Prevention & lipidsCohort study

Body composition changes in patients on GLP-1 receptor agonists undergoing an intensive cardiac rehabilitation program

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • single-centre

Authors' conclusion

GLP-1 receptor agonist use during intensive cardiac rehabilitation was not associated with significantly different skeletal muscles mass changes after adjustment for measured covariates.

Study context

Population
Patients enrolled in a structured Pritikin intensive cardiac rehabilitation program, UC San Diego Health, 2017–2024
Participants
468 patients
Exposure
GLP-1 RA use vs no GLP-1 RA use during intensive cardiac rehabilitation
  • GLP-1 RAn = 67
Outcome
Percent change in skeletal muscle mass (bioelectrical impedance analysis (BIA))
Follow-up
Baseline to ICR program completion

Main finding

Percent change in skeletal muscle mass (SMM) · baseline to program completion

β

0.62 %

95% CI −0.62 to 1.86

P = 0.326

As reported in the abstract

Observational data: associations, not effects.

Further findings

Percent change in fat mass (FM) · baseline to Intensive Cardiac Rehabilitation (ICR) program completion

No significant between-group difference in percent change in FM
β = 3.01%, 95% CI −1.64 to 7.66; p = 0.204
  • adjusted analyses

Metabolic equivalents of task (METs)

Both groups improved in METs with ICR
P < 0.001

Original publication

Body composition changes in patients on GLP-1 receptor agonists undergoing an intensive cardiac rehabilitation program. Eur J Prev Cardiol. Published 21 May 2026. doi:10.1093/eurjpc/zwag279

Summarised from the published abstract; every number is checked against it