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Weight-Loss Injections Improve Asthma Control in Obese Patients

A large observational study found obese asthma patients on GLP-1 receptor agonists experienced improved respiratory outcomes independent of weight loss.

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Overview

  • The peer-reviewed analysis of over 60,000 obese patients compared 10,111 GLP-1 RA users with 50,555 non-users and showed better asthma control despite only about 0.9 kg average weight loss.
  • Treated patients required fewer steroid prescriptions and rescue inhalers, highlighting real-world reductions in medication use among GLP-1 RA recipients.
  • Researchers propose that agents like semaglutide and tirzepatide reduce airway inflammation through mechanisms distinct from traditional steroids, offering hope for steroid-resistant asthma.
  • Experts call for randomized controlled trials to validate these observational findings, clarify anti-inflammatory pathways and ensure safety before incorporating GLP-1 RAs into asthma guidelines.
  • The respiratory benefits build on evidence of cardiovascular, cognitive and mental-health gains from GLP-1 therapies as regulators continue to assess pancreatitis and gastrointestinal safety signals.