Scientific paper 2026
Pharmaceuticals (Basel, Switzerland)

Optimizing Weight Loss in the GLP-1 Era: Preserving Muscle Mass, Function and Metabolic Health Through Precision Nutrition and Resistance Training.

Edgar Sancho-Haro, Mario Muñoz-López, Eneko Baz-Valle, Carlota Valeria Villanueva-Tobaldo, José Francisco Tornero-Aguilera, José Francisco López-Gil, Miguel López-Moreno, Alexandra Martín-Rodríguez, Vicente Javier Clemente-Suárez

Resumen científico

Lo esencial en menos de un minuto.

Total body weight is a composite, tissue-nonspecific endpoint that fails to distinguish between adipose reduction and losses in skeletal muscle mass, strength, and physical function-compartments of direct relevance to metabolic health, functional independence, and long-term resilience. This narrative review builds on and extends existing conceptualizations of weight loss quality by proposing a clinically oriented, multidimensional framework of high-quality weight loss.

QUÉ ABORDA

¿Qué cuestión aborda?

The emergence of glucagon-like peptide-1 receptor agonists (GLP-1RAs) and dual incretin-based therapies has fundamentally transformed obesity pharmacotherapy, enabling magnitudes of non-surgical weight loss that were previously unattainable. Yet, the clinical success of these treatments cannot be measured in kilograms alone.

QUÉ APORTA

Qué aporta el artículo

Total body weight is a composite, tissue-nonspecific endpoint that fails to distinguish between adipose reduction and losses in skeletal muscle mass, strength, and physical function-compartments of direct relevance to metabolic health, functional independence, and long-term resilience. This narrative review builds on and extends existing conceptualizations of weight loss quality by proposing a clinically oriented, multidimensional framework of high-quality weight loss.

INTERPRETACIÓN

Qué significa

We then evaluate the evidence supporting precision protein nutrition, dietary fiber adequacy, and gastrointestinal tolerability management as nutritional countermeasures, followed by a mechanistic and clinical analysis of resistance training as the primary exercise strategy for preserving lean mass and function.

Publicación original

Pharmaceuticals (Basel, Switzerland) · 2026

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