Pharmacological Interventions for the Prevention of Antipsychotic-Induced Weight Gain in People With Schizophrenia: A Cochrane Systematic Review and Meta-Analysis

Schizophr Bull. 2023 Jul 4;49(4):833-835. doi: 10.1093/schbul/sbad037.

Abstract

Patients with schizophrenia are burdened by higher rates of obesity, cardiovascular disease and reduced life expectancy than the general population. In addition to illness, genetic and lifestyle factors, the associated weight gain and metabolic adverse effects of antipsychotic (AP) medications are known to exacerbate and accelerate these cardiometabolic problems significantly. Given the detrimental consequences of weight gain and other metabolic disturbances, there is an urgent need for safe and effective strategies to manage these issues as early on as possible. This review summarizes the literature of adjunctive pharmacological interventions aimed at preventing AP-induced weight gain.

Keywords: adjunctive medications; antipsychotic-induced weight gain; cochrane; meta-analysis; prevention; systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Antipsychotic Agents* / adverse effects
  • Cardiovascular Diseases* / drug therapy
  • Humans
  • Obesity / chemically induced
  • Obesity / prevention & control
  • Schizophrenia* / chemically induced
  • Schizophrenia* / drug therapy
  • Weight Gain

Substances

  • Antipsychotic Agents