Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia

Pedro Caldana Gordon,1,2 Josefa Cynara Xavier,2 Mario Rodrigues Louzã21Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, Brazil; 2Schizophrenia Research Program, Institute of Psychiatry, Hospital das Clínicas, Faculdade de Medici...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Gordon PC, Xavier JC, Louzã MR
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://doaj.org/article/d6c4ed9cb3e4414dbbcc5c52d80fb2e9
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d6c4ed9cb3e4414dbbcc5c52d80fb2e9
record_format dspace
spelling oai:doaj.org-article:d6c4ed9cb3e4414dbbcc5c52d80fb2e92021-12-02T00:54:29ZWeight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia1176-63281178-2021https://doaj.org/article/d6c4ed9cb3e4414dbbcc5c52d80fb2e92013-01-01T00:00:00Zhttp://www.dovepress.com/weight-gain-metabolic-disturbances-and-physical-health-care-in-a-brazi-a11980https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Pedro Caldana Gordon,1,2 Josefa Cynara Xavier,2 Mario Rodrigues Louzã21Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, Brazil; 2Schizophrenia Research Program, Institute of Psychiatry, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, BrazilBackground: In the last few decades, a large number of studies have produced compelling evidence that patients with schizophrenia are at increased risk for developing several medical conditions and diseases, including obesity, metabolic disturbances, and cardiovascular diseases. Several protocols have been designed with the aim of reducing such risk.Objective: To investigate current physical health status in a population of outpatients with schizophrenia.Methods: A cross-sectional study was conducted in our outpatient clinic, selecting subjects who met DSM-IV diagnosis criteria for schizophrenia. Data were collected regarding clinical characteristics, lifestyle, medication in use, and biometric and laboratory parameters.Results: A total of 261 patients were included. We found a high prevalence of elevated body mass index (BMI > 25) (70%), dyslipidemia (73.2%), and metabolic syndrome (28.7%). Patients' ages were associated with worsened lipid profiles, but other variables, such as disorder duration or type of antipsychotic in use, were not associated with any metabolic disturbance. Despite the increased prevalence of these conditions, only a small portion of the sample was under regular medical treatment.Conclusion: Outpatients with schizophrenia show signs of poor physical health conditions. These findings reinforce the need for an intensive and appropriate approach to assure that these patients receive adequate clinical referral and treatment.Keywords: psychosis, obesity, public health, antipsychotic drugs, cardiovascular disordersGordon PCXavier JCLouzã MRDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 133-138 (2013)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Gordon PC
Xavier JC
Louzã MR
Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
description Pedro Caldana Gordon,1,2 Josefa Cynara Xavier,2 Mario Rodrigues Louzã21Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, Brazil; 2Schizophrenia Research Program, Institute of Psychiatry, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, BrazilBackground: In the last few decades, a large number of studies have produced compelling evidence that patients with schizophrenia are at increased risk for developing several medical conditions and diseases, including obesity, metabolic disturbances, and cardiovascular diseases. Several protocols have been designed with the aim of reducing such risk.Objective: To investigate current physical health status in a population of outpatients with schizophrenia.Methods: A cross-sectional study was conducted in our outpatient clinic, selecting subjects who met DSM-IV diagnosis criteria for schizophrenia. Data were collected regarding clinical characteristics, lifestyle, medication in use, and biometric and laboratory parameters.Results: A total of 261 patients were included. We found a high prevalence of elevated body mass index (BMI > 25) (70%), dyslipidemia (73.2%), and metabolic syndrome (28.7%). Patients' ages were associated with worsened lipid profiles, but other variables, such as disorder duration or type of antipsychotic in use, were not associated with any metabolic disturbance. Despite the increased prevalence of these conditions, only a small portion of the sample was under regular medical treatment.Conclusion: Outpatients with schizophrenia show signs of poor physical health conditions. These findings reinforce the need for an intensive and appropriate approach to assure that these patients receive adequate clinical referral and treatment.Keywords: psychosis, obesity, public health, antipsychotic drugs, cardiovascular disorders
format article
author Gordon PC
Xavier JC
Louzã MR
author_facet Gordon PC
Xavier JC
Louzã MR
author_sort Gordon PC
title Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
title_short Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
title_full Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
title_fullStr Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
title_full_unstemmed Weight gain, metabolic disturbances, and physical health care in a Brazilian sample of outpatients with schizophrenia
title_sort weight gain, metabolic disturbances, and physical health care in a brazilian sample of outpatients with schizophrenia
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/d6c4ed9cb3e4414dbbcc5c52d80fb2e9
work_keys_str_mv AT gordonpc weightgainmetabolicdisturbancesandphysicalhealthcareinabraziliansampleofoutpatientswithschizophrenia
AT xavierjc weightgainmetabolicdisturbancesandphysicalhealthcareinabraziliansampleofoutpatientswithschizophrenia
AT louzampatildemr weightgainmetabolicdisturbancesandphysicalhealthcareinabraziliansampleofoutpatientswithschizophrenia
_version_ 1718403466483728384