Obesity

Effectiveness of semaglutide versus liraglutide for treating post‐metabolic and bariatric surgery weight recurrence

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

These results show that treatment regimens including semaglutide 1.0 mg weekly lead to superior weight loss compared with liraglutide 3.0 mg daily for treating post-MBS weight recurrence, regardless of procedure type or the magnitude of weight recurrence.

Study context

Population
Adults with post-MBS weight recurrence, academic center, 2015–2021; mean age 55.2 years, mean BMI 40.4 kg/m², 89.9% female; 50% SG, 29% RYGB, 21% adjustable gastric banding
Participants
207 adults
Exposure
Semaglutide 1.0 mg weekly vs liraglutide 3.0 mg daily
  • Semaglutiden = 115
  • Liraglutiden = 92reference
Outcome
Percentage body weight change
Follow-up
12 months
Methodological detailssingle academic centre
  • Single academic centre

Main finding

As reported in the abstract

Least-squares mean weight change

Semaglutide

−12.92

least-squares mean · %

Liraglutide

−8.77

least-squares mean · %

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
≥10% weight loss · 12 months2.34 (1.28–4.29)
≥15% weight loss · 12 months2.55 (1.22–5.36)

Subgroups (age, sex, MBS procedure)

Weight-loss efficacy of semaglutide vs liraglutide did not differ by subgroups explored, including age, sex and MBS procedure

Original publication

Effectiveness of semaglutide versus liraglutide for treating post‐metabolic and bariatric surgery weight recurrence. Obesity (Silver Spring). Published 30 March 2023. doi:10.1002/oby.23736

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