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抗抑郁药使用轨迹和6年体重变化:基于人口的前性队列研究
Camille Lassale1,2,3,4, Gabriela Lugon1,4, Álvaro Hernáez2,5,6
1Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Frontiers in psychiatry
|January 8, 2025
概括
抗抑郁药的使用,包括新使用,停止使用或重复使用,与成人显著增加体重有关. 长期抗抑郁药治疗需要综合体重管理和代谢监测在抑郁症护理指南.
科学领域:
- 流行病学 流行病学
- 临床药理学 临床药理学
- 公共卫生 公共卫生
背景情况:
- 抗抑郁药物广泛用于情绪障碍.
- 体重增加是抗抑郁药治疗的潜在副作用.
- 对抗抑郁药使用和体重变化的长期数据有限.
研究的目的:
- 调查不同抗抑郁药使用轨迹与长期体重变化之间的关联.
- 检查与抗抑郁药使用模式相关的肥胖发病率.
主要方法:
- 来自REGICOR研究 (2003-2006) 的3,127名成年人的队列,具有基线和随访数据 (中位数为6.3年).
- 评估自我报告的抗抑郁药使用情况 (从未使用,新使用,停止使用,重复使用),体重,身高和生活方式因素.
- 多变量线性模型和逻辑回归被用来分析体重变化和肥胖发病率.
主要成果:
- 平均6年体重增加为1.01%的体重;24.5%的体重增加>5%.
- 与非使用者相比,所有抗抑郁药使用轨迹 (停止,新,重复) 都与显著更大的体重增加有关.
- 在最初非肥胖的参与者中,反复使用抗抑郁药与发生肥胖症 (OR 2.06) 有关.
结论:
- 反复使用抗抑郁药物显示出与显著体重增加的强烈关联.
- 体重管理和代谢监测应纳入抑郁症护理指南.
- 鉴于全球肥胖流行病和广泛使用抗抑郁药,这些发现至关重要.
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