Obesity

Diabetic Status, Advanced Age, and Hispanic Ethnicity Predict Poorer Weight Loss in Patients With Obesity Receiving Semaglutide

Endocr PractPublished Retrospective cohort study

Authors' conclusion

This study suggested weight loss with weekly semaglutide was influenced by specific factors, including diabetes status, older age, and Hispanic ethnicity in our real-world clinic, although further research is needed to define prognosticators of weight loss across populations.

Study context

Population
Patients with BMI >25 kg/m² taking weekly semaglutide for at least 12 months, gastroenterology-based multidisciplinary obesity clinic, New York Cityof 294 prescribed
Participants
163 patients
Exposure
Predictors of weight loss on weekly semaglutide
Outcome
%TWL on weekly injectable semaglutide
Follow-up
12 months
Methodological detailsreal-world, single-centre
  • Real-world
  • Single-centre

Main finding

As reported in the abstract

Weight loss
Mean weight loss
8.1 ± 18.5 kg
Mean %TWL
8.1% ± 8.3%
Hispanic ethnicity associated with reduced weight loss (univariable), 95% CI
−6.82 to −0.55; P = .02
History of T2D associated with reduced weight loss (univariable), 95% CI
0.74-5.76; P = .01
Age >60 years associated with reduced weight loss (univariable), 95% CI
−14.76 to −2.41; P = .007
GI side effects not associated with weight loss outcomes, 95% CI
1.86-3.36; P = .57
Provider visit number not associated with weight loss outcomes, 95% CI
0.15-0.28; P = .56

Observational data: associations, not effects.

Secondary outcomes

Failure to achieve 5% TWL: Hispanic ethnicity

Hispanic ethnicity, OR
0.32 (95% CI 0.14-0.74)
  • Multivariable regression

Original publication

Diabetic Status, Advanced Age, and Hispanic Ethnicity Predict Poorer Weight Loss in Patients With Obesity Receiving Semaglutide. Endocr Pract. Published 4 June 2026. doi:10.1016/j.eprac.2026.05.029

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