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Differences in Metabolic Factors Between Antipsychotic-Induced Weight Gain and Non-pharmacological Obesity in Youths

Overview of attention for article published in Clinical Drug Investigation, February 2018
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Title
Differences in Metabolic Factors Between Antipsychotic-Induced Weight Gain and Non-pharmacological Obesity in Youths
Published in
Clinical Drug Investigation, February 2018
DOI 10.1007/s40261-018-0627-3
Pubmed ID
Authors

Simone Pisano, Giangennaro Coppola, Gennaro Catone, Marco Carotenuto, Raffaella Iuliano, Vittoria D’Esposito, Serena Cabaro, Emanuele Miraglia del Giudice, Carmela Bravaccio, Pietro Formisano

Abstract

Youth exposed to antipsychotics may experience several metabolic consequences that often limit the effectiveness of this class of drugs. The aim of this study was to compare several metabolic markers between subjects who experienced antipsychotic-induced weight gain and untreated obese patients. Nineteen non-diabetic youth (mean age 159 months, mean body mass index z-score 1.81) experiencing antipsychotic-induced weight gain and an age-, sex-, and body mass index-matched group of non-diabetic obese patients with no record of treatment (n = 19, mean age 147 months, mean body mass index z-score 2) were compared for a wide range of metabolic factors using a Bioplex Multiplex system. C-peptide, glucose-dependent insulinotropic polypeptide, and adipsin were significantly higher in the antipsychotic-induced weight gain group, whereas visfatin was significantly higher in the untreated obese patients. When age, sex, pubertal status, and body mass index were controlled, C-peptide, glucose-dependent insulinotropic polypeptide, and visfatin remained significant, whereas adipsin fell slightly below the threshold of statistical significance. No other statistically significant difference emerged. Antipsychotic-induced weight gain and untreated obesity showed some similarities, confirming that levels of some hormones, such as leptin and ghrelin, are related to body mass index rather than to antipsychotic exposure. Some differences were also noted; for example, the antipsychotic-induced weight gain group displayed higher C-peptide, glucose-dependent insulinotropic polypeptide, and adipsin, which may reflect β-cell stress and may suggest susceptibility to insulin resistance and lower visfatin, possibly indicating a lower inflammatory status.

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Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 20%
Student > Bachelor 7 16%
Student > Ph. D. Student 4 9%
Student > Master 3 7%
Professor > Associate Professor 2 4%
Other 4 9%
Unknown 16 36%
Readers by discipline Count As %
Medicine and Dentistry 8 18%
Pharmacology, Toxicology and Pharmaceutical Science 5 11%
Nursing and Health Professions 5 11%
Psychology 3 7%
Biochemistry, Genetics and Molecular Biology 2 4%
Other 6 13%
Unknown 16 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 February 2018.
All research outputs
#17,194,664
of 25,260,058 outputs
Outputs from Clinical Drug Investigation
#770
of 1,034 outputs
Outputs of similar age
#287,159
of 457,461 outputs
Outputs of similar age from Clinical Drug Investigation
#12
of 14 outputs
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