Changes in BMI in hospitalized patients during treatment with antipsychotics, depending on gender and other factors

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Authors

SUŠILOVÁ Lenka ČEŠKOVÁ Eva HAMPEL David SUŠIL Aleš ŠIMŮNEK Jan

Year of publication 2017
Type Article in Periodical
Magazine / Source International Journal of Psychiatry in Clinical Practice
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1080/13651501.2017.1291818
Field Psychiatry, sexuology
Keywords Schizophrenia; body mass index; second generation antipsychotics; monotherapy; polytherapy
Description Objective: To investigate the differences in body mass index (BMI) changes between men and women during hospitalization. Methods: The retrospective study monitored demographic and clinical data of 462 schizophrenic patients hospitalized 737 times between 2006 and 2011. BMI analysis was performed on patients on antipsychotic medication hospitalized longer than four days. Results: Patients with an initial BMI < 25 gained more weight than patients with a BMI > 25 (3.94% vs. 0.23%, men 4.02% vs. 0.69%, women 3.79% vs. -0.52%, always p < 0.001). Greater BMI gains were reported during the first hospitalization than during subsequent ones (3.94% vs. 1.66%, men 3.97% vs. 1.98%, women 3.88% vs. 1.18%, always p < 0.001). The comparison between men and women showed a higher increase in BMI in men 2.36% vs. 1.54%, p = 0.022. Men also gained significantly more weight than women on polytherapy (+2.55% vs. +1.37%) and during subsequent hospitalizations (1.98% vs. 1.18%). For treatment with various atypical antipsychotics (AP), no significant differences were found in weight changes between men and women; during treatment using a combination of multi-receptor AP and metabolically neutral aripiprazole, a significant increase of BMI occurred in men, but not in women (p = 0.018). Conclusions: Men appear to be more prone to weight gain than women.
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