GLP-1s and cardiac health: 5 study notes

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Semaglutide can reduce cardiac event risk regardless of a patient’s starting body fat or weight loss during treatment, according to a study published Oct. 22 in The Lancet.

Researchers analyzed results of Novo Nordisk’s SELECT trial to identify any link between baseline body fat, semaglutide treatment-induced weight loss and major adverse cardiovascular events.

Here are five notes on the findings:

  1. Of the 17,604 patients enrolled in the trial across 804 sites in 41 countries, half received once-weekly semaglutide and half received a placebo. 
  1. For the study, major adverse cardiovascular events were defined as cardiovascular death, non-fatal myocardial infarction and non-fatal stroke.

  2. Among those taking semaglutide, researchers found an average 4% reduction in major adverse cardiovascular event risk for every 5 kg loss of body weight and every 5 cm loss of waist circumference.

  3. Among the placebo group, lower baseline waist circumference was associated with a lower major adverse cardiovascular event risk.

    “Paradoxically,” weight loss among the placebo group was associated with an increased major adverse cardiovascular event risk, the study authors wrote.

  4. About 33% of the observed benefit on major adverse cardiovascular event risk associated with waist circumference, with greater waist circumference reduction at weeks 20 and 104 of the trial associated with lower major adverse cardiovascular event risk.

Read the full study here

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