Association of long-term weight management pharmacotherapy with multiple health outcomes: an umbrella review and evidence map

Jan 26, 2025International journal of obesity (2005)

Links between long-term weight loss drugs and various health results: a summary and overview

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Abstract

Sixteen meta-analyses of 235 randomized clinical trials revealed that 88% of associations between six pharmacotherapies and health outcomes were statistically significant.

  • The pharmacotherapies evaluated include orlistat, liraglutide, phentermine/topiramate, naltrexone/bupropion, semaglutide, and tirzepatide.
  • Significant beneficial outcomes were observed for body weight, weight loss, waist circumference, body mass index, total cholesterol, triglycerides, cholesterol types, blood pressure, and glycemic profile.
  • Weight loss and partial improvements in lipid profiles, blood pressure, and glycemic control are associated with these pharmacotherapies among individuals with overweight or obesity.
  • Adverse events were notably associated with liraglutide, naltrexone/bupropion, semaglutide, and orlistat.
  • The quality of the included meta-analyses indicates a need for improvement.

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