Page last updated: 2024-10-30

metformin and Adolescent Obesity

metformin has been researched along with Adolescent Obesity in 48 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Research Excerpts

ExcerptRelevanceReference
"Metformin for women with overweight or obesity during pregnancy has been evaluated in randomized trials to reduce adverse pregnancy and birth outcomes."9.69Childhood follow-up of the GRoW randomized trial: Metformin in addition to dietary and lifestyle advice for pregnant women with overweight or obesity. ( Deussen, AR; Dodd, JM; Louise, J, 2023)
"Here we study whether circulating GDF-15 levels were raised by such metformin treatment and whether they related to changes in body weight and visceral fat in children with obesity."9.51A 24-month metformin treatment study of children with obesity: Changes in circulating GDF-15 and associations with changes in body weight and visceral fat. ( Bassols, J; Carreras-Badosa, G; de Zegher, F; Díaz-Roldán, F; Gómez-Vilarrubla, A; Ibañez, L; López-Bermejo, A; Martínez-Calcerrada, JM; Mas-Parés, B; Prats-Puig, A; Puerto-Carranza, E; Xargay-Torrent, S, 2022)
"Metformin has been used in pregnancy since the 1970s."9.22Metformin for pregnancy and beyond: the pros and cons. ( Dunne, FP; Newman, C, 2022)
"Metformin has shown its effectiveness in reducing body mass index (BMI) in obese children and adolescents, but relevant evidence for improving insulin resistance in overweight or obese children and adolescents is inconclusive."9.01The effects of metformin on insulin resistance in overweight or obese children and adolescents: A PRISMA-compliant systematic review and meta-analysis of randomized controlled trials. ( He, H; Sun, J; Wang, Y; Zhang, X, 2019)
" Metformin appears to reduce these risks in mothers with polycystic ovary syndrome and their children; but may increase the risk of childhood-obesity in children form women without PCOS."8.12Pregnancy, perinatal and childhood outcomes in women with and without polycystic ovary syndrome and metformin during pregnancy: a nationwide population-based study. ( Brusselaers, N; Crisosto, N; Cruz, G; Engstrand, L; Fornes, R; Nguyen, MH; Simin, J; van der Schaaf, M, 2022)
"Metformin with lifestyle interventions significantly reduced weight, BMI, and BMI z score in pediatric patients with obesity and insulin resistance up to 24 months, compared with intensive and routine counseling alone."8.02Metformin for pediatric obesity and insulin resistance: a retrospective study within an integrated health care system. ( Concepcion, JQ; Huang, K; Tucker, LY, 2021)
"With the increasing incidence of childhood obesity, clinicians need to understand its comorbidities and their management."6.55Metformin Use in Children and Adolescents with Prediabetes. ( Chin, VL; Khokhar, A; Perez-Colon, S; Umpaichitra, V, 2017)
"Metformin for women with overweight or obesity during pregnancy has been evaluated in randomized trials to reduce adverse pregnancy and birth outcomes."5.69Childhood follow-up of the GRoW randomized trial: Metformin in addition to dietary and lifestyle advice for pregnant women with overweight or obesity. ( Deussen, AR; Dodd, JM; Louise, J, 2023)
"Here we study whether circulating GDF-15 levels were raised by such metformin treatment and whether they related to changes in body weight and visceral fat in children with obesity."5.51A 24-month metformin treatment study of children with obesity: Changes in circulating GDF-15 and associations with changes in body weight and visceral fat. ( Bassols, J; Carreras-Badosa, G; de Zegher, F; Díaz-Roldán, F; Gómez-Vilarrubla, A; Ibañez, L; López-Bermejo, A; Martínez-Calcerrada, JM; Mas-Parés, B; Prats-Puig, A; Puerto-Carranza, E; Xargay-Torrent, S, 2022)
"Metformin, a first-line oral antidiabetic agent that has shown promising results in terms of treating childhood and adolescent obesity, might influence the composition of the gut microbiota."5.41Evaluation of the gut microbiota after metformin intervention in children with obesity: A metagenomic study of a randomized controlled trial. ( Aguilera, CM; Bueno, G; Caballero-Villarraso, J; Cañete, MD; Cañete, R; Egea-Zorrilla, A; Gil, Á; Hoyos, R; Latorre, M; Leis, R; Pastor-Villaescusa, B; Plaza-Díaz, J; Vázquez-Cobela, R, 2021)
"Evaluate the impact of metformin treatment during puberty, a critical window of cardiometabolic change, on insulin sensitivity (Si) and compensatory β-cell response in youth with obesity."5.41Two-Year Treatment With Metformin During Puberty Does Not Preserve β-Cell Function in Youth With Obesity. ( Hilkin, A; Kelsey, MM; Nadeau, KJ; Pyle, L; Severn, C; Utzschneider, K; Van Pelt, RE; Zeitler, PS, 2021)
"Metformin is increasingly used to treat gestational diabetes and type 2 diabetes in pregnancy, and in attempts to improve pregnancy outcomes in polycystic ovary syndrome and obesity."5.30Intrauterine metformin exposure and offspring cardiometabolic risk factors (PedMet study): a 5-10 year follow-up of the PregMet randomised controlled trial. ( Carlsen, SM; Hanem, LGE; Juliusson, PB; Nossum, MCF; Salvesen, Ø; Vaage, MØ; Vanky, E; Ødegård, R, 2019)
"Metformin has been used in pregnancy since the 1970s."5.22Metformin for pregnancy and beyond: the pros and cons. ( Dunne, FP; Newman, C, 2022)
"Prepubertal intervention with metformin reduces central adiposity and improves insulin sensitivity in non-obese catch-up SGA children."5.20Metformin treatment to reduce central adiposity after prenatal growth restraint: a placebo-controlled pilot study in prepubertal children. ( Bassols, J; de Zegher, F; Díaz, M; Ibáñez, L; López-Bermejo, A, 2015)
"With this systematic review of RCTs, we suggest that metformin has modest but favorable effects on weight and insulin resistance and a tolerable safety profile among children and adolescents with obesity."5.12Efficacy and Safety of Metformin for Obesity: A Systematic Review. ( Aloe, S; Brunetti, VC; Filion, KB; Henderson, M; Masarwa, R; Platt, RW, 2021)
" Metformin seems to be safe and presents evident positive effects on insulin sensitivity, but long-term and consistent data are still missing to establish its role in the pediatric population and the possible effectiveness of other emergent treatments such as glucagon-like peptide-1 analogues, dipeptidylpeptidase-4 inhibitors, dual inhibitors of SGLT1 and SGLT2 and weight loss drugs."5.05Metabolic syndrome in children. ( Chiarelli, F; Samvelyan, S; Tagi, VM, 2020)
"Metformin has shown its effectiveness in reducing body mass index (BMI) in obese children and adolescents, but relevant evidence for improving insulin resistance in overweight or obese children and adolescents is inconclusive."5.01The effects of metformin on insulin resistance in overweight or obese children and adolescents: A PRISMA-compliant systematic review and meta-analysis of randomized controlled trials. ( He, H; Sun, J; Wang, Y; Zhang, X, 2019)
"English-language trials of benefits or harms of screening or treatment (behavior-based, orlistat, metformin) for overweight or obesity in children aged 2 through 18 years, conducted in or recruited from health care settings."4.95Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force. ( Burda, BU; Eder, M; Evans, CV; Lozano, P; O'Connor, EA; Walsh, ES, 2017)
