Course and predictors of weight gain in people with first-episode psychosis treated with olanzapine or haloperidol


Journal Article

Background: Substantial weight gain is common with many atypical antipsychotics. Aims: To evaluate the extent, time course and predictors of weight gain and its effect on study retention among people with first-episode psychosis treated with olanzapine or haloperidol. Method: Survival analysis assessed time to potentially clinically significant weight gain (≥ 7%) and the effect of weight gain on study retention. Weight gain during the 2-year study was summarised using last-observation-carried-forward (LOCF), observed cases and study completion approaches. Results: After 2 years of treatment, LOCF mean weight gain was 10.2 kg (s.d.=10.1) for olanzapine (n=131) and 4.0 kg (s.d.=7.3) for haloperidol (n=132); observed cases mean weight gain was 15.4 kg (s.d.=10.0) for olanzapine and 7.5 kg (s.d.=9.2) for haloperidol. Change in body mass index was significantly predicted only by treatment group (P < 0.0001). Conclusions: Olanzapine was associated with significantly greater weight gain than haloperidol, with both leading to greater weight gain than previously described.

Duke Authors

Cited Authors

  • Zipursky, RB; Gu, H; Green, AI; Perkins, DO; Tohen, MF; McEvoy, JP; Strakowski, SM; Sharma, T; Kahn, RS; Gur, RE; Tollefson, GD; Lieberman, JA

Published Date

  • December 1, 2005

Published In

Volume / Issue

  • 187 / DEC.

Start / End Page

  • 535 - 543

International Standard Serial Number (ISSN)

  • 0007-1250

Citation Source

  • Scopus