Get HCM digital magazine and ezines FREE
Sign up here ▸
Jobs   News   Features   Products   Magazine      Advertise  
Editor's letter
Doom scenario

Research from the University of Oxford has found people on weight loss drugs revert to their original weight after 10-20 months, making it vital we champion the role of exercise and behaviour change


When weight loss drugs hit the market, clinical trials showed their use led to loss of muscle mass unless the user exercised, yet the only reference to this came in the small print, along with the contra-indications, leaving consumers unaware of the trap they were walking into.

It quickly became clear that up to 40 per cent loss of muscle mass was being experienced if people took the drugs without exercise, with an impact on heart muscle.

Now, research from the University of Oxford has found weight loss which occurs as a result of drug use is not as enduring as that achieved by conventional dieting.

Bearing in mind the clinical limit of two years for taking weight loss medication, the research team found people returned to their original weight between 10 and 20 months after stopping injections, depending on the drug. This contrasts with 60 months with conventional dieting.

The difference is attributed to the fact that taking weight loss drugs doesn’t require behaviour change, so people revert as soon as the drugs are stopped.

People studied lost an average of 8kg on older-style drugs and 16kg on newer ones, such as Wegovy (semaglutide) and Mounjaro (tirzepatide), regaining all the weight in 10 months after the use of the older drugs and 20 months after the newer, stronger ones.

This new insight must change the way we approach the optimisation of weight loss drugs, while the overall response to this news – with its lack of reference to the importance of exercise – is concerning.

We can run a doom scenario where the worst outcome for people on these drugs – who do not exercise – will be to lose muscle mass and heart muscle and then regain their body mass with a greater proportion of body fat within a year or two.

They will have less energy-producing lean muscle tissue, meaning their metabolic rate will drop, so they will not be able to consume so many nutrients.

There will also be a greater burden on a weakened heart, less resilience, less stable joints and rapidly accelerated physiological ageing.

If this outcome transpires, within as little as two years we’re likely to have a growing cohort of people who are experiencing rapid ageing and a whole raft of metabolic and heart-related health issues and reduced quality of life.

The industry must step up to be part of the solution to this, to help individuals and society avoid catastrophic outcomes at a time of falling health budgets.

Liz Terry, editor
[email protected]

FEATURED SUPPLIERS

Cornerstone Connect helps Active Blackpool tackle health inequalities
Active Blackpool is deploying Cornerstone Connect, a new digital interface allowing disparate information from multiple systems to be aggregated into one dataset, to support its focus on reducing health inequalities and improving healthy life expectancy. [more...]

CoverMe extends matching service to personal training, rewriting how members and personal trainers connect
CoverMe, the global leader in fitness workforce management, today launches CoverMe PT, an on-demand personal training platform that connects the right personal trainer to the right client in under 10 seconds. [more...]
+ More featured suppliers  
COMPANY PROFILES
The Fitness Group Education

The Fitness Group provides education and workforce development for learners and fitness operators. [more...]
Life Fitness/Hammer Strength

Life Fitness / Hammer Strength works with some of the world’s most recognised hospitality brands, su [more...]
+ More profiles  
CATALOGUE GALLERY
 
+ More catalogues  

DIRECTORY
+ More directory  
DIARY

 

03-05 Jul 2026

World Championship in Massage

Copenhagen, Copenhagen, Denmark
23-26 Aug 2026

Elevate Spa Riviera Maya Edition

The Riviera Maya Edition Kanai, Playa del Carmen, Mexico
+ More diary  
 
ABOUT LEISURE MEDIA
LEISURE MEDIA MAGAZINES
LEISURE MEDIA HANDBOOKS
LEISURE MEDIA WEBSITES
LEISURE MEDIA PRODUCT SEARCH
 
HCM
LEISURE OPPORTUNITIES
HEALTH CLUB HANDBOOK
PRINT SUBSCRIPTIONS
FREE DIGITAL SUBSCRIPTIONS
ADVERTISE . CONTACT US

Leisure Media
Tel: +44 (0)1462 431385

©Cybertrek 2026
Get HCM digital magazine and ezines FREE
Sign up here ▸
Jobs    News   Products   Magazine
Editor's letter
Doom scenario

Research from the University of Oxford has found people on weight loss drugs revert to their original weight after 10-20 months, making it vital we champion the role of exercise and behaviour change


When weight loss drugs hit the market, clinical trials showed their use led to loss of muscle mass unless the user exercised, yet the only reference to this came in the small print, along with the contra-indications, leaving consumers unaware of the trap they were walking into.

It quickly became clear that up to 40 per cent loss of muscle mass was being experienced if people took the drugs without exercise, with an impact on heart muscle.

Now, research from the University of Oxford has found weight loss which occurs as a result of drug use is not as enduring as that achieved by conventional dieting.

Bearing in mind the clinical limit of two years for taking weight loss medication, the research team found people returned to their original weight between 10 and 20 months after stopping injections, depending on the drug. This contrasts with 60 months with conventional dieting.

