Evidence map›Paper›PMID 18255275›Full record

Trial reportSchizophrenia research2008

Early treatment-related changes in diabetes and cardiovascular disease risk markers in first episode psychosis subjects.

Karen A Graham, Hyunsoon Cho, Kimberly A Brownley, Joyce B Harp

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Schizophrenia research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00903916 (Effect of Weight-increasing Psychotropic Medications on Appetite Regulation), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00903916 completednot on this map

Effect of Weight-increasing Psychotropic Medications on Appetite Regulation

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2007 to 2012Enrolled45ConditionsPsychotic Disorders
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karen A GrahamUNC Department of Psychiatry, CB #7160, Chapel Hill, NC 27599-7160, USA. Karen_Graham@med.unc.edu
Hyunsoon Cho
Kimberly A Brownley
Joyce B Harp
University of North Carolina Health Care · US

Funding

Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID · 1985 to 2008
$38.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
NCRR NIH HHS M01 RR000046NCRR NIH HHS RR00046NIDDK NIH HHS DK56350NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

objectiveTo examine prospective changes in cardiovascular disease (CVD) and type-2 diabetes risk factors in young adult first episode psychotic (FEP) patients treated with second generation antipsychotic medications.

methodsAt baseline, fasting serum and anthropometric measures were obtained from 45 FEP patients and 41 healthy adults (controls) of similar age, ethnicity and sex; sixteen of the FEP patients remained on the same antipsychotic medication and were available for a second blood draw at 24 weeks of treatment. Serum was assayed for glucose, insulin, triglycerides, total cholesterol and high and low density lipoproteins (HDL, LDL), adiponectin, leptin, interleukin 6, E-selectin and VCAM-1. Wilcoxon nonparametric tests were used to compare risk markers between the FEP and control group at baseline and to evaluate pre-post treatment changes within the FEP group.

resultsAt baseline, the distributions of risk marker values were similar between the two groups and the percentages of FEP patients and healthy controls who were overweight/obese, dyslipidemic, hyperglycemic, and hyperinsulinemic did not differ. At 24 weeks, compared to baseline, FEP patients showed significant increases in BMI (p=0.0002), glucose (p=0.0449), insulin (p=0.0161), cholesterol (p=0.0129), leptin (p=0.0215), and E-selectin (p=0.0195), and a decrease in adiponectin (p=0.0371).

conclusionsAmong patients with first episode psychosis, 6-month treatment with second generation antipsychotics is associated with the exacerbation of pre-existing and emergence of new CVD and diabetes risk factors.

Indexed as

AdolescentAdultAntipsychotic AgentsBlood GlucoseBody Mass IndexCardiovascular DiseasesCholesterol, HDLCholesterol, LDLDiabetes MellitusFemaleFollow-Up StudiesHumansInsulinLeptinMalePsychotic DisordersAntipsychotic AgentsBlood GlucoseCholesterol, HDLCholesterol, LDLInsulinLeptinTriglycerides

Identifiers

PMID18255275
PMCPMC2443741
OpenAlexW2080110721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.