Title: Estimating 10-year cardiovascular disease risk in Asian patients with schizophrenia
year: 2016
Journal: Gen Hosp Psychiatry
Volume: 43
Pages: 46-50
Epubdate: 01/11/2016
date: Nov - Dec
Alternate Journal: General hospital psychiatry
ISSN: 0163-8343
Article Number: 27796257
Keywords: Cardiovascular disease Framingham risk score Metabolic disorders Schizophrenia Vascular age
Abstract: OBJECTIVE: This study aims to describe the cardiovascular risk profile of Asian patients with schizophrenia. METHODS: Data was extracted from the databases of 139 patients with schizophrenia and 206 controls from two previous studies conducted at the Institute for Mental Health (IMH), Singapore. Their medical and smoking histories were obtained, and anthropometric parameters measured. Framingham risk score (FRS) calculator using body mass index was used to compute the 10-year cardiovascular disease risk (FRSBMI) and the vascular age (VABMI) for each participant. Data on fasting lipids were available for 80 patients and all the controls; hence the FRS for lipids (FRSlipids) and VA (VAlipids) were also computed. The difference between VA and actual age was computed as VAdiff. RESULTS: The 10-year CVD risk and VAdiff based on lipids as well as BMI were significantly higher for patients compared to controls (all p<0.01). There was a strong correlation between FRSlipids and FRSBMI (r=0.97, p<0.001). Significantly higher numbers of patients than controls were smokers and obese; and reported having dyslipidaemia. CONCLUSIONS: We found a high risk of CVD in patients with schizophrenia as compared to controls; and conclude that patients with schizophrenia need regular physical health monitoring, especially for cardiovascular risk factors.
Notes: 1873-7714 Rekhi, Gurpreet Khyne, Toe Toe Lee, Jimmy Journal Article United States Gen Hosp Psychiatry. 2016 Nov - Dec;43:46-50. doi: 10.1016/j.genhosppsych.2016.09.005. Epub 2016 Sep 21.
URL: http://www.sciencedirect.com/science/article/pii/S0163834316301062
URI: https://open-access.imh.com.sg/handle/123456789/5071
Authors Address: Research Division, Institute of Mental Health, 10 Buangkok View, Singapore 539747, Singapore. Electronic address: gurpreet_rekhi@imh.com.sg. Research Division, Institute of Mental Health, 10 Buangkok View, Singapore 539747, Singapore. Research Division, Institute of Mental Health, 10 Buangkok View, Singapore 539747, Singapore; Department of General Psychiatry 1, Institute of Mental Health, 10 Buangkok View, Singapore 539747, Singapore; Office of Clinical Sciences, Duke-National University of Singapore Graduate Medical School, 8 College Road, Singapore 169857, Singapore.
Database Provider: NLM
language: eng
Appears in Collections:2016

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