In postmenopausal women, obesity increases the risk of physical function decline, premature aging, and vascular dysfunction. Semaglutide and tirzepatide are potent obesity medications. The goal is to determine the effect of weight loss induced by the new generation of GLP-1 receptor agonists on physical function, aging biomarkers, and vascular function in postmenopausal women with obesity.
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Physical Function Measure: Short Physical Performance Battery (SPPB) score.
Timeframe: 24 weeks
Physical Function Measure: Modified Clinical Test of Sensory Interaction in Balance (mCTSIB) performed on the Rehabilitation Artificial Physical Intelligence Database (RAPID) foot pressure mat
Timeframe: 24 weeks
Physical Function Measure: Standing Chest Throw Test with a 2-kg Weighted Ball using Motion Sensor Technology (MST)
Timeframe: 24 weeks
Physical Function Measure: Chair-to-Stand Tests using Motion Sensor Technology (MST)
Timeframe: 24 weeks
Physical Function Measure: Six-Minute Walk Test (6MWT)
Timeframe: 24 weeks
Physical Function Measure: Hand Grip Strength using a Hydraulic Hand Dynamometer
Timeframe: 24 weeks
Physical Function Measure: Short Form-12 (SF-12) Health Survey
Timeframe: 24 weeks
Physical Function Measure: Patient-Reported Outcomes Measurement Information System (PROMIS) - Fatigue and Physical Function Domains
Timeframe: 24 weeks
Aging Biomarkers: Cellular Senescence Markers in Plasma
Timeframe: 24 weeks
Difference between biological and chronological age
Timeframe: 24 weeks
Vascular Function Assessment: Reactive Hyperemia Index (RHI) using EndoPAT
Timeframe: 24 weeks