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Current Psychiatry Reports

, Volume 14, Issue 6, pp 650–658 | Cite as

Obesity in Bipolar Disorder: An Overview

  • Susan L. McElroy
  • Paul E. KeckJr
Bipolar Disorders (MA Frye, Section Editor)

Abstract

Bipolar disorder (BD) is associated with obesity, overweight, and abdominal obesity, and BD individuals with obesity have a greater illness burden. Factors related to BD, its treatment, and the individual may all contribute to BD’s association with obesity. Management strategies for the obese BD patient include use of medications with better metabolic profiles, lifestyle interventions, and adjunctive pharmacotherapy for weight loss. Obesity-related psychiatric and medical comorbidities should also be assessed and managed. Bariatric surgery may be an option for carefully selected patients. Greater research into the theoretical underpinnings and clinical management of the BD-obesity connection is needed.

Keywords

Bipolar disorder BD Obesity Co-occurrence Comorbid eating disorders Metabolic syndrome Binge eating disorder Weight management Diet Exercise Pharmacotherapy Bariatric surgery Psychiatry 

Notes

Disclosure

S. L. McElroy: board member of Alkermes and Shire; consultant for Eli Lilly and Company, Schering-Plough, and Shire; research funding from Agency for Healthcare Research and Quality (AHRQ), Abbot, Alkermes, AstraZeneca, Bristol-Myers Squibb, Cephalon, Eli Lilly and Company, Forest, GlaxoSmithKline, Jazz Pharmaceuticals, Marriott Foundation, National Institute of Mental Health, Orexigen Therapeutics, Shire, and Takeda Pharmaceuticals; and inventor on US Patent No. 6,323,236B2, Use of Sulfamate Derivatives for Treating Impulse Control Disorders, and along with the patent’s assignee, University of Cincinnati, Cincinnati, OH, receives payments from Johnson & Johnson, which has exclusive rights under the patent; P. E. Keck: consultant for Bristol-Myers Squibb, Pamlab, and Forest Labs.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Lindner Center of HOPEMasonUSA
  2. 2.Department of Psychiatry and Behavioral NeuroscienceUniversity of Cincinnati College of MedicineCincinnatiUSA

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