Obesity

Sex, Not Age, Predicts Weight Loss Outcomes With Tirzepatide: A Retrospective Analysis

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

Sex, but not age, predicted weight loss with tirzepatide among individuals using the medication continuously for ≥ 12 months.

Study context

Population
Adults with overweight or obesity who initiated tirzepatide at Mayo Clinic (June 2022–May 2024) and completed ≥ 12 months of continuous therapy; 57% women, mean age 56 ± 11 years
Participants
1,039 adults
Exposure
Women vs men; age groups ≤ 45, 46-59, ≥ 60 years
Outcome
Total body weight loss percentage (TBWL%), stratified by sex and age groups
Follow-up
15 months
Methodological detailsreal-world clinical practice, single-centre
  • Real-world clinical practice
  • Single-centre

Main finding

As reported in the abstract

TBWL%

Women vs Men: P < 0.001 · ≤ 45 years vs ≥ 60 years: P = 0.024

Observational data: associations, not effects.

Further findings

Independent predictors of weight loss (multivariable analyses)

Greater weight loss independently associated with female sex, absence of T2D, no prior obesity medication use, no concomitant weight gain-promoting medications, and higher tirzepatide dosage
Age was not an independent predictor

Original publication

Sex, Not Age, Predicts Weight Loss Outcomes With Tirzepatide: A Retrospective Analysis. Obesity (Silver Spring). Published 14 June 2026. doi:10.1002/oby.70231

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