Association between glucagon-like peptide-1 receptor agonists use and change in alcohol consumption: a systematic review
2024

GLP-1 Receptor Agonists and Alcohol Consumption

Sample size: 88190 publication 10 minutes Evidence: moderate

Author Information

Author(s): Subhani Mohsan, Dhanda Ashwin, King James A., Warren Fiona C., Creanor Siobhan, Davies Melanie J., Eldeghaidy Sally, Bawden Stephen, Gowland Penny A., Bataller Ramon, Greenwood Justin, Kaar Stephen, Bhala Neeraj, Aithal Guruprasad P.

Primary Institution: Nottingham Digestive Diseases Centre (NDDC), University of Nottingham

Hypothesis

Does the use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) affect alcohol consumption?

Conclusion

GLP-1 RAs may reduce alcohol consumption in some individuals, particularly those with obesity, but the evidence is not consistent.

Supporting Evidence

  • Two RCTs showed no significant reduction in alcohol consumption with exenatide.
  • Subgroup analysis indicated a positive effect of GLP-1 RAs in individuals with obesity.
  • Observational studies reported fewer alcohol-related healthcare events with GLP-1 RA treatment.

Takeaway

Some medicines that help with diabetes might also help people drink less alcohol, especially if they are overweight.

Methodology

This systematic review analyzed data from six studies, including two randomized controlled trials and several observational studies, to evaluate the impact of GLP-1 RAs on alcohol consumption.

Potential Biases

Potential biases due to the observational nature of some studies and variations in reporting outcomes.

Limitations

The studies included were heterogeneous in design and quality, and many had small sample sizes.

Participant Demographics

The pooled mean age was 49.6 years, with 56.9% male and 82.9% white in studies where ethnicity was reported.

Statistical Information

P-Value

p=0.04

Confidence Interval

95% CI 0.52–0.97

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.eclinm.2024.102920

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