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Elevated body weight modulates subcortical volume change and associated clinical response following electroconvulsive therapy

Opel, Nils (author)
Univ Munster, Germany
Narr, Katherine L. (author)
Univ Calif Los Angeles, CA 90024 USA; Univ Calif Los Angeles, CA 90024 USA; Univ Calif Los Angeles, CA 90024 USA
Abbott, Christopher (author)
Univ New Mexico, NM 87131 USA
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Argyelan, Miklos (author)
Feintein Inst Med Res, NY USA; Zucker Hillside Hosp, NY USA
Espinoza, Randall (author)
Univ Calif Los Angeles, CA 90024 USA
Emsell, Louise (author)
Katholieke Univ Leuven, Belgium
Bouckaert, Filip (author)
Katholieke Univ Leuven, Belgium
Sienaert, Pascal (author)
Katholieke Univ Leuven, Belgium
Vandenbulcke, Mathieu (author)
Katholieke Univ Leuven, Belgium
Nordanskog, Pia (author)
Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken i Linköping
Repple, Jonathan (author)
Univ Munster, Germany
Kavakbasi, Erhan (author)
Univ Munster, Germany
Jorgensen, Martin B. (author)
Rigshosp, Denmark
Paulson, Olaf B. (author)
Rigshosp, Denmark; Univ Copenhagen, Denmark
Hanson, Lars G. (author)
Copenhagen Univ Hosp Hvidovre, Denmark; Tech Univ Denmark, Denmark
Dols, Annemieke (author)
GGZ Geest Specialized Mental Hlth Care, Netherlands; Vrije Univ Amsterdam, Netherlands
van Exel, Eric (author)
GGZ Geest Specialized Mental Hlth Care, Netherlands; Vrije Univ Amsterdam, Netherlands
Oudega, Mardien L. (author)
GGZ Geest Specialized Mental Hlth Care, Netherlands; Vrije Univ Amsterdam, Netherlands
Takamiya, Akihiro (author)
Keio Univ, Japan
Kishimoto, Taishiro (author)
Keio Univ, Japan
Ousdal, Olga Therese (author)
Haukeland Hosp, Norway
Haavik, Jan (author)
Univ Bergen, Norway; Haukeland Hosp, Norway
Hammar, Asa (author)
Haukeland Hosp, Norway; Univ Bergen, Norway
Oedegaard, Ketil Joachim (author)
Haukeland Hosp, Norway; Univ Bergen, Norway
Kessler, Ute (author)
Haukeland Hosp, Norway; Univ Bergen, Norway
Bartsch, Hauke (author)
Univ Calif San Diego, CA 92093 USA; Haukeland Hosp, Norway
Dale, Anders M. (author)
Univ Calif San Diego, CA 92093 USA; Univ Calif San Diego, CA 92093 USA; Univ Calif San Diego, CA 92093 USA; Univ Calif San Diego, CA USA
Baune, Bernhard T. (author)
Univ Munster, Germany; Univ Melbourne, Australia; Univ Melbourne, Australia
Dannlowski, Udo (author)
Univ Munster, Germany
Oltedal, Leif (author)
Univ Bergen, Norway; Haukeland Hosp, Norway
Redlich, Ronny (author)
Univ Munster, Germany; Univ Halle, Germany
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 (creator_code:org_t)
2021-07-01
2021
English.
In: Journal of Psychiatry & Neuroscience. - : CMA-Canadian Medical Association. - 1180-4882 .- 1488-2434. ; 46:4, s. E418-E426
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Obesity is a frequent somatic comorbidity of major depression, and it has been associated with worse clinical outcomes and brain structural abnormalities. Converging evidence suggests that electroconvulsive therapy (ECT) induces both clinical improvements and increased subcortical grey matter volume in patients with depression. However, it remains unknown whether increased body weight modulates the clinical response and structural neuroplasticity that occur with ECT. Methods: To address this question, we conducted a longitudinal investigation of structural MRI data from the Global ECT-MRI Research Collaboration (GEMRIC) in 223 patients who were experiencing a major depressive episode (10 scanning sites). Structural MRI data were acquired before and after ECT, and we assessed change in subcortical grey matter volume using FreeSurfer and Quarc. Results: Higher body mass index (BMI) was associated with a significantly lower increase in subcortical grey matter volume following ECT. We observed significant negative associations between BMI and change in subcortical grey matter volume, with pronounced effects in the thalamus and putamen, where obese participants showed increases in grey matter volume that were 43.3% and 49.6%, respectively, of the increases found in participants with normal weight. As well, BMI significantly moderated the association between subcortical grey matter volume change and clinical response to ECT. We observed no significant association between BMI and clinical response to ECT. Limitations: Because only baseline BMI values were available, we were unable to study BMI changes during ECT and their potential association with clinical and grey matter volume change. Conclusion: Future studies should take into account the relevance of body weight as a modulator of structural neuroplasticity during ECT treatment and aim to further explore the functional relevance of this novel finding.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

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