Obesity

Effect of Glucagon-like Peptide-1 Receptor Agonists (GLP-1RA) on Weight Loss Following Bariatric Treatment

J Clin Endocrinol MetabPublished Systematic review and meta-analysis

Pooled result · Weight change, observational studiesResult — go to the resultAbsolute difference −7.83 kg 95% CI −9.27 to −6.38

Authors' conclusion

Our findings suggest that the use of liraglutide and semaglutide in patients who previously underwent MBS can promote significant weight reduction with an acceptable safety profile.

Study context

Population
Patients who previously underwent metabolic bariatric surgery (MBS)
Participants
1,164 patients17 studies
Comparison
GLP-1 RA vs pre-treatment baseline or vs control/placebo
Outcome
Absolute difference in body weight (kg) vs baseline (observational studies) or vs control (RCTs)
Methodological detailsrandom-effects model, observational studies and randomized controlled trials (RCTs)
  • Random-effects model
  • Observational studies and RCTs

Pooled result

Weight change, observational studies

Absolute difference

−7.83 kg

95% CI −9.27 to −6.38

GLP-1RAvs Pre treatment
absolute difference −7.83 kg (95% CI −9.27 to −6.38)

As reported in the abstract

Further pooled results

OutcomeWeight reduction (kg) (95% CI)
Weight change, RCTsReduction with GLP-1RA4.36 (−0.42 to −8.30)

Safety

Tolerability

Any adverse event (observational studies)
23% (95% CI, 10%-36%)
Discontinued treatment
7%
RCTs: safety profile similar to placebo

Original publication

Effect of Glucagon-like Peptide-1 Receptor Agonists (GLP-1RA) on Weight Loss Following Bariatric Treatment. J Clin Endocrinol Metab. Published 15 March 2024. doi:10.1210/clinem/dgae176

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