Obesity

Cardiometabolic risk effects of weight‐loss medications: An updated network meta‐analysis

Diabetes Obes MetabPublished Systematic review and network meta-analysis of randomised trials

Authors' conclusion

This study found that six FDA-approved weight-loss drugs had a moderately beneficial effect on the cardiometabolic risk profile. In general, tirzepatide was more effective than other pharmacological agents in improving cardiometabolic risk factors.

Study context

Population
Obese adults
Participants
24,792 adults31 trials
Comparison
Six Food and Drug Administration (FDA)-approved weight-loss medications vs placebo or each other
Outcome
Cardiometabolic risk factors
Follow-up
≥1 year
Methodological detailspairwise and network meta-analyses, GRADE quality assessment
  • Pairwise and network meta-analyses
  • GRADE quality assessment

Pooled result

As reported in the abstract

Reduction in fasting glucose

11.12 mg/dL

95% CI −13.70 to −8.53

Weight-loss drugs

Reduction in HbA1c

0.60 %

95% CI −0.75 to −0.45

Weight-loss drugs

Reduction in waist circumference

5.28 cm

95% CI −6.57 to −4.00

Weight-loss drugs

Original publication

Cardiometabolic risk effects of weight‐loss medications: An updated network meta‐analysis. Diabetes Obes Metab. Published 2 July 2025. doi:10.1111/dom.16585

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