Evidence map›Paper›PMID 29879941›Full record

ArticleBMC psychiatry2018

High-density lipoprotein-cholesterol and antipsychotic medication in overweight inpatients with schizophrenia: post-hoc analysis of a Japanese nationwide survey.

Shin Ono, Takuro Sugai, Yutaro Suzuki, Manabu Yamazaki, Kazutaka Shimoda, Takao Mori, Yuji Ozeki, Hiroshi Matsuda, Norio Sugawara, Norio Yasui-Furukori and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 16 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

13 authors at 5 institutions in 1 country.

Shin OnoDepartment of Community Psychiatric Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Takuro SugaiJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Yutaro SuzukiJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Manabu YamazakiJapan Psychiatric Hospital Association, Tokyo, Japan.
Kazutaka ShimodaJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Takao MoriJapan Psychiatric Hospital Association, Tokyo, Japan.
Yuji OzekiJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Hiroshi MatsudaJapan Psychiatric Hospital Association, Tokyo, Japan.
Norio SugawaraJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Norio Yasui-FurukoriJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
Kurefu OkamotoJapan Psychiatric Hospital Association, Tokyo, Japan.
Toyoaki SagaeDepartment of Health and Nutrition, Yamagata Prefectural Yonezawa University of Nutrition Sciences Faculty of Health and Nutrition, Yonezawa, Japan.
Toshiyuki SomeyaJapanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan. psy@med.niigata-u.ac.jp.
Japan Hospital Association · JPJapanese Society of Clinical Neuropsychopharmacology · JPNiigata University · JPHirosaki University · JPYamagata Prefectural Yonezawa University of Nutrition Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with schizophrenia have an increased prevalence of metabolic disturbances compared with the general population. However, the mechanisms underlying the metabolic side effects of antipsychotics are unknown. The aim of the present study was to compare the levels of high-density lipoprotein (HDL)-cholesterol in Japanese schizophrenia patients medicated with olanzapine, risperidone, or aripiprazole monotherapy.

methodsThis study was a post-hoc analysis of a nationwide survey, which included 433 Japanese outpatients with schizophrenia and 674 inpatients. A brief questionnaire was compiled that covered demographic data, systolic blood pressure, diastolic blood pressure, and HDL-cholesterol after reviewing the relevant literature and guidelines. To compare demographic and clinical characteristics, analysis of variance was performed for continuous variables and the chi-square test was performed for categorical variables. For comparisons of HDL-cholesterol levels among the three antipsychotic groups, analysis of covariance was carried out with age, diastolic blood pressure, chlorpromazine-equivalent dosage, and waist circumference as confounding variables after stratification by body mass index (BMI) for each outpatient group and inpatient group.

resultsThe mean age was 57.9 ± 14.0 years and the mean BMI was 23.4 ± 4.5 kg/m

conclusionsThis study reveals a difference in HDL-cholesterol levels in overweight Japanese inpatients with schizophrenia resulting from the use of different antipsychotics. In the post-hoc analysis of HDL-cholesterol levels in overweight inpatients, HDL-cholesterol was significantly lower in the olanzapine group than in the aripiprazole group. Further studies incorporating more detailed evaluations, including diet and physical activity, are needed to clarify the differences in HDL-cholesterol according to antipsychotic use.

Indexed as

OverweightSchizophreniaAdultAgedAntipsychotic AgentsAripiprazoleBody Mass IndexCholesterol, HDLCorrelation of DataFemaleHumansJapanMaleMiddle AgedOlanzapinePrevalenceAntipsychotic AgentsAripiprazoleCholesterol, HDLOlanzapineRisperidoneAntipsychoticsHigh-density lipoprotein-cholesterolMetabolic syndromeSchizophrenia

Identifiers

PMID29879941
PMCPMC5992846
OpenAlexW2805318090

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LicenceCC BY
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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.