The prevalence of metabolic syndrome amongst patients with severe mental illness in the community in Hong Kong – a cross sectional study

BMC Psychiatry

Richard Gray⁵  Allan B Clark³  Joel Petch²  Eric F C Cheung¹  Jolene Mui⁴  Daniel T Bressington² 

[1] Castle Peak Hospital, 15 Tsing Chung Koon Road, Tuen Mun, New Territories, Hong Kong;The Department of Health, Well-being and the Family, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, CT1 1QU, UK;Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK;Community Psychiatric Service, Castle Peak Hospital, 15 Tsing Chung Koon Road, Tuen Mun, New Territories, Hong Kong;University of the West of England, Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY, UK

关键词: Physical health screening;    Health behaviours;    Metabolic syndrome;    Severe mental illness;   

Others  :  1124107
DOI  :  10.1186/1471-244X-13-87

 received in 2012-10-03, accepted in 2013-03-12,  发布年份 2013

【 摘 要 】

Background

Patients with severe mental illness are at increased risk of developing metabolic disorders. The risk of metabolic syndrome in the Hong Kong general population is lower than that observed in western countries; however the prevalence of metabolic syndrome in patients with severe mental illness in Hong Kong is unknown.

Method

This cross-sectional study aimed to estimate the prevalence of metabolic syndrome in patients with severe mental illness in Hong Kong and to identify the relationships between metabolic syndrome and socio-demographic, clinical and lifestyle factors.

Results

A total of 139 patients with a diagnosis of severe mental illness participated in the study. The unadjusted prevalence of metabolic syndrome was 35%. The relative risk of metabolic syndrome in comparison with the general Hong Kong population was 2.008 (95% CI 1.59-2.53, p < 0.001). In a logistic regression model sleep disruption and being prescribed first generation antipsychotics were significantly associated with the syndrome, whilst eating less than 3 portions of fruit/vegetables per day and being married were weakly associated.

Conclusion

The results demonstrate that metabolic syndrome is highly prevalent and that physical health inequalities in patients with severe mental illness in Hong Kong are similar to those observed in western countries. The results provide sufficient evidence to support the need for intervention studies in this setting and reinforce the requirement to conduct regular physical health checks for all patients with severe mental illness.

【 授权许可】

   
2013 Bressington et al.; licensee BioMed Central Ltd.

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