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Lee and Cho: Factors Influencing Metabolic Syndrome among Mental Health Facility Patients with Schizophrenia
Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(1): 1-10.

Published online: 31 March 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.1.1

Factors Influencing Metabolic Syndrome among Mental Health Facility Patients with Schizophrenia

Sun-Hye Lee, Sunhee Cho

Department of Nursing, Mokpo National University, Muan, Korea.

Corresponding author: Cho, Sunhee. Department of Nursing, Mokpo National University, 1666 Yeoungsan-ro, Cheonggye-myeon, Muan 534-729, Korea. Tel: +82-61-450-2676, Fax: +82-61-450-2679, chosunhy@gmail.com

Received 23 December 2015       Revised 13 February 2016       Accepted 10 March 2016

© 2016 The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to identify prevalence of, and factors influencing metabolic syndrome among long-term care facility patients with schizophrenia.

Methods

A cross-sectional survey was conducted using a 20-item questionnaire. Clinical data for blood triglyceride, HDL-cholesterol, and fasting blood sugar were collected from medical records. Body weight, body fat, body mass index, blood pressure, height, and abdominal circumference were measured. Data for 198 participants were analyzed using t-test, x2 test and logistic regression.

Results

Prevalence of metabolic syndrome was 56.1%. The number of persons who overate was significantly higher in the metabolic syndrome group than in the normal group (p<.001). Factors influencing metabolic syndrome were hyperphagia (p<.001), abdominal circumference (p<.001), systolic blood pressure (p=.040), blood triglyceride (p<.001), fasting blood sugar (p=.015), and HDL-cholesterol (p<.001).

Conclusion

The results indicate that nurses working with patients who have chronic schizophrenic should make an effort to help patients achieve control of overeating behavior and reduce abdominal circumference to prevent metabolic syndrome.

Keywords: Hyperphagia, Long-term care, Metabolic syndrome X, Obesity, Schizophrenia

Figures and Tables

Table 1

Demographic Characteristics of Participants (N=198)

jkapmhn-25-1-i001
Table 2

Characteristics of Metabolic Syndrome and Lifestyle Factors (N=198)

jkapmhn-25-1-i002

HDL-C=High density lipoprotein-cholesterol.

Table 3

Comparison of Demographic Characteristics and Lifestyle Factors between MS and No MS Group (N=198)

jkapmhn-25-1-i003

MS=Metabolic syndrome.

Table 4

Comparison of Metabolic Syndrome Clinical Determinants between MS and No MS Group (N=198)

jkapmhn-25-1-i004

MS=Metabolic syndrome.

Table 5

Influencing Factors of Metabolic Syndrome* (N=198)

jkapmhn-25-1-i005

*Hosmer & Lemeshow test: Chi-square=4.063, p=.851, HDL-C=High density lipoprotein-cholesterol.

Notes

This manuscript is condensed form of the first author's master's thesis from Mokpo National University.

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