Impaired hormonal regulation of appetite may contribute to higher cardiovascular risk in bipolar disorder (BD). We performed a systematic review and meta-analysis of studies investigating peripheral blood levels of appetite-regulating hormones in BD and controls. A total of 32 studies were included. Leptin and insulin levels were significantly elevated in patients with BD during euthymia, but not in other mood states. Greater differences in the number of male participants between patients with BD and healthy controls were associated with higher effect size estimates for the levels of insulin. There were significant positive correlations of effect size estimates for the levels of adiponectin with the percentage of individuals with type I BD and duration of BD. Our findings point to the mechanisms underlying high rates of cardiometabolic comorbidities in BD. Moreover, they suggest that investigating hormonal regulation of appetite might help to understand differences in the neurobiology of BD types.

Misiak, B., Kowalski, K., Stanczykiewicz, B., Bartoli, F., Carra, G., Samochowiec, J., et al. (2022). Appetite-regulating hormones in bipolar disorder: A systematic review and meta-analysis. FRONTIERS IN NEUROENDOCRINOLOGY, 67(October 2022) [10.1016/j.yfrne.2022.101013].

Appetite-regulating hormones in bipolar disorder: A systematic review and meta-analysis

Bartoli F.;Carra G.;
2022

Abstract

Impaired hormonal regulation of appetite may contribute to higher cardiovascular risk in bipolar disorder (BD). We performed a systematic review and meta-analysis of studies investigating peripheral blood levels of appetite-regulating hormones in BD and controls. A total of 32 studies were included. Leptin and insulin levels were significantly elevated in patients with BD during euthymia, but not in other mood states. Greater differences in the number of male participants between patients with BD and healthy controls were associated with higher effect size estimates for the levels of insulin. There were significant positive correlations of effect size estimates for the levels of adiponectin with the percentage of individuals with type I BD and duration of BD. Our findings point to the mechanisms underlying high rates of cardiometabolic comorbidities in BD. Moreover, they suggest that investigating hormonal regulation of appetite might help to understand differences in the neurobiology of BD types.
Articolo in rivista - Review Essay
Adiposity; Depression; Mood disorder; Obesity; Overweight;
English
2-lug-2022
2022
67
October 2022
101013
none
Misiak, B., Kowalski, K., Stanczykiewicz, B., Bartoli, F., Carra, G., Samochowiec, J., et al. (2022). Appetite-regulating hormones in bipolar disorder: A systematic review and meta-analysis. FRONTIERS IN NEUROENDOCRINOLOGY, 67(October 2022) [10.1016/j.yfrne.2022.101013].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/389321
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