"A PubMed database search was conducted, using 'metformin', 'obesity', 'insulin resistance', 'children', 'adolescents' as search terms."4.89Systematic review of metformin use in obese nondiabetic children and adolescents. ( Brufani, C; Cappa, M; Crinò, A; Fintini, D; Manco, M; Patera, PI, 2013)
" Metformin appears to reduce these risks in mothers with polycystic ovary syndrome and their children; but may increase the risk of childhood-obesity in children form women without PCOS."4.12Pregnancy, perinatal and childhood outcomes in women with and without polycystic ovary syndrome and metformin during pregnancy: a nationwide population-based study. ( Brusselaers, N; Crisosto, N; Cruz, G; Engstrand, L; Fornes, R; Nguyen, MH; Simin, J; van der Schaaf, M, 2022)
"Metformin with lifestyle interventions significantly reduced weight, BMI, and BMI z score in pediatric patients with obesity and insulin resistance up to 24 months, compared with intensive and routine counseling alone."4.02Metformin for pediatric obesity and insulin resistance: a retrospective study within an integrated health care system. ( Concepcion, JQ; Huang, K; Tucker, LY, 2021)
"Use of metformin for weight loss for children in a clinical setting has not been well described; therefore, we aimed to identify characteristics of obese patients prescribed metformin in a clinical setting and evaluate changes in anthropometric measures."3.88Use of Metformin for Weight Management in Children and Adolescents With Obesity in the Clinical Setting. ( Ariza, AJ; Binns, HJ; Kadakia, RB; Kwon, S; Kyler, KE; Palac, HL, 2018)
"Glycemic failure rate was 75."2.94Beta cell function and insulin sensitivity in obese youth with maturity onset diabetes of youth mutations vs type 2 diabetes in TODAY: Longitudinal observations and glycemic failure. ( Arslanian, S; Chan, CL; Chernausek, SD; El Ghormli, L; Gandica, RG; Gubitosi-Klug, R; Haymond, MH; Levitsky, LL; Siska, M; Willi, SM, 2020)
"Metformin has shown its effectiveness in treating obesity in adults."2.84Metformin for Obesity in Prepubertal and Pubertal Children: A Randomized Controlled Trial. ( Aguilera, CM; Bueno, G; Caballero-Villarraso, J; Cañete, MD; Cañete, R; Gil, Á; Hoyos, R; Latorre, M; Leis, R; Maldonado, J; Pastor-Villaescusa, B; Plaza-Díaz, J; Vázquez-Cobela, R, 2017)
"Metformin is an oral anti-hyperglycemic agent that has been demonstrated to be efficacious in the treatment of diabetic and non-diabetic obese adults."2.82Evaluation of differential effects of metformin treatment in obese children according to pubertal stage and genetic variations: study protocol for a randomized controlled trial. ( Aguilera, CM; Bueno, G; Caballero-Villarraso, J; Cañete, MD; Cañete, R; Gil, Á; Hoyos, R; Leis, R; Maldonado, J; Pastor-Villaescusa, B, 2016)
"When treated with metformin and an exercise program, a structured, reduced energy diet, which is either high-carbohydrate or moderate-carbohydrate with increased-protein, can achieve clinically significant improvements in obese adolescents at risk of type 2 diabetes."2.79Improved insulin sensitivity and body composition, irrespective of macronutrient intake, after a 12 month intervention in adolescents with pre-diabetes; RESIST a randomised control trial. ( Ambler, GR; Baur, LA; Briody, J; Broderick, CR; Chisholm, K; Cowell, CT; De, S; Garnett, SP; Gow, M; Ho, M; Noakes, M; Srinivasan, S; Steinbeck, K; Woodhead, HJ, 2014)
"Nonalcoholic fatty liver disease (NAFLD) has emerged as the leading cause of chronic liver disease in both adults and children."2.66Emerging New Diagnostic Modalities and Therapies of Nonalcoholic Fatty Liver Disease. ( Kohli, R; Lin, CH, 2020)
"Several childhood obesity interventions are effective in improving metabolic and anthropometric measures."2.55Treatment of Pediatric Obesity: An Umbrella Systematic Review. ( Ahmed, AT; Almasri, J; Alsawas, M; Asi, N; Farah, W; Mohammed, K; Murad, MH; Prokop, LJ; Rajjo, T, 2017)
"With the increasing incidence of childhood obesity, clinicians need to understand its comorbidities and their management."2.55Metformin Use in Children and Adolescents with Prediabetes. ( Chin, VL; Khokhar, A; Perez-Colon, S; Umpaichitra, V, 2017)
"Child and adolescent obesity has increased globally, and can be associated with significant short- and long-term health consequences."2.53Drug interventions for the treatment of obesity in children and adolescents. ( Atkinson, G; Baur, L; Corpeleijn, E; Ells, LJ; Finer, N; Mead, E; Metzendorf, MI; O'Malley, C; Richter, B, 2016)
"Childhood obesity is an important public health problem with increasing prevalence."2.50Systematic review of the benefits and risks of metformin in treating obesity in children aged 18 years and younger. ( Foley, C; McDonagh, MS; Ozpinar, A; Selph, S, 2014)
"With the rising prevalence of childhood obesity, pediatricians are increasingly called upon to treat clinically overweight children."2.49The clinical treatment of childhood obesity. ( Armstrong, SC; Dolinsky, DH; Kinra, S, 2013)
"Childhood and adolescent obesity has become a global epidemic."1.91[Research progresses on interventions of obesity in children and adolescents]. ( Wan, NJ; Zhang, T, 2023)
"Metformin (25 μmol/L) was introduced after initial 12 h with palmitate."1.91Metformin restores prohormone processing enzymes and normalizes aberrations in secretion of proinsulin and insulin in palmitate-exposed human islets. ( Aydin, B; Bergsten, P; Chowdhury, AI; Forslund, A; Shekha, M; Stenlid, R; Wen, Q, 2023)
" Here, an adult physiologically based pharmacokinetic (PBPK) model of metformin was scaled to pediatric populations without obesity, with overweight/obesity, and with severe obesity; a published virtual population of children and adolescents with obesity was leveraged during model evaluation."1.72Physiologically Based Pharmacokinetic Modeling of Metformin in Children and Adolescents With Obesity. ( Edginton, AN; Ford, JL; Gerhart, JG; Gonzalez, D; Hon, YY; Yanovski, JA, 2022)
"Although the overall rate of child and adolescent obesity has stabilized over the last decade after increasing steadily for 3 decades, obesity rates continue to increase in certain populations, such as African American girls and Hispanic boys."1.46Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. ( Barry, MJ; Bibbins-Domingo, K; Curry, SJ; Davidson, KW; Doubeni, CA; Epling, JW; Grossman, DC; Kemper, AR; Krist, AH; Kurth, AE; Landefeld, CS; Mangione, CM; Phipps, MG; Silverstein, M; Simon, MA; Tseng, CW, 2017)
" Model 2 described the inter-relationship between dosing and side effects; side effects were a significant experience for many young people, and few adhered to prescribed regimens, independently changing lifestyle and dosage to tolerate medications."1.42Adolescent experiences of anti-obesity drugs. ( Christie, D; Clifford, S; Jamieson, L; Shield, JP; Smith, F; Viner, RM; White, B; Wong, IC, 2015)
"Prevalence of childhood obesity is increasing and is associated with elevated long-term risk of T2D and other adverse cardio-metabolic events; however, consensus is lacking on intervention strategies aimed at reducing this risk."1.40Metformin in the treatment of obese children and adolescents at risk of type 2 diabetes. ( Amin, R; Clayton, PE; Kendall, DL, 2014)
"Characteristic findings of type 1 and type 2 diabetes may be present simultaneously."1.40[Difficult diagnosis in a 17-year-old patient: Type 1 diabetes? Type 2 diabetes? Or "double diabetes"?]. ( Engelsberger, I; Warncke, K, 2014)

