The prevalence of metabolic syndrome and its associated factors in long-term patients in a specialist psychiatric hospital in South Africa
Loading...
Date
Authors
Maaroganye, K.
Mohapi, M.
Kruger, Christa
Rheeder, Paul
Journal Title
Journal ISSN
Volume Title
Publisher
In House Publications
Abstract
OBJECTIVE: The aims of this study were to determine the prevalence of metabolic disorders in long-term psychiatric patients, and the
relationship between known risk factors and these metabolic disorders. METHOD: All psychiatric in-patients ≥18 years, who had been
admitted ≥six months were invited to participate. Eighty-four patients participated. They were interviewed, examined, measured and
blood tests conducted to determine several demographic and clinical variables including age, gender, weight, blood pressure and
fasting blood glucose. RESULTS: The prevalence of the metabolic disorders were: metabolic syndrome 32%, hypertension 32%,
diabetes mellitus 8%, cholesterol dyslipidaemia 32%, triglyceride dyslipidaemia 29%, low density lipoprotein (LDL) dyslipidaemia 50%,
overweight 37%, and obesity 24%. Black African and female patients were more likely to have metabolic syndrome. Female patients
were more likely to have cholesterol dyslipidaemia and obesity. Hypertension was associated with age. Ninety-six percent of patients
with dyslipidaemia were newly diagnosed during the study. Three out of the seven previously diagnosed diabetic patients had raised
fasting blood glucose levels. CONCLUSION: The prevalence of metabolic syndrome falls towards the lower limits of the expected
prevalence rate. Race and gender showed a moderate statistical association with metabolic syndrome. There is a lack of screening for
dyslipidaemia in this setting. Diabetic patients should be referred to specialist diabetic clinics for better monitoring and control.
Description
Keywords
Metabolic syndrome, Psychiatric patients, Risk factors, Prevalence, South Africa
Sustainable Development Goals
Citation
Maaroganye, K, Mohapi, M, Kruger, C & Rheeder, P 2013, 'The prevalence of metabolic syndrome and its associated factors in long-term patients in a specialist psychiatric hospital in South Africa', African Journal of Psychiatry, vol. 16, no. 6, pp. 414-423.