10-year CVD risk in Han Chinese mainland patients with schizophrenia

Psychiatry Res. 2018 Jun:264:322-326. doi: 10.1016/j.psychres.2018.04.020. Epub 2018 Apr 9.

Abstract

People with schizophrenia have a shortened life expectancy, with cardiovascular disease (CVD) being the primary contributor to this excessive mortality. A total of 466 inpatients with schizophrenia and 507 healthy community controls in the Chinese mainland were recruited in this study. Sociodemographic information, medical history, and smoking history were recorded. In addition, total cholesterol (TC), fasting blood glucose (FBG), triglycerides (TG), and high-destiny lipoprotein cholesterol (HDL-C) were analyzed. The 10-year CVD risk was significantly higher in patients with schizophrenia compared with healthy controls. Male schizophrenia patients had significantly higher Framingham risk scores (FRS) than the females. Patients with schizophrenia carried significantly greater risk factors of CVD; body-mass index (BMI), TG and smoking prevalence were significantly higher than in the health community controls, while FBG and HDL-C were on the contrary. Smoking was significantly associated with FRS among schizophrenia inpatients. Collectively, these results suggest that Han Chinese mainland patients with schizophrenia harbor a high 10-year CVD risk when compared with healthy controls, especially in males. CVD in schizophrenia patients requires greater attention by clinicians and researchers.

Keywords: Cardiovascular disease; Framingham risk score; Schizophrenia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Body Mass Index
  • Cardiovascular Diseases / ethnology
  • Cardiovascular Diseases / psychology*
  • Case-Control Studies
  • China / epidemiology
  • China / ethnology
  • Cholesterol, HDL / blood
  • Fasting / blood
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Schizophrenia / blood
  • Schizophrenia / complications*
  • Schizophrenia / ethnology
  • Sex Factors
  • Smoking / adverse effects
  • Smoking / epidemiology
  • Triglycerides / blood
  • Young Adult

Substances

  • Blood Glucose
  • Cholesterol, HDL
  • Triglycerides