Evidence mapPaperPMID 42438123Full record

ReviewObesity (Silver Spring, Md.)2026

The Effects of Incretin Mimetic Therapies on Muscle and Bone Health in Older Adults: A Narrative Review.

Joseph M Saavedra, Alissa S Chen, Kathryn N Porter Starr, John A Batsis

Abstract readReview
In one paragraph

Review in Obesity (Silver Spring, Md.), 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

4 authors.

Joseph M SaavedraSealy Center on Aging, University of Texas Medical Branch, Galveston, Texas, USA.
Alissa S ChenSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Kathryn N Porter StarrDepartment of Medicine, Division of Geriatrics and Palliative Care, Duke University School of Medicine, Durham, North Carolina, USA.
John A BatsisDivision of Geriatric Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Funding

Yale Clinical and Translational Science AwardUL1TR001863 · YALE UNIVERSITY · 2025 to 2025
$9.9M
TREATMENT GOALS FOR PERSONS WITH MULTIFACTORIAL GERIATRIC HEALTH CONDITIONSP30AG021342 · YALE UNIVERSITY · 2002 to 2025
$8.0M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · UNIV OF NORTH CAROLINA CHAPEL HILL · 1999 to 2025
$5.9M
Research Education Component (REC)P30AG028716 · DUKE UNIVERSITY · 2025 to 2025
$1.3M
Optimizing Telehealth-delivery of a Weight Loss Intervention in Older Adults with Multiple Chronic Conditions: A Sequential, Multiple Assignment, Randomized TrialR01AG077163 · UNIV OF NORTH CAROLINA CHAPEL HILL · 2025 to 2025
$703k
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG028716NIA NIH HHS R01 AG077163NIDDK NIH HHS P30 DK056350RRD VA I01 RX003981The National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health P30DK056350-23The National Institute on Aging Claude D. Pepper Older Americans Independence Center at Duke University School of Medicine P30AG028716The National Institute on Aging Claude D. Pepper Older Americans Independence Center at Yale School of Medicine P30AG021342The National Institute on Aging, National Institutes of Health R01 AG071663The Ruth L. Kirschstein National Research Service Award from the National institute on aging T3200270U.S. Department of Veterans Affairs Rehabilitation Research and Development I01RX003981
6 · The paper itself

Abstract

Incretin mimetics are increasingly prescribed for the treatment of overweight and obesity, resulting not only in significant weight reduction but also co-occurring improvements in cardiovascular health and quality of life. Incretin mimetic use among older adults is expected to increase as the population ages into obesity. However, older adults experience accelerated losses in skeletal muscle mass and bone mineral density, and it remains unclear how incretin mimetics affect these processes. This review outlines the age-associated changes in muscle and bone and explores current evidence reporting the effects/associations of incretin mimetics on these tissues, as well as on physical function and fragility fracture risk. We identified several incretin mimetic weight reduction trials that demonstrated significant losses in lean soft tissue (n = 6 studies) and/or indices of bone (n = 3); however, the clinical significance of these decrements on physical function and/or fragility fracture remains unclear. Considering a rising trend in the prescription of incretin mimetics to treat obesity in older adulthood, a more robust characterization of the impact of these medications on lean soft tissue, physical function, and fragility fracture is needed to support future clinical decision-making in older adults with overweight/obesity.

Identifiers

PMID42438123
PMCPMC13367407

What Socratic holds

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LicenceTDM
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.