Evidence map›Paper›PMID 33542229›Full record

ArticleTranslational psychiatry2021

Obesity and atypical depression symptoms: findings from Mendelian randomization in two European cohorts.

Giorgio Pistis, Yuri Milaneschi, Caroline L Vandeleur, Aurélie M Lasserre, Brenda W J H Penninx, Femke Lamers, Dorret I Boomsma, Jouke-Jan Hottenga, Pedro Marques-Vidal, Peter Vollenweider and 4 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  9. Immuno-metabolic depression: from concept to implementation.The Lancet regional health. Europe · 2025
    Review
  10. Article
  11. Article
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  13. Review
  14. Obesity and psychological distress.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
  15. Article
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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

14 authors at 5 institutions in 2 countries.

Giorgio Pistis *Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. giorgio.pistis@chuv.ch.ORCID 0000-0002-4525-4608
Yuri Milaneschi *Department of Psychiatry, Amsterdam Public Health and Amsterdam Neuroscience, Vrije Universiteit Medical Center and GGZ inGeest, Amsterdam, The Netherlands.
Caroline L VandeleurDepartment of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Aurélie M LasserreDepartment of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0003-3925-6663
Brenda W J H PenninxDepartment of Psychiatry, Amsterdam Public Health and Amsterdam Neuroscience, Vrije Universiteit Medical Center and GGZ inGeest, Amsterdam, The Netherlands.
Femke LamersDepartment of Psychiatry, Amsterdam Public Health and Amsterdam Neuroscience, Vrije Universiteit Medical Center and GGZ inGeest, Amsterdam, The Netherlands.
Dorret I BoomsmaDepartment of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-7099-7972
Jouke-Jan HottengaDepartment of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-5668-2368
Pedro Marques-VidalDepartment of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-4548-8500
Peter VollenweiderDepartment of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Gérard WaeberDepartment of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0003-4193-788X
Jean-Michel AubryDepartment of Psychiatry, University Hospital of Geneva, Geneva, Switzerland.
Martin PreisigDepartment of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Zoltán KutalikInstitute of Primary Care and Public Health (Unisante), University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-8285-7523
University of Lausanne · CHAmsterdam Neuroscience · NLVrije Universiteit Amsterdam · NLSIB Swiss Institute of Bioinformatics · CHUniversity Hospital of Geneva · CH

Funding

NIMH Center Repository Supporting Stem Cell ResearchU24MH068457 · NIMH · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI BRZUSTOWICZ, LINDA M, KNOWLES, JAMES A · 2003 to 2024
$213.8M
Genomics of Developmental Trajectories in TwinsRC2MH089995 · NIMH · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HUDZIAK, JAMES J. · 2009 to 2010
$3.8M
Major Depression: Stage 1 Genomewide Association in Population-Based SamplesR01MH081802 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2007 to 2007
$138k
NIMH NIH HHS R01 MH081802NIMH NIH HHS RC2 MH089995NIMH NIH HHS U24 MH068457
6 · The paper itself

Abstract

Studies considering the causal role of body mass index (BMI) for the predisposition of major depressive disorder (MDD) based on a Mendelian Randomization (MR) approach have shown contradictory results. These inconsistent findings may be attributable to the heterogeneity of MDD; in fact, several studies have documented associations between BMI and mainly the atypical subtype of MDD. Using a MR approach, we investigated the potential causal role of obesity in both the atypical subtype and its five specific symptoms assessed according to the Statistical Manual of Mental Disorders (DSM), in two large European cohorts, CoLaus|PsyCoLaus (n = 3350, 1461 cases and 1889 controls) and NESDA|NTR (n = 4139, 1182 cases and 2957 controls). We first tested general obesity measured by BMI and then the body fat distribution measured by waist-to-hip ratio (WHR). Results suggested that BMI is potentially causally related to the symptom increase in appetite, for which inverse variance weighted, simple median and weighted median MR regression estimated slopes were 0.68 (SE = 0.23, p = 0.004), 0.77 (SE = 0.37, p = 0.036), and 1.11 (SE = 0.39, p = 0.004). No causal effect of BMI or WHR was found on the risk of the atypical subtype or for any of the other atypical symptoms. Our findings show that higher obesity is likely causal for the specific symptom of increase in appetite in depressed participants and reiterate the need to study depression at the granular level of its symptoms to further elucidate potential causal relationships and gain additional insight into its biological underpinnings.

Indexed as

Major Depressive DisorderMendelian Randomization AnalysisBody Mass IndexDepressionHumansObesityPolymorphism, Single Nucleotide

Identifiers

PMID33542229
PMCPMC7862438
OpenAlexW3128223825

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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.