Research Summary
Analyzed using Evidence Intelligence™

Tirzepatide improves cardiometabolic health in obesity.

Last updated July 11, 2026

Key finding

Mean BMI reductions were greater in those who improved BMI category (SURMOUNT-1: -8.90 kg/m²).

Tirzepatide treatment significantly improved cardiometabolic risk factors in adults with obesity or overweight.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

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

Tirzepatide treatment significantly improved cardiometabolic risk factors in adults with obesity or overweight.

Clinical relevance

The findings highlight the potential of tirzepatide as an effective treatment option for managing obesity and its associated health risks. By improving key cardiometabolic factors, tirzepatide may help reduce the incidence of conditions such as diabetes and cardiovascular disease, ultimately enhancing patient outcomes and quality of life.

Keep in mind

Effectiveness data remained unclear for some outcomes. Study design may limit generalizability to broader populations. Sample size and demographic diversity were not specified.

Published in

Journal Reference

Publication details and source links for this paper.

Naveed S, Clare JL, Reshmi S, et al. Tirzepatide treatment improves cardiometabolic risk factors in adults with obesity or overweight. American Journal of Preventive Cardiology. 2026;26:101454. doi:10.1016/j.ajpc.2026.101454

Main Effects

Mean BMI reductions of -8.90 kg/m² and -10.47 kg/m² were observed in participants treated with tirzepatide.

Significant decreases in body weight were noted in participants receiving tirzepatide.

Waist circumference and fasting insulin levels decreased significantly in the tirzepatide group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Tirzepatide and BMI, Body weight, Diastolic blood pressure, and 6 more.

Primary intervention

Tirzepatide

Primary outcomes

  • BMI
  • Body weight
  • Diastolic blood pressure

Evidence relationships

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

9
Evidence pairs
9
Relationships
5
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: 72

5

Related topics

9

Evidence pairs

568

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 5 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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Primary evidence

Evidence relationship

GLP-1 Receptor Agonists and Body Weight

Related evidence

Evidence relationship

GLP-1 Receptor Agonists and HbA1c

Follow evidence

Evidence relationship

GLP-1 Receptor Agonists and Fasting Glucose

Follow evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Tirzepatide → BMI

Tirzepatide → BMI

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Unlock full evidence details

Body weight

Tirzepatide → Body weight

Tirzepatide → Body weight

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
84
Strong
ConsistencyScore™
100
consistent
Supporting studies: Based on 8 studies
Unlock full evidence details

Diastolic blood pressure

Tirzepatide → Diastolic blood pressure

Tirzepatide → Diastolic blood pressure

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Unlock full evidence details

Fasting insulin levels

Tirzepatide → Fasting insulin levels

Tirzepatide → Fasting insulin levels

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Unlock full evidence details

Fasting Plasma Glucose (FPG)

Tirzepatide → Fasting Plasma Glucose (FPG)

Tirzepatide → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
ImpactScore™
75
Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Unlock full evidence details

HbA1c

Tirzepatide → HbA1c

Tirzepatide → HbA1c

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
85
Strong
ConsistencyScore™
100
consistent
Supporting studies: Based on 9 studies
Unlock full evidence details

Longitudinal changes in cardiometabolic risk factors

Tirzepatide → Longitudinal changes in cardiometabolic risk factors

Tirzepatide → Longitudinal changes in cardiometabolic risk factors

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
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Systolic blood pressure

Tirzepatide → Systolic blood pressure

Tirzepatide → Systolic blood pressure

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Unlock full evidence details

Waist circumference

Tirzepatide → Waist circumference

Tirzepatide → Waist circumference

Evidence Intelligence™
ImpactScore™
83
Positive
EvidenceScore™
77
Strong
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
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evidence suggest

Evidence Suggest

  • Tirzepatide treatment resulted in significant reductions in body weight and waist circumference.
  • Fasting insulin and glucose levels decreased significantly with tirzepatide.
  • Improvements in blood pressure and lipid profiles were observed in participants.
who this applies

Who this applies to

  • Adults aged 18 and older with obesity or overweight.
  • Individuals seeking pharmacological interventions for weight management.
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside the study's demographic.
  • Long-term effects and safety of tirzepatide require further investigation.
  • The study did not provide p-values for some outcomes, limiting statistical interpretation.
between the lines

Between the Lines

  • Effectiveness data remained unclear for some outcomes.
  • Study design may limit generalizability to broader populations.
  • Sample size and demographic diversity were not specified.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on GLP-1 Receptor Agonists and HbA1c, GLP-1 Receptor Agonists and Body Weight.

Related evidence relationships

Explore in Evidence Archive

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™.

Does GLP-1 Receptor Agonists affect body weight?

Strong Evidence

GLP-1 Receptor Agonists may improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Strong | EvidenceScore™ 84.4 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 25 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
25 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve HbA1c?

Strong Evidence

GLP-1 Receptor Agonists appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 84.6 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 25 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
25 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve fasting glucose?

Strong Evidence

GLP-1 Receptor Agonists may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 8 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists affect body mass index?

Strong Evidence

GLP-1 Receptor Agonists may improve Body Mass Index.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Population details are unavailable.
12 supporting studiesUpdated: Jul 2026
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