Effect of glucagon‐like peptide 1 receptor agonists on systolic blood pressure in patients with obesity, with or without diabetes: A systematic review and network meta‐analysis

Apr 23, 2025Clinical obesity

Glucagon-like peptide 1 receptor agonists and their effects on top blood pressure in obese patients with and without diabetes

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Abstract

GLP-1 receptor agonists are associated with a significant reduction in (SBP) of -3.14 mmHg in patients with obesity.

  • Patients without diabetes experienced a greater reduction in SBP (-3.80 mmHg) compared to those with diabetes (-2.13 mmHg).
  • Among patients with diabetes, liraglutide at doses less than 2 mg resulted in a notable SBP reduction of -3.78 mmHg.
  • Efpeglenatide at doses of 6 mg or less showed the highest SBP reduction of -6.00 mmHg in patients without diabetes.
  • The change in SBP appears to be only slightly influenced by the specific drug-dose combination.
  • Reductions in SBP may be related to the amount of weight loss experienced by patients.

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Key numbers

-3.14 mmHg
Mean Reduction
Overall reduction in for all patients receiving GLP-1RAs.
-3.80 mmHg
Reduction in Patients Without Diabetes
Reduction in for patients without diabetes treated with GLP-1RAs.
-2.13 mmHg
Reduction in Patients With Diabetes
Reduction in for patients with diabetes treated with GLP-1RAs.

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