Research

Studies (48)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's29 (60.42)24.3611
2020's19 (39.58)2.80

Authors

AuthorsStudies
Newman, C1
Dunne, FP1
Ford, JL1
Gerhart, JG1
Edginton, AN1
Yanovski, JA2
Hon, YY1
Gonzalez, D1
Fornes, R1
Simin, J1
Nguyen, MH1
Cruz, G1
Crisosto, N1
van der Schaaf, M1
Engstrand, L1
Brusselaers, N1
Deussen, AR1
Louise, J1
Dodd, JM1
Li, M1
Liu, L1
Kang, Y1
Huang, S1
Xiao, Y1
Wan, NJ1
Zhang, T1
Wen, Q1
Chowdhury, AI1
Aydin, B1
Shekha, M1
Stenlid, R1
Forslund, A1
Bergsten, P1
Vatopoulou, A1
Tziomalos, K1
Arslanian, S1
El Ghormli, L1
Haymond, MH1
Chan, CL1
Chernausek, SD1
Gandica, RG1
Gubitosi-Klug, R1
Levitsky, LL1
Siska, M1
Willi, SM1
Tagi, VM1
Samvelyan, S1
Chiarelli, F2
Lin, CH1
Kohli, R1
Pastor-Villaescusa, B3
Plaza-Díaz, J2
Egea-Zorrilla, A1
Leis, R3
Bueno, G3
Hoyos, R3
Vázquez-Cobela, R2
Latorre, M2
Cañete, MD3
Caballero-Villarraso, J3
Gil, Á3
Cañete, R3
Aguilera, CM3
Mohn, A1
Polidori, N1
Castorani, V1
Comegna, L1
Giannini, C1
Blasetti, A1
Raman, V1
Foster, CM1
Masarwa, R1
Brunetti, VC1
Aloe, S1
Henderson, M1
Platt, RW1
Filion, KB1
Kelsey, MM1
Hilkin, A1
Pyle, L1
Severn, C1
Utzschneider, K1
Van Pelt, RE1
Zeitler, PS1
Nadeau, KJ1
Anderson, K1
Kelsberg, G1
Safranek, S1
Concepcion, JQ1
Tucker, LY1
Huang, K1
Carreras-Badosa, G1
Gómez-Vilarrubla, A1
Mas-Parés, B1
Martínez-Calcerrada, JM1
Xargay-Torrent, S1
Prats-Puig, A1
Puerto-Carranza, E1
Díaz-Roldán, F1
de Zegher, F2
Ibañez, L2
Bassols, J2
López-Bermejo, A2
Rajjo, T1
Mohammed, K1
Alsawas, M1
Ahmed, AT1
Farah, W1
Asi, N1
Almasri, J1
Prokop, LJ1
Murad, MH1
O'Connor, EA1
Evans, CV1
Burda, BU1
Walsh, ES1
Eder, M1
Lozano, P1
Grossman, DC1
Bibbins-Domingo, K1
Curry, SJ1
Barry, MJ1
Davidson, KW1
Doubeni, CA1
Epling, JW1
Kemper, AR1
Krist, AH1
Kurth, AE1
Landefeld, CS1
Mangione, CM1
Phipps, MG1
Silverstein, M1
Simon, MA1
Tseng, CW1
Maldonado, J2
Kaplowitz, P1
Scinta, W1
Bayes, H1
Smith, N1
Khokhar, A1
Umpaichitra, V1
Chin, VL1
Perez-Colon, S1
Lentferink, YE1
van der Aa, MP1
van Mill, EGAH1
Knibbe, CAJ1
van der Vorst, MMJ1
Kyler, KE1
Kadakia, RB1
Palac, HL1
Kwon, S1
Ariza, AJ1
Binns, HJ1
Sun, J1
Wang, Y1
Zhang, X1
He, H1
Hanem, LGE1
Salvesen, Ø1
Juliusson, PB1
Carlsen, SM1
Nossum, MCF1
Vaage, MØ1
Ødegård, R1
Vanky, E1
Ramkumar, S1
Tandon, N1
Brufani, C1
Crinò, A1
Fintini, D1
Patera, PI1
Cappa, M1
Manco, M1
Kendall, DL1
Amin, R1
Clayton, PE1
McDonagh, MS1
Selph, S1
Ozpinar, A1
Foley, C1
Warncke, K1
Engelsberger, I1
Díaz, M1
Garnett, SP1
Gow, M1
Ho, M1
Baur, LA1
Noakes, M1
Woodhead, HJ1
Broderick, CR1
Chisholm, K1
Briody, J1
De, S1
Steinbeck, K1
Srinivasan, S1
Ambler, GR1
Cowell, CT1
Adeyemo, MA1
McDuffie, JR1
Kozlosky, M1
Krakoff, J1
Calis, KA1
Brady, SM1
White, B1
Jamieson, L1
Clifford, S1
Shield, JP1
Christie, D1
Smith, F1
Wong, IC1
Viner, RM1
Lee, PD1
Lustig, RH1
Lenders, C1
Baillargeon, J1
Wilson, DM1
Kelly, AS1
Fox, CK1
Rudser, KD1
Gross, AC1
Ryder, JR1
Taylor, SA1
Himes, R1
Hastings, E1
Garland, B1
Mead, E1
Atkinson, G1
Richter, B1
Metzendorf, MI1
Baur, L1
Finer, N1
Corpeleijn, E1
O'Malley, C1
Ells, LJ1
Dingle, E1
Brar, PC1
Al Khalifah, RA1
Alnhdi, A1
Alghar, H1
Alanazi, M1
Florez, ID1
Dolinsky, DH1
Armstrong, SC1
Kinra, S1

