TY  - JOUR
AU  - Solé, B.
AU  - Montejo, L.
AU  - Budde, M.
AU  - Valentí, M.
AU  - Borràs, R.
AU  - Martín-Parra, S.
AU  - Ruiz, A.
AU  - Martínez-Aran, A.
AU  - Adorjan, K.
AU  - Heilbronner, M.
AU  - Navarro-Flores, A.
AU  - Oraki Kohshour, M.
AU  - Reich-Erkelenz, D.
AU  - Schulte, E. C.
AU  - Senner, F.
AU  - Anghelescu, I. G.
AU  - Arolt, V.
AU  - Baune, B. T.
AU  - Dannlowski, U.
AU  - Dietrich, D. E.
AU  - Fallgatter, A. J.
AU  - Figge, C.
AU  - Juckel, G.
AU  - Konrad, C.
AU  - Reimer, J.
AU  - Reininghaus, E. Z.
AU  - Schmauß, M.
AU  - Spitzer, C.
AU  - Wiltfang, J.
AU  - Zimmermann, J.
AU  - Falkai, P.
AU  - Vieta, E.
AU  - Schulze, T. G.
AU  - Torrent, C.
AU  - Heilbronner, U.
AU  - Papiol, S.
TI  - Unravelling the Link Between Body Mass Index and Cognitive Performance in Individuals With Bipolar Disorder and Exploration of PRS Moderation Effect: Findings From the PsyCourse Study.
JO  - Acta psychiatrica Scandinavica
VL  - 152
IS  - 6
SN  - 0001-690X
CY  - Oxford [u.a.]
PB  - Wiley-Blackwell
M1  - DZNE-2025-01247
SP  - 451 - 461
PY  - 2025
AB  - Bipolar disorder (BD) is a severe mental disorder characterized by extreme mood swings, often accompanied by metabolic comorbidities, such as cardiovascular disease, which increase mortality and reduce quality of life. Both metabolic dysfunctions and BD are associated with cognitive dysfunction. Body mass index (BMI) is closely linked to metabolic health and cognitive performance. This study examined the link between BMI and cognitive function in individuals with BD and how genetic factors, namely polygenic risk scores (PRS) for BD and BMI, might influence this link.Genetic (PRS scores) and phenotypic data (sociodemographic factors, clinical symptoms and cognitive function) of 341 adult patients with BD diagnosis from the PsyCourse Study, a large, multi-site, and naturalistic longitudinal study, were utilized for this study. First, we performed univariate and multivariate regression analyses to investigate associations between BMI and cognitive performance. Second, moderation analyses were conducted to examine the potential moderator effects of BD-PRS or BMI-PRS in the relationship between BMI and different cognitive outcomes.BMI was associated with processing speed (TMT-A) and executive function (TMT-B), with individuals with higher BMI showing poorer performance. Moderation analyses revealed that the effect of BMI on cognition was moderated by BD-PRS only regarding the processing speed. BMI-PRS did not moderate the association between BMI and cognitive variables.Our findings indicate that the relationship between BMI and cognitive impairment in BD is partially moderated by BD genetic liability but not by BMI genetic load.
KW  - Humans
KW  - Bipolar Disorder: genetics
KW  - Bipolar Disorder: physiopathology
KW  - Bipolar Disorder: complications
KW  - Male
KW  - Female
KW  - Body Mass Index
KW  - Adult
KW  - Middle Aged
KW  - Cognitive Dysfunction: physiopathology
KW  - Cognitive Dysfunction: etiology
KW  - Cognitive Dysfunction: genetics
KW  - Longitudinal Studies
KW  - Executive Function: physiology
KW  - Multifactorial Inheritance
KW  - bipolar disorder (Other)
KW  - body mass index (Other)
KW  - executive function (Other)
KW  - polygenic risk scores (PRS) (Other)
KW  - psychomotor speed (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:40887816
DO  - DOI:10.1111/acps.70028
UR  - https://pub.dzne.de/record/281876
ER  -