Glucagon-like Peptide 1 (GLP-1) Receptor Agonist Therapy and Exercise Training in People With Obesity

Inclusion Criteria: * i) obesity (Body Mass Index ≥ 30 kg/m2) * ii) decreased physical function (Modified Physical Performance Test score 17 to 31) * iii) approval of their primary physician to participate in this study. Exclusion Criteria: * i) unstable weight (\>4% change during the last 2 months before entering the study) * ii) ≥150 min per week of structured exercise (e.g., jogging, activities that cause heavy breathing and sweating) * iii) diabetes * iv) significant cardiopulmonary disease (heart failure, angina, uncontrolled hypertension, chronic obstructive pulmonary disease) or other organ dysfunction (e.g., renal insufficiency \[eGFR \<30 mL/min/1.73 m2\]) * v) therapy with a GLP-1 or other weight loss medications * vi) clinically significant gastric emptying abnormality or chronically take drugs that directly affect gastrointestinal motility * vii) history of chronic or acute pancreatitis * viii) thyroid-stimulating hormone (TSH) \>1.5X the upper limit of normal (patients receiving treatment for hypothyroidism may be included provided their thyroid hormone replacement dose has been stable for at least 3 months) * ix) history of significantly active or unstable Major Depressive Disorder or other severe psychiatric disorder (e.g. schizophrenia, bipolar disorder, or other serious mood or anxiety disorder) within the last 2 months that would interfere with study participation * x) acute or chronic hepatitis, or other liver disease other than Metabolic dysfunction-Ass…