Obesity and brain structure in schizophrenia – ENIGMA study in 3021 individuals

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Sean R. McWhinney - , Dalhousie University (Autor:in)
  • Katharina Brosch - , Philipps-Universität Marburg (Autor:in)
  • Vince D. Calhoun - , Emory University (Autor:in)
  • Benedicto Crespo-Facorro - , CIBER - Centro de Investigación Biomédica en Red, Hospital Universitario Virgen del Rocio, Universidad de Sevilla (Autor:in)
  • Nicolas A. Crossley - , Pontificia Universidad Católica de Chile, King's College London (KCL) (Autor:in)
  • Udo Dannlowski - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Erin Dickie - , University of Toronto (Autor:in)
  • Lorielle M.F. Dietze - , Dalhousie University (Autor:in)
  • Gary Donohoe - , University of Galway (Autor:in)
  • Stefan Du Plessis - , University of Stellenbosch, SAMRC Genomics of Brain Disorders Unit (Autor:in)
  • Stefan Ehrlich - , Psychosoziale Medizin und Entwicklungsneurowissenschaften (Autor:in)
  • Robin Emsley - , University of Stellenbosch (Autor:in)
  • Petra Furstova - , Národní ústav duševního zdraví (Autor:in)
  • David C. Glahn - , Harvard University, Institute of Living (Autor:in)
  • Alfonso Gonzalez- Valderrama - , Universidad Finis Terrae, Instituto Psiquiátrico ‘Dr. José Horwitz B.’ (Autor:in)
  • Dominik Grotegerd - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Laurena Holleran - , University of Galway (Autor:in)
  • Tilo T.J. Kircher - , Philipps-Universität Marburg (Autor:in)
  • Pavel Knytl - , Národní ústav duševního zdraví, Karlsuniversität Prag (Autor:in)
  • Marian Kolenic - , Národní ústav duševního zdraví, Karlsuniversität Prag (Autor:in)
  • Rebekka Lencer - , Westfälische Wilhelms-Universität Münster, Universität zu Lübeck (Autor:in)
  • Igor Nenadić - , Philipps-Universität Marburg (Autor:in)
  • Nils Opel - , Westfälische Wilhelms-Universität Münster, Friedrich-Schiller-Universität Jena (Autor:in)
  • Julia Katharina Pfarr - , Philipps-Universität Marburg (Autor:in)
  • Amanda L. Rodrigue - , Harvard University (Autor:in)
  • Kelly Rootes-Murdy - , Georgia State University (Autor:in)
  • Alex J. Ross - , Dalhousie University (Autor:in)
  • Kang Sim - , Singapore Institute of Mental Health, National University of Singapore, Nanyang Technological University (Autor:in)
  • Antonín Škoch - , Národní ústav duševního zdraví, Institute for Clinical and Experimental Medicine (Autor:in)
  • Filip Spaniel - , Národní ústav duševního zdraví, Karlsuniversität Prag (Autor:in)
  • Frederike Stein - , Philipps-Universität Marburg (Autor:in)
  • Patrik Švancer - , Národní ústav duševního zdraví, Karlsuniversität Prag (Autor:in)
  • Diana Tordesillas-Gutiérrez - , Hospital Universitario Marques de Valdecilla, Consejo Superior de Investigaciones Científicas (CSIC) (Autor:in)
  • Juan Undurraga - , Instituto Psiquiátrico ‘Dr. José Horwitz B.’, Universidad del Desarrollo (Autor:in)
  • Javier Váquez-Bourgon - , CIBER - Centro de Investigación Biomédica en Red, Universidad de Cantabria, Hospital Universitario Marques de Valdecilla (Autor:in)
  • Aristotle Voineskos - , University of Toronto (Autor:in)
  • Esther Walton - , University of Bath (Autor:in)
  • Thomas W. Weickert - , SUNY Upstate Medical University, Neuroscience Research Australia (Autor:in)
  • Cynthia Shannon Weickert - , SUNY Upstate Medical University, Neuroscience Research Australia, University of New South Wales (Autor:in)
  • Paul M. Thompson - , Keck School of Medicine at University of Southern California (Autor:in)
  • Theo G.M. van Erp - , University of California at Irvine (Autor:in)
  • Jessica A. Turner - , Georgia State University (Autor:in)
  • Tomas Hajek - , Dalhousie University, Národní ústav duševního zdraví (Autor:in)

Abstract

Schizophrenia is frequently associated with obesity, which is linked with neurostructural alterations. Yet, we do not understand how the brain correlates of obesity map onto the brain changes in schizophrenia. We obtained MRI-derived brain cortical and subcortical measures and body mass index (BMI) from 1260 individuals with schizophrenia and 1761 controls from 12 independent research sites within the ENIGMA-Schizophrenia Working Group. We jointly modeled the statistical effects of schizophrenia and BMI using mixed effects. BMI was additively associated with structure of many of the same brain regions as schizophrenia, but the cortical and subcortical alterations in schizophrenia were more widespread and pronounced. Both BMI and schizophrenia were primarily associated with changes in cortical thickness, with fewer correlates in surface area. While, BMI was negatively associated with cortical thickness, the significant associations between BMI and surface area or subcortical volumes were positive. Lastly, the brain correlates of obesity were replicated among large studies and closely resembled neurostructural changes in major depressive disorders. We confirmed widespread associations between BMI and brain structure in individuals with schizophrenia. People with both obesity and schizophrenia showed more pronounced brain alterations than people with only one of these conditions. Obesity appears to be a relevant factor which could account for heterogeneity of brain imaging findings and for differences in brain imaging outcomes among people with schizophrenia.

Details

OriginalspracheEnglisch
Seiten (von - bis)3731-3737
Seitenumfang7
FachzeitschriftMolecular psychiatry
Jahrgang27
Ausgabenummer9
PublikationsstatusVeröffentlicht - Sept. 2022
Peer-Review-StatusJa

Externe IDs

PubMed 35739320
ORCID /0000-0003-2132-4445/work/160950858