter time spent with hypoglycaemic blood glucos...