Could anti-obesity meds help those with knee or hip osteoarthritis?

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Photo by Anna on Unsplash
Photo by Anna on Unsplash

A slow-to-moderate rate of weight loss, induced by anti-obesity medications, may lower the risk of death in overweight and obese people with osteoarthritis in their hips or knees, according to international researchers. The team analysed data from over 6,500 participants with knee or hip osteoarthritis taking orlistat, sibutramine, or rimonabant. Compared with those who gained or kept a stable weight, the risk of death for those who lost weight at a slow-to-moderate rate was 28% lower over five years. For those who lost weight quickly, the risk of death was only 1% lower than those who gained or kept a steady weight.

News release

From: Wiley

Could anti-obesity medications affect survival in people with knee or hip osteoarthritis?

New research published in Arthritis & Rheumatology suggests that for people overweight or with obesity who also have knee or hip osteoarthritis, a slow-to-moderate—but not fast—rate of weight loss caused by anti-obesity medications may lower their risk of premature death.

Among 6,524 participants with knee or hip osteoarthritis who were taking orlistat, sibutramine, or rimonabant, the 5-year death rate was 5.3%, 4.0%, and 5.4% for the “weight gain/stable”, “slow-to-moderate weight loss,” and “fast weight loss” groups, respectively. Compared with the “weight gain/stable” group,” the risk of death was 28% lower for the “slow-to-moderate weight loss” group and only 1% lower for the “fast weight loss” arm.

"A slow-to-moderate rate of weight loss induced by anti-obesity medications may lower the risk of death in overweight/obese people with knee/hip osteoarthritis", said first author Jie Wei, PhD, of Xiangya Hospital, Central South University, in China.

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Journal/
conference:
Arthritis & Rheumatology
Research:Paper
Organisation/s: Central South University, China
Funder: Supported by the National Key Research and Development Plan (2022YFC3601900 to Dr. Lei; 2022YFC2505500 to Dr. Zeng), the National Natural Science Foundation of China (81930071 and U21A20352 to Dr. Lei; 82072502 to Dr. Zeng), the Project Programof National Clinical Research Center for Geriatric Disorders (2021LNJJ06 to Dr. Wei; 2022LNJJ07 to Dr. Zeng), the Natural Science Foundation of Hunan Province (2022JJ20100 to Dr.Wei), the Central South University Innovation-Driven Research Programme (2023CXQD031 to Dr. Zeng), and the Science and Technology Innovation Program of Hunan Province (2022RC1009 to Dr. Wei; 2022RC3075 to Dr. Zeng). No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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