Serum folate levels in bipolar disorder: a systematic review and meta-analysis
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Background: Bipolar disorder (BD) is a major psychiatric illness, however its physiopathology is unclear. The role of folate in the physiopathology of BD is controversial. We conducted this systematic review and meta-analysis to investigate the effect of folate in BD patients. Methods: We performed a thorough literature study of the PubMed, Embase, ScienceDirect, ClinicalKey, Cochrane Library, ProQuest, Web of Science, and ClinicalTrials.gov databases until December 21st, 2018. Random effects meta-analysis was conducted. Results: Six articles involving 481 patients with BD and 760 controls were included. The meta-analysis results suggested that serum folate levels in the patients with BD were significantly lower than those in the controls (Hedges’ g = − 0.211, 95% confidence interval = − 0.391 to − 0.031, p = 0.021). Conclusion: The current meta-analysis show it might be association between lower serum folate levels and patient with BD. However, we could not distinguish the potentially confounding effects of mood states on the folate levels. Further prospective studies including subjects with different mood states and possible physiopathology are warranted to investigate the association between folate deficiency and the etiology of BD.
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Patients with bipolar disorder have low levels of vitamin B9 (folate).
“In a recent study, it has been reported that patients with bipolar disorder have low levels of vitamin B9 (folate) (Hsieh et al. 2019).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Hsieh et al. 2019
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- Authors
- Hsieh, Y.-C., Chou, L.-S., Lin, C.-H., Wu, H.-C., Li, D.-J., & Tseng, P.-T.
- Affiliations
- Kaohsiung Municipal Kai-Syuan Psychiatric Hospital (TW)
- Corresponding author
- Li, Dian-Jeng
- Tseng, Ping-Tao
- Venue
- BMC Psychiatry
- Published
- 2019-10-22
- Volume
- 19
- Issue
- 1
- Pages
- 305-305
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC6805488
- OpenAlex
- W2982072312
- Cited by
- 33
- References
- 63
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 2
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Rheumatology › Folate and B Vitamins Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar disorder, serum folate, folate deficiency, folate metabolism, pathophysiology, mood states, folic acid
- MeSH terms
- Bipolar Disorder, Female, Folic Acid, Humans, Male, Nutritional Status
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