Osteoarthritis

Weight Loss Induced by Antiobesity Medications and All‐Cause Mortality Among Patients With Knee or Hip Osteoarthritis

Arthritis RheumatolPublished Target trial emulation using a population-based cohort

Authors' conclusion

In this population-based study, a slow-to-moderate, but not fast, rate of weight loss induced by antiobesity medications is associated with a lower risk of all-cause mortality in people with overweight or obesity and knee or hip OA.

Study context

Population
People with overweight or obesity and knee or hip osteoarthritis (OA), IQVIA Medical Research Database
Participants
6,524 people
Exposure
Slow-to-moderate (2%-10%) or fast (≥10%) weight loss induced by antiobesity medications within one year vs weight gain or stable
Outcome
All-cause mortality
Follow-up
5 years
Methodological detailsemulated hypothetical target trial, IQVIA Medical Research Database
  • Emulated hypothetical target trial
  • IQVIA Medical Research Database

Main finding

As reported in the abstract

Each group vs weight gain or stableHazard ratio (95% CI)
Slow-to-moderate weight loss
0.72(0.56–0.92)
Fast weight loss
0.99(0.67–1.44)

Observational data: associations, not effects.

Secondary outcomes

Incident hypertension, type 2 diabetes and VTE · 5 years

Dose-response protective effects of weight loss

CVD · 5 years

Slightly higher risk in fast weight loss vs weight gain or stable, not statistically significant

Cancer · 5 years

No significant relation of weight loss to risk

Original publication

Weight Loss Induced by Antiobesity Medications and All‐Cause Mortality Among Patients With Knee or Hip Osteoarthritis. Arthritis Rheumatol. Published 6 December 2023. doi:10.1002/art.42754

Composed by AI from the published abstract and checked against it. How Briefs are made →

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