obesity weight gain
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Start of an antidepressant (mirtazapine or paroxetine) - 18 years or older - Race: Caucasian (3 of 4 grand parents are Caucasian)
Exclusion criteria
Exclusion criteria: - Abnormal clinical outcomes at the first health check in which a consult with the general practitioner is advised. These outcomes are: - BMI * 30 kg/m2 - Total cholesterol * 8 mmol/l - Total cholesterol * 4.5 mmol/l + diabetes - LDL * 2.5 mmol/l + * 1 risk factor - Systolic blood pressure * 140 mmHg + * 1 risk factor - Systolic blood pressure * 160 mmHg - Glucose > 7.8 mmol/l + BMI * 25 kg/m2 (Risk factors are: smoking, diabetes mellitus, family anamnesis (father, mother, brother or sister) with cardiovascular disease before the age of 60 years.) - Use of the antidepressant is shorter than 105 days - Use of other antidepressants during the study period: citalopram, duloxetine, escitalopram, fluoxetine, fluvoxamine, mianserin, paroxetine, trazodone, venlafaxine, buprorion, amitriptyline, clomipramine, dosulepin, doxepine, imipramine, maprotiline, nortripyline - Use of atypical antipsychotics during the study period: aripiprazole, clozapine, olanzapine, risperidone, quitiapine, sertindol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - BMI increase within the study period (0-105 days after start with the antidepressant) - Waist circumference increase within the study period (0-105 days after start with the antidepressant) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Increase of patients with metabolic syndrome at start according to the criteria of the International Diabetes Federation (IDF) within the study period (0-105 days after start with the antidepressant) - SCORE cardiovascular 10-year mortality risk increase within the study period (0-105 days after start with the antidepressant) - Increase of fasting glucose level increase within the study period (0-105 days after start with the antidepressant) - Increase of fasting LDL level increase within the study period (0-105 days after start with the antidepressant) - Increase of fasting TC level increase within the study period (0-105 days after start with the antidepressant) - Increase of fasting HDL decrease within the study period (0-105 days after start with the antidepressant) | — |
Countries
Netherlands