Obesity

GLP ‐1 Receptor Agonists and Risk of Age‐Related Macular Degeneration in Older Adults With Obesity: A Target Trial Emulation

Diabetes Obes MetabPublished Target trial emulation cohort study

Main finding · Incident AMDResult — go to the resultHazard ratio 0.82 95% CI 0.68–0.98

Authors' conclusion

GLP-1RA use is associated with a reduced risk of incident AMD-statistically significant for unspecified AMD, with a potential trend towards a lower risk of nonexudative AMD-in obese adults without diabetes.

Study context

Population
Adults aged ≥ 60 years with obesity but without DM, TriNetX (January 2014-June 2025)
Participants
157,880 matched patients
Exposure
GLP-1 RA initiation vs other weight-loss medications
  • GLP-1RAn = 78,940
  • Comparatorn = 78,940reference
Outcome
Incident AMD
Follow-up
Maximum 7-year observation window; median 1.11 years (IQR 1.48) GLP-1RA vs 2.56 years (IQR 3.89) comparator
Methodological details1:1 propensity score matching, TriNetX global health research network
  • 1:1 propensity score matching
  • TriNetX global health research network

Main finding

As reported in the abstract

Hazard ratio

0.82

95% CI 0.68–0.98

GLP-1RAvs Comparator
HR 0.82 (95% CI 0.68–0.98)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Unspecified AMD0.70 (0.52–0.93)
Nonexudative AMD0.78 (0.60–1.00)P = 0.050

Subgroups (sex, age)

Stronger effects in women and adults aged 60-69 years
  • Exploratory

Original publication

GLP ‐1 Receptor Agonists and Risk of Age‐Related Macular Degeneration in Older Adults With Obesity: A Target Trial Emulation. Diabetes Obes Metab. Published 25 May 2026. doi:10.1111/dom.70910

Composed by AI from the published abstract and checked against it. How Briefs are made →

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