Relationship between body mass index and hippocampal glutamate/glutamine in bipolar disorder.
Br J Psychiatry
; 208(2): 146-52, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-26585092
ABSTRACT
BACKGROUND:
We previously reported that patients with early-stage bipolar disorder, but not healthy comparison controls, had body mass index (BMI)-related volume reductions in limbic brain areas, suggesting that the structural brain changes characteristic of bipolar disorder were more pronounced with increased weight.AIMS:
To determine whether the most consistently reported neurochemical abnormality in bipolar disorder, increased glutamate/glutamine (Glx), was also more prominent with higher BMI.METHOD:
We used single-voxel proton magnetic resonance spectroscopy to measure hippocampal Glx in 51 patients with first-episode mania (mean BMI = 24.1) and 28 healthy controls (mean BMI = 23.3).RESULTS:
In patients, but not healthy controls, linear regression demonstrated that higher BMI predicted greater Glx. Factorial ANCOVA showed a significant BMI × diagnosis interaction, confirming a distinct effect of weight on Glx in patients.CONCLUSIONS:
Together with our volumetric studies, these results suggest that higher BMI is associated with more pronounced structural and neurochemical limbic brain changes in bipolar disorder, even in early-stage patients with low obesity rates.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Transtorno Bipolar
/
Índice de Massa Corporal
/
Ácido Glutâmico
/
Glutamina
/
Hipocampo
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article