Lithium therapy and weight change in people with bipolar disorder: A systematic review and meta-analysis
| Autor: | Susana Gomes-da-Costa, Giovanna Fico, Anna Giménez-Palomo, Andrea Murru, Cristian Llach, Felipe Gutiérrez-Arango, Georgios D. Kotzalidis, Maria Teresa Pons-Cabrera, Marc Valentí, Wolfgang Marx, Eduard Vieta, Isabella Pacchiarotti, Norma Verdolini, Filippo Corponi, Michael Berk, Gerard Anmella |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Bipolar Disorder Lithium (medication) Cognitive Neuroscience Lithium Placebo Weight Gain Behavioral Neuroscience Affective neuroscience Internal medicine medicine Manic-depressive illness Humans Bipolar disorder Psiquiatria Neurociència afectiva Depressió psíquica Psychiatry Trastorn bipolar business.industry Weight change medicine.disease Liti Neuropsychology and Physiological Psychology Mental depression Mood disorders Meta-analysis Lithium Compounds medicine.symptom business Weight gain Mania medicine.drug Antipsychotic Agents |
| Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona |
| ISSN: | 1873-7528 |
| Popis: | Lithium remains the gold standard maintenance treatment for Bipolar Disorder (BD). However, weight gain is a side effect of increasing relevance due to its metabolic implications. We conducted a systematic review and meta-analysis aimed at summarizing evidence on the use of lithium and weight change in BD. We followed the PRISMA methodology, searching Pubmed, Scopus and Web of Science. From 1003 screened references, 20 studies were included in the systematic review and 9 included in the meta-analysis. In line with the studies included in the systematic review, the meta-analysis revealed that weight gain with lithium was not significant, noting a weight increase of 0.462 Kg (p = 0158). A shorter duration of treatment was significantly associated with more weight gain. Compared to placebo, there were no significant differences in weight gain. Weight gain was significantly lower with lithium than with active comparators. This work reveals a low impact of lithium on weight change, especially compared to some of the most widely used active comparators. Our results could impact clinical decisions. |
| Databáze: | OpenAIRE |
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