Obesity

Heterogeneity of Treatment Effects of Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss in Adults: A Systematic Review and Meta-Analysis

JAMA Intern MedPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

In this systematic review and meta-analysis, GLP-1 RAs produced greater weight loss among women than men; however, their efficacy was consistent across other important subpopulations. These findings may inform clinical decision-making.

Study context

Population
Adults in randomized clinical trials (RCTs) comparing GLP-1 RAs to placebo or other medications; MEDLINE, Embase, Cochrane Central, inception through July 26, 202441 articles · 64 RCTs
Comparison
GLP-1 RAs vs placebo or other medications, heterogeneity of treatment effects (HTE) by patient characteristics
Outcome
Change in body weight in kg (by age, baseline BMI, baseline HbA1c) or % change from baseline (by sex, race and ethnicity)
Methodological detailsrandom-effects models, Cochrane risk of bias tool
  • Random-effects models
  • Cochrane risk of bias tool

Pooled result

As reported in the abstract

Weight loss by subgroup (HTE)

Original publication

Heterogeneity of Treatment Effects of Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss in Adults: A Systematic Review and Meta-Analysis. JAMA Intern Med. Published 1 May 2026. doi:10.1001/jamainternmed.2025.8222

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