721 findings · Energy balance · published 2025+
- Energy balanceStrong
Tirzepatide significantly reduced body weight, BMI, and waist circumference compared with placebo.
Tirzepatide may be an effective treatment for reducing body weight and improving BMI in Chinese adults.
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Ecnoglutide produced mean weight loss of –9.9% (1.2 mg), –13.3% (1.8 mg), and –15.4% (2.4 mg) from baseline at 48 weeks, compared with –0.3% with placebo.
Ecnoglutide is effective for weight loss in Asian populations.
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78%–93% of participants achieved ≥5% weight reduction with ecnoglutide.
A significant proportion of users can expect meaningful weight loss.
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Weight-reduced patients lost 7.2% total body weight (TBW) versus 10.3% in non-weight-reduced patients (p < 0.001).
Practitioners should consider weight-reduction status when evaluating weight loss outcomes with tirzepatide.
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Patients switching from semaglutide due to plateau lost 8.1% TBW versus 2.9% for non-responders (p < 0.001).
Switching from semaglutide may yield different weight loss results based on prior response.
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Consuming protein three times a day results in an increase in lean mass of 1.15 kg after 8 weeks of resistance training.
Practitioners can recommend three protein meals per day to support muscle gain.
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Consuming protein five times a day results in an increase in lean mass of 0.63 kg after 8 weeks of resistance training.
Practitioners can recommend five protein meals per day to support muscle gain.
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Daily protein intake in patients' usual diets was below the recommended levels.
It is important to assess and address protein intake in patients with chronic lung disease.
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The optimal SPAN combination of 8.0-9.4 h/day sleep, 42-104 min/day MVPA, and a DQS of 32.5-50.0 was associated with a 57% lower risk of major adverse cardiovascular events (MACE) (HR: 0.43; 95% CI: 0.30, 0.62).
Practitioners should encourage optimal sleep, physical activity, and nutrition combinations to reduce cardiovascular event risk.
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A minimum combined variation of an additional 11 min/day of sleep, 4.5 min/day MVPA, and 3 DQS points was associated with 10% lower MACE risk (HR: 0.90; 0.88, 0.94).
Small improvements in sleep, activity, and diet can significantly reduce cardiovascular event risk.
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Progressive overload, intensity management, and flexible dieting are more effective and sustainable than other methods.
Practitioners should focus on progressive overload and flexible dieting for better results.
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Cardiovascular training, when properly integrated, does not hinder muscle growth.
Incorporating cardiovascular training can be beneficial without compromising muscle growth.
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Higher adherence to whole food plant-based (WFPB) and vegan diets is significantly associated with lower BMI.
Encouraging adherence to WFPB and vegan diets may help individuals achieve lower body weight.
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Fully plant-based diets (WFPB and vegan) have the healthiest Healthy Eating Index (HEI) scores and BMIs.
Promoting fully plant-based diets may lead to improved diet quality and health outcomes.
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AOM use prior to BMS is associated with significantly higher weight loss until the day of surgery (1.37 vs. 0.05; p = 0.04).
Practitioners may consider AOMs as a beneficial preoperative strategy for weight loss in bariatric surgery candidates.
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Lifestyle therapies, including weight loss and diet, are effective for managing obesity-related hypertension.
Encouraging weight loss and dietary changes can be beneficial for patients with obesity-related hypertension.
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New dietary interventions are poised to overtake traditional strategies as the ideal approach to achieving sustained weight loss for obesity-associated hypertension patients.
Practitioners should consider implementing new dietary interventions for better weight loss outcomes in patients.
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Obesity has been associated with an increased risk of all-cause and cardiovascular mortality.
Awareness of the mortality risks associated with obesity is essential for patient management.
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Lessened emotional eating is significantly associated with concurrent reductions in weight and waist circumference.
Reducing emotional eating can be an effective strategy for achieving weight loss and waist circumference reduction.
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Median time to maintenance was significantly shorter for Tirzepatide (32 days) than Semaglutide (143 days).
Practitioners may prefer Tirzepatide for quicker dose optimization.
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Obesity medications (OMs) produce meaningful weight loss (∼5%-24%) and improve cardiometabolic health.
Practitioners can expect significant weight loss and health benefits from OMs.
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At 15 months, total body weight loss (TBWL) was greater in mild versus severe IMS groups (14.8% vs. 11.0%, p = 0.015).
Clinicians should consider IMS severity when predicting weight loss outcomes with tirzepatide.
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The proportion achieving ≥ 20% TBWL was nearly two-fold higher in mild versus severe IMS (27% vs. 14%, p = 0.03).
Higher IMS severity is associated with lower chances of achieving significant weight loss with tirzepatide.
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The nutritional guidance-only group experienced the most pronounced reduction in body mass.
Nutritional guidance alone can lead to significant weight loss in overweight and obese women.
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