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2022-12-05

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cc-by (c) García Rizo, Clemente et al., 2022
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/193232

The effect of early life events on glucose levels in first-episode psychosis

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https://doi.org/10.3389/fendo.2022.983792

Resum

First episode of psychosis (FEP) patients display a wide variety of metabolic disturbances at onset, which might underlie these patients' increased morbidity and early mortality. Glycemic abnormalities have been previously related to pharmacological agents; however, recent research highlights the impact of early life events. Birth weight (BW), an indirect marker of the fetal environment, has been related to glucose abnormalities in the general population over time. We aim to evaluate if BW correlates with glucose values in a sample of FEP patients treated with different antipsychotics. Two hundred and thirty-six patients were included and evaluated for clinical and metabolic variables at baseline and at 2, 6, 12, and 24 months of follow-up. Pearson correlations and linear mixed model analysis were conducted to analyze the data. Antipsychotic treatment was grouped due to its metabolic risk profile. In our sample of FEP patients, BW was negatively correlated with glucose values at 24 months of follow-up [r=-0.167, p=0.037]. BW showed a trend towards significance in the association with glucose values over the 24-month period (F=3.22; p=0.073) despite other confounders such as age, time, sex, body mass index, antipsychotic type, and chlorpromazine dosage. This finding suggests that BW is involved in the evolution of glucose values over time in a cohort of patients with an FEP, independently of the type of pharmacological agent used in treatment. Our results highlight the importance of early life events in the later metabolic outcome of patients.

Matèries

Psicosi, Psicosi en els infants, Pes corporal, Creixement fetal, Glucosa, Psiquiatria biològica

Matèries (anglès)

Psychoses, Psychoses in children, Body weight, Fetal growth, Glucose, Biological psychiatry

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Articles publicats en revistes (Fonaments Clínics)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

GARCÍA RIZO, Clemente, CABRERA LLORCA, Bibiana, BIOQUE ALCÁZAR, Miquel, MEZQUIDA MATEOS, Gisela, LOBO, Antonio, GONZÁLEZ-PINTO, Ana, DÍAZ CANEJA, Covadonga m., CORRIPIO, Iluminada, VIETA I PASCUAL, Eduard, BAEZA, Inmaculada, GARCÍA-PORTILLA GONZÁLEZ, María paz, GUTIÉRREZ FRAILE, Miguel, RODRIGUEZ JIMENEZ, Roberto, GARRIGA, Marina, FERNÁNDEZ-EGEA, Emilio, BERNARDO ARROYO, Miquel. The effect of early life events on glucose levels in first-episode psychosis. _Frontiers In Endocrinology_. 2022. Vol. 13. [consulta: 21 de gener de 2026]. ISSN: 1664-2392. [Disponible a: https://hdl.handle.net/2445/193232]

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