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Am J Geriatr Psychiatry. 2014 Nov;22(11):1116-20. doi: 10.1016/j.jagp.2014.01.011. Epub 2014 Jan 27.

Screening for metabolic syndrome in older patients with severe mental illness.

Author information

  • 1GGZ inGeest, VU University Medical Center, Amsterdam, the Netherlands.
  • 2GGZ inGeest, VU University Medical Center, Amsterdam, the Netherlands; EMGO, Institute for Health and Care Research, VU University/VU University Medical Center, Amsterdam, the Netherlands.
  • 3GGZ inGeest, VU University Medical Center, Amsterdam, the Netherlands. Electronic address: A.Dols@ggzingeest.nl.

Abstract

OBJECTIVE:

To evaluate metabolic screening of elderly patients with severe mental illness (SMI) in terms of newly detected metabolic abnormalities.

METHODS:

Prospective evaluation of the metabolic screening outcome data of 100 consecutive elderly outpatients with SMI, all with universal access to health services. We gathered data on previous diagnoses of hypertension, diabetes, and dyslipidemia and assessed metabolic syndrome parameters. The findings were compared with those from a group of 124 healthy elderly.

RESULTS:

In our patients with SMI (mean age: 69 years; 52% bipolar disorder, 48% schizophrenia), the frequency of metabolic syndrome was not higher compared with the healthy elderly. However, in 51% of the SMI sample, metabolic screening detected at least one metabolic abnormality in a patient with no prior history for that specific parameter.

CONCLUSION:

Implementing routine screening for metabolic syndrome in elderly patients with SMI may reveal substantial rates of previously undetected metabolic abnormalities.

Copyright © 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Metabolic syndrome; bipolar disorder; geriatric psychiatry; medication side effects; metabolic risk factors; schizophrenia; severe mental illness

PMID:
24566238
[PubMed - in process]
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