Evidence mapPaperPMID 41230025Full record

ReviewJournal of the Endocrine Society2025

GLP-1R Agonists for Weight Loss in Psychiatric Disorders: A Systematic Review and Meta-analysis.

Klara Müller Alves, Manoela Teixeira da Silva, Caroline Kaercher Kramer, Luciana Verçoza Viana

Abstract readReview
In one paragraph

Review in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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.

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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Klara Müller AlvesPost-Graduate Program in Medical Sciences, Endocrinology, Federal University of Rio Grande do Sul, Porto Alegre 90035-903, Brazil.ORCID https://orcid.org/0000-0001-8462-7334
Manoela Teixeira da SilvaPost-Graduate Program in Medical Sciences, Endocrinology, Federal University of Rio Grande do Sul, Porto Alegre 90035-903, Brazil.ORCID https://orcid.org/0000-0003-0665-9271
Caroline Kaercher KramerDivision of Endocrinology, University of Toronto, Toronto, ON M5T 3L9, Canada.ORCID https://orcid.org/0000-0003-1064-0100
Luciana Verçoza VianaPost-Graduate Program in Medical Sciences, Endocrinology, Federal University of Rio Grande do Sul, Porto Alegre 90035-903, Brazil.ORCID https://orcid.org/0000-0003-4392-4943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Individuals with psychiatric disorders have a higher prevalence of obesity, partly because of the use of psychotropic medications. Safe and effective pharmacological interventions for weight management in this population are needed. Objective: To assess the efficacy and safety of glucagon-like peptide-1 receptor agonists (GLP-1Ras) in individuals with psychiatric disorders and obesity/overweight through a systematic review and meta-analysis, focusing on weight and metabolic outcomes. Data Sources: We searched PubMed, Embase, Cochrane CENTRAL, and ClinicalTrials.gov until May 2025 for observational studies that evaluated GLP-1RAs in this population. Study Selection: Studies including adults with psychiatric disorders and obesity treated with GLP-1RAs were eligible; 10 randomized controlled trials met the inclusion criteria. Data Extraction: Two reviewers independently extracted the data and assessed the risk of bias using the Cochrane RoB 2 tool. Outcomes included weight, body mass index (BMI), waist circumference, glucose level, systolic blood pressure, total cholesterol, high-density lipoprotein cholesterol, triglycerides, and adverse events. Data Synthesis: GLP-1RAs significantly reduced body weight [mean difference (MD) -5.03 kg; 95% confidence interval (CI): -6.04 to -4.01)], BMI (MD -1.59 kg/m²; 95% CI: -2 to -1.18), waist circumference (MD -3.4 cm 95% CI: -4.83 to-1.97), and fasting glucose (MD -0.29 mmol/L; 95% CI: -0.53 to -0.05) compared to controls. Gastrointestinal side effects were more frequent but generally mild and did not increase discontinuation rates. Conclusion: GLP-1RAs are effective and well-tolerated for managing obesity in psychiatric populations, offering significant weight and metabolic benefits. Further studies are needed to evaluate newer agents, such as semaglutide and tirzepatide, particularly in longer trials with standardized protocols.

Indexed as

GLP-1 receptor agonistsliraglutideobesitypsychiatric disorderssemaglutideweight loss

Identifiers

PMID41230025
PMCPMC12602866

What Socratic holds

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Registered trials

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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.