Vyas Hridyanshu, Nebhinani Naresh, Suthar Navratan, Sharma Praveen
Department of Cardiovascular Research, Mayo Clinic, Rochester, United States.
Department of Psychiatry, All India Institute of Medical Science, Jodhpur, Rajasthan, India.
J Neurosci Rural Pract. 2023 Jan-Mar;14(1):149-153. doi: 10.25259/JNRP-2022-7-6. Epub 2022 Dec 21.
Patients with schizophrenia have shortened life expectancy due to greater cardiovascular disease (CVD) risk. Due to sparse data, index study was planned to assess the CVD risk factors, vascular age (VA), and hematological parameters in patients with schizophrenia and the concordance between Framingham Risk Score (FRS) for lipids and body mass index (BMI) (FRS and FRS).
Patients with schizophrenia ( = 53) were evaluated for the presence of metabolic syndrome (MS) using the modified NCEP ATP III criteria, along with their functionality, illness severity, physical activity and nutritional score, FRS and FRS, and hematological parameters.
Prevalence of MS was 39.6%; in addition, 47% of patients were at risk for developing MS as they fulfilled one or two components of MS criteria and 56% of patients were obese. BMI, obesity, and RBC count were found as significant correlates for MS. CVD risk (FRS) median score (3.10) was comparable for BMI and lipid criteria along with significant correlation for FRS and FRS (r = 0.555, < 0.001).
VA and 10-year CVD risk (FRS for BMI and lipid criteria) represent easier way to communicate with the patients and caregivers and also to guide for comprehensive treatment plan, appropriate nutrition, physical activity, and cardiometabolic screening.
精神分裂症患者因心血管疾病(CVD)风险增加而预期寿命缩短。由于数据稀少,本索引研究旨在评估精神分裂症患者的CVD风险因素、血管年龄(VA)和血液学参数,以及脂质和体重指数(BMI)的弗明汉风险评分(FRS)之间的一致性(FRS和FRS)。
采用改良的NCEP ATP III标准对53例精神分裂症患者进行代谢综合征(MS)评估,同时评估其功能、疾病严重程度、身体活动和营养评分、FRS和FRS以及血液学参数。
MS患病率为39.6%;此外,47%的患者因符合MS标准的一或两个组成部分而有发生MS的风险,56%的患者肥胖。发现BMI、肥胖和红细胞计数与MS显著相关。CVD风险(FRS)中位数评分(3.10)在BMI和脂质标准方面具有可比性,且FRS和FRS之间存在显著相关性(r = 0.555,P < 0.001)。
VA和10年CVD风险(BMI和脂质标准的FRS)是与患者及护理人员沟通的更便捷方式,也可为综合治疗计划、适当营养、身体活动和心脏代谢筛查提供指导。