Evidence map›Paper›PMID 42764399›Full record

Trial reportDiabetes, obesity & metabolism2026

Effect of Semaglutide on Thigh Skeletal Muscle Volume, Fat Infiltration and Physical Function in People With Obesity: Secondary Analysis of STEP UP.

Jøran Hjelmesæth, Suhas Bhat, W Timothy Garvey, Kristoffer Jensen Kolnes, Jennifer Linge, Ildiko Lingvay, Niklas Kahr Rasmussen, Julio Rosenstock, Sean Wharton

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT05646706. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05646706 phase3completed

Effect and Safety of Semaglutide 7.2 mg Once-weekly in Participants With Obesity

Ran2023Enrolled1,407Registered outcomes46Posted comparisons2ConditionsObesityArmsPlacebo, semaglutide
Open the trial in the graph
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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.

Jøran HjelmesæthDepartment of Endocrinology, Obesity and Nutrition, Vestfold Hospital Trust, Tønsberg, Norway.ORCID https://orcid.org/0000-0002-1995-0562
Suhas BhatNovo Nordisk Global Business Services, Bangalore, India.
W Timothy GarveyUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Kristoffer Jensen KolnesNovo Nordisk A/S, Søborg, Denmark.
Jennifer LingeAMRA Medical AB, Linköping, Sweden.
Ildiko LingvayDepartment of Internal Medicine/Endocrinology and Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-7006-7401
Niklas Kahr RasmussenNovo Nordisk A/S, Søborg, Denmark.
Julio RosenstockUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-8324-3275
Sean WhartonUniversity of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-0111-1530

Funding

Novo Nordisk A/S
6 · The paper itself

Abstract

aimsTo assess the effect of semaglutide on body composition and physical function. MATERIALS AND

methodsThe phase 3b STEP UP trial randomised adults with body mass index ≥ 30 kg/m

resultsOf 1407 participants, 55 with a valid baseline scan were included (semaglutide 7.2 mg, n = 43, 2.4 mg, n = 6 [pooled semaglutide group, n = 49]; placebo, n = 6). Estimated treatment differences (95% confidence intervals; p-values) for absolute changes in adipose/muscle compartment volumes for the pooled semaglutide versus placebo group, respectively, were: -11.1 L (-16.5 to -5.7; p < 0.0001) for adipose body tissue, -1.5 L (-2.9 to -0.1; p = 0.04) for visceral adipose tissue, -1.7 L (-4.0 to 0.7; p = 0.16) for lean body tissue, -1.1 L (-2.3 to 0.1; p = 0.07) for thigh skeletal muscle volume and -0.92%-points (-1.41 to -0.42; p = 0.001) for thigh muscle fat infiltration. Similar results were seen for relative changes in adipose/muscle compartment volumes. A sensitivity analysis for the semaglutide 7.2 mg group versus placebo showed similar results. A mean of 13 sit-to-stand repetitions in 30 s at baseline, and 15 repetitions at Week 72, was observed in the pooled semaglutide and placebo groups.

conclusionsSemaglutide plus lifestyle intervention was associated with reductions in adipose tissue volume, skeletal muscle volume and skeletal muscle fat infiltration, with a preserved number of sit-to-stand repetitions. Further research to assess the impact of weight loss on skeletal muscle composition and function should be explored in the future.

trial registrationClinicalTrials.gov identifier NCT05646706.

Indexed as

Anti-Obesity AgentsGlucagon-Like PeptidesMuscle, SkeletalObesityAdipose TissueAdultBody CompositionDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSemaglutideThighWeight LossAnti-Obesity AgentsGlucagon-Like PeptidesSemaglutideantiobesity drugclinical trialGLP‐1 analograndomised trialsemaglutideweight management

Identifiers

PMID42764399
PMCPMC13731004

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Registered trials

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.