A Possible Association of Sex Hormone-Binding Globulin with Weight Gain in the Valproic Acid-Treated Female Patients with Epilepsy

Autor: Saruwatari J, Uchiyashiki Y, Kajiwara A, Noai M, Tanamachi Y, Soraoka H, Deguchi M, Oniki K, Yasui-Furukori N, Kaneko S, Ishitsu T, Nakagawa K
Rok vydání: 2014
Předmět:
Popis: Weight gain is a common adverse consequence of treatment with valproic acid. Although a low sex hormone-binding globulin (SHBG)level was shown to be an independent risk factor for the development of metabolic syndrome and type 2 diabetes in the general population,there is presently no data available regarding the association between the SHBG level and valproic acid-induced weight gain.The association between the plasma SHBG level and being overweight was retrospectively investigated in 46 valproic acid-treated and 59 carbamazepine-treated patients with epilepsy. Among the female patients treated with valproic acid, the plasma SHBG levels tendedto be negatively correlated with the gap between the body mass index value for each patient and the upper limit of the normal range(adjusted partial regression coefficient = -6.86, P = 0.041), and the SHBG levels were significantly lower in the overweight subjectsthan in the normal weight subjects (P = 0.001). These associations were not observed among the valproic acid-treated male patients or the carbamazepine-treated male and female patients. The plasma SHBGlevels may be therefore associated with being overweightin the valproic acid-treated female patients.
Databáze: OpenAIRE