Evidence map›Paper›PMID 27351600›Full record

ArticleTranslational psychiatry2016

The influence of lithium on hippocampal volume in elderly bipolar patients: a study using voxel-based morphometry.

S Zung, F L Souza-Duran, M G Soeiro-de-Souza, R Uchida, C M Bottino, G F Busatto, H Vallada

Open access · goldAbstract readComparative Study
In one paragraph

Article in Translational psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
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

7 authors at 1 institution in 1 country.

S ZungDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
F L Souza-DuranDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
M G Soeiro-de-SouzaDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
R UchidaDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
C M BottinoDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
G F BusattoDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.
H ValladaDepartment of Psychiatry, University of Sao Paulo Medical School (LIM-21 and LIM-23), Sao Paulo, Brazil.ORCID 0000-0001-5123-8295
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have demonstrated that lithium (Li) exerts neuronal protective and regenerative effects both in vitro and in vivo. However, the effects of long-term Li treatment in the brain areas associated with memory impairment of elderly bipolar patients are still unknown. The aim of this study was to compare the hippocampal volumes of elderly bipolar patients using Li, elderly bipolar patients not using Li and healthy controls. Sociodemographic, clinical and magnetic resonance imaging data from 30 elderly euthymic bipolar patients who had been using Li for an average of >61 months; 27 elderly euthymic bipolar patients not taking Li for an average of 45 months; and 22 elderly healthy controls were analyzed. Volumetric differences in the hippocampus between groups were investigated with voxel-based morphometry (VBM) based on the Statistical Parametric Mapping technique. No statistical differences in sociodemographic and clinical characteristics and course of bipolar disorder between the two bipolar groups were observed. Using small volume correction in the VBM analysis (analysis of variance (ANOVA)), one voxel cluster of statistical significance was detected in the left hippocampus (P<0.05 corrected for multiple comparisons, extent threshold >10 voxels). Post hoc unpaired t-tests revealed increased left hippocampal volume in the Li-treated group compared with the non-Li-treated group, and decreased left hippocampal volume in the non-Li group relative to controls. Additional exploratory two-group comparisons indicated trends toward reduced right-hippocampal volumes in the non-Li-treated group relative to both the Li-treated group and controls. The findings suggested that the use of Li may influence the volume of the hippocampus, possibly due to its neuroprotective effects.

Indexed as

Magnetic Resonance ImagingAgedAge FactorsBipolar DisorderCase-Control StudiesDominance, CerebralFemaleHippocampusHumansLithium CarbonateLong-Term CareMaleMemoryMiddle AgedNeuroprotective AgentsOrgan SizeLithium CarbonateNeuroprotective Agents

Identifiers

PMID27351600
PMCPMC4931614
OpenAlexW2468005634

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.