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Studies to Treat Or Prevent Pediatric Type 2 Diabetes (STOPP-T2D) Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) Clinical Trial[NCT00081328]Phase 3699 participants (Actual)Interventional2004-05-31Completed
Combined Influence of Puberty and Obesity on Insulin Resistance in Adolescents[NCT01775813]Phase 4104 participants (Actual)Interventional2011-06-30Completed
Effects of Inositols on Insulin Resistance in Children With Obesity (ONIRICO Trial)[NCT05701813]56 participants (Anticipated)Interventional2023-02-01Not yet recruiting
Family Inclusive Childhood Obesity Treatment Designed for Low Income and Hispanic Families[NCT05041855]658 participants (Anticipated)Interventional2021-11-15Recruiting
Type 2 Diabetes Prevention in Community Health Care Settings for at Risk Children and Mothers[NCT03781102]120 participants (Anticipated)Interventional2019-07-01Suspended (stopped due to COVID19)
Mediterranean Enriched Diet for Tackling Youth Obesity[NCT04719052]240 participants (Anticipated)Interventional2021-05-25Active, not recruiting
Eating Better Together: A Pilot Study[NCT05028205]30 participants (Anticipated)Interventional2021-08-16Recruiting
Modulating Endoplasmic Reticulum Stress as a Prophylactic Approach Against Symptomatic Viral Infection[NCT04267809]Phase 244 participants (Anticipated)Interventional2021-10-22Recruiting
Metformin Treatment of Pregnant Women With Polycystic Ovary Syndrome (PCOS)[NCT00159536]Phase 3257 participants (Actual)Interventional2005-02-28Completed
Effects of Metformin on Energy Intake, Energy Expenditure, and Body Weight in Overweight Children With Insulin Resistance[NCT00005669]Phase 2100 participants (Actual)Interventional2000-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Body Composition -- BMI

Body mass index (BMI) measured in kg per meters squared. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

Interventionkg per meters squared (Mean)
1 Metformin Alone36.7
2 Metformin + Rosliglitazone38.2
3 Metformin + Lifestyle Program35.3

Body Composition -- Bone Density

Measured by DXA, both whole body scan and AP-spine scan. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. In addition, in about 1/3 of participants DXA scans could not be obtained on participants weighing more than 300 pounds (136 kg), the upper limit in size set by the machine manufacturers. Scans were considered invalid if a body part (e.g., arm, leg) was completely off or partially off the scanner, there was hand-hip overlap, or there was motion or movement during the scan. (NCT00081328)
Timeframe: 24 months

Interventiong/cm squared (Mean)
1 Metformin Alone1.15
2 Metformin + Rosliglitazone1.15
3 Metformin + Lifestyle Program1.15

Body Composition -- Fat Mass

Determined by DXA whole body scan. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. In addition, in about 1/3 of participants DXA scans could not be obtained on participants weighing more than 300 pounds (136 kg), the upper limit in size set by the machine manufacturers. Scans were considered invalid if a body part (e.g., arm, leg) was completely off or partially off the scanner, there was hand-hip overlap, or there was motion or movement during the scan. (NCT00081328)
Timeframe: 24 months

Interventionkg (Mean)
1 Metformin Alone36.1
2 Metformin + Rosliglitazone39.7
3 Metformin + Lifestyle Program32.2

Body Composition -- Waist Circumference

Waist circumference (cm) measured at the iliac crest at its outermost point with the measuring tape placed around the participant in a horizontal plane parallel to the floor at the mark and the measurement teken at the end of normal expiration without the tape compressing the skin. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

Interventioncm (Mean)
1 Metformin Alone110.8
2 Metformin + Rosliglitazone114.0
3 Metformin + Lifestyle Program108.6

Comorbidity -- Hypertension

A diagnosis was made by an out-of-range value >=95th percentile or systolic >=130 or diastolic >=80 sustained over 6 months or on an anti-hypertensive medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone57
2 Metformin + Rosliglitazone53
3 Metformin + Lifestyle Program45

Comorbidity -- LDL Dyslipidemia

A diagnosis was made from out-of-range value >= 130 mg/dL sustained over 6 months or put on lipid lowering medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone18
2 Metformin + Rosliglitazone16
3 Metformin + Lifestyle Program15

Comorbidity -- Triglycerides Dyslipidemia

A diagnosis was made by an out-of-range value >=150 mg/dL sustained over 6 months or on appropriate lipid lowering medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone20
2 Metformin + Rosliglitazone28
3 Metformin + Lifestyle Program22

Insulin Secretion

Insulinogenic index determined from OGTT as difference in insulin at 30 minutes minus 0 minutes divided by difference in glucose at 30 minutes minus 0 minutes. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

InterventionuU/mL divided by mg/dL (Median)
1 Metformin Alone.75
2 Metformin + Rosliglitazone.83
3 Metformin + Lifestyle Program.71

Insulin Sensitivity

All participants were followed to 24 months. Insulin sensitivity is measured from OGTT as inverse of fasting insulin (mL/uU). The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

InterventionmL/uU (Median)
1 Metformin Alone0.037
2 Metformin + Rosiglitazone0.049
3 Metformin + Lifestyle Program0.039

Number of Serious Adverse Events

Number of serious adverse events reported during the trial. Participant could have multiple episodes reported. (NCT00081328)
Timeframe: Reported as occurred during study follow-up - 2 years to 6.5 years from randomization.

