SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2025

Meta-analysis of the Effect of Semaglutide on Blood Pressure in Obese Populations.

Yihan Li, Kefan Xue, Rui Hu, Xiao Hu, Ran Guo, Hongxia Guo, Gang Li

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2025. The graph read 7 numbers from its abstract, feeding 1 cell of the map: it supports the treatment in 1. It also reports an association that does not count as treatment evidence, such as difference -1.87 (-2.67 to -1.06) for systolic blood pressure (SBP). Cited by 2 papers, 1 of them a synthesis that pooled it.

7numbers the graph read from it
1cell of the map it votes in
2citing papers in PubMed, 1 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.

← favours the treatmentfavours the comparator →
-5.182.110 · no effect
Blood pressurefavours the comparator · against placebo · hypertension, obesityfeeds one cell of the map
Δ 2.11P < 0.01
The results showed that, compared to the control group, the semaglutide group significantly reduced systolic blood pressure (SBP) (mean difference [MD] - 2.90, 95% confidence interval [CI] - 3.70 to - 2.11; P < 0.01) and diastolic blood pressure (DBP) (MD - 0.86, 95% CI - 1.34 to - 0.38; P < 0.01).
Systolic blood pressure (SBP)semaglutide (2.4 mg) vs control groupfavours the treatment · hypertension, obesityfeeds one cell of the map
Δ -4.31-5.18 to -3.44
The higher dose of semaglutide (2.4 mg) was found to significantly lower SBP (MD - 4.31, 95% CI - 5.18 to - 3.44) and DBP (MD - 1.84, 95% CI - 2.70 to - 0.98), although mild heterogeneity was present.
Diastolic blood pressure (DBP)semaglutide (2.4 mg) vs control groupfavours the treatment · hypertension, obesityfeeds one cell of the map
Δ -1.84-2.70 to -0.98
The higher dose of semaglutide (2.4 mg) was found to significantly lower SBP (MD - 4.31, 95% CI - 5.18 to - 3.44) and DBP (MD - 1.84, 95% CI - 2.70 to - 0.98), although mild heterogeneity was present.
Diastolic blood pressure (DBP)semaglutide vs control groupfavours the treatment · hypertension, obesityfeeds one cell of the map
Δ -0.86-1.34 to -0.38<0.01
The results showed that, compared to the control group, the semaglutide group significantly reduced systolic blood pressure (SBP) (mean difference [MD] - 2.90, 95% confidence interval [CI] - 3.70 to - 2.11; P < 0.01) and diastolic blood pressure (DBP) (MD - 0.86, 95% CI - 1.34 to - 0.38; P < 0.01).
Systolic blood pressure (SBP)semaglutide vs control groupfavours the treatment · hypertension, obesityfeeds one cell of the map
Δ -2.90-3.70 to -2.11<0.01
The results showed that, compared to the control group, the semaglutide group significantly reduced systolic blood pressure (SBP) (mean difference [MD] - 2.90, 95% confidence interval [CI] - 3.70 to - 2.11; P < 0.01) and diastolic blood pressure (DBP) (MD - 0.86, 95% CI - 1.34 to - 0.38; P < 0.01).

Read, but not usablea number the graph found but could not read as for or against

Systolic blood pressure (SBP)semaglutide vs control group, in non-diabetic populationsan association or prognostic statement, not a treatment comparison · hypertension, obesityfeeds one cell of the map
Δ -1.87-2.67 to -1.06
Further subgroup analysis revealed that, compared to diabetic populations, semaglutide had a more significant reduction in SBP (- 1.87, 95% CI - 2.67 to - 1.06, vs - 5.02, 95% CI - 6.10 to - 3.94) and DBP (- 0.43, 95% CI - 0.89 to 0.02, vs - 1.96, 95% CI - 3.12 to - 0.80) in non-diabetic populations.
Diastolic blood pressure (DBP)semaglutide vs control group, in non-diabetic populationsan association or prognostic statement, not a treatment comparison · hypertension, obesityfeeds one cell of the map
Δ -0.43-0.89 to 0.02
Further subgroup analysis revealed that, compared to diabetic populations, semaglutide had a more significant reduction in SBP (- 1.87, 95% CI - 2.67 to - 1.06, vs - 5.02, 95% CI - 6.10 to - 3.94) and DBP (- 0.43, 95% CI - 0.89 to 0.02, vs - 1.96, 95% CI - 3.12 to - 0.80) in non-diabetic populations.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×blood pressure

SupportsOpen on the map →What to test next →

9 readable studies in this cell: 3 favour the treatment, 5 find no difference, 1 favour the comparator.

