Resumen de Investigación
Analyzed using Evidence Intelligence™

Semaglutide and Canagliflozin show similar effects on body composition

Última actualización 12 de septiembre de 2026

Key finding

Total fat mass was reduced by 3.4 kg with semaglutide.

This study compared the effects of Semaglutide and Canagliflozin on body composition in adults with Type 2 Diabetes, finding greater reductions in fat and lean mass with Semaglutide.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared the effects of Semaglutide and Canagliflozin on body composition in adults with Type 2 Diabetes, finding greater reductions in fat and lean mass with Semaglutide.

Clinical relevance

Understanding the differential effects of Semaglutide and Canagliflozin on body composition is crucial for clinicians managing Type 2 Diabetes. These findings suggest that Semaglutide may offer superior benefits in reducing body fat and lean mass, which can influence treatment decisions and improve patient outcomes.

Keep in mind

Unclear effectiveness of interventions due to lack of p-values. Limited generalizability due to specific population characteristics. Potential confounding factors not measured.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Rory JM, Andrei-Mircea C, Juan PF, et al. Effects of Semaglutide vs Canagliflozin on Body Composition in Adults with Type 2 Diabetes. Diabetologia. 2020;63(3):473-485. doi:10.1007/s00125-019-05065-8

Efectos Principales

Semaglutide reduced total fat mass by 3.4 kg.

Canagliflozin reduced total fat mass by 2.6 kg.

Semaglutide reduced total lean mass by 2.3 kg.

Canagliflozin reduced total lean mass by 1.5 kg.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Canagliflozin, Semaglutide and Body fat mass, Lean body mass, Percentage change in visceral fat mass.

Primary intervention

Canagliflozin

Primary outcomes

  • Body fat mass
  • Lean body mass
  • Percentage change in visceral fat mass

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

4

Related topics

6

Evidence pairs

663

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

GLP-1 Receptor Agonists and Body Composition

Evidencia relacionada

Relación de evidencia

SGLT2 Inhibitors and Body Composition

Guardar evidencia

Tema de evidencia

Body Composition

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Body fat mass

Canagliflozin → Body fat mass

Canagliflozin → Body fat mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Lean body mass

Canagliflozin → Lean body mass

Canagliflozin → Lean body mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Percentage change in visceral fat mass

Canagliflozin → Percentage change in visceral fat mass

Canagliflozin → Percentage change in visceral fat mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Body fat mass

Semaglutide → Body fat mass

Semaglutide → Body fat mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Lean body mass

Semaglutide → Lean body mass

Semaglutide → Lean body mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Percentage change in visceral fat mass

Semaglutide → Percentage change in visceral fat mass

Semaglutide → Percentage change in visceral fat mass

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

La Evidencia Sugiere

  • Semaglutide led to a 3.4 kg reduction in total fat mass.
  • Canagliflozin resulted in a 2.6 kg reduction in total fat mass.
  • Total lean mass decreased by 2.3 kg with Semaglutide.
who this applies

A quién se aplica

  • Adults with Type 2 Diabetes.
  • Participants receiving pharmacological treatment for diabetes.
keep in mind

Tener en Cuenta

  • Results may not be applicable to populations outside the study.
  • Effectiveness data are unclear due to missing p-values.
  • Further research is needed to confirm findings in diverse populations.
between the lines

Entre Líneas

  • Unclear effectiveness of interventions due to lack of p-values.
  • Limited generalizability due to specific population characteristics.
  • Potential confounding factors not measured.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on SGLT2 Inhibitors and Body Composition, SGLT2 Inhibitors and Body Composition.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Do GLP-1 Receptor Agonists improve body composition?

Strong Evidence

GLP-1 Receptor Agonists may improve body composition.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

  2. 2

    Lean body mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 12 supporting studies with consistent results and a positive effect signal.

12 supporting studies

Do SGLT2 Inhibitors improve body composition?

Strong Evidence

SGLT2 Inhibitors appear to improve body composition.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

  2. 2

    Lean body mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

3 supporting studies

Does Canagliflozin improve percentage change in visceral fat mass?

Emerging Evidence

Canagliflozin appears to improve percentage change in visceral fat mass.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage change in visceral fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Semaglutide improve percentage change in visceral fat mass?

Emerging Evidence

Semaglutide appears to improve percentage change in visceral fat mass.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage change in visceral fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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