author_facet Popovic, Irena
Ravanic, Dragan
Jankovic, Slobodan
Milovanovic, Dragan
Folic, Marko
Stanojevic, Albina
Nenadovic, Milutin
Ilic, Milena
Popovic, Irena
Ravanic, Dragan
Jankovic, Slobodan
Milovanovic, Dragan
Folic, Marko
Stanojevic, Albina
Nenadovic, Milutin
Ilic, Milena
author Popovic, Irena
Ravanic, Dragan
Jankovic, Slobodan
Milovanovic, Dragan
Folic, Marko
Stanojevic, Albina
Nenadovic, Milutin
Ilic, Milena
spellingShingle Popovic, Irena
Ravanic, Dragan
Jankovic, Slobodan
Milovanovic, Dragan
Folic, Marko
Stanojevic, Albina
Nenadovic, Milutin
Ilic, Milena
Srpski arhiv za celokupno lekarstvo
Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
General Medicine
author_sort popovic, irena
spelling Popovic, Irena Ravanic, Dragan Jankovic, Slobodan Milovanovic, Dragan Folic, Marko Stanojevic, Albina Nenadovic, Milutin Ilic, Milena 0370-8179 2406-0895 National Library of Serbia General Medicine http://dx.doi.org/10.2298/sarh1512712p <jats:p>Introduction. The risk of metabolic abnormalities is greatly increased in schizophrenic patients started on an atypical antipsychotic medication. Patients with psychiatric disorders exceed mortality ranges resulting from, among others, increased risk of cardiovascular events. Other factors contributing to the development of metabolic syndrome include prolonged duration of illness, increasing age, female sex and lifestyle factors. Objective. This cross-sectional study was taken up to assess the prevalence of the metabolic syndrome (MetS) in schizophrenic patients receiving olanzapine monotherapy for at least six months and to determine the most important risk factors associated with metabolic syndrome presence in these patients. Methods. A total of 93 long term hospitalized schizophrenic patients (71 men, 22 women), had a screening of the following: case-history data, psychiatric scales, anthropometric measures, blood (fasting glucose, lipid status, C-reactive protein - CRP) and urine samples (microalbuminuria). Results. Prevalence of MetS according to International Diabetes Federation criteria in our study was 34.4%. The multivariate analysis distinguished the following significant predictors of MetS presence (in order of appearance): data about diabetes mellitus in family history (p=0.002), body mass index &gt;25 kg/m2 (p=0.002), hyperlipidemia in family history (p=0.008), and elevated CRP value (p=0.042). Conclusion. High rate of MetS in patients treated with olanzapine in this study exceeds MetS prevalence in general population. Among observed parameters, our study pointed to several ?high risk? predictors associated with MetS presence. Regular monitoring of cardiometabolic risk factors is highly recommended. Positive heredity distress mentioned above may direct a psychiatrist to prescribe some other drug than olanzapine in the long term treatment of schizophrenia.</jats:p> Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome Srpski arhiv za celokupno lekarstvo
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title Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_unstemmed Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_full Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_fullStr Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_full_unstemmed Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_short Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_sort long-term treatment with olanzapine in hospital conditions: prevalence and predictors of the metabolic syndrome
topic General Medicine
url http://dx.doi.org/10.2298/sarh1512712p
publishDate 2015
physical 712-718
description <jats:p>Introduction. The risk of metabolic abnormalities is greatly increased in schizophrenic patients started on an atypical antipsychotic medication. Patients with psychiatric disorders exceed mortality ranges resulting from, among others, increased risk of cardiovascular events. Other factors contributing to the development of metabolic syndrome include prolonged duration of illness, increasing age, female sex and lifestyle factors. Objective. This cross-sectional study was taken up to assess the prevalence of the metabolic syndrome (MetS) in schizophrenic patients receiving olanzapine monotherapy for at least six months and to determine the most important risk factors associated with metabolic syndrome presence in these patients. Methods. A total of 93 long term hospitalized schizophrenic patients (71 men, 22 women), had a screening of the following: case-history data, psychiatric scales, anthropometric measures, blood (fasting glucose, lipid status, C-reactive protein - CRP) and urine samples (microalbuminuria). Results. Prevalence of MetS according to International Diabetes Federation criteria in our study was 34.4%. The multivariate analysis distinguished the following significant predictors of MetS presence (in order of appearance): data about diabetes mellitus in family history (p=0.002), body mass index &gt;25 kg/m2 (p=0.002), hyperlipidemia in family history (p=0.008), and elevated CRP value (p=0.042). Conclusion. High rate of MetS in patients treated with olanzapine in this study exceeds MetS prevalence in general population. Among observed parameters, our study pointed to several ?high risk? predictors associated with MetS presence. Regular monitoring of cardiometabolic risk factors is highly recommended. Positive heredity distress mentioned above may direct a psychiatrist to prescribe some other drug than olanzapine in the long term treatment of schizophrenia.</jats:p>