Interventionepisodes of serious adverse event (Number)
1 Metformin Alone42
2 Metformin + Rosiglitazone34
3 Metformin + Lifestyle Program58

Treatment Failure (Loss of Glycemic Control)

Defined as A1c persistently >=8% over a 6-month period or persistent metabolic decompensation (inability to wean insulin within 3 months of initiation or the occurrence of a second episode within three months of discontinuing insulin) (NCT00081328)
Timeframe: Study duration - 2 years to 6.5 years of follow up from randomization

,,
Interventionparticipants (Number)
Treatment failureDid not fail treatment during trial
1 Metformin Alone120112
2 Metformin + Rosliglitazone90143
3 Metformin + Lifestyle Program109125

Alanine Transaminase (ALT)

ALT measured in serum at each time point (NCT01775813)
Timeframe: Baseline (Tanner 2-3), Tanner 4, Tanner 5

,,,
Interventioninternational units per liter (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight25.02227.05926.121NA
Obese - Metformin52.40042.54539.63645.000
Obese - NT/Placebo35.19444.57138.650NA
Obese - Placebo41.12551.18247.50050.231

Aspartate Aminotransferase (AST)

AST measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventioninternational units per liter (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight42.17435.70633.364NA
Obese - Metformin54.15040.27334.09136.273
Obese - NT/Placebo41.25044.42936.650NA
Obese - Placebo43.54243.63642.33339.077

Change in Urinary Estradiol Metabolites

estradiol metabolite (E1c) measured in an overnight urine sample at each time point (NCT01775813)
Timeframe: Baseline, every 6 months during the trial, Final visit-average 3 yrs after baseline

,,,
Interventionng/mgCr (Mean)
Tanner 2/3Tanner 4Tanner 5Post-Puberty
Normal Weight7.71122.91941.036NA
Obese - Metformin28.45137.72271.54630.883
Obese - NT/Placebo17.3538.5847.82526.402
Obese - Placebo17.3538.5847.82526.402

Change in Urinary Follicle-stimulating Hormone

FSH measured in overnight urine sample at time points below (NCT01775813)
Timeframe: Baseline, every 6 months during the trial, Final visit-average 3 yrs after baseline

,,,
Interventioninternational units per milliliter (IU/m (Mean)
Tanner 2/3Tanner 4Tanner 5Post-Puberty
Normal Weight3.9112.5556.540NA
Obese - Metformin3.6153.1623.2133.911
Obese - NT/Placebo3.8374.8744.0935.993
Obese - Placebo3.8374.8744.0935.993

Change in Urinary Luteinizing Hormone

LH measured in an overnight urine sample at time points below (NCT01775813)
Timeframe: Baseline, every 6 months during the trial, Final visit (average 3 yrs after baseline)

,,,
Interventioninternational units per liter (Mean)
Tanner 2/3Tanner 4Tanner 5Post-Puberty
Normal Weight3.8494.5184.494NA
Obese - Metformin3.8093.7298.99330.861
Obese - NT/Placebo2.2573.3102.0145.373
Obese - Placebo2.2573.3102.0145.373

Dehydroepiandrosterone Sulfate

DHEA-S measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionmcg/dl (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight90.146101.889130.206NA
Obese - Metformin107.600129.545145.818176.818
Obese - NT/Placebo96.750101.533137.250NA
Obese - Placebo91.167116.182137.083132.154

Disposition Index

Please see primary outcome for more detail about timing of measurement. Disposition index is measured via (IVGTT) as calculated by Bergman's minimal model. Higher numbers indicate a better outcome. It reflects the product of outcome measures 1 and 2 (Si x AIRg). (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline, 6 mos post-treatment-average 3 yrs from baseline

,,,
Interventionx10-4/min-1 (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight3750.4633706.9403234.061NA
Obese - Metformin4438.8215046.2183537.2732539.933
Obese - NT/Placebo4195.9213269.0392897.244NA
Obese - Placebo4286.2092897.6893194.7733627.762

Estradiol

Estradiol measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionpg/mL (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight22.37550.58357.382NA
Obese - Metformin14.75023.36448.00069.636
Obese - NT/Placebo15.72235.86742.800NA
Obese - Placebo15.83344.54548.83370.923

Hemoglobin A1c

HbA1c measured by HPLC at time points below (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionmmol/mol (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight5.1395.2005.233NA
Obese - Metformin5.4005.5705.4735.691
Obese - NT/Placebo5.3365.6275.476NA
Obese - Placebo5.3365.6275.5005.515

High Density Lipoprotein

Please see primary outcome for more detail about timing of measurement. (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline, 6 mos post-treatment-average 3 yrs from baseline

,,,
Interventionmg/dL (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight51.44251.66746.909NA
Obese - Metformin41.36842.27343.00041.818
Obese - NT/Placebo39.30639.45538.944NA
Obese - Placebo38.91739.45539.33340.923

High Sensitivity C-reactive Protein

hsCRP measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionunits on a scale (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight1.0010.3051.015NA
Obese - Metformin3.9621.8410.9612.667
Obese - NT/Placebo2.5234.5303.331NA
Obese - Placebo3.1174.3573.9853.958

Insulin Secretion (Acute Insulin Response to Glucose, AIRg)

As measured by IVGTT as calculated by Bergman's minimal model. Higher numbers indicate a better outcome. Please see primary outcome for more detail about timing of measurement. (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline, 6 mos post-treatment-average 3 yrs from baseline

,,,
InterventionµIU/mL (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight583.535783.191680.858NA
Obese - Metformin2368.9312157.3491804.0261667.713
Obese - NT/Placebo1877.8951951.3232103.309NA
Obese - Placebo1858.161996.8672013.6281943.542

Insulin Sensitivity

As measured by in intravenous glucose tolerance test (IVGTT) as calculated by Bergman's minimal model. Higher numbers indicate a better outcome. Patients are randomized to receive metformin or placebo at Tanner stage 2-3 of puberty. They are reassessed at Tanner 4 and again at Tanner 5. At that point, the treatment is stopped and they are reassessed 6 months after stopping treatment to see if effects of treatment persist. (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline, 6 mos post-treatment-average 3 yrs from baseline

,,,
Interventionx10-4/min-1/mIU/mL (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight8.5596.6616.438NA
Obese - Metformin2.9852.8732.9902.182
Obese - NT3.4251.9952.082NA
Obese - Placebo3.7561.8682.3833.017

