Evidence map›Paper›PMID 41224016›Full record

ArticleJournal of affective disorders2026

Unhealthy diet quality as a clinical phenotype in bipolar disorder: A potential treatment target for improved mood and metabolic outcomes.

Manuel Gardea-Resendez, Vanessa K Pazdernik, Sofia Jezzini-Martinez, Brandon J Coombes, Lindsay M Melhuish Beaupre, Ada Man-Choi Ho, Jorge Sanchez-Ruiz, Alessandro Miola, Mete Ercis, Ana C Andreazza and 7 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Manuel Gardea-ResendezDepartment of Psychiatry, Universidad Autónoma de Nuevo León, Monterrey, Mexico; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. Electronic address: manuel.gardear@uanl.edu.mx.
Vanessa K PazdernikDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Sofia Jezzini-MartinezDepartment of Psychiatry, Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Brandon J CoombesDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Lindsay M Melhuish BeaupreDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Ada Man-Choi HoDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Jorge Sanchez-RuizDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Alessandro MiolaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA; Department of Neuroscience, University of Padova, Padua, Italy.
Mete ErcisDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Ana C AndreazzaDepartment of Pharmacology and Toxicology and Psychiatry, Mitochondrial Innovation Initiative (MITO2i), University of Toronto, Temerty Faculty of Medicine, Toronto, Canada.
Balwinder SinghDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Aysegul OzerdemDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Susan L McElroyLindner Center of Hope, University of Cincinnati, Mason, OH, USA.
Joanna M BiernackaDepartment of Psychiatry, Universidad Autónoma de Nuevo León, Monterrey, Mexico; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Alfredo Cuellar-BarbozaDepartment of Psychiatry, Universidad Autónoma de Nuevo León, Monterrey, Mexico; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Francisco Romo-NavaLindner Center of Hope, University of Cincinnati, Mason, OH, USA.

Funding

Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
Modulating spinal interoceptive pathways to evaluate their role and therapeutic potential in MDD symptomatic domainsR61MH133770 · NIMH · UNIVERSITY OF CINCINNATI · PI ROMO-NAVA, FRANCISCO · 2024 to 2025
$1.6M
The role of the circadian system in binge eating disorderK23MH120503 · NIMH · UNIVERSITY OF CINCINNATI · PI ROMO-NAVA, FRANCISCO · 2020 to 2023
$803k
NCATS NIH HHS KL2 TR002379NIMH NIH HHS K23 MH120503NIMH NIH HHS R61 MH133770
6 · The paper itself

Abstract

objectivesThis study aimed to investigate unhealthy diet quality in bipolar disorder (BD) and its association with social, metabolic and clinical features in a cohort of well-characterized adult patients with BD.

methodsThis study analyzed a subset of 737 adult participants from the Mayo Clinic Bipolar Disorder Biobank (MCBB) who completed the Rapid Eating Assessment for Participants - Shortened Version (REAP-S) diet quality questionnaire, in which scores <32 indicate an unhealthy diet quality (UDQ). Demographic and clinical variables were compared between individuals with unhealthy and healthy diet quality. Regression models were constructed to explore associations between UDQ and demographic variables, bipolar subtype, chronotype, medical comorbidities, psychotropics and differences in social determinants of health-related stressors.

resultsIndividuals with BD and UDQ (78.8 %) were significantly younger, more likely to be male, and to have a diagnosis of BD-I or schizoaffective bipolar subtype. Additionally, UDQ was significantly associated with evening chronotype, binge eating disorder, comorbid anxiety disorders, obesity, hypertension, and unemployment-related stress. A multivariable logistic regression model identified that a higher education level and older age at BD diagnosis were associated with lower odds of UDQ, while an evening chronotype and comorbid anxiety disorders increased the likelihood of UDQ. LIMITATIONS: The study design limits causality assessment and poses recall bias from self-reported dietary tools.

conclusionsThese findings highlight the importance of investigating diet quality as a potential therapeutic target in the management of BD to improve mood outcomes and mitigate risk of metabolic disorders.

Indexed as

AffectBipolar DisorderDietAdultAnxiety DisordersComorbidityFemaleHumansMaleMiddle AgedPhenotypeSurveys and QuestionnairesBipolar disorderMetabolic disordersNutritional psychiatryObesityUnhealthy diet quality

Identifiers

PMID41224016
PMCPMC12717528

What OpenQuestion holds

Textmetadata
LicenceTDM
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.