Rannsókn á áhættuþáttum hjarta- og æðasjúkdóma hjá geðklofasjúklingum á geðsviði Landspítala

• Main Authors: Ólafur Sveinsson, Kristófer Þorleifsson, Thor Aspelund, Halldór Kolbeinsson
• Other Authors: Landspitali The National University Hospital, Reykjavík, Iceland
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2012
• Subjects: Geðklofi; Geðsjúkdómar; Blóðrásarsjúkdómar; Biological Markers; Blood Glucose; Blood Pressure; Body Mass Index; Cardiovascular Diseases; Diabetes Mellitus; Dyslipidemias; Female; Health Status; Humans; Hypertension; Iceland; Male; Mental Health Services; Metabolic Syndrome X; Obesity; Prevalence; Risk Assessment; Risk Factors; Schizophrenia; Waist Circumference; Hjarta; Smella
• Online Access: http://hdl.handle.net/2336/245531

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Allur texti - Full text Studies have shown that schizophrenic patients die on average 15-20 years earlier than the normal population, and that increased prevalance of cardiovascular risk factors plays a crucial role Schizophrenic patients are underdiagnosed and undertreated when it comes to diabetes, hypertension and dyslipidemia. The aim of this study was to investigate the prevalence of metabolic syndrome, obesity, hypertension, diabetes and dyslipidemia among schizophrenic patients in Iceland. An observational study of 106 schizophrenic patients in Iceland during the period 2007-2009. The results were compared to age adjusted population based data. 106 patients participated, 86 men and 20 women. In all 57% were diagnosed with metabolic syndrome (p<0.0001) in comparison to 14.1% in the general population. In all 73% were smokers (21% in the general population) p<0.0001 and 23.6% had hypertension of which only 20% were treated with anti-hypertensive medication. The average systolic blood pressure was 134.8 mmHg <0.001. In all 15.1% had a fasting glucose over 7 mmol/l but only 38% were previously diagnosed with diabetes. The average BMI was 29.7 kg/m² p=0.0007, 45.3% were obese (BMI >30 kg/m²). Only 32.1% had normal BMI, and 82.1% had waist circumference over the normal limits. The physical condition of Icelandic schizophrenic patients is poor and their risk for cardiovascular diseases is high. It is necessary to follow their weight, blood pressure, blood glucose and lipids more closely It is imperative to educate and enable the schizophrenic patient to live a healthier life. Rannsóknir hafa sýnt að geðklofasjúklingar lifa að jafnaði um 15-20 árum skemur en almenningur og skiptir aukin tíðni hjarta- og æðasjúkdóma þar mestu máli. Geðklofasjúklingar eru vangreindir og vanmeðhöndlaðir hvað varðar sykursýki, háþrýsting og blóðfituröskun. Tilgangur þessarar rannsóknar var að kanna algengi efnaskiptavillu, ...