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Mega-analysis of association between obesity and cortical morphology in bipolar disorders: ENIGMA study in 2832 participants.

McWhinney, Sean R (author)
Abé, Christoph (author)
Karolinska Institutet
Alda, Martin (author)
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Benedetti, Francesco (author)
Bøen, Erlend (author)
Del Mar Bonnin, Caterina (author)
Borgers, Tiana (author)
Brosch, Katharina (author)
Canales-Rodríguez, Erick J (author)
Cannon, Dara M (author)
Dannlowski, Udo (author)
Diaz-Zuluaga, Ana M (author)
Dietze, Lorielle M F (author)
Elvsåshagen, Torbjørn (author)
Eyler, Lisa T (author)
Fullerton, Janice M (author)
Goikolea, Jose M (author)
Goltermann, Janik (author)
Grotegerd, Dominik (author)
Haarman, Bartholomeus C M (author)
Hahn, Tim (author)
Howells, Fleur M (author)
Ingvar, Martin (author)
Karolinska Institutet
Jahanshad, Neda (author)
Kircher, Tilo T J (author)
Krug, Axel (author)
Kuplicki, Rayus T (author)
Landén, Mikael, 1966 (author)
Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
Lemke, Hannah (author)
Liberg, Benny (author)
Lopez-Jaramillo, Carlos (author)
Malt, Ulrik F (author)
Martyn, Fiona M (author)
Mazza, Elena (author)
McDonald, Colm (author)
McPhilemy, Genevieve (author)
Meier, Sandra (author)
Meinert, Susanne (author)
Meller, Tina (author)
Melloni, Elisa M T (author)
Mitchell, Philip B (author)
Nabulsi, Leila (author)
Nenadic, Igor (author)
Opel, Nils (author)
Ophoff, Roel A (author)
Overs, Bronwyn J (author)
Pfarr, Julia-Katharina (author)
Pineda-Zapata, Julian A (author)
Pomarol-Clotet, Edith (author)
Raduà, Joaquim (author)
Repple, Jonathan (author)
Richter, Maike (author)
Ringwald, Kai G (author)
Roberts, Gloria (author)
Ross, Alex (author)
Salvador, Raymond (author)
Savitz, Jonathan (author)
Schmitt, Simon (author)
Schofield, Peter R (author)
Sim, Kang (author)
Stein, Dan J (author)
Stein, Frederike (author)
Temmingh, Henk S (author)
Thiel, Katharina (author)
Thomopoulos, Sophia I (author)
van Haren, Neeltje E M (author)
Vargas, Cristian (author)
Vieta, Eduard (author)
Vreeker, Annabel (author)
Waltemate, Lena (author)
Yatham, Lakshmi N (author)
Ching, Christopher R K (author)
Andreassen, Ole A (author)
Thompson, Paul M (author)
Hajek, Tomas (author)
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 (creator_code:org_t)
2023
2023
English.
In: Psychological medicine. - 1469-8978. ; 53:14, s. 6743-6753
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Obesity is highly prevalent and disabling, especially in individuals with severe mental illness including bipolar disorders (BD). The brain is a target organ for both obesity and BD. Yet, we do not understand how cortical brain alterations in BD and obesity interact.We obtained body mass index (BMI) and MRI-derived regional cortical thickness, surface area from 1231 BD and 1601 control individuals from 13 countries within the ENIGMA-BD Working Group. We jointly modeled the statistical effects of BD and BMI on brain structure using mixed effects and tested for interaction and mediation. We also investigated the impact of medications on the BMI-related associations.BMI and BD additively impacted the structure of many of the same brain regions. Both BMI and BD were negatively associated with cortical thickness, but not surface area. In most regions the number of jointly used psychiatric medication classes remained associated with lower cortical thickness when controlling for BMI. In a single region, fusiform gyrus, about a third of the negative association between number of jointly used psychiatric medications and cortical thickness was mediated by association between the number of medications and higher BMI.We confirmed consistent associations between higher BMI and lower cortical thickness, but not surface area, across the cerebral mantle, in regions which were also associated with BD. Higher BMI in people with BD indicated more pronounced brain alterations. BMI is important for understanding the neuroanatomical changes in BD and the effects of psychiatric medications on the brain.

Subject headings

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

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By the author/editor
McWhinney, Sean ...
Abé, Christoph
Alda, Martin
Benedetti, Franc ...
Bøen, Erlend
Del Mar Bonnin, ...
show more...
Borgers, Tiana
Brosch, Katharin ...
Canales-Rodrígue ...
Cannon, Dara M
Dannlowski, Udo
Diaz-Zuluaga, An ...
Dietze, Lorielle ...
Elvsåshagen, Tor ...
Eyler, Lisa T
Fullerton, Janic ...
Goikolea, Jose M
Goltermann, Jani ...
Grotegerd, Domin ...
Haarman, Barthol ...
Hahn, Tim
Howells, Fleur M
Ingvar, Martin
Jahanshad, Neda
Kircher, Tilo T ...
Krug, Axel
Kuplicki, Rayus ...
Landén, Mikael, ...
Lemke, Hannah
Liberg, Benny
Lopez-Jaramillo, ...
Malt, Ulrik F
Martyn, Fiona M
Mazza, Elena
McDonald, Colm
McPhilemy, Genev ...
Meier, Sandra
Meinert, Susanne
Meller, Tina
Melloni, Elisa M ...
Mitchell, Philip ...
Nabulsi, Leila
Nenadic, Igor
Opel, Nils
Ophoff, Roel A
Overs, Bronwyn J
Pfarr, Julia-Kat ...
Pineda-Zapata, J ...
Pomarol-Clotet, ...
Raduà, Joaquim
Repple, Jonathan
Richter, Maike
Ringwald, Kai G
Roberts, Gloria
Ross, Alex
Salvador, Raymon ...
Savitz, Jonathan
Schmitt, Simon
Schofield, Peter ...
Sim, Kang
Stein, Dan J
Stein, Frederike
Temmingh, Henk S
Thiel, Katharina
Thomopoulos, Sop ...
van Haren, Neelt ...
Vargas, Cristian
Vieta, Eduard
Vreeker, Annabel
Waltemate, Lena
Yatham, Lakshmi ...
Ching, Christoph ...
Andreassen, Ole ...
Thompson, Paul M
Hajek, Tomas
show less...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Psychiatry
Articles in the publication
Psychological me ...
By the university
University of Gothenburg
Karolinska Institutet

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