Insulin-like Growth Factor 1

IGF-1 measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionng/ml (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight313.500405.389398.000NA
Obese - Metformin281.700410.300404.800395.818
Obese - NT/Placebo262.278370.800389.800NA
Obese - Placebo243.042380.273351.833319.692

Leptin

Leptin measured in serum at time points below (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionng/mL (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight5.9565.9648.338NA
Obese - Metformin32.21529.79131.18248.445
Obese - NT/Placebo32.09736.86738.155NA
Obese - Placebo33.91744.03647.64253.200

Liver Adipose

Liver fat percent. Measured in a subset (10 per group) by fast MRI technique (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionpercentage of liver mass (Mean)
BaselineTanner 5
Normal Weight1.3762.208
Obese - Metformin13.76510.327
Obese - Placebo8.2908.291
Obese NT/Placebo8.2908.219

Low Density Lipoprotein

Please see primary outcome for more detail about timing of measurement. (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline, 6 mos post-treatment-average 3 yrs from baseline

,,,
Interventionmg/dl (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight79.48875.36778.485NA
Obese - Metformin83.77981.81875.00086.545
Obese - NT/Placebo86.53396.63696.222NA
Obese - Placebo88.58396.63697.667103.154

Percent Body Fat

% body fat measured by DXA at time points below (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionpercentage of body fat (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight24.88325.05425.500NA
Obese - Metformin43.82640.61039.96441.418
Obese - NT/Placebo42.12643.38042.889NA
Obese - Placebo44.70044.26444.55543.962

Sex Hormone Binding Globulin

SHBG measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionnmol/l (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight61.95850.41743.500NA
Obese - Metformin17.55019.54516.45517.273
Obese - NT/Placebo20.41717.20016.250NA
Obese - Placebo18.95816.36415.75015.538

Total Testosterone

Testosterone measured in serum at each time point (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 4-average 1.5 years from baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
Interventionng/dl (Mean)
BaselineTanner 4Tanner 5Post-Puberty
Normal Weight108.625145.972235.559NA
Obese - Metformin41.050121.727117.909150.727
Obese - NT/Placebo35.27887.933158.300NA
Obese - Placebo30.12589.364165.750152.692

Visceral Adipose

Percent Visceral Fat, Measured in a subset (10 per group) by single slice MRI (NCT01775813)
Timeframe: Baseline, Tanner (puberty) stage 5-average 2.5 yrs from baseline

,,,
InterventionPercent (Mean)
BaselineTanner 5
Normal Weight7.6476.322
Obese - Metformin12.07610.079
Obese - NT/Placebo12.00712.236
Obese - Placebo12.00712.236

Change in Body Fat by Bod Pod

Change in body fat mass measured by air displacement plethysmography (kg) (NCT00005669)
Timeframe: 6 months

Interventionkg (Mean)
Metformin Plus Weight Reduction Counseling-1.51
Placebo Plus Weight Reduction Counseling1.81

Change in Body Fat by DEXA

Change in body fat mass by Dual Energy X-Ray Absorptiometry (kg) (NCT00005669)
Timeframe: 6 months

Interventionkg (Mean)
Metformin Plus Weight Reduction Counseling0.48
Placebo Plus Weight Reduction Counseling1.88

Change in Body Weight

Change in body weight (kg) (NCT00005669)
Timeframe: 6 months

Interventionkg (Mean)
Metformin Plus Weight Reduction Counseling1.47
Placebo Plus Weight Reduction Counseling4.85

Change in Body Weight as Determined by BMI

Change in body weight as determined by body mass index (kg/m2) (NCT00005669)
Timeframe: 6 months

Interventionkg/m2 (Mean)
Metformin Plus Weight Reduction Counseling-0.78
Placebo Plus Weight Reduction Counseling0.32

Changes in Body Weight as Determined by Body Mass Index-standard Deviation Score (BMI-SDS).

Change in Body Mass Index standard deviation score (BMI-SDS) determined using tables created by the CDC in 2000. BMI-SDS is a unitless transformation of the body mass index (measured in kg divided by the squared height in meters) using the L M S method. Possible values range from -3 to +3. See http://www.cdc.gov/growthcharts/percentile_data_files.htm for details. (NCT00005669)
Timeframe: 6 months

InterventionUnits on a scale (Mean)
Metformin Plus Weight Reduction Counseling-0.11
Placebo Plus Weight Reduction Counseling-0.07

Reviews

18 reviews available for metformin and Adolescent Obesity

ArticleYear
Metformin for pregnancy and beyond: the pros and cons.
    Diabetic medicine : a journal of the British Diabetic Association, 2022, Volume: 39, Issue:3

    Topics: Administration, Oral; Child; Diabetes Mellitus, Type 2; Diabetes, Gestational; Female; Gestational W

2022
Management of obesity in adolescents with polycystic ovary syndrome.
    Expert opinion on pharmacotherapy, 2020, Volume: 21, Issue:2

    Topics: Adolescent; Female; Humans; Hyperandrogenism; Insulin Resistance; Life Style; Metformin; Pediatric O

2020
Metabolic syndrome in children.
    Minerva pediatrica, 2020, Volume: 72, Issue:4

    Topics: Adolescent; Anti-Obesity Agents; Bariatric Surgery; Cardiovascular Diseases; Child; Dipeptidyl-Pepti

2020
Emerging New Diagnostic Modalities and Therapies of Nonalcoholic Fatty Liver Disease.
    Current gastroenterology reports, 2020, Aug-19, Volume: 22, Issue:10

    Topics: Adolescent; Alanine Transaminase; Antioxidants; Bariatric Surgery; Child; Child, Preschool; Cysteami

2020
Efficacy and Safety of Metformin for Obesity: A Systematic Review.
    Pediatrics, 2021, Volume: 147, Issue:3

    Topics: Adolescent; Anti-Obesity Agents; Body Mass Index; Child; Child, Preschool; Humans; Hypoglycemic Agen

2021
Is metformin effective for reducing weight in obese or overweight adolescents?
    The Journal of family practice, 2021, Volume: 70, Issue:2

    Topics: Adolescent; Body Mass Index; Body Weight; Humans; Hypoglycemic Agents; Metformin; Pediatric Obesity;

2021
Treatment of Pediatric Obesity: An Umbrella Systematic Review.
    The Journal of clinical endocrinology and metabolism, 2017, 03-01, Volume: 102, Issue:3

