Prevalence of metabolic syndrome in female and male patients at risk of psychosis
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Prevalence of metabolic syndrome in female and male patients at risk of psychosis. / Cordes, Joachim; Bechdolf, Andreas; Engelke, Christina; Kahl, Kai G; Balijepalli, Chakrapani; Lösch, Christian; Klosterkötter, Joachim; Wagner, Michael; Maier, Wolfgang; Heinz, Andreas; de Millas, Walter; Gaebel, Wolfgang; Winterer, Georg; Janssen, Birgit; Schmidt-Kraepelin, Christian; Schneider, Frank; Lambert, Martin; Juckel, Georg; Wobrock, Thomas; Riedel, Michael; Moebus, Susanne.
in: SCHIZOPHR RES, Jahrgang 181, 03.2017, S. 38-42.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Prevalence of metabolic syndrome in female and male patients at risk of psychosis
AU - Cordes, Joachim
AU - Bechdolf, Andreas
AU - Engelke, Christina
AU - Kahl, Kai G
AU - Balijepalli, Chakrapani
AU - Lösch, Christian
AU - Klosterkötter, Joachim
AU - Wagner, Michael
AU - Maier, Wolfgang
AU - Heinz, Andreas
AU - de Millas, Walter
AU - Gaebel, Wolfgang
AU - Winterer, Georg
AU - Janssen, Birgit
AU - Schmidt-Kraepelin, Christian
AU - Schneider, Frank
AU - Lambert, Martin
AU - Juckel, Georg
AU - Wobrock, Thomas
AU - Riedel, Michael
AU - Moebus, Susanne
N1 - Copyright © 2016 Elsevier B.V. All rights reserved.
PY - 2017/3
Y1 - 2017/3
N2 - Metabolic Syndrome (MetS) is one of the most common factors underlying the high rate of mortality observed in patients with schizophrenia. Recent research on this topic revealed that many of the patients studied were, in fact, in a medicated state. As such, it is unclear whether MetS is causally associated with the disorder itself or the medication used to treat it. In this study, patients with a clinically high risk of expressing first episode psychosis (CHR) were examined regarding the prevalence of MetS. N=144 unmedicated and antipsychotic-naïve CHR patients, aged between 18 and 42years and suffering from unmanifested prodromal symptoms, were compared with a cohort of N=3995 individuals from the "German Metabolic and Cardiovascular Risk Study" (GEMCAS). A slightly higher prevalence of individual MetS criteria was observed in the CHR group compared to the GEMCAS sample; specifically, the following were noted: a higher blood pressure (35.0% vs. 28.0%), increased waist circumference (17.6% vs. 15.1%), and increased fasting blood glucose (9.4% vs. 4.0%) in CHR patients. Additionally, the rate of reduced HDL cholesterol concentrations was lower in the control group (20.2% vs. 13.3%).
AB - Metabolic Syndrome (MetS) is one of the most common factors underlying the high rate of mortality observed in patients with schizophrenia. Recent research on this topic revealed that many of the patients studied were, in fact, in a medicated state. As such, it is unclear whether MetS is causally associated with the disorder itself or the medication used to treat it. In this study, patients with a clinically high risk of expressing first episode psychosis (CHR) were examined regarding the prevalence of MetS. N=144 unmedicated and antipsychotic-naïve CHR patients, aged between 18 and 42years and suffering from unmanifested prodromal symptoms, were compared with a cohort of N=3995 individuals from the "German Metabolic and Cardiovascular Risk Study" (GEMCAS). A slightly higher prevalence of individual MetS criteria was observed in the CHR group compared to the GEMCAS sample; specifically, the following were noted: a higher blood pressure (35.0% vs. 28.0%), increased waist circumference (17.6% vs. 15.1%), and increased fasting blood glucose (9.4% vs. 4.0%) in CHR patients. Additionally, the rate of reduced HDL cholesterol concentrations was lower in the control group (20.2% vs. 13.3%).
U2 - 10.1016/j.schres.2016.09.012
DO - 10.1016/j.schres.2016.09.012
M3 - SCORING: Journal article
C2 - 27751654
VL - 181
SP - 38
EP - 42
JO - SCHIZOPHR RES
JF - SCHIZOPHR RES
SN - 0920-9964
ER -