The prevalence of metabolic syndrome and its associated factors in long-term patients in a specialist psychiatric hospital in South Africa

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dc.contributor.author Maaroganye, K.
dc.contributor.author Mohapi, M.
dc.contributor.author Kruger, Christa
dc.contributor.author Rheeder, Paul
dc.date.accessioned 2013-11-19T13:06:25Z
dc.date.available 2013-11-19T13:06:25Z
dc.date.issued 2013-11
dc.description.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. en_US
dc.description.librarian am2013 en_US
dc.description.librarian ay2013
dc.description.sponsorship The Research Committee of the Faculty of Health Sciences, University of Pretoria and the Department of Psychiatry, University of Pretoria en_US
dc.description.uri http://www.journals.co.za/ej/ejour_medjda.html en_US
dc.identifier.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. en_US
dc.identifier.issn 1994-8220
dc.identifier.other 10.4314/ajpsy.v16i6.53
dc.identifier.uri http://hdl.handle.net/2263/32497
dc.language.iso en en_US
dc.publisher In House Publications en_US
dc.rights In House Publications en_US
dc.subject Metabolic syndrome en_US
dc.subject Psychiatric patients en_US
dc.subject Risk factors en_US
dc.subject Prevalence en_US
dc.subject South Africa en_US
dc.subject.lcsh Diabetes en
dc.subject.lcsh Psychiatric hospital patients en
dc.title The prevalence of metabolic syndrome and its associated factors in long-term patients in a specialist psychiatric hospital in South Africa en_US
dc.type Article en_US


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