Socio-economic position as a moderator of cardiometabolic outcomes in patients receiving psychotropic treatment associated with weight gain: results from a prospective 12-month inception cohort study and a large population-based cohort Article Swipe
Céline Dubath
,
Mehdi Gholam‐Rezaee
,
Jennifer Sjaarda
,
Axel Levier
,
Núria Saigí-Morgui
,
Aurélie Delacrétaz
,
Anaïs Glatard
,
Radoslaw Panczak
,
Christoph U. Correll
,
Alessandra Solida
,
Kerstin Jessica Plessen
,
Armin von Gunten
,
Zoltán Kutalik
,
Philippe Conus
,
Chin B. Eap
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1038/s41398-021-01482-9
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1038/s41398-021-01482-9
Weight gain and metabolic complications are major adverse effects of many psychotropic drugs. We aimed to understand how socio-economic status (SES), defined as the Swiss socio-economic position (SSEP), is associated with cardiometabolic parameters after initiation of psychotropic medications known to induce weight gain. Cardiometabolic parameters were collected in two Swiss cohorts following the prescription of psychotropic medications. The SSEP integrated neighborhood-based income, education, occupation, and housing condition. The results were then validated in an independent replication sample (UKBiobank), using educational attainment (EA) as a proxy for SES. Adult patients with a low SSEP had a higher risk of developing metabolic syndrome over one year versus patients with a high SSEP (Hazard ratio (95% CI) = 3.1 (1.5–6.5), n = 366). During the first 6 months of follow-up, a significant negative association between SSEP and body mass index (BMI), weight change, and waist circumference change was observed (25 ≤ age < 65, n = 526), which was particularly important in adults receiving medications with the highest risk of weight gain, with a BMI difference of 0.86 kg/m 2 between patients with low versus high SSEP (95% CI: 0.03–1.70, n = 99). Eventually, a causal effect of EA on BMI was revealed using Mendelian randomization in the UKBiobank, which was notably strong in high-risk medication users (beta: −0.47 SD EA per 1 SD BMI; 95% CI: −0.46 to −0.27, n = 11,314). An additional aspect of personalized medicine was highlighted, suggesting the patients’ SES represents a significant risk factor. Particular attention should be paid to patients with low SES when initiating high cardiometabolic risk psychotropic medications.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41398-021-01482-9
- https://www.nature.com/articles/s41398-021-01482-9.pdf
- OA Status
- gold
- Cited By
- 17
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3180635073
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3180635073Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1038/s41398-021-01482-9Digital Object Identifier
- Title
-
Socio-economic position as a moderator of cardiometabolic outcomes in patients receiving psychotropic treatment associated with weight gain: results from a prospective 12-month inception cohort study and a large population-based cohortWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-06-26Full publication date if available
- Authors
-
Céline Dubath, Mehdi Gholam‐Rezaee, Jennifer Sjaarda, Axel Levier, Núria Saigí-Morgui, Aurélie Delacrétaz, Anaïs Glatard, Radoslaw Panczak, Christoph U. Correll, Alessandra Solida, Kerstin Jessica Plessen, Armin von Gunten, Zoltán Kutalik, Philippe Conus, Chin B. EapList of authors in order
- Landing page
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https://doi.org/10.1038/s41398-021-01482-9Publisher landing page
- PDF URL
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https://www.nature.com/articles/s41398-021-01482-9.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.nature.com/articles/s41398-021-01482-9.pdfDirect OA link when available
- Concepts
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Medicine, Body mass index, Weight gain, Hazard ratio, Waist, Prospective cohort study, Population, Internal medicine, Confounding, Cohort study, Obesity, Weight change, Demography, Weight loss, Confidence interval, Body weight, Environmental health, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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17Total citation count in OpenAlex
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2025: 1, 2024: 4, 2022: 6, 2021: 6Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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