Volume 32, Nº 5, Setembro e Outubro 2019
DOI: http://www.dx.doi.org/10.5935/2359-4802.20190027
ARTIGO ORIGINAL
Cardiovascular Risk and Metabolic Syndrome in Individuals with Mental Disorders
Sarah de Melo Rocha Cabral
Marize Melo dos Santos
Abstract
Background: Patients with mental disorders are more susceptible to cardiovascular diseases and metabolic disorders compared to the general population.
Objective: To evaluate cardiovascular risk and metabolic syndrome in individuals with mental disorders.
Materials and methods: A cross-sectional study, conducted at the Psychosocial Care Centers. Socioeconomic, clinical, biochemical and anthropometric data were collected using a standard form. Cardiovascular risk was assessed by the Framingham risk score. Metabolic syndrome (MS) was determined by the World Health- Organization (WHO), the National Cholesterol Education Program (NCEP) and the International Diabetes Federation (IDF) criteria. Data were analyzed by descriptive statistics, and associations were evaluated by the chi-square test and Fisher's exact test, as well as Odds Ratio. The significance level adopted for all statistical tests was 5%.
Results: The chance of individuals diagnosed with MS be at intermediate-to-high cardiovascular risk was greater (12.22, 8.01 and 6.23 times higher according to WHO, NCEP and IDF criteria, respectively) than those without MS.
Conclusion: A high percentage of patients with mental disorders were at intermediate / high cardiovascular risk, and this was significantly associated with MS. (Int J Cardiovasc Sci. 2019;32(5):517-526)
Keywords: Cardiovascular Diseases/physiopathology; Mental Disorders; Metabolic Syndrome; Mental Health; Patient Care Team Psychosocial Support Systems.