[Screening for metabolic syndrome in older patients with severe mental illness]

Autor: H W, Konz, P D, Meesters, N P G, Paans, D S, van Grootheest, H C, Comijs, M S, Stek, A, Dols
Jazyk: Dutch; Flemish
Rok vydání: 2018
Zdroj: Tijdschrift voor psychiatrie. 58(1)
ISSN: 0303-7339
Popis: Diabetes, cardiovascular disease and metabolic syndrome are more prevalent in older patients with severe mental illness (smi) than in healthy older persons in the same age-group as the smi patients. Compared to the general population, smi patients are often in a poorer state of (physical) health and have a shorter life expectancy.br/AIM: To assess the value of screening older smi patients (≥ 60) for metabolic syndrome.br/METHOD: We performed a prospective evaluation of the metabolic screening outcome data relating to 100 older smi patients and 124 healthy older patients and compared the results.br/RESULTS: In our smi patients (average age 69 years; 52% bipolar disorder, 48% schizophrenia) the frequency of metabolic syndrome (43%) was no higher than in healthy older persons (39.5%, p = 0.60). However, in 51% of the smi sample, metabolic screening detected at least one metabolic abnormality in a patient with no previous history for that specific parameter.br/CONCLUSION: By making routine metabolic screening available to a greater number of older smi patients, we should be able to identify substantial numbers of metabolic abnormalities that have been previously overlooked.
Databáze: OpenAIRE