The effect of berberine adjunctive treatment on glycolipid metabolism in patients with schizophrenia: A randomized, double-blind, placebo-controlled clinical trial
Abstract
Previous studies have shown that berberine can improve metabolic disturbances in non-psychiatric patients, but no clinical research has been conducted in schizophrenia. This study was a randomized, double-blind, placebo-controlled clinical trial. Eligible patients diagnosed with schizophrenia were randomized to receive placebo or berberine (900mg/day) as an adjunctive treatment for eight weeks. Peripheral glycolipid metabolism parameters were measured at baseline, week 4, and week 8. Sixty-five patients were included, and forty-nine patients completed the 8-week trial. Berberine led to significant declines in total cholesterol, low-density lipoprotein cholesterol, fasting serum insulin, and insulin resistance(all p<0.05) compared with placebo. Baseline body mass index and serum prolactin concentration could predict the effect of berberine on insulin resistance. Berberine adjunctive treatment may reduce the risk of glycolipid metabolic disturbances in patients with schizophrenia.
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Two publications from the same authors were considered the same study, and only data from the earlier publication were presented to avoid duplication.
“We identified two publications from the same authors that we considered to be the same study, with one study published in Chinese and the other in English.(29, 30) To avoid duplication, we only present data from the earlier publication as the sample size was larger and the study report was more detailed.”
From Overall and sex-specific effect of berberine for dyslipidemia: systematic review and meta-analysis of placebo-controlled trials (2022) · cites this paper as [30]
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References 42 · Cited by 21
- Authors
- Li, M., Liu, Y., Qiu, Y., Zhang, J., Zhang, Y., Zhao, Y., Jia, Q., & Li, J.
- Affiliations
- Tianjin Anding Hospital (CN)
- Soochow University (CN)
- Corresponding author
- Li, Jie
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 300
- Pages
- 113899
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W3137719537
- Cited by
- 21
- References
- 42
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 8 · 2022: 3 · 2021: 2
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Berberine and alkaloids research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- berberine, schizophrenia, glycolipid metabolism, insulin resistance, hypertriglyceridemia, hypercholesterolemia, adjunctive therapy, body mass index, prolactin, metabolic disorders
- MeSH terms
- Berberine, Double-Blind Method, Glycolipids, Humans, Schizophrenia, Antipsychotic Agents, Treatment Outcome
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