Undetected Physical Health Comorbidity In Schizophrenia

摘要

New data from a large representative sample of nearly 2,000 Australians with a psychotic illness found that 46% of participants had a BMI greater than 30, 82% had abdominal obesity, 21% diabetes, 31% hypercholesterolaemia, and 20% hypertension; over half met criteria for the metabolic syndrome. Furthermore, the majority had a sedentary lifestyle and two thirds were current smokers. There was also striking evidence that cardiovascular risk factors go undetected and undertreated, amongst people with schizophrenia. For example, only 40% of those with diabetes were receiving treatment, 39% of those with hypercholesterolaemia and 52% of those with hypertension. Systematic metabolic monitoring linked to specially designed healthy lifestyle interventions aimed at reducing smoking and cardiovascular risk in people with schizophrenia show promise.