Table 1 Demographic and clinical characteristics of patients with schizophrenia and healthy individuals.

From: Long-term Use of Clozapine is Protective for Bone Density in Patients with Schizophrenia

 

Controls (N = 44)

Non-clozapine antipsychotics (N = 69)

Clozapine (N = 42)

P value

Age, year, mean (SD)

40.2 (8.6)

41.8 (10.4)

41.1 (8.1)

0.682

Education, year, mean (SD)

15.5 (1.5)

10.6 (3.0)

11.3 (2.9)

<0.001

Body weight, Kg, mean (SD)

60.2 (11.3)

70.9 (12.0)

70.3 (11.7)

<0.001

Body mass index, mean (SD)

22.6 (3.0)

26.2 (4.2)

26.3 (3.9)

<0.001

Waist circumstance, cm, mean (SD)

71.3 (7.2)

94.6 (10.6)

94.6 (9.3)

<0.001

Hip circumstance, cm, mean (SD)

96.5 (2.8)

104.0 (8.8)

103.9 (8.2)

<0.001

Illness duration, month, mean (SD)

205.6 (111.3)

246.4 (95.9)

0.053

Duration of antipsychotic treatment, day mean (SD)

2832.3 (2518.0)

3435.6 (3134.4)

0.268

Chlorpromazine equivalence dose, mg/day, mean (SD)

586.6 (454.5)

420.5 (173.8)

0.026

PANSS total score, mean (SD)

92.3 (14.4)

83.5 (14.5)

0.002

PANSS positive-subscale score

20.3 (4.8)

18.3 (3.9)

0.055

PANSS negative-subscale score

23.6 (3.6)

21.9 (4.4)

0.024

PANSS general-psychopathology score

48.5 (7.8)

43.4 (8.3)

0.002

Global Assessment of Functioning score, mean (SD)

41.9 (11.2)

44.4 (10.1)

0.096

Calcium, mg/dl, mean (SD)

9.1 (0.4)

9.0 (0.4)

9.0 (0.3)

0.409

Alkaline phosphatase, U/L, mean (SD)

50.6 (14.4)

66.0 (17.9)

69.4 (23.2)

<0.001

TSH, mIU/L, mean (SD)

1.7 (1.1)

1.5 (0.8)

2.9 (10.5)

0.011

T3, ng/dl, mean (SD)

94.5 (14.5)

96.9 (21.8)

98.8 (35.5)

0.846

Cortisol, μg/dl, mean (SD)

10.8 (4.6)

11.9 (4.1)

11.7 (4.4)

0.302

Estradiol, ng/ml, mean (SD)

83.9 (73.4)

38.4 (34.6)

45.4 (39.9)

<0.001

Testosterone, ng/ml, mean (SD)

1.5 (1.9)

2.5 (2.8)

2.6 (2.1)

0.015

Prolactin, ng/ml, mean (SD)

11.5 (7.0)

31.3 (26.9)

11.3 (7.6)

<0.001

Baseline DEXA T score, mean (SD)

0.0 (1.2)

−0.6 (1.1)

0.2 (1.5)

0.003

Baseline DEXA Z score, mean (SD)

0.3 (1.1)

−0.3 (1.1)

0.4 (1.5)

0.008

Gender, female, n (%)

31 (70.5)

29 (42.0)

17 (40.5)

0.004

Concomitant all mood stabilizers

13 (18.8)

9 (21.4)

0.807

Concomitant lithium treatment

6 (8.7)

5 (11.9)

0.744

Concomitant valproate treatment

7 (10.1)

5 (11.9)

0.761

Concomitant carbamazepine treatment

0 (0.0)

1 (2.4)

0.375

Hyperprolactinemia, n (%)

4 (9.1)

40 (58.0)

4 (9.3)

<0.001

Low bone mineral density using DEXA T score (LBMDT)§

8 (18.2)

25 (36.2)

8 (19.0)

0.054

Low bone mineral density using DEXA Z score (LBMDZ)*

4 (9.1)

35 (50.7)

11 (26.2)

<0.001

  1. Abbreviations: PR, prolactin-raising; PS, prolactin-sparing; PANSS: Positive and Negative Syndrome Scale.
  2. §LBMDT was defined as DEXA T score ≤ –1.
  3. *LBMDZ was defined as DEXA Z score ≤ –1.
  4. Mood stabilizers included valproate, carbamazepine and lithium.
  5. Mann-Whitney U test, for variables with non-normal distributions.
  6. Fisher’s exact test.
  7. Chi square test.
  8. Gardner DM, Murphy AL, O’Donnell H, Centorrino F, Baldessarini RJ International consensus study of antipsychotic dosing. The American journal of psychiatry 167: 686-93.