Sex differences in the association of overweight with cognitive performance in individuals with first-episode psychosis.

Autor: Llaurador-Coll M; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain.; Departament de Medicina i Cirurgia, Universitat Rovira i Virgili (URV), C. Sant Llorenç, 21, 43201, Reus, Spain.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain., Cabezas Á; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain., Algora MJ; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain., Solé M; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain.; Departament de Medicina i Cirurgia, Universitat Rovira i Virgili (URV), C. Sant Llorenç, 21, 43201, Reus, Spain.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain., Vilella E; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain.; Departament de Medicina i Cirurgia, Universitat Rovira i Virgili (URV), C. Sant Llorenç, 21, 43201, Reus, Spain.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain., Sánchez-Gistau V; Hospital Universitari Institut Pere Mata (HU-IPM), Ctra de l'Institut Pere Mata, s/n, 43206, Reus, Spain. sanchezv@peremata.com.; Institut d'Investigació Sanitària Pere Virgili (IISPV-CERCA), Av. Josep Laporte, 2, 43204, Reus, Spain. sanchezv@peremata.com.; Departament de Medicina i Cirurgia, Universitat Rovira i Virgili (URV), C. Sant Llorenç, 21, 43201, Reus, Spain. sanchezv@peremata.com.; Centro de Investigación Biomédica En Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029, Madrid, Spain. sanchezv@peremata.com.
Jazyk: angličtina
Zdroj: Schizophrenia (Heidelberg, Germany) [Schizophrenia (Heidelb)] 2024 Oct 23; Vol. 10 (1), pp. 95. Date of Electronic Publication: 2024 Oct 23.
DOI: 10.1038/s41537-024-00521-w
Abstrakt: Cognitive deficits and overweight are prominent challenges in the treatment of psychosis, which have a direct impact on patients' quality of life. We aim to determine whether there is an association of overweight with cognitive performance and whether there are sex differences in this association. We included 170 individuals with first-episode psychosis (FEP) (mean age 23.08 years, 32.9% females) attending an early intervention service who underwent clinical, biometric, and cognitive assessments by the MATRICS Consensus Cognitive Battery. A set of two-way analyses of covariance (ANCOVAs) were conducted for each cognitive test. Sex, overweight, and their interaction were included as factors. Nearly 34% of the participants were overweight without differences between males and females. The excess of weight did not exert any main effect on cognition; however, overweight females performed significantly worse than non-overweight females in processing speed, verbal learning and memory, reasoning and problem-solving, and global cognitive function, whereas in males, there were no differences. Our findings highlight that sex matters in the study of metabolic and cognitive factors in FEP to develop targeted interventions based on sex perspectives.
(© 2024. The Author(s).)
Databáze: MEDLINE