Obesity

Sex‐specific changes in GLP ‐ 1RA trends (2019–2024): Impact of FDA approval of semaglutide (Wegovy) for chronic weight management in the United States

Diabetes Obes MetabPublished Interrupted time series analysis of claims data

Main finding · GLP-1RA utilization, adultsResult — go to the resultRelative risk 2.68

Authors' conclusion

The FDA approval of semaglutide (Wegovy) for chronic weight management was associated with a sharp increase in GLP-1RA utilization in the United States, widening sex-based differences, with female utilization significantly surpassing that of males.

Study context

Population
Individuals in US MarketScan commercial claims data, 2019–2024; 30 months before and 31 months after FDA approval
Comparison
Females vs males, before and after FDA approval of semaglutide (Wegovy) for chronic weight management (June 2021)
Outcome
Monthly GLP-1RA utilization rate (users per 10 000 eligible individuals); RR comparing post-intervention slope changes between males and females
Methodological detailssegmented regression, 2019-2024 MarketScan commercial claims data
  • Segmented regression
  • 2019-2024 MarketScan commercial claims data

Main finding

GLP-1RA utilization, adults · January 2024

Relative risk

2.68

By group

As reported in the abstract

Further findings

GLP-1 RA utilization, adolescents · January 2024

RR 2.74

GLP-1 RA utilization, nondiabetic patients · January 2024

RR 2.86

GLP-1 RA utilization, diabetic patients · January 2024

RR 2.2

Wegovy utilization · January 2024

RR 4.03

Ozempic utilization · January 2024

RR 2.13

Mounjaro utilization · January 2024

RR 1.74

Pre-intervention GLP-1 RA utilization trends · before June 2021

Similar utilization trends among males and females before the intervention, overall and in subgroups

Original publication

Sex‐specific changes in GLP ‐ 1RA trends (2019–2024): Impact of FDA approval of semaglutide (Wegovy) for chronic weight management in the United States. Diabetes Obes Metab. Published 11 February 2026. doi:10.1111/dom.70555

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