Evidence map›Paper›PMID 28801419›Full record

ArticleBMJ open2017

SSRI antidepressant use potentiates weight gain in the context of unhealthy lifestyles: results from a 4-year Australian follow-up study.

Zumin Shi, Evan Atlantis, Anne W Taylor, Tiffany K Gill, Kay Price, Sarah Appleton, Ma-Li Wong, Julio Licinio

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
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  12. Association of first-line antidepressants and incident adverse metabolic effects.Canadian family physician Medecin de famille canadien · 2020
    Review
  13. Review
  14. 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

8 authors.

Zumin ShiAdelaide Medical School, University of Adelaide, Adelaide, Australia.ORCID http://orcid.org/0000-0002-3099-3299
Evan AtlantisSchool of Nursing and Midwifery, University of Western Sydney, Sydney, Australia.
Anne W TaylorAdelaide Medical School, University of Adelaide, Adelaide, Australia.
Tiffany K GillAdelaide Medical School, University of Adelaide, Adelaide, Australia.
Kay PriceSchool of Nursing and Midwifery, University of South Australia, Adelaide, Australia.
Sarah AppletonAdelaide Medical School, University of Adelaide, Adelaide, Australia.
Ma-Li WongMind & Brain Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Julio LicinioMind & Brain Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the association between antidepressant use and weight gain, as well as the interaction with lifestyle factors.

designLongitudinal study. SETTING AND

participantsWe used data from 2334 adults from two stages (4.4 years apart) of the North West Adelaide Health Study, including validated diet and lifestyle questionnaires, measured body weight and linked pharmaceutical prescription data.

main outcome measuresBody weight change.

results188 (8.1%) participants had a mean annual number of 1-2 antidepressant prescriptions, and 212 (9.1%) had over two prescriptions. The mean annual weight gain was 0.12, 0.18 and 0.28 kg in non-users, low (1-2 prescriptions/year) and high (>2 prescriptions/year) antidepressant users, respectively. In multivariable regression models, antidepressant use was positively associated with weight gain: high antidepressant users gained an extra 0.22 (95% CI 0.00 to 0.44) kg per year. This association was mainly due to selective serotonin reuptake inhibitor (SSRI) use. High SSRI users gained 0.48 (95% CI 0.20 to 0.76) kg more than non-users. There was no association between tricyclic or other antidepressant use and weight gain. The association between SSRI use and weight gain was stronger among those with high intake of Western diet, greater sedentary activity, and who smoked.

conclusionsSSRIs use was associated with weight gain in the presence of unhealthy behaviours including Western diet, sedentarism and smoking.

Indexed as

AdultAgedAntidepressive Agents, Second-GenerationAustraliaDepressionFemaleFollow-Up StudiesHumansLife StyleLinear ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesityProspective StudiesAntidepressive Agents, Second-GenerationSelective Serotonin Reuptake InhibitorsAntidepressantbody weightcohort studydietary patternssmoking

Identifiers

PMID28801419
PMCPMC5629701

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Registered trials

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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.