Belief with this paper
0.50contested · 2 families support, 1 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
NCT00676338820 enrolled · 2008
Δ 0.36-1.02 to 1.73
NCT00781937422 enrolled · 2008
Treatment Contrast -2.72-4.69 to -0.76
NCT02492763176 enrolled · 2015
Δ -1.10-6.20 to 4.10
NCT04019197108 enrolled · 2019
β coefficient -0.05-0.10 to -0.01
NCT0488111060 enrolled · 2021
Δ -0.00-5.80 to 5.80

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

5 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
6 · The record

Corrections and comments

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

7 · Who and what money

Authors and funding

7 authors.

Yihan Li *Division of Cardiology, Institute of Geriatric Diseases, Hebei General Hospital, Shijiazhuang, Hebei, China.
Kefan Xue *Division of Cardiology, Institute of Geriatric Diseases, Hebei General Hospital, Shijiazhuang, Hebei, China.
Rui Hu *General Clinical Laboratory, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Xiao HuDepartment of Pathophysiology, Hebei Medical University, Shijiazhuang, Hebei, China.
Ran GuoThe Third General Surgery Department, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Hongxia GuoDepartment of Anesthesiology, Hebei General Hospital, Shijiazhuang, Hebei, China.
Gang LiDivision of Cardiology, Institute of Geriatric Diseases, Hebei General Hospital, Shijiazhuang, Hebei, China. 90030148@hebmu.edu.cn.

Funding

Hebei Province Government-Funded Clinical Medicine Excellent Talent Training Program ZF2025013Hebei Province Medical Adaptation Technology Tracking Project GZ2024002National Natural Science Foundation of China 82103475Natural Science Foundation of Hebei Province H2023307028Natural Science Foundation of Hebei Province H2024206056the Medical Science Research Project of Hebei Provincial Health Commission 20240370
8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

objectiveThe aim was to systematically evaluate the effect of semaglutide on blood pressure in obese populations using meta-analysis methods.

methodsRandomized controlled trials on the effect of semaglutide on blood pressure regulation published from the inception of the databases to October 2024 were searched for in PubMed, Embase, the Cochrane Library, and Web of Science. Stata software was used for statistical analysis of the outcome measures in all included studies. Egger's test was applied to assess the risk of publication bias.

resultsA total of 22 studies involving 15,347 participants were included in this meta-analysis. The results showed that, compared to the control group, the semaglutide group significantly reduced systolic blood pressure (SBP) (mean difference [MD] - 2.90, 95% confidence interval [CI] - 3.70 to - 2.11; P < 0.01) and diastolic blood pressure (DBP) (MD - 0.86, 95% CI - 1.34 to - 0.38; P < 0.01). Further subgroup analysis revealed that, compared to diabetic populations, semaglutide had a more significant reduction in SBP (- 1.87, 95% CI - 2.67 to - 1.06, vs - 5.02, 95% CI - 6.10 to - 3.94) and DBP (- 0.43, 95% CI - 0.89 to 0.02, vs - 1.96, 95% CI - 3.12 to - 0.80) in non-diabetic populations. The higher dose of semaglutide (2.4 mg) was found to significantly lower SBP (MD - 4.31, 95% CI - 5.18 to - 3.44) and DBP (MD - 1.84, 95% CI - 2.70 to - 0.98), although mild heterogeneity was present. Sensitivity analysis showed that the exclusion of any single study did not significantly affect the final results.

conclusionCurrent evidence suggests that semaglutide can lower SBP and DBP, and increasing the dosage can enhance the blood pressure-lowering effect.

Indexed as

Blood PressureGlucagon-Like PeptidesHypertensionObesityGlucagon-Like Peptide 1HumansRandomized Controlled Trials as TopicSemaglutideGlucagon-Like Peptide 1Glucagon-Like PeptidesSemaglutide

Identifiers

What Socratic 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 Socratic graph.