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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
[Obesity treatment with liraglutide in a patient with Prader-Willi syndrome: a case report]
Diego Andrés Cadena-Obando1, Mario Antonio Molina-Ayala, Aldo Ferreira-Hermosillo
1Servicio de Endocrinología. Hospital de Especialidades. Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. dacocadena@gmail.com.
Insights
Prader-Willi syndrome (PWS) management is challenging. Liraglutide, diet, and exercise helped a patient achieve weight loss and control, offering a potential treatment pathway.
Area of Science:
- Genetics and Endocrinology
- Metabolic Disorders
Background:
- Prader-Willi syndrome (PWS) is a genetic disorder causing syndromic obesity due to chromosome 15q11-q13 deletions.
- Key PWS features include neonatal hypotonia, feeding difficulties, hyperphagia, behavioral issues, and obesity.
- Limited and controversial weight management options exist for PWS patients, including surgical approaches.
Purpose of the Study:
- To report a case of successful weight management in a patient with Prader-Willi syndrome.
- To highlight the potential role of liraglutide in conjunction with lifestyle interventions for PWS obesity.
Main Methods:
- A case report detailing the treatment of a patient diagnosed with Prader-Willi syndrome.
- The intervention involved liraglutide, a structured nutritional therapy plan, and a consistent physical activity regimen.
Main Results:
- The patient achieved significant weight loss.
- Effective control over appetite and weight was maintained through the combined treatment approach.
Conclusions:
- Obesity treatment in PWS is complex, necessitating integrated nutritional and psychological support.
- Medications like metformin or GLP-1 receptor agonists (e.g., liraglutide) are viable options for patients with persistent hyperphagia.
Background:
Prader-Willi syndrome (PWS) is a major cause of syndromic obesity, caused by deletions on chromosome 15q11-q13. It is characterized by neonatal hypotonia, difficulty in feeding with low birth-weight and subsequent development of hyperphagia, behavioral disorders and obesity. Treatment options for weight control in those patients is limited and there are controversies for a surgical approach.
Case Report:
we present the case of a patient with PWS who achieved weight loss and control through the use of liraglutide, nutritional therapy and physical activity.
Discussion:
the treatment of obesity in patients with PWS is challenging and requires an adequate nutritional approach combined with psychological therapy. In those patients that persist with uncontrolled appetite, medications such as metformin or GLP-1 analogs can be used.
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