University of Department, Vrapce Psychiatric Hospital, Bolnicka cesta 32, 10090 Zagreb, Croatia.
Psychiatr Danub. 2010 Mar;22(1):69-74.
Metabolic syndrome and other cardiovascular risk factors are highly prevalent in people with schizophrenia. Metabolic syndrome can contribute to significant morbidity and premature mortality and should be accounted for in the treatment of mental disorders. Along with results of numerous investigations regarding metabolic syndrome, different issues have occurred. The aim of this article is to review literature regarding diagnostic and treatment of metabolic syndrome and point at some issues regarding diagnostic and treatment of metabolic syndrome in patients with psychotic disorders and in general population.
Literature research included structured searches of Medline and other publications on the subject of metabolic syndrome, particularly diagnostic and treatment of metabