Metabolic syndrome rates in older patients with severe mental illness after five years of follow-up and the association with mortality

Autor: Mardien L. Oudega, Max L. Stek, Didi Rhebergen, Paul D. Meesters, Nadine P.G. Paans, Daniel S. van Grootheest, Caroline M. Sonnenberg, Hugo W. Konz, Cora J. Kerssens, Hannie C. Comijs, Annemiek Dols, Emma J. de Louw
Přispěvatelé: Psychiatry, APH - Mental Health, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, Neurology, APH - Aging & Later Life
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Geriatric Psychiatry, 34(2), 333-336. John Wiley and Sons Ltd
de Louw, E J, Paans, N P G, Sonnenberg, C M, Konz, H, Meesters, P D, van Grootheest, D, Oudega, M L, Rhebergen, D, Kerssens, C, Comijs, H C, Stek, M L & Dols, A 2019, ' Metabolic syndrome rates in older patients with severe mental illness after five years of follow-up and the association with mortality ', International Journal of Geriatric Psychiatry, vol. 34, no. 2, pp. 333-336 . https://doi.org/10.1002/gps.5025
ISSN: 0885-6230
DOI: 10.1002/gps.5025
Popis: Objectives: To establish the course of metabolic syndrome (MS) rates in older patients with severe mental illness (SMI) after 5-year follow-up and evaluate whether MS at baseline is associated with mortality or diabetes at follow-up. Methods: Patients (>60 years of age) with SMI (N = 100) were included at a specialized mental health outpatient clinic. Metabolic parameters were collected from patients' medical files at baseline and after 5-year follow-up. Results: Follow-up data were available of 98 patients (98%); nine patients had died. Parameters of MS were available of 76 patients; 34.2% were diagnosed with MS. This was not significantly different compared with baseline (46.1%). MS at baseline was not significantly associated with mortality or development of diabetes at follow-up. Conclusions: In older patients with SMI, the rates of MS may reach a plateau. Screening for MS in older patients treated at a specialized mental health outpatient clinic may generate attention for their somatic health and treatment for the components of MS that may in turn have a positive effect on their outcome. However, further research with larger sample sizes is needed in order to confirm these findings.
Databáze: OpenAIRE