Evidence map›Paper›PMID 36044100›Full record

ReviewCurrent atherosclerosis reports2022

GLP-1 Agonist to Treat Obesity and Prevent Cardiovascular Disease: What Have We Achieved so Far?

Maurício Reis Pedrosa, Denise Reis Franco, Hannah Waisberg Gieremek, Camila Maia Vidal, Fernanda Bronzeri, Alexia de Cassia Rocha, Luis Gabriel de Carvalho Cara, Sofia Lenzi Fogo, Freddy Goldberg Eliaschewitz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  17. Effects of Anti-Diabetic Drugs on Erectile Dysfunction: A Systematic Review and Meta-Analysis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Review
  18. Article
  19. GLP-1 agonists and exercise: the future of lifestyle prioritization.Frontiers in clinical diabetes and healthcare · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Maurício Reis PedrosaCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil. mauricio.pedrosa@dasa.com.br.ORCID http://orcid.org/0000-0001-7966-2602
Denise Reis FrancoCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0003-4961-0638
Hannah Waisberg GieremekCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0002-5167-8212
Camila Maia VidalCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0003-4251-4184
Fernanda BronzeriCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0002-3660-3247
Alexia de Cassia RochaCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0002-9616-8427
Luis Gabriel de Carvalho CaraCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0001-6678-0415
Sofia Lenzi FogoCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0002-6390-5056
Freddy Goldberg EliaschewitzCPCLIN - Centro de Pesquisas Clínicas, Av. Angélica, 2162 - Consolação, São Paulo, SP, 01228-200, Brazil.ORCID http://orcid.org/0000-0002-9283-1842
Brf (Brazil) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo discuss evidence supporting the use of glucagon-like peptide 1 receptor agonists (GLP-1RA) to treat obesity and their role as a cardioprotective drug. Obesity is not just a hypertrophy of the adipose tissue because it may become dysfunctional and inflamed resulting in increased insulin resistance. Being overweight is associated with increased incidence of cardiovascular events and weight loss achieved through lifestyle changes lowers risk factors, but has no clear effect on cardiovascular outcomes. In contrast, treating obesity with GLP-1RA decreases cardiovascular risk and the possible mechanisms of cardioprotection achieved by this class of drugs are discussed. GLP-1RA were initially developed to treat type 2 diabetes patients, in whom the effects upon glycemia and, moreover, weight loss, especially with long-acting GLP-1RA, were evident. However, cardiovascular safety trials in type 2 diabetes patients, the majority presenting cardiovascular disease and excess weight, showed that GLP-1 receptor agonists were indeed capable of decreasing cardiovascular risk. RECENT

findingsType 2 diabetes treatment with GLP-1RA liraglutide and semaglutide paved way to a ground-breaking therapy specific for obesity, as shown with the SCALE 3 mg/day liraglutide program and the STEP 2.4 mg/week semaglutide program. A novel molecule with superior performance is tirzepatide, a GLP-1 and GIP (Gastric Inhibitory Peptide) receptor agonist and recent results from the SURPASS and SURMOUNT programs are briefly described. Liraglutide was approved without a CVOT (Cardiovascular Outcome Trial) because authorities accepted the results from the LEADER study, designed for superiority. The SELECT study with semaglutide will report results only in 2023 and tirzepatide is being tested in patients with diabetes in the SURPASS-CVOT. Clinical studies highlight that GLP-1RA to treat obesity, alongside their concomitant cardioprotective effects, have become a hallmark in clinical science.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Clinical Trials as TopicGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHumansHypoglycemic AgentsLiraglutideObesityWeight LossGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLiraglutideFatGLP-1Glucagon-like peptide 1LiraglutideObesitySemaglutideTirzepatide

Identifiers

PMID36044100
OpenAlexW4293740201

What OpenQuestion holds

Texttitle and abstract
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.