Evidence map›Paper›PMID 40536599›Full record

ArticleNeurology and therapy2025

Impact of Early Antipsychotic Prescription Choice on Weight Gain in the First 5 Years of Psychotic Illness: a Retrospective Cohort Study.

Adrian Heald, George Tilston, John Julian Warner-Levy, Loren Wilkins, Richard Williams, Toby Pillinger, William Deakin, Damien Longson, Lamiece Hassan, Caroline Dalton and 2 more

Abstract read
In one paragraph

Article in Neurology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

12 authors.

Adrian HealdThe School of Medicine and Manchester Academic Health Sciences Centre, Manchester University, Manchester, UK. adrian.heald@manchester.ac.uk.ORCID http://orcid.org/0000-0002-9537-4050
George TilstonDivision of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
John Julian Warner-LevyDepartment of Endocrinology and Diabetes, Salford Royal Hospital, Salford, M6 8HD, UK.
Loren WilkinsDepartment of Endocrinology and Diabetes, Salford Royal Hospital, Salford, M6 8HD, UK.
Richard WilliamsDivision of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Toby PillingerInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
William DeakinDivision of Psychology and Mental Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Damien LongsonGreater Manchester Mental Health, Prestwich Hospital, Greater Manchester, UK.
Lamiece HassanDivision of Psychology and Mental Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Caroline DaltonSheffield Hallam University, Sheffield, UK.
Gavin P ReynoldsSheffield Hallam University, Sheffield, UK.
Joseph FirthDivision of Psychology and Mental Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe analysed the effects of antipsychotic drug prescribing in year 1 of treatment for psychosis on future weight gain over 5 years.

methodsWe studied how weight changed over 5 years after the first diagnosis of psychosis/schizophrenia/schizoaffective disorder/delusional disorder/affective psychosis in 17,570 individuals and investigated its association with antipsychotic drug treatments prescribed in year 1 following diagnosis, over 30 years.

resultsThe majority (65%) were aged 20-59 years at the time of first antipsychotic prescription. Mean baseline body-mass-Index (BMI) was similar in women versus men. Substantial increases in BMI were observed, with the greatest categorical changes seen in the obese (BMI ≥ 30 kg/m

conclusionYounger women were at elevated risk for weight gain as were people prescribed multiple antipsychotics in the 1st year. Some older antipsychotics associated with as much weight gain as the newer prescribed agents. More than 40% of people did not put on weight.

Indexed as

AntipsychoticBMILongitudinalPrescribingPsychosisSex differenceWeight gain

Identifiers

PMID40536599
PMCPMC12255610

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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.