Obesity

Effect of Zoledronic Acid on Skeletal Muscle After Bariatric Surgery: A Secondary Analysis From a Randomized Controlled Trial

Obesity (Silver Spring)Published Secondary analysis of a randomised controlled trial

Authors' conclusion

A single infusion of 5 mg zoledronic acid did not prevent the loss of muscle mass or strength or improve physical function.

Study context

Population
Patients referred for bariatric surgery; age 48.9 ± 6.3 years, BMI 42.3 ± 5.3 kg/m²
Participants
59 patients
Comparison
Single-dose zoledronic acid 5 mg before bariatric surgery vs placebo
  • INTn = 31
  • CONn = 28reference
Primary endpoint
Body composition (DXA), knee extensor and flexor muscle strength, and physical function
Follow-up
12 months postoperatively
Methodological detailsdouble-blind, placebo-controlled, randomized 1:1
  • Double-blind
  • Placebo-controlled
  • Randomized 1:1

Primary result

As reported in the abstract

Body composition (body weight, fat mass, lean body mass) · 12 months

Loss of lean body mass in both groups

≈14%

Further findings

Absolute and relative muscle strength (knee extensor (KE), knee flexor (KF)) · 12 months

Absolute strength decline
11%-18%
Relative strength improvement
10%-22%
No between-group differences for absolute or relative muscle strength

Physical function · 12 months

Improvement in all physical function measures
5%-18%
No between-group differences in physical function measures

Original publication

Effect of Zoledronic Acid on Skeletal Muscle After Bariatric Surgery: A Secondary Analysis From a Randomized Controlled Trial. Obesity (Silver Spring). Published 2 November 2025. doi:10.1002/oby.70062

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