Obesity

The bi-directional association between bipolar disorder and obesity: Evidence from Meta and bioinformatics analysis

Int J Obes (Lond)Published Systematic review and meta-analysis with bioinformatics analysis

Authors' conclusion

Our study shows unequivocal evidence of a bi-directional association between bipolar disorder and obesity, but more crucially, it provides a snapshot of the molecular signature of obesity in bipolar patients as a result of psychotropic medication.

Study context

Population
Studies of obesity and bipolar disorder; databases searched through June 25, 202018 studies
Comparison
Obesity vs bipolar disorder
Outcome
Bidirectional association between obesity and bipolar disorder
Methodological detailsNewcastle-Ottawa Scale quality rating, Gene Expression Omnibus data sets (GSE5392, GSE87610, GSE35977)
  • Newcastle-Ottawa Scale quality rating
  • Gene Expression Omnibus data sets (GSE5392, GSE87610, GSE35977)

Pooled result

As reported in the abstract

Obesity → risk of developing bipolar disorder, pooled aOR

1.32

95% CI 1.01–1.62

Bipolar disorder → chance of obesity, pooled aOR

1.68

95% CI 1.35–2

Further pooled results

Molecular signature of obesity in bipolar disorder after psychotropic treatment (bioinformatics)

UBAP2L AUC (p = 1.1e-04)
0.806
NOVA2 AUC (p = 6.7e-03)
0.73
Genes activated after psychotropic treatment include CYBB, C3, OLR1, CX3CR1, C3AR1, CD53, AIF1, LY86, BDNF, ALOX5AP, CXCL10; mostly mesodermal and PI3K-Akt signaling pathway

Original publication

The bi-directional association between bipolar disorder and obesity: Evidence from Meta and bioinformatics analysis. Int J Obes (Lond). Published 18 February 2023. doi:10.1038/s41366-023-01277-6

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