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Health Professionals BlogNAFLD / MAFLD

Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction-associated steatotic liver disease

Title: Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction-associated steatotic liver disease

Source: Journal of Pediatric Gastroenterology and Nutrition 2024, May 2. [E-publication]

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Date of publication: May 2024

Publication type: Article

Abstract: Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasing globally in pediatric populations. Currently, MASLD management primarily relies on lifestyle interventions, which pose challenges in sustaining long-term weight loss. This study investigated the use of weight loss medications in MASLD care through an international survey of 166 pediatric gastroenterologists and hepatologists. The results indicated a notable interest in weight loss medications, with 38% of practitioners considering or using them, particularly glucagon-like peptide-1 receptor agonists. However, the survey also revealed a tendency among clinicians to refer patients to specialists, emphasizing the potential gap between acknowledgment and prescription practices. Challenges include the lack of guidelines and uncertainty regarding side effects. The study highlights a pressing need for education, with over 90% of the respondents expressing an interest. Our study highlights the current management of MASLD, the potential role of pharmacotherapy, and highlights avenues for improved care and education in this dynamic field.

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