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当前和新型方法减轻第二代抗精神病药物对代谢心脏不良影响。

Current and Novel Approaches to Mitigate Cardiometabolic Adverse Effects of Second-Generation Antipsychotics.

机构信息

Department of Human Nutrition and Metabolomics, Pomeranian Medical University, Szczecin, Poland.

Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland.

出版信息

Int J Neuropsychopharmacol. 2020 Nov 26;23(8):491-495. doi: 10.1093/ijnp/pyaa026.

Abstract

Second-generation antipsychotic-related weight gain and metabolic disturbances are a major public health issue given the widespread prescribing of these medications. The lack of clearly known mechanisms of cardiometabolic adverse effects and the relevance of cardiometabolic health for survival make this an important area for research. While nonpharmacologic and some pharmacologic treatments have shown benefits vs control conditions or placebo, the effects are modest and long-term benefits are less clear. Therefore, new approaches to mitigate second-generation antipsychotic-associated cardiometabolic burden are sorely needed.

摘要

鉴于第二代抗精神病药物的广泛应用,与体重增加和代谢紊乱相关的问题是一个主要的公共卫生问题。由于代谢相关心血管不良事件的机制尚未完全明确,且代谢健康与生存质量密切相关,因此该领域的研究至关重要。虽然非药物和一些药物治疗已显示出优于对照条件或安慰剂的效果,但效果较为温和,长期获益尚不明确。因此,迫切需要新的方法来减轻第二代抗精神病药物相关的代谢负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a47/7689205/509ff85df53c/pyaa026_fig1.jpg

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