Evidence map›Paper›PMID 43001810›Full record

ArticleDiabetes/metabolism research and reviews2026

Effectiveness and Safety of Once-Weekly Semaglutide 2.4 mg in Korean Adults With Obesity or Overweight: A Multicenter Retrospective Real-World Study (RE-SEMA-K Study).

Yu-Jin Kwon, Young-Sang Kim, Hae-Jin Ko, Susie Jung, Yoon Jeong Cho, Ji-Eun Song, Sung-Bum Lee, Ga Eun Nam, Jungha Park, Myung Jae Seo and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Diabetes/metabolism research and reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Yu-Jin KwonDepartment of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea.ORCID https://orcid.org/0000-0002-9021-3856
Young-Sang KimDepartment of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.ORCID https://orcid.org/0000-0002-7397-5410
Hae-Jin KoDepartment of Family Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of Korea.ORCID https://orcid.org/0000-0003-4460-1476
Susie JungDepartment of Family Practice and Community Health, Ajou University School of Medicine, Suwon, Republic of Korea.ORCID https://orcid.org/0000-0003-3317-4405
Yoon Jeong ChoDepartment of Family Medicine, Daegu Catholic University School of Medicine, Daegu, Republic of Korea.ORCID https://orcid.org/0000-0002-0960-5976
Ji-Eun SongDepartment of Family Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.ORCID https://orcid.org/0000-0002-0529-1084
Sung-Bum LeeDepartment of Family Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Ga Eun NamDepartment of Family Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6739-9904
Jungha ParkDepartment of Family Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-1269-333X
Myung Jae SeoDepartment of Family Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.ORCID https://orcid.org/0000-0001-5852-4323
Jong Koo KimDepartment of Family Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Seo Young KangDepartment of Family Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea.
Yeong Sook YoonDepartment of Family Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.ORCID https://orcid.org/0000-0002-9249-2940
Soo Hyun ChoDepartment of Family Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Yonghwan KimDepartment of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.ORCID https://orcid.org/0000-0002-9965-675X
Hye-Ji AnDepartment of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University, Anyang, Republic of Korea.
Seung Hee KimDepartment of Family Medicine, Wonkwang University Sanbon Hospital, Gunpo, Republic of Korea.ORCID https://orcid.org/0000-0002-4370-8442
Yoo-Bin SeoDepartment of Family Medicine, Wonkwang University Sanbon Hospital, Gunpo, Republic of Korea.
Yong Ho LeeDepartment of Family Medicine, Wonkwang University Sanbon Hospital, Gunpo, Republic of Korea.ORCID https://orcid.org/0000-0001-5056-6393
Seok-Jae HeoDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-8764-7995
Jee-Hyun KangDepartment of Family Medicine, Konyang University College of Medicine, Konyang University Hospital, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0003-4416-8895
Kyoung-Kon KimDepartment of Family Medicine, Gachon University College of Medicine, Gachon University Gil Medical Center, Incheon, Republic of Korea.ORCID https://orcid.org/0000-0003-0374-2571

Funding

Society for Korean Obesity and Metabolism Studies.
6 · The paper itself

Abstract

aimsTo evaluate the effectiveness and treatment patterns of once-weekly semaglutide 2.4 mg in South Korean adults with overweight or obesity in real-world practice. MATERIALS AND

methodsThis multicenter retrospective study analysed electronic medical records from 17 centres in South Korea. Included were adults (≥ 19 years) with BMI ≥ 25 kg/m

resultsAmong 1160 patients (40.9% with prior obesity medications), semaglutide treatment induced progressive weight reduction (-5.85%, -9.55%, -11.43%, and -13.16% at 3, 6, 9, and 12 months). Greater reduction occurred in women, younger patients, and those without T2D or prior obesity medication. By 6 months, cardiometabolic, liver function, and body composition parameters improved, with preferential loss of fat over lean mass (all p < 0.001). Starting doses varied across patients (0.25 mg, 55.9%; 0.5 mg, 30.4%; 1.0 mg, 11.9%), with rapid dose escalation reaching the maintenance dose (2.4 mg) in a mean of 3.52 months, reflecting individualised real-world dosing. Mean treatment duration was 4.9 months. Adverse events, predominantly transient gastrointestinal symptoms, occurred in approximately 22% of patients.

conclusionsSemaglutide 2.4 mg achieved substantial weight loss in South Korean adults with overweight or obesity. Weight reduction was comparable to the STEP 6 trial despite shorter follow-up (4.9 months), substantial prior obesity medication exposure, and accelerated dose escalation, supporting robust real-world effectiveness.

Indexed as

Glucagon-Like PeptidesObesityOverweightWeight LossAdultAgedBody Mass IndexFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRepublic of KoreaRetrospective StudiesSemaglutideGlucagon-Like PeptidesSemaglutideobesityoverweightreal‐world studysemaglutideSouth Korea

Identifiers

PMID43001810
PMCPMC13746800

What OpenQuestion holds

Textmetadata
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.