Obesity

The association between previous use of anti‐obesity medication and semaglutide weight loss outcomes

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

The use of semaglutide in patients with previous intake of other AOMs was associated with inferior weight loss outcomes in comparison to patients who were AOM-naïve.

Study context

Population
Patients with overweight or obesity taking semaglutide for weight loss for 3 to 12 months
Participants
305 patients
Exposure
Anti-obesity medication (AOM)-naïve vs non-AOM-naïve patients starting semaglutide
  • AOM-naïven = 231
  • non-AOM-naïven = 74reference
Outcome
Percentage of total body weight loss (TBWL)
Follow-up
3, 6, 9 and 12 months

Main finding

As reported in the abstract

TBWL (%) · 12 months

P = 0.01 at 12 months

Total body weight loss (TBWL) at 3 months, AOM-naïve vs non-AOM-naïve
6.3% vs. 3.8%
TBWL at 6 months, AOM-naïve vs non-AOM-naïve
10.6% vs. 6.7%
TBWL at 9 months, AOM-naïve vs non-AOM-naïve
14.0% vs. 9.1%
P at 3, 6 and 9 months
P < 0.0001

Observational data: associations, not effects.

Secondary outcomes

TBWL ≥15% · 12 months

P = 0.02

TBWL ≥20% · 12 months

P < 0.01

Original publication

The association between previous use of anti‐obesity medication and semaglutide weight loss outcomes. Diabetes Obes Metab. Published 12 March 2024. doi:10.1111/dom.15523

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