Early prediction of changes in weight during six weeks of treatment with antidepressants

被引:33
作者
Himmerich, H [1 ]
Schuld, A [1 ]
Haack, M [1 ]
Kaufmann, C [1 ]
Pollmächer, T [1 ]
机构
[1] Max Planck Inst Psychiat, D-80804 Munich, Germany
关键词
weight gain; prediction; antidepressants; leptin; TNF;
D O I
10.1016/j.jpsychires.2004.02.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Weight gain is a frequent and important side effect of psychotropic treatment. We sought to determine weight change predictors during treatment with antidepressant drugs. In 24 patients weight, plasma levels of leptin, tumor necrosis factor-alpha (TNF-alpha) and soluble TNF receptors were determined longitudinally and a multiple linear regression analysis was used to predict weight change from baseline to the sixth week of treatment. Changes of weight during the first week of treatment, but no other parameter, strongly predicted weight change until endpoint (adjusted R-2 = 0.68, F = 50.45, df = 1,23, p < 0.001). Very early changes in weight during treatment with psychotropic drugs might be a simple and clinically useful predictor of future weight development. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:485 / 489
页数:5
相关论文
共 24 条
[1]  
Allison DB, 2001, J CLIN PSYCHIAT, V62, P22
[2]   LITHIUM AND BODY-WEIGHT GAIN [J].
BAPTISTA, T ;
TENEUD, L ;
CONTRERAS, Q ;
ALASTRE, T ;
BURGUERA, JL ;
DEBURGUERA, M ;
DEBAPTISTA, E ;
WEIS, S ;
HERNANDEZ, L .
PHARMACOPSYCHIATRY, 1995, 28 (02) :35-44
[3]  
Blin O, 2001, J CLIN PSYCHIAT, V62, P11
[4]   Serum leptin levels increase rapidly after initiation of clozapine therapy [J].
Bromel, T ;
Blum, WF ;
Ziegler, A ;
Schulz, E ;
Bender, M ;
Fleischhaker, C ;
Remschmidt, H ;
Krieg, JC ;
Hebebrand, J .
MOLECULAR PSYCHIATRY, 1998, 3 (01) :76-80
[5]   Fluoxetine versus sertraline and paroxetine in major depressive disorder: Changes in weight with long-term treatment [J].
Fava, M ;
Judge, R ;
Hoog, SL ;
Nilsson, ME ;
Koke, SC .
JOURNAL OF CLINICAL PSYCHIATRY, 2000, 61 (11) :863-867
[6]   ANTIDEPRESSANT-INDUCED WEIGHT-GAIN - A COMPARISON STUDY OF 4 MEDICATIONS [J].
FERNSTROM, MH ;
KUPFER, DJ .
PSYCHIATRY RESEARCH, 1988, 26 (03) :265-271
[7]  
GARLAND EJ, 1988, J CLIN PSYCHOPHARM, V8, P323
[8]   Effects of antidepressants on weight and on the plasma levels of leptin, TNF-α and soluble TNF receptors:: A longitudinal study in patients treated with amitriptyline or paroxetine [J].
Hinze-Selch, D ;
Schuld, A ;
Kraus, T ;
Kühn, M ;
Uhr, M ;
Haack, M ;
Pollmächer, T .
NEUROPSYCHOPHARMACOLOGY, 2000, 23 (01) :13-19
[9]  
Kawachi I, 1999, J CLIN PSYCHIAT, V60, P5
[10]   EATING BEHAVIOR AND DEPRESSION BEFORE AND AFTER ANTIDEPRESSANT TREATMENT - A PROSPECTIVE, NATURALISTIC STUDY [J].
KAZES, M ;
DANION, JM ;
GRANGE, D ;
PRADIGNAC, A ;
SIMON, C ;
BURRUSMEHL, F ;
SCHLIENGER, JL ;
SINGER, L .
JOURNAL OF AFFECTIVE DISORDERS, 1994, 30 (03) :193-207