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author Popovic, Irena, Ravanic, Dragan, Jankovic, Slobodan, Milovanovic, Dragan, Folic, Marko, Stanojevic, Albina, Nenadovic, Milutin, Ilic, Milena
author_facet Popovic, Irena, Ravanic, Dragan, Jankovic, Slobodan, Milovanovic, Dragan, Folic, Marko, Stanojevic, Albina, Nenadovic, Milutin, Ilic, Milena, Popovic, Irena, Ravanic, Dragan, Jankovic, Slobodan, Milovanovic, Dragan, Folic, Marko, Stanojevic, Albina, Nenadovic, Milutin, Ilic, Milena
author_sort popovic, irena
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description <jats:p>Introduction. The risk of metabolic abnormalities is greatly increased in schizophrenic patients started on an atypical antipsychotic medication. Patients with psychiatric disorders exceed mortality ranges resulting from, among others, increased risk of cardiovascular events. Other factors contributing to the development of metabolic syndrome include prolonged duration of illness, increasing age, female sex and lifestyle factors. Objective. This cross-sectional study was taken up to assess the prevalence of the metabolic syndrome (MetS) in schizophrenic patients receiving olanzapine monotherapy for at least six months and to determine the most important risk factors associated with metabolic syndrome presence in these patients. Methods. A total of 93 long term hospitalized schizophrenic patients (71 men, 22 women), had a screening of the following: case-history data, psychiatric scales, anthropometric measures, blood (fasting glucose, lipid status, C-reactive protein - CRP) and urine samples (microalbuminuria). Results. Prevalence of MetS according to International Diabetes Federation criteria in our study was 34.4%. The multivariate analysis distinguished the following significant predictors of MetS presence (in order of appearance): data about diabetes mellitus in family history (p=0.002), body mass index &gt;25 kg/m2 (p=0.002), hyperlipidemia in family history (p=0.008), and elevated CRP value (p=0.042). Conclusion. High rate of MetS in patients treated with olanzapine in this study exceeds MetS prevalence in general population. Among observed parameters, our study pointed to several ?high risk? predictors associated with MetS presence. Regular monitoring of cardiometabolic risk factors is highly recommended. Positive heredity distress mentioned above may direct a psychiatrist to prescribe some other drug than olanzapine in the long term treatment of schizophrenia.</jats:p>
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spelling Popovic, Irena Ravanic, Dragan Jankovic, Slobodan Milovanovic, Dragan Folic, Marko Stanojevic, Albina Nenadovic, Milutin Ilic, Milena 0370-8179 2406-0895 National Library of Serbia General Medicine http://dx.doi.org/10.2298/sarh1512712p <jats:p>Introduction. The risk of metabolic abnormalities is greatly increased in schizophrenic patients started on an atypical antipsychotic medication. Patients with psychiatric disorders exceed mortality ranges resulting from, among others, increased risk of cardiovascular events. Other factors contributing to the development of metabolic syndrome include prolonged duration of illness, increasing age, female sex and lifestyle factors. Objective. This cross-sectional study was taken up to assess the prevalence of the metabolic syndrome (MetS) in schizophrenic patients receiving olanzapine monotherapy for at least six months and to determine the most important risk factors associated with metabolic syndrome presence in these patients. Methods. A total of 93 long term hospitalized schizophrenic patients (71 men, 22 women), had a screening of the following: case-history data, psychiatric scales, anthropometric measures, blood (fasting glucose, lipid status, C-reactive protein - CRP) and urine samples (microalbuminuria). Results. Prevalence of MetS according to International Diabetes Federation criteria in our study was 34.4%. The multivariate analysis distinguished the following significant predictors of MetS presence (in order of appearance): data about diabetes mellitus in family history (p=0.002), body mass index &gt;25 kg/m2 (p=0.002), hyperlipidemia in family history (p=0.008), and elevated CRP value (p=0.042). Conclusion. High rate of MetS in patients treated with olanzapine in this study exceeds MetS prevalence in general population. Among observed parameters, our study pointed to several ?high risk? predictors associated with MetS presence. Regular monitoring of cardiometabolic risk factors is highly recommended. Positive heredity distress mentioned above may direct a psychiatrist to prescribe some other drug than olanzapine in the long term treatment of schizophrenia.</jats:p> Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome Srpski arhiv za celokupno lekarstvo
spellingShingle Popovic, Irena, Ravanic, Dragan, Jankovic, Slobodan, Milovanovic, Dragan, Folic, Marko, Stanojevic, Albina, Nenadovic, Milutin, Ilic, Milena, Srpski arhiv za celokupno lekarstvo, Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome, General Medicine
title Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_full Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_fullStr Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_full_unstemmed Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_short Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
title_sort long-term treatment with olanzapine in hospital conditions: prevalence and predictors of the metabolic syndrome
title_unstemmed Long-term treatment with olanzapine in hospital conditions: Prevalence and predictors of the metabolic syndrome
topic General Medicine
url http://dx.doi.org/10.2298/sarh1512712p