Evidence map›Paper›PMID 41658748›Full record

ReviewCureus2026

Long-Term Cardiovascular Outcomes of Glucagon-Like Peptide-1 Receptor Agonists in Non-diabetic Obesity: A Systematic Review and Meta-Analysis.

Kehinde Tom-Ayegunle, Olaoluwa Tom-Ayegunle, Stella Okoye, Uche Chukwuemeka, Tolulope S Adeyina, Abdulraheem Babarinde, Uchenna Eleam

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Dietary Interventions for Hypertriglyceridemia.Current atherosclerosis reports · 2026
    Review
  2. 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

7 authors.

Kehinde Tom-AyegunleDepartment of Epidemiology & Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Olaoluwa Tom-AyegunleDepartment of Internal Medicine, Medical Institute, People's Friendship University of Russia, Moscow, RUS.
Stella OkoyeDepartment of Information Systems, University of Rochester Medical Center, Rochester, USA.
Uche ChukwuemekaDepartment of Biostatistics, Prairie View A&M University, Prairie View, USA.
Tolulope S AdeyinaDepartment of Mathematics, The University of Texas at El Paso, El Paso, USA.
Abdulraheem BabarindeDepartment of Biostatistics, Brandeis University, Boston, USA.
Uchenna EleamDepartment of Surgery, State University of New York (SUNY) Downstate Medical Center, New York City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) demonstrate cardiovascular benefits in diabetic populations, yet evidence in non-diabetic obesity remains limited. We searched PubMed, Excerpta Medica database (Embase), Cochrane Controlled Register of Trials (CENTRAL), and Web of Science (January 2015-January 2025) for randomized controlled trials evaluating GLP-1 RAs in non-diabetic adults with obesity (BMI ≥30 kg/m²), with composite major adverse cardiovascular events (MACE) as the primary outcome using random-effects models with risk ratios (RRs) and 95% confidence intervals (CIs). Sixteen trials (23,467 participants, median 68 weeks follow-up) were included, demonstrating that GLP-1 RAs reduced MACE by 20% (RR 0.80, 95% CI 0.72-0.89), with strongest effects on stroke (RR 0.72), myocardial infarction (RR 0.84), and heart failure hospitalization (RR 0.82), alongside reductions in systolic blood pressure (4.2 mmHg), triglycerides (32 mg/dL), and high-sensitivity C-reactive protein (hsCRP) (38.6%), with 12.4% weight loss where mediation analyses showed 35%-55% of cardiovascular benefit was independent of weight reduction. GLP-1 RAs provide substantial cardiovascular protection in non-diabetic obesity through both weight loss-dependent and independent mechanisms, with acceptable safety profiles supporting their role in cardiovascular risk reduction.

Indexed as

cardiovascular outcomesglp-1 receptor agonistsheart failuremajor adverse cardiovascular eventsmeta-analysisobesitysex-specific effectsweight loss-independent mechanisms

Identifiers

PMID41658748
PMCPMC12875684

What Socratic holds

Textmetadata
LicenceCC BY
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.