40 岁以下严重精神疾病患者的心脏代谢风险：从指南中寻找线索。
Cardiometabolic risk in people under 40 years with severe mental illness: reading between the guidelines.
机构信息
Saint John of God Hospital, Stillorgan, Co. Dublin, Ireland.
School of Pharmacy and Biomolecular Science, Royal College of Surgeons Ireland, 123, St Stephen's Green, Dublin 2, Ireland.
出版信息
Int J Clin Pharm. 2023 Oct;45(5):1299-1301. doi: 10.1007/s11096-023-01600-1. Epub 2023 May 22.
Abstract
People with severe mental illness (SMI) have a shorter life expectancy than the rest of the population. Multimorbidity and poorer physical health contribute to this health inequality. Cardiometabolic multimorbidity confers a significant mortality risk in this population. Multimorbidity is not restricted to older people and people with SMI present with multimorbidity earlier in life. Despite this, most screening, prevention and treatment strategies target older people. People under 40 years with SMI are underserved by current guidelines for cardiovascular risk assessment and reduction. Research is needed to develop and implement interventions to reduce cardiometabolic risk in this population.
摘要
患有严重精神疾病（SMI）的人比其他人群的预期寿命更短。多种疾病和较差的身体健康状况导致了这种健康不平等。心血管代谢性多种疾病在这一人群中带来了显著的死亡风险。多种疾病不仅限于老年人，患有 SMI 的人在生命早期就出现了多种疾病。尽管如此，大多数筛查、预防和治疗策略都针对老年人。目前针对心血管风险评估和降低的指南并未充分服务于 40 岁以下患有 SMI 的人群。需要研究来制定和实施干预措施，以降低这一人群的心血管代谢风险。
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