Incretin‐based therapies for individuals with obesity and heart failure with mildly reduced or preserved ejection fraction: A systematic review and meta‐analysis of randomized controlled trials

Jun 11, 2025Diabetes, obesity & metabolism

Incretin-based treatments for people with obesity and mild or preserved heart pumping function: A review of clinical trials

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Abstract

Six randomized clinical trials with 7282 participants indicate that incretin-based therapies may reduce cardiovascular death or worsening heart failure in individuals with obesity-HFpEF.

  • Incretin-based therapies reduced the risk of cardiovascular death or worsening heart failure with a hazard ratio of 0.74.
  • A reduction in worsening heart failure events was observed with a hazard ratio of 0.62.
  • All-cause mortality decreased with incretin-based therapies, indicated by an odds ratio of 0.81.
  • Improvements in quality of life and functional status were reported for patients receiving incretin-based therapies.
  • Systolic blood pressure and weight were also positively affected in patients with obesity-HFpEF.

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