
09 Apr Study Suggests GLP-1 Obesity Drugs Associated with Lower Risk of Dementia
MedicalResearch.com Interview with:

Dr. Reddin
Dr. Catriona Reddin MD
Fourth year Specialist Registrar in Geriatric Medicine and
an Irish Clinical Academic Training (ICAT) fellow
University Hospital Galway, Galway, Ireland
MedicalResearch.com: What is the background for this study?
Response: Dementia is a leading cause of disability globally, which is projected to affect approximately 75 million people by 2030. Diabetes mellitus is a risk factor for dementia, it was unclear if glucose lower therapies reduce the risk of dementia. The research, a systematic review and meta-analysis of 26 clinical trials involving over 160,000 participants, found that while most glucose-lowering therapies were not significantly associated with a reduction in dementia risk, one class of drugs—GLP-1Ras—was linked to a significant reduction.
MedicalResearch.com: What are the main findings?
Response: We report that GLP-1 receptor agonists (GLP-1Ras) were linked to a 45% lower risk of dementia compared to control (placebo).
MedicalResearch.com: How long did patients need to be on these drugs to have an effect?
Response: The duration of follow up of included trials differed. The average follow-up was 31.4 months. We highlight this relatively short duration of follow-up as a limitation of our study
MedicalResearch.com: What should readers take away from your report?
Response: Our findings suggest that glucose lowering therapy with GLP-1Ras are linked with lower risk of dementia. It’s possible that they may play a role as a preventative measure in the future. For example our findings may have implications for choice of glucose-lowering therapy in patients with diabetes mellitus and higher risk of dementia. However, large trials should be conducted to specifically study the effect of glucose-lowering therapy on dementia and cognitive decline. There are a number of trials ongoing looking at the effect of glucose lowering medications on cognition.
MedicalResearch.com: What recommendations do you have for future research as a results of this study?
Response: Large trials randomised controlled trials should be conducted to specifically study the effect of glucose-lowering therapy on dementia and cognitive decline and dementia. There are a number of trials ongoing looking at the effect of glucose lowering medications on cognition.
MedicalResearch.com: Is there anything else you would like to add? Any disclosures?
Response: This study was led by two undergraduate medical students of University of Galway; Allie Seminer and Alfredi Mulihano. No disclosures.
Citation:
Seminer A, Mulihano A, O’Brien C, et al. Cardioprotective Glucose-Lowering Agents and Dementia Risk: A Systematic Review and Meta-Analysis. JAMA Neurol. Published online April 07, 2025. doi:10.1001/jamaneurol.2025.0360
https://jamanetwork.com/journals/jamaneurology/fullarticle/2831975
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Last Updated on April 9, 2025 by Marie Benz MD FAAD