Socio-economic position as a moderator of cardiometabolic outcomes in patients receiving psychotropic treatment associated with weight gain: results from a prospective 12-month inception cohort study and a large population-based cohort

Autor: Céline Dubath, Mehdi Gholam-Rezaee, Jennifer Sjaarda, Axel Levier, Nuria Saigi-Morgui, Aurélie Delacrétaz, Anaïs Glatard, Radoslaw Panczak, Christoph U. Correll, Alessandra Solida, Kerstin Jessica Plessen, Armin von Gunten, Zoltan Kutalik, Philippe Conus, Chin B. Eap
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Translational Psychiatry, Vol 11, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 2158-3188
DOI: 10.1038/s41398-021-01482-9
Popis: Abstract Weight gain and metabolic complications are major adverse effects of many psychotropic drugs. We aimed to understand how socio-economic status (SES), defined as the Swiss socio-economic position (SSEP), is associated with cardiometabolic parameters after initiation of psychotropic medications known to induce weight gain. Cardiometabolic parameters were collected in two Swiss cohorts following the prescription of psychotropic medications. The SSEP integrated neighborhood-based income, education, occupation, and housing condition. The results were then validated in an independent replication sample (UKBiobank), using educational attainment (EA) as a proxy for SES. Adult patients with a low SSEP had a higher risk of developing metabolic syndrome over one year versus patients with a high SSEP (Hazard ratio (95% CI) = 3.1 (1.5–6.5), n = 366). During the first 6 months of follow-up, a significant negative association between SSEP and body mass index (BMI), weight change, and waist circumference change was observed (25 ≤ age
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