Anti-obesity medications based on incretin hormones have advanced weight control and metabolic health in individuals with obesity. The long-term success of obesity therapeutics could be facilitated by exercise, a vital metabolic ally in enhancing treatment efficacy.
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References
Jensen, S. B. K. et al. Healthy weight loss maintenance with exercise, GLP-1 receptor agonist, or both combined followed by one year without treatment: a post-treatment analysis of a randomised placebo-controlled trial. EClinicalMedicine 69, 102475 (2024).
Ansari, S., Khoo, B. & Tan, T. Targeting the incretin system in obesity and type 2 diabetes mellitus. Nat. Rev. Endocrinol. https://doi.org/10.1038/s41574-024-00979-9 (2024).
Jastreboff, A. M. et al. Triple–hormone-receptor agonist retatrutide for obesity — a phase 2 trial. New Eng. J. Med. 389, 514–526 (2023).
Jensen, S. B. K. et al. Weight loss maintenance with exercise and liraglutide improves glucose tolerance, glucagon response, and beta cell function. Obesity 31, 977–989 (2023).
Lincoff, A. M. et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. New Eng. J. of Med. 389, 2221–2232 (2023).
García-Vega, D. et al. Semaglutide modulates prothrombotic and atherosclerotic mechanisms, associated with epicardial fat, neutrophils and endothelial cells network. Cardiovasc. Diabetol. 23, 1 (2024).
Ashcroft, S. P., Stocks, B., Egan, B. & Zierath, J. R. Exercise induces tissue-specific adaptations to enhance cardiometabolic health. Cell Metab. 36, 278–300 (2024).
Corbin, K. D. et al. Glucagon-like peptide-1/glucagon receptor agonism associates with reduced metabolic adaptation and higher fat oxidation: A randomized trial. Obesity 31, 350–362 (2023).
Melson, E., Ashraf, U., Papamargaritis, D. & Davies, M. J. What is the pipeline for future medications for obesity? Int. J. Obes. https://doi.org/10.1038/s41366-024-01473-y (2024).
Herrou, J. et al. Narrative review of effects of glucagon-like peptide-1 receptor agonists on bone health in people living with obesity. Calcif. Tissue Int. 114, 86–97 (2024).
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Javier Butragueño has served as a speaker for exercise training sessions for Novo Nordisk Inc. and Eli Lilly Inc. Jonatan R. Ruiz declares no competing interests.
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Butragueño, J., Ruiz, J.R. Metabolic alliance: pharmacotherapy and exercise management of obesity. Nat Rev Endocrinol (2024). https://doi.org/10.1038/s41574-024-01006-7
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DOI: https://doi.org/10.1038/s41574-024-01006-7