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Journal of Obesity
Volume 2011, Article ID 898013, 6 pages
http://dx.doi.org/10.1155/2011/898013
Research Article

Switching to Aripiprazole as a Strategy for Weight Reduction: A Meta-Analysis in Patients Suffering from Schizophrenia

Abarbanel Mental Health Center and Geha Mental Health Center Affiliated with the Sackler Faculty of Medicine, Tel-Aviv University, Bat-Yam 59100, Israel

Received 17 April 2010; Revised 15 July 2010; Accepted 28 July 2010

Academic Editor: S. B. Heymsfield

Copyright © 2011 Yoram Barak and Dov Aizenberg. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Weight gain is one of the major drawbacks associated with the pharmacological treatment of schizophrenia. Existing strategies for the prevention and treatment of obesity amongst these patients are disappointing. Switching the current antipsychotic to another that may favorably affect weight is not yet fully established in the psychiatric literature. This meta-analysis focused on switching to aripiprazole as it has a pharmacological and clinical profile that may result in an improved weight control. Nine publications from seven countries worldwide were analyzed. These encompassed 784 schizophrenia and schizoaffective patients, 473 (60%) men and 311 (40%) women, mean age 3 9 . 4 ± 7 . 0 years. The major significant finding was a mean weight reduction by 2 . 5 5 ± 1 . 5  kgs following the switch to aripiprazole ( 𝑃 < . 0 0 1 ). Switching to an antipsychotic with a lower propensity to induce weight gain needs be explored as a strategy. Our analysis suggests aripiprazole as a candidate for such a treatment strategy.