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

Emma J de Louw, Nadine P G Paans, Caroline M Sonnenberg, Hugo Konz, Paul D Meesters, Daniel van Grootheest, Mardien L Oudega, Didi Rhebergen, Cora Kerssens, Hannie C Comijs, Max L Stek, Annemiek Dols

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)333-336
Number of pages4
JournalInternational Journal of Geriatric Psychiatry
Volume34
Issue number2
DOIs
Publication statusPublished - Feb 2019
Externally publishedYes

Keywords

  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Mental Disorders/complications
  • Metabolic Syndrome/complications
  • Middle Aged
  • Netherlands/epidemiology

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