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May 7, 2026Journal of Endocrinological InvestigationOpen Access

Shifts in waist-to-height ratio categories within tirzepatide groups: a post-hoc analysis of SURMOUNT-1

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Authors

NSNaveed SattarBTBeverly G. TchangRVRoyce P. Vincent

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Overview

Post-hoc analysis evaluates waist-to-height ratio improvements in adults treated with tirzepatide, suggesting lower cardiometabolic risks.

Key Points

  • This analysis aims to assess changes in waist-to-height ratio categories among adults treated with tirzepatide in the SURMOUNT-1 study. It explores the efficacy of tirzepatide in promoting better body composition outcomes.
  • Post hoc analysis of 2,538 participants from the SURMOUNT-1 Phase 3 trial.
  • Participants were randomized to receive tirzepatide (5, 10, or 15 mg) or placebo with a reduced-calorie diet and exercise.
  • Waist-to-height ratio categories were assessed using a mixed model for repeated measures. Shifts in categories were recorded from baseline to 72 and 176 weeks.
  • At baseline, 89.8% of participants had a WHtR > 0.59, and 0.1% had ≤ 0.49.
  • After 72 weeks, 16.7% of tirzepatide-treated participants achieved WHtR ≤ 0.49, compared to 9.6% with placebo.
  • At 176 weeks, among prediabetes participants, 12.2% achieved WHtR ≤ 0.49 with tirzepatide versus 9.3% with placebo.

Cite This Study

Sattar et al. (2026) studied this question.

synapsesocial.com/papers/69fc2c4b8b49bacb8b347eafhttps://doi.org/10.1007/s40618-026-02883-7
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