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Obese Teens Taking Popular Weight Loss Medications Are Less Likely to Consider Suicide

Obese Teens Taking Popular Weight Loss Medications Are Less Likely to Consider Suicide

obese teenage boyobese teenage boy

(Credit: UfaBizPhoto/Shutterstock)

JERUSALEM, Israel — Medications like Ozempic and Wegovy can provide a surprising, life-saving benefit to younger patients taking these medications for diabetes and weight loss. Researchers in Israel found that teenagers who use glucagon-like peptide-1 (GLP-1) receptor agonists may have fewer suicidal thoughts and are less likely to attempt self-harm.

This discovery comes at a time when concerns about adolescent mental health are on the rise and the use of weight-loss medications is becoming increasingly common among patients of all ages. The study, published in JAMA Pediatricsspecifically looked at this class of medications, which includes brands such as Ozempic, Wegovy and Mounjaro. Originally created as an effective treatment for diabetes, these medications have gained popularity for their additional ability to help people lose weight by reducing appetite and slowing digestion.

The researchers analyzed the medical records of almost 7,000 teenagers between the ages of 12 and 18 who were diagnosed with obesity. They compared two groups: those who received GLP1R medications and those who received lifestyle interventions, such as diet and exercise advice, without medication.

The surprising results revealed that teens who took GLP1R medications had a 33% lower risk of having suicidal thoughts or attempts over the course of a year, compared to those who did not take the medication. This difference persisted even when researchers analyzed data for up to three years.

The study’s findings are particularly relevant given rising rates of obesity among young people. According to recent data, more than 124 million children and adolescents worldwide are affected by obesity, a number that has increased dramatically in recent decades.

Teenage boy eating junk food, drinking soda while looking at smartphoneTeenage boy eating junk food, drinking soda while looking at smartphone
According to recent data, more than 124 million children and adolescents around the world are affected by obesity. (© Nova África – stock.adobe.com)

Although the exact reasons for the reduced suicide risk are unclear, researchers have several theories. One possibility is that successful weight loss alone leads to improved mental health and self-esteem. Another theory is that medications may have direct effects on the brain, potentially influencing mood and behavior.

It’s important to note that the study found some expected side effects of the medications. Teens taking GLP1R medications are more likely to experience gastrointestinal symptoms such as nausea and vomiting. However, they had a lower risk of acute pancreatitis, a potentially serious condition that has been linked to these medications in some cases.

The researchers warn that although these results are promising, more studies are needed to confirm the results and understand the long-term effects of these medications on adolescent mental health. They also emphasize that medication should be part of a comprehensive approach to treating obesity, which includes diet, exercise and behavioral support.

As the debate continues over the use of weight loss medications in young people, this study adds an important piece to the puzzle. This suggests that for some teens struggling with obesity, these medications may offer benefits that go beyond simple weight loss.

Article summary

Methodology

The researchers used a method called propensity score matching to compare two groups of obese teenagers: those who took GLP1R medications and those who did not. This technique helps ensure that groups are similar in other important ways, such as age, gender, and other health conditions. They then analyzed these teens’ medical records over time to see how many in each group had suicidal thoughts or attempts.

Main results

Over a 12-month period, 1.4% of teens who took GLP1R medications had suicidal thoughts or attempts, compared with 2.3% in the group who did not take the medications. This translates into a 33% lower risk for those taking medication. The researchers also found that these medications were associated with more gastrointestinal side effects but fewer cases of acute pancreatitis.

Study limitations

This study was observational, meaning it cannot prove that the medications directly caused a reduction in suicide risk. It is possible that other factors not considered in the study could explain the difference. Additionally, the study relied on medical records, which may not capture all cases of suicidal thoughts or attempts, especially if teens do not seek medical help.

Discussion and conclusions

The researchers suggest several possible explanations for their findings. Weight loss itself can improve mental health, or medications can have direct effects on brain chemistry. They also note that obesity is linked to food addiction in some cases, and these medications may help by affecting the brain’s reward system. The study highlights the need for more research into the effects of obesity treatments on mental health in adolescents.

Funding and Disclosures

The study does not mention specific funding sources. However, one of the authors, Dr. Kerem, reported receiving personal fees from Novo Nordisk, a company that makes GLP1R drugs, for lecturing on childhood obesity. It is important to consider this potential conflict of interest when interpreting study results.

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