Screening for metabolic syndrome in older patients with severe mental illness

Hugo W Konz; Paul D Meesters; Nadine P G Paans; Daniel S van Grootheest; Hannie C Comijs; Max L Stek; Annemiek Dols

doi:10.1016/j.jagp.2014.01.011

Screening for metabolic syndrome in older patients with severe mental illness

Hugo W Konz, Paul D Meesters, Nadine P G Paans, Daniel S van Grootheest, Hannie C Comijs, Max L Stek, Annemiek Dols

Research output: Contribution to journal › Article › Academic › peer-review

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.

Original language	English
Pages (from-to)	1116-20
Number of pages	5
Journal	The American Journal of Geriatric Psychiatry
Volume	22
Issue number	11
DOIs	https://doi.org/10.1016/j.jagp.2014.01.011
Publication status	Published - Nov 2014
Externally published	Yes

Keywords

Aged
Aged, 80 and over
Bipolar Disorder/complications
Case-Control Studies
Female
Humans
Male
Mass Screening
Mental Disorders/complications
Metabolic Syndrome/complications
Netherlands/epidemiology
Risk Factors
Schizophrenia/complications

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10.1016/j.jagp.2014.01.011

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title = "Screening for metabolic syndrome in older patients with severe mental illness",

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.",

keywords = "Aged, Aged, 80 and over, Bipolar Disorder/complications, Case-Control Studies, Female, Humans, Male, Mass Screening, Mental Disorders/complications, Metabolic Syndrome/complications, Netherlands/epidemiology, Risk Factors, Schizophrenia/complications",

author = "Konz, {Hugo W} and Meesters, {Paul D} and Paans, {Nadine P G} and {van Grootheest}, {Daniel S} and Comijs, {Hannie C} and Stek, {Max L} and Annemiek Dols",

year = "2014",

month = nov,

doi = "10.1016/j.jagp.2014.01.011",

language = "English",

volume = "22",

pages = "1116--20",

journal = "The American Journal of Geriatric Psychiatry",

issn = "1064-7481",

publisher = "Lippincott Williams & Wilkins",

number = "11",

}

TY - JOUR

T1 - Screening for metabolic syndrome in older patients with severe mental illness

AU - Konz, Hugo W

AU - Meesters, Paul D

AU - Paans, Nadine P G

AU - van Grootheest, Daniel S

AU - Comijs, Hannie C

AU - Stek, Max L

AU - Dols, Annemiek

PY - 2014/11

Y1 - 2014/11

N2 - 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.

AB - 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.

KW - Aged

KW - Aged, 80 and over

KW - Bipolar Disorder/complications

KW - Case-Control Studies

KW - Female

KW - Humans

KW - Male

KW - Mass Screening

KW - Mental Disorders/complications

KW - Metabolic Syndrome/complications

KW - Netherlands/epidemiology

KW - Risk Factors

KW - Schizophrenia/complications

U2 - 10.1016/j.jagp.2014.01.011

DO - 10.1016/j.jagp.2014.01.011

M3 - Article

C2 - 24566238

SN - 1064-7481

VL - 22

SP - 1116

EP - 1120

JO - The American Journal of Geriatric Psychiatry

JF - The American Journal of Geriatric Psychiatry

IS - 11

ER -

Screening for metabolic syndrome in older patients with severe mental illness

Abstract

Keywords

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