The relationship between obesity and neurocognitive function in Chinese patients with schizophrenia

作者: Xiaofeng Guo , Zhanchou Zhang , Qinling Wei , Hailong Lv , Renrong Wu

DOI: 10.1186/1471-244X-13-109

关键词: UnderweightWechsler Adult Intelligence ScaleClinical psychologyOverweightNeurocognitiveWeight lossBody mass indexPsychologySchizophreniaTrail Making Test

摘要: Studies have reported that up to 60% of individuals with schizophrenia are overweight or obese. This study explored the relationship between obesity and cognitive performance in Chinese patients schizophrenia. Outpatients aged 18–50 years were recruited from 10 sites across China. Demographic clinical information was collected. A neuropsychological battery including tests attention, processing speed, learning/memory, executive functioning used assess function, these 4 individual domains transformed into a neurocognitive composite z score. In addition, height weight measured calculate body mass index (BMI). Patients categorized groups (underweight, normal weight, obese) based on BMI cutoff values for Asian populations recommended by World Health Organization. total number 896 enrolled study. Fifty-four percent participants higher significantly associated lower scores Wechsler Memory Scale-Revised (WMS-R) Visual Reproduction subscale, Adult Intelligence (WAIS-R) Digit Symbol score (p’s ≤ 0.024). Obese had than Trail Making Test B, WMS-R WAIS (p’s ≤ 0.004). Our suggests that, addition its well established risk various cardiometabolic conditions, is also decreased function Future studies should explore if loss management can improve obese who suffer

参考文章(38)
Gordon J. Chelune, Robert A. Bornstein, Aurelio Prifitera, The Wechsler Memory Scale—Revised Advances in Psychological Assessment. pp. 65- 99 ,(1990) , 10.1007/978-1-4613-0555-2_3
Robert K. Heaton, Wisconsin Card Sorting Test manual Psychological Assessment Resources. ,(1993)
Hisayuki Funahashi, Toshihiko Yada, Ryusuke Suzuki, Seiji Shioda, Distribution, function, and properties of leptin receptors in the brain. International Review of Cytology-a Survey of Cell Biology. ,vol. 224, pp. 1- 27 ,(2003) , 10.1016/S0074-7696(05)24001-9
David C. Howell, Statistical Methods for Psychology ,(1987)
Shalom Coodin, Body mass index in persons with schizophrenia. The Canadian Journal of Psychiatry. ,vol. 46, pp. 549- 555 ,(2001) , 10.1177/070674370104600610
Sahoo Saddichha, Gopalkrishnan Vishnuvardhan, Sayeed Akhtar, Obesity, diabetes and hypertension associated with antipsychotic use in remitted schizophrenia The international journal of risk and safety in medicine. ,vol. 23, pp. 181- 185 ,(2011) , 10.3233/JRS-2011-0536
X. Fan, C. P. C. Borba, P. Copeland, D. Hayden, O. Freudenreich, D. C. Goff, D. C. Henderson, Metabolic effects of adjunctive aripiprazole in clozapine-treated patients with schizophrenia Acta Psychiatrica Scandinavica. ,vol. 127, pp. 217- 226 ,(2013) , 10.1111/ACPS.12009
Xiaofeng Guo, Jinguo Zhai, Zhening Liu, Maosheng Fang, Bo Wang, Chuanyue Wang, Bin Hu, Xueli Sun, Luxian Lv, Zheng Lu, Cui Ma, Xiaolin He, Tiansheng Guo, Shiping Xie, Renrong Wu, Zhimin Xue, Jindong Chen, Elizabeth W. Twamley, Hua Jin, Jingping Zhao, Effect of Antipsychotic Medication Alone vs Combined With Psychosocial Intervention on Outcomes of Early-Stage Schizophrenia: A Randomized, 1-Year Study Archives of General Psychiatry. ,vol. 67, pp. 895- 904 ,(2010) , 10.1001/ARCHGENPSYCHIATRY.2010.105