    Topics: Adolescent; Anti-Obesity Agents; Appetite Depressants; Bariatric Surgery; Behavior Therapy; Blood Gl

2017
Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Anti-Obesity Agents; Body Mass Index; Body Weight; Child; Child, Pr

2017
Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Anti-Obesity Agents; Body Mass Index; Body Weight; Child; Child, Pr

2017
Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Anti-Obesity Agents; Body Mass Index; Body Weight; Child; Child, Pr

2017
Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review for the US Preventive Services Task Force.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Anti-Obesity Agents; Body Mass Index; Body Weight; Child; Child, Pr

2017
Metformin Use in Children and Adolescents with Prediabetes.
    Pediatric clinics of North America, 2017, Volume: 64, Issue:6

    Topics: Adolescent; Child; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Pediatric Obes

2017
The effects of metformin on insulin resistance in overweight or obese children and adolescents: A PRISMA-compliant systematic review and meta-analysis of randomized controlled trials.
    Medicine, 2019, Volume: 98, Issue:4

    Topics: Adolescent; Blood Glucose; Child; Child, Preschool; Cholesterol, HDL; Cholesterol, LDL; Female; Huma

2019
Type 2 diabetes mellitus in children and youth.
    Indian journal of pediatrics, 2013, Volume: 80 Suppl 1

    Topics: Adolescent; Child; Cross-Sectional Studies; Developing Countries; Diabetes Complications; Diabetes M

2013
Systematic review of metformin use in obese nondiabetic children and adolescents.
    Hormone research in paediatrics, 2013, Volume: 80, Issue:2

    Topics: Adolescent; Child; Diabetes Mellitus, Type 2; Humans; Insulin Resistance; Life Style; Metformin; Ped

2013
Systematic review of the benefits and risks of metformin in treating obesity in children aged 18 years and younger.
    JAMA pediatrics, 2014, Volume: 168, Issue:2

    Topics: Adolescent; Body Mass Index; Child; Humans; Hypoglycemic Agents; Metformin; Pediatric Obesity; Rando

2014
Pediatric obesity pharmacotherapy: current state of the field, review of the literature and clinical trial considerations.
    International journal of obesity (2005), 2016, Volume: 40, Issue:7

    Topics: Anti-Obesity Agents; Body Mass Index; Child; Directive Counseling; Exenatide; Humans; Hypoglycemic A

2016
Gastrointestinal Conditions in the Obese Patient.
    Adolescent medicine: state of the art reviews, 2016,Spring, Volume: 27, Issue:1

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Anti-Obesity Agents; Constipation; Contraceptiv

2016
Drug interventions for the treatment of obesity in children and adolescents.
    The Cochrane database of systematic reviews, 2016, Nov-29, Volume: 11

    Topics: Adolescent; Anti-Obesity Agents; Body Mass Index; Child; Cyclobutanes; Fluoxetine; Humans; Lactones;

2016
The effect of adding metformin to insulin therapy for type 1 diabetes mellitus children: A systematic review and meta-analysis.
    Pediatric diabetes, 2017, Volume: 18, Issue:7

    Topics: Adolescent; Adult; Child; Diabetes Mellitus, Type 1; Drug Monitoring; Drug Therapy, Combination; Evi

2017
The clinical treatment of childhood obesity.
    Indian journal of pediatrics, 2013, Volume: 80 Suppl 1

    Topics: Adolescent; Bariatric Surgery; Behavior Therapy; Child; Child, Preschool; Combined Modality Therapy;

2013

Trials

12 trials available for metformin and Adolescent Obesity

ArticleYear
Childhood follow-up of the GRoW randomized trial: Metformin in addition to dietary and lifestyle advice for pregnant women with overweight or obesity.
    Pediatric obesity, 2023, Volume: 18, Issue:1

    Topics: Child; Diet; Female; Follow-Up Studies; Humans; Life Style; Metformin; Overweight; Pediatric Obesity

2023
Beta cell function and insulin sensitivity in obese youth with maturity onset diabetes of youth mutations vs type 2 diabetes in TODAY: Longitudinal observations and glycemic failure.
    Pediatric diabetes, 2020, Volume: 21, Issue:4

    Topics: Adolescent; Child; Combined Modality Therapy; Diabetes Mellitus, Type 2; Drug Therapy, Combination;

2020
Evaluation of the gut microbiota after metformin intervention in children with obesity: A metagenomic study of a randomized controlled trial.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2021, Volume: 134

    Topics: Adolescent; Age Factors; Bacteria; Child; Double-Blind Method; Female; Gastrointestinal Microbiome;

2021
Two-Year Treatment With Metformin During Puberty Does Not Preserve β-Cell Function in Youth With Obesity.
    The Journal of clinical endocrinology and metabolism, 2021, 06-16, Volume: 106, Issue:7

    Topics: Adipose Tissue; Adolescent; Body Composition; Body Mass Index; Child; Diabetes Mellitus, Type 2; Dou

2021
A 24-month metformin treatment study of children with obesity: Changes in circulating GDF-15 and associations with changes in body weight and visceral fat.
    Pediatric obesity, 2022, Volume: 17, Issue:2

    Topics: Body Mass Index; Body Weight; Child; Double-Blind Method; Growth Differentiation Factor 15; Humans;

2022
Metformin for Obesity in Prepubertal and Pubertal Children: A Randomized Controlled Trial.
    Pediatrics, 2017, Volume: 140, Issue:1

    Topics: Adolescent; Biomarkers; Body Mass Index; Cardiovascular Diseases; Child; Double-Blind Method; Female

2017
Intrauterine metformin exposure and offspring cardiometabolic risk factors (PedMet study): a 5-10 year follow-up of the PregMet randomised controlled trial.
    The Lancet. Child & adolescent health, 2019, Volume: 3, Issue:3

    Topics: Adult; Body Mass Index; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Hypoglycemic Age

2019
Metformin treatment to reduce central adiposity after prenatal growth restraint: a placebo-controlled pilot study in prepubertal children.
    Pediatric diabetes, 2015, Volume: 16, Issue:7

    Topics: Abdominal Fat; Adiposity; Anti-Obesity Agents; Biomarkers; Body Mass Index; Child; Cohort Studies; D

2015
Improved insulin sensitivity and body composition, irrespective of macronutrient intake, after a 12 month intervention in adolescents with pre-diabetes; RESIST a randomised control trial.
    BMC pediatrics, 2014, Nov-25, Volume: 14

    Topics: Adolescent; Blood Pressure; Body Composition; Body Mass Index; Child; Combined Modality Therapy; Die

