Is there a metabolic-mood syndrome? A review of the relationship between obesity and mood disorders

Is there a metabolic-mood syndrome? A review of the relationship between obesity and mood disorders

Author Mansur, Rodrigo B. Autor UNIFESP Google Scholar
Brietzke, Elisa Autor UNIFESP Google Scholar
McIntyre, Roger S. Google Scholar
Institution Univ Toronto
Universidade Federal de São Paulo (UNIFESP)
Abstract Obesity and mood disorders are highly prevalent and co-morbid. Epidemiological studies have highlighted the public health relevance of this association, insofar as both conditions and its co-occurrence are associated with a staggering illness-associated burden. Accumulating evidence indicates that obesity and mood disorders are intrinsically linked and share a series of clinical, neurobiological, genetic and environmental factors. the relationship of these conditions has been described as convergent and bidirectional; and some authors have attempted to describe a specific subtype of mood disorders characterized by a higher incidence of obesity and metabolic problems. However, the nature of this association remains poorly understood. There are significant inconsistencies in the studies evaluating metabolic and mood disorders; and, as a result, several questions persist about the validity and the generalizability of the findings. An important limitation in this area of research is the noteworthy phenotypic and pathophysiological heterogeneity of metabolic and mood disorders. Although clinically useful, categorical classifications in both conditions have limited heuristic value and its use hinders a more comprehensive understanding of the association between metabolic and mood disorders. A recent trend in psychiatry is to move toward a domain specific approach, wherein psychopathology constructs are agnostic to DSM-defined diagnostic categories and, instead, there is an effort to categorize domains based on pathogenic substrates, as proposed by the National Institute of Mental Health (NIMH) Research Domain Criteria Project (RDoC). Moreover, the substrates subserving psychopathology seems to be unspecific and extend into other medical illnesses that share in common brain consequences, which includes metabolic disorders. Overall, accumulating evidence indicates that there is a consistent association of multiple abnormalities in neuropsychological constructs, as well as correspondent brain abnormalities, with broad-based metabolic dysfunction, suggesting, therefore, that the existence of a metabolic-mood syndrome is possible. Nonetheless, empirical evidence is necessary to support and develop this concept. Future research should focus on dimensional constructs and employ integrative, multidisciplinary and multimodal approaches. (C) 2015 Elsevier B.V. All rights reserved.
Keywords Mood disorders
Major depressive disorder
Bipolar disorder
Subtypes
Obesity
Metabolic syndrome
Diabetes mellitus
Metabolism
RDoC
Research domain criteria
Language English
Date 2015-05-01
Published in Neuroscience and Biobehavioral Reviews. Oxford: Pergamon-Elsevier B.V., v. 52, p. 89-104, 2015.
ISSN 0149-7634 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 89-104
Origin http://dx.doi.org/10.1016/j.neubiorev.2014.12.017
Access rights Closed access
Type Review
Web of Science ID WOS:000353601300007
URI http://repositorio.unifesp.br/handle/11600/39052

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