Source:http://linkedlifedata.com/resource/pubmed/id/16314759
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2005-11-29
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pubmed:abstractText |
To assess the relative contribution of genetic factors in antipsychotic-induced weight gain, we explored the similarity in body mass index (BMI) (kg/m(2)) change under clozapine only (clozapine DeltaBMI) and upon additional inclusion of BMI change under prior antipsychotic medication (total DeltaBMI) of five monozygotic twins in comparison with seven same-sex sibs. Twin and sib pairs were identified by a telephone screening of 786 office-based psychiatrists. Measured data on weight and other clinical variables were obtained cross-sectionally and retrospectively from medical records. We found greater similarity in total DeltaBMI in monozygotic twins (intrapair difference 2.78+/-3.41 kg/m(2)) than in same-sex sibs (5.55+/-4.35 kg/m(2)), resulting in heritability estimates of h(2)=0.8 and A=0.45 (ACE twin model). However, intrapair differences in clozapine DeltaBMI were similar between twins (4.18+/-4.27 kg/m(2)) and sibs (4.68+/-4.88 kg/m(2)). We hypothesize that the weight plateau achieved under clozapine is influenced by genetic factors. The weight gain achieved during pretreatment with other antipsychotics seems to limit clozapine-induced weight gain, thus presumably explaining why heritability/similarity in monozygotic twins in comparison with same-sex sibs is greater for total DeltaBMI than for clozapine DeltaBMI. An important caveat is that, owing to the sample size, the heritability estimates have a large standard error and thus have to be interpreted with caution.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0955-8829
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pubmed:author |
pubmed-author:GebhardtStefanS,
pubmed-author:HaberhausenMichaelM,
pubmed-author:HebebrandJohannesJ,
pubmed-author:Heinzel-GutenbrunnerMonikaM,
pubmed-author:KühnauWolfgangW,
pubmed-author:KriegJürgen-ChristianJC,
pubmed-author:RemschmidtHelmutH,
pubmed-author:SchmidtkeJörgJ,
pubmed-author:TheisenFrank MFM,
pubmed-author:WehmeierPeter MPM
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pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
285-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16314759-Adolescent,
pubmed-meshheading:16314759-Adult,
pubmed-meshheading:16314759-Body Mass Index,
pubmed-meshheading:16314759-Clozapine,
pubmed-meshheading:16314759-Cross-Sectional Studies,
pubmed-meshheading:16314759-Female,
pubmed-meshheading:16314759-Humans,
pubmed-meshheading:16314759-Male,
pubmed-meshheading:16314759-Retrospective Studies,
pubmed-meshheading:16314759-Sex Characteristics,
pubmed-meshheading:16314759-Siblings,
pubmed-meshheading:16314759-Twins, Monozygotic,
pubmed-meshheading:16314759-Weight Gain
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pubmed:year |
2005
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pubmed:articleTitle |
Clozapine-induced weight gain: a study in monozygotic twins and same-sex sib pairs.
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pubmed:affiliation |
Clinical Research Group, Department of Child and Adolescent Psychiatry, University of Marburg, Hans-Sachs-Str. 6, D - 35039 Marburg, Germany. frank.theisen@med.uni-marburg.de
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't,
Twin Study
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