2014
Effects of metformin on energy intake and satiety in obese children.
    Diabetes, obesity & metabolism, 2015, Volume: 17, Issue:4

    Topics: Appetite Depressants; Body Mass Index; Child; Child Behavior; Child Nutritional Physiological Phenom

2015
INSULIN-LIKE GROWTH FACTOR BINDING PROTEIN 1 PREDICTS INSULIN SENSITIVITY AND INSULIN AREA-UNDER-THE-CURVE IN OBESE, NONDIABETIC ADOLESCENTS.
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2016, Volume: 22, Issue:2

    Topics: Adolescent; Area Under Curve; Biomarkers; Blood Glucose; Female; Glucose Tolerance Test; Humans; Ins

2016
Evaluation of differential effects of metformin treatment in obese children according to pubertal stage and genetic variations: study protocol for a randomized controlled trial.
    Trials, 2016, 07-18, Volume: 17, Issue:1

    Topics: Adolescent; Age Factors; Biomarkers; Body Mass Index; Child; Clinical Protocols; Double-Blind Method

2016

Other Studies

18 other studies available for metformin and Adolescent Obesity

ArticleYear
Physiologically Based Pharmacokinetic Modeling of Metformin in Children and Adolescents With Obesity.
    Journal of clinical pharmacology, 2022, Volume: 62, Issue:8

    Topics: Adolescent; Adult; Child; Humans; Metformin; Models, Biological; Obesity, Morbid; Overweight; Pediat

2022
Pregnancy, perinatal and childhood outcomes in women with and without polycystic ovary syndrome and metformin during pregnancy: a nationwide population-based study.
    Reproductive biology and endocrinology : RB&E, 2022, Feb-07, Volume: 20, Issue:1

    Topics: Adult; Child; Child, Preschool; Cohort Studies; Diabetes, Gestational; Female; Humans; Infant, Newbo

2022
Circulating THBS1: A Risk Factor for Nonalcoholic Fatty Liver Disease in Obese Children.
    Annals of nutrition & metabolism, 2023, Volume: 79, Issue:1

    Topics: Animals; Child; Cross-Sectional Studies; Humans; Leptin; Liver; Metformin; Mice; Mice, Inbred C57BL;

2023
[Research progresses on interventions of obesity in children and adolescents].
    Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine], 2023, May-06, Volume: 57, Issue:5

    Topics: Adolescent; Child; Gastrectomy; Gastric Bypass; Humans; Metformin; Obesity, Morbid; Pediatric Obesit

2023
Metformin restores prohormone processing enzymes and normalizes aberrations in secretion of proinsulin and insulin in palmitate-exposed human islets.
    Diabetes, obesity & metabolism, 2023, Volume: 25, Issue:12

    Topics: Adolescent; Carboxypeptidase H; Diabetes Mellitus, Type 2; Glucose; Glycated Hemoglobin; Humans; Ins

2023
Hyperglycaemic hyperosmolar state in an obese prepubertal girl with type 2 diabetes: case report and critical approach to diagnosis and therapy.
    Italian journal of pediatrics, 2021, Feb-18, Volume: 47, Issue:1

    Topics: Blood Glucose; Child; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Drug Therapy, Com

2021
Metformin Treatment of Pediatric Obesity.
    Pediatrics, 2021, Volume: 147, Issue:3

    Topics: Child; Humans; Hypoglycemic Agents; Metformin; Pediatric Obesity

2021
Metformin for pediatric obesity and insulin resistance: a retrospective study within an integrated health care system.
    Obesity (Silver Spring, Md.), 2021, Volume: 29, Issue:9

    Topics: Adolescent; Body Mass Index; Child; Delivery of Health Care, Integrated; Humans; Hypoglycemic Agents

2021
Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Behavior Therapy; Black or African American; Body Mass Index; Child

2017
Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Behavior Therapy; Black or African American; Body Mass Index; Child

2017
Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Behavior Therapy; Black or African American; Body Mass Index; Child

2017
Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement.
    JAMA, 2017, Jun-20, Volume: 317, Issue:23

    Topics: Adolescent; Advisory Committees; Behavior Therapy; Black or African American; Body Mass Index; Child

2017
Is There a Role for Metformin in the Treatment of Childhood Obesity?
    Pediatrics, 2017, Volume: 140, Issue:1

    Topics: Humans; Hypoglycemic Agents; Insulin Resistance; Metformin; Obesity; Pediatric Obesity

2017
Insulin Resistance and Hunger in Childhood Obesity: A Patient and Physician's Perspective.
    Advances in therapy, 2017, Volume: 34, Issue:10

    Topics: Adolescent; Adult; Attitude to Health; Child; Child, Preschool; Female; Humans; Hunger; Hypoglycemic

2017
Long-term metformin treatment in adolescents with obesity and insulin resistance, results of an open label extension study.
    Nutrition & diabetes, 2018, 09-10, Volume: 8, Issue:1

    Topics: Adolescent; Body Mass Index; Child; Female; Humans; Hypoglycemic Agents; Insulin Resistance; Male; M

2018
Use of Metformin for Weight Management in Children and Adolescents With Obesity in the Clinical Setting.
    Clinical pediatrics, 2018, Volume: 57, Issue:14

    Topics: Adolescent; Child; Female; Humans; Hypoglycemic Agents; Linear Models; Male; Metformin; Pediatric Ob

2018
Metformin in the treatment of obese children and adolescents at risk of type 2 diabetes.
    Paediatric drugs, 2014, Volume: 16, Issue:1

    Topics: Adolescent; Child; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Life Style; Metformin; Pe

2014
Metformin in obesity.
    Archives of disease in childhood, 2014, Volume: 99, Issue:3

    Topics: Adolescent; Body Mass Index; Child; Humans; Hypoglycemic Agents; Metformin; Pediatric Obesity

2014
[Difficult diagnosis in a 17-year-old patient: Type 1 diabetes? Type 2 diabetes? Or "double diabetes"?].
    Deutsche medizinische Wochenschrift (1946), 2014, Volume: 139, Issue:21

    Topics: Adolescent; Autoantibodies; Blood Glucose; C-Peptide; Cation Transport Proteins; Comorbidity; Diabet

2014
Adolescent experiences of anti-obesity drugs.
    Clinical obesity, 2015, Volume: 5, Issue:3

    Topics: Adolescent; Anti-Obesity Agents; Child; Comprehension; Drug Substitution; Fear; Female; Humans; Lact

2015
Prediabetes in Obese Adolescents.
    Clinical pediatrics, 2017, Volume: 56, Issue:2

    Topics: Adolescent; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Life Style; Male; Metfor

2017