Evidence map›Paper›PMID 40877612›Full record

SynthesisEating and weight disorders : EWD2025

The role of glucagon-like peptide-1 receptor agonists in weight regain treatment or prevention after bariatric surgery: a systematic review and meta-analysis.

Asma Mousavi, Shayan Shojaei, Alireza Azarboo, Razman Arabzadeh Bahri, Sara Mohammadi, Sanam Alilou, Shaygan Yousefifar, Saba Maleki, Hanieh Radkhah

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Eating and weight disorders : EWD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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.

Asma Mousavi *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Shayan Shojaei *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Alireza AzarbooSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Razman Arabzadeh Bahri *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. raz_bahri@yahoo.com.
Sara MohammadiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sanam AlilouSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Shaygan YousefifarSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Saba MalekiSchool of Medicine, Gilan University of Medical Sciences, Rasht, Iran.
Hanieh Radkhah *Sina Hospital Department of Internal Medicine, Tehran University of Medical Sciences Tehran, Tehran, Iran. Hanieh.radkhah@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight regain (WR) and insufficient weight loss (WL) occur in 20-25% of patients after bariatric surgery due to various factors. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have shown promise in promoting WL; however, evidence regarding their effectiveness in managing WL and preventing WR post-bariatric surgery remains limited.

objectiveThis study aims to evaluate the role of GLP-1RAs in treating and preventing WR following bariatric surgery.

methodsA systematic search was conducted across PubMed, Scopus, and Web of Science for studies assessing the impact of GLP-1RAs on WR after bariatric surgery.

resultsOur search identified 27 original studies, with 10 included in the meta-analysis involving 769 participants (392 treated with GLP-1RAs). The mean age was 44.05 years, with 30.47% male. The time interval from surgery to the initiation of GLP-1RAs treatment ranged from 1.5 to 86.7 months, with treatment durations between 4 and 12 months. The analysis showed significantly greater WL in the GLP-1RAs group compared to placebo (SMD = 0.82, 95% CI 0.23 to 1.42). Subgroup analysis for treatment durations ≤ 6 months indicated a higher WL in the GLP-1RAs group (SMD = 0.79, 95% CI 0.25 to 1.34). Adverse events were primarily gastrointestinal, with nausea significantly more frequently in the GLP-1RAs group (OR = 2.01, 95% CI 1.24 to 3.27).

conclusionGLP-1RAs effectively promote WL among participants experiencing WR after bariatric surgery. Initiating GLP-1RAs therapy shortly after surgery may help prevent WR. Further research is warranted to explore long-term outcomes and optimize treatment protocols for this patient population.

Indexed as

Bariatric SurgeryGlucagon-Like Peptide-1 Receptor AgonistsWeight GainHumansWeight LossGlucagon-Like Peptide-1 Receptor AgonistsBariatric surgeryGLP-1RAsMeta-analysisSystematic reviewWeight regain

Identifiers

PMID40877612
PMCPMC12394290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.