Obesity

Impact of Semaglutide on fat mass, lean mass and muscle function in patients with obesity: The SEMALEAN study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

The SEMALEAN study highlights the significant impact of Semaglutide 2.4 mg on weight loss, fat mass reduction, and muscle function improvement, with preserved lean mass and metabolic efficiency. These findings underscore the importance of a comprehensive approach to obesity management, addressing not only weight loss but also functional and metabolic adaptation.

Study context

Population
Patients with obesity, enrolled February 2022–November 2024; 68.9% female, mean BMI 46.3 kg/m²106 completed
Participants
115 patients
Outcome
Body weight reduction
Follow-up
M7 and M12
Methodological detailssingle-arm, subgroup analyses
  • Single-arm
  • Subgroup analyses

Main finding

As reported in the abstract

Mean weight reduction at M7

10%

Mean weight reduction at M12

13%

Achieved ≥10% weight loss

59%

Observational data: associations, not effects.

Further findings

Subgroups: sex, T2D, prior GLP-1 use, bariatric surgery

Greater weight and fat mass loss in women
Attenuated responses with T2D or prior GLP-1 analogue use
Most pronounced body composition reductions with history of bariatric surgery

Original publication

Impact of Semaglutide on fat mass, lean mass and muscle function in patients with obesity: The SEMALEAN study. Diabetes Obes Metab. Published 9 October 2025. doi:10.1111/dom.70141

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

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