Abstract:
OBJECTIVES:Up to 75% of patients with bipolar I disorder (BD-I) are overweight or obese. Obesity is associated with an increased liability for mood episodes in patients with established BD-I, but data from early in the illness are lacking. Obesity in the general population is also consistently associated with functional impairment, but the relationship between weight gain and functional outcomes in BD-I has received little attention. METHODS:We measured rates of clinically significant weight gain (CSWG), defined as gaining ≥ 7% of baseline weight, over 12 months in 46 patients with BD-I who recently recovered from their first manic episode. We compared patients with and without CSWG for (i) the amount of time spent with mood symptoms, assessed using standard clinical rating scales and National Institute of Mental Health Life Charts, and (ii) functioning at 12 months, measured using the Multidimensional Scale of Independent Functioning (MSIF). RESULTS:A total of 41% of patients (n = 19) experienced CSWG by 12 months. We did not detect an association between CSWG and the number of days with mood symptoms. Patients with CSWG had significantly poorer 12-month global functioning than those without CSWG [MSIF score = 2.26 (SD = 1.24) versus 1.74 (0.98); p = 0.011]. Functional impairment was independent of recent or current mood symptoms, which were entered as covariates in our analyses. CONCLUSIONS:Weight gain may be an overlooked, but potentially modifiable, cause of functional impairment in BD-I. Clinicians should consider the possibility of weight gain when making the earliest treatment decisions in BD-I.
journal_name
Bipolar Disordjournal_title
Bipolar disordersauthors
Bond DJ,Kunz M,Torres IJ,Lam RW,Yatham LNdoi
10.1111/j.1399-5618.2010.00855.xsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
616-26issue
6eissn
1398-5647issn
1399-5618journal_volume
12pub_type
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journal_title:Bipolar disorders
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1111/j.1399-5618.2007.00423.x
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journal_title:Bipolar disorders
pub_type: 杂志文章,评审
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更新日期:2002-08-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-06-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1111/j.1399-5618.2005.00203.x
更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/bdi.12954
更新日期:2020-06-10 00:00:00
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pub_type: 杂志文章,评审
doi:10.1111/j.1399-5618.2008.00610.x
更新日期:2008-07-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1034/j.1399-5618.2000.20303.x
更新日期:2000-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/bdi.12313
更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1399-5618.2008.00625.x
更新日期:2008-11-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章,评审
doi:10.1111/bdi.12520
更新日期:2017-09-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章
doi:10.1111/bdi.12208
更新日期:2014-09-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章,评审
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journal_title:Bipolar disorders
pub_type: 杂志文章
doi:10.1111/j.1399-5618.2007.00463.x
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pub_type: 杂志文章,评审
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更新日期:2013-08-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1111/j.1399-5618.2006.00335.x
更新日期:2006-08-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章
doi:10.1111/bdi.12770
更新日期:2019-06-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章
doi:10.1111/bdi.12730
更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/bdi.12453
更新日期:2016-12-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章,随机对照试验
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更新日期:2019-11-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章,评审
doi:10.1034/j.1399-5618.2003.00033.x
更新日期:2003-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1399-5618.2007.00413.x
更新日期:2007-11-01 00:00:00
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journal_title:Bipolar disorders
pub_type: 杂志文章,实务指引
doi:10.1111/j.1399-5618.2007.00556.x
更新日期:2008-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/bdi.12016
更新日期:2012-12-01 00:00:00