Evidence mapPaperPMID 40600014Full record

SynthesisFrontiers in endocrinology2025

Effects of the selective serotonin reuptake inhibitors citalopram and escitalopram on glucolipid metabolism: a systematic review.

Yajing Dai, Mingzhe Zhao, Mian Li, JinQi Ding, Mengfei Ye, Zhonglin Tan, Sugai Liang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yajing Dai *The Fourth Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.
Mingzhe Zhao *Affiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Mian LiThe Fourth Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.
JinQi DingAffiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Mengfei YeDepartment of Psychiatry, Shaoxing Seventh People's Hospital, Shaoxing, Zhejiang, China.
Zhonglin TanAffiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Sugai LiangAffiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Type 2 diabetes mellitus (T2DM) and major depressive disorder (MDD) frequently co-occur, highlighting the need to understand the metabolic effects of antidepressants. This systematic review evaluated the impact of citalopram and escitalopram on glucose and lipid metabolism, focusing on glycemic control. Methods: A comprehensive search of PubMed, Embase, Web of Science, PsycINFO, the Cochrane Library and Google Scholar was conducted. Primary outcomes included changes in glycosylated hemoglobin (HbA1c) and fasting blood glucose (FBG). Secondary outcomes assessed lipid profiles (triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein) and depressive symptom scales. Subgroup analyses were conducted to evaluate outcomes in patients with comorbid T2DM and MDD and those with MDD only. Results: Thirteen studies involving 502 participants met the inclusion criteria. Six randomized controlled trials, four prospective studies, one cohort trial, one single-arm trial and one three-arm trial. The findings suggest that both citalopram and escitalopram tend to reduce HbA1c and FBG levels. No significant effects on lipid profiles were observed across the included studies. Conclusion: Citalopram and escitalopram appear to exert beneficial effects on glycemic control, as evidenced by reductions in HbA1c and FBG. Further high-quality investigations are warranted to validate these findings and guide individualized treatment strategies. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024544963, identifier CRD42024544963.

Indexed as

CitalopramDiabetes Mellitus, Type 2EscitalopramLipid MetabolismMajor Depressive DisorderSelective Serotonin Reuptake InhibitorsBlood GlucoseGlycated HemoglobinHumansBlood GlucoseCitalopramEscitalopramGlycated HemoglobinSelective Serotonin Reuptake Inhibitorscitalopramescitalopramglucolipid metabolismmajor depressive disordersystematic reviewtype 2 diabetes mellitus

Identifiers

PMID40600014
PMCPMC12209303

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.