The difference is attributed to the fact that taking weight loss drugs doesn’t require behaviour change, so people revert as soon as the drugs are stopped.

People studied lost an average of 8kg on older-style drugs and 16kg on newer ones, such as Wegovy (semaglutide) and Mounjaro (tirzepatide), regaining all the weight in 10 months after the use of the older drugs and 20 months after the newer, stronger ones.

This new insight must change the way we approach the optimisation of weight loss drugs, while the overall response to this news – with its lack of reference to the importance of exercise – is concerning.

We can run a doom scenario where the worst outcome for people on these drugs – who do not exercise – will be to lose muscle mass and heart muscle and then regain their body mass with a greater proportion of body fat within a year or two.

They will have less energy-producing lean muscle tissue, meaning their metabolic rate will drop, so they will not be able to consume so many nutrients.

There will also be a greater burden on a weakened heart, less resilience, less stable joints and rapidly accelerated physiological ageing.

If this outcome transpires, within as little as two years we’re likely to have a growing cohort of people who are experiencing rapid ageing and a whole raft of metabolic and heart-related health issues and reduced quality of life.

The industry must step up to be part of the solution to this, to help individuals and society avoid catastrophic outcomes at a time of falling health budgets.

Liz Terry, editor
[email protected]

LATEST NEWS
Industry veterans partner to launch women-only strength brand, LiftHer
An ambitious women’s-only strength and lifting studio concept is set to launch in Dallas this September, with a wider US rollout already in active development.
Omnigym collaborates on an outdoor gym for homeless people
Finnish outdoor fitness equipment specialist, Omnigym, has partnered with charity, Emmaüs Solidarité, to launch an outdoor gym installation at a homeless shelter in Paris.
Virgin Active opens social wellness club in London's Mayfair
Basic-Fit expands German footprint with €52m Wellyou acquisition
Europe’s largest low-cost operator Basic-Fit has agreed to acquire 41 Wellyou clubs in Germany for €52m.
Myzone report shows importance of longevity and social connection
Longevity is the most important motivator for today’s exercisers and social connection is key, according to a report by Myzone.
Until combines multiple disciplines at new Canary Wharf club
Until has opened its fourth club at Canary Wharf, in the iconic YY London building.
Ben Allen appointed managing director at Common Bond
Ben Allen has been appointed managing director at Common Bond. Having set the company up for growth, Robert Rowland now steps into an advisory role.
Industry mourns the loss of Les Mills, a founding father of fitness
Les Mills, whose name became synonymous with one of the world's leading fitness brands, has passed away peacefully at the age of 91.
HCM News: Taking GLP-1s is linked to a decline in physical activity
People taking GLP-1 weight loss medications such as Ozempic, Wegovy, Mounjaro and Zepbound may be losing weight, but they’re also becoming less physically active, according to new research presented at the ENDO 2026 annual meeting of the Endocrine Society
PureGym pilots touchless Recovery Zones in London and Manchester
Low-cost gym operator, PureGym, is trialling recovery zones at two of its UK sites, democratising what was previously a premium experience.
New CIMSPA standards upskill coaches and swimming teachers in mental health
In a milestone moment, mental health has become a core part of CIMSPA’s occupational professional standards.
EoS Fitness is the next budget chain to offer reformer Pilates
US high-value, low-price chain, Eos Fitness, has announced plans to pilot reformer Pilates in three locations this year.
+ More news   
 
FEATURED SUPPLIERS

Cornerstone Connect helps Active Blackpool tackle health inequalities
Active Blackpool is deploying Cornerstone Connect, a new digital interface allowing disparate information from multiple systems to be aggregated into one dataset, to support its focus on reducing health inequalities and improving healthy life expectancy. [more...]

CoverMe extends matching service to personal training, rewriting how members and personal trainers connect
CoverMe, the global leader in fitness workforce management, today launches CoverMe PT, an on-demand personal training platform that connects the right personal trainer to the right client in under 10 seconds. [more...]
+ More featured suppliers  
COMPANY PROFILES
The Fitness Group Education

The Fitness Group provides education and workforce development for learners and fitness operators. [more...]
+ More profiles  
CATALOGUE GALLERY
+ More catalogues  

DIRECTORY
+ More directory  
DIARY

 

03-05 Jul 2026

World Championship in Massage

Copenhagen, Copenhagen, Denmark
23-26 Aug 2026

Elevate Spa Riviera Maya Edition

The Riviera Maya Edition Kanai, Playa del Carmen, Mexico
+ More diary  
 


ADVERTISE . CONTACT US

Leisure Media
Tel: +44 (0)1462 431385

©Cybertrek 2026

ABOUT LEISURE MEDIA
LEISURE MEDIA MAGAZINES
LEISURE MEDIA HANDBOOKS
LEISURE MEDIA WEBSITES
LEISURE MEDIA PRODUCT SEARCH
PRINT SUBSCRIPTIONS
FREE DIGITAL SUBSCRIPTIONS