Type 2 & other diabetes

Poor muscle health and cardiometabolic risks associated with antidepressant treatment

Obesity (Silver Spring)Published Cross-sectional and cohort study

Authors' conclusion

Adverse changes in body composition of antidepressant users are not captured by tracking the body weight or the BMI of the patients. These changes may lead to a worsened cardiometabolic risk profile.

Study context

Population
UK Biobank participants with MRI-derived adipose and muscle tissue measures
Participants
40,174 participants
Exposure
Selective serotonin reuptake inhibitor (SSRI) and tricyclic antidepressant (TCA) users vs matched non-users
Outcome
Fat distribution and muscle composition (MRI); risk of CVD and T2D
Methodological detailsUK Biobank, sex-, age- and BMI-matched controls, Cox regression
  • UK Biobank
  • Sex-, age- and BMI-matched controls
  • Cox regression

Main finding

As reported in the abstract

  • SSRI users had more visceral fat, smaller muscle volume and higher muscle fat infiltration vs matched controls
  • Male and female TCA users showed lower muscle volume
  • Female users had a larger BMI increase over time than male users; male users had an unhealthier body composition profile

Observational data: associations, not effects.

Further findings

Male SSRI users had an increased risk of developing cardiovascular disease (CVD)
Male and female TCA users had an increased risk of developing T2D

Original publication

Poor muscle health and cardiometabolic risks associated with antidepressant treatment. Obesity (Silver Spring). Published 24 September 2024. doi:10.1002/oby.24085

Composed by AI from the published abstract and checked against it. How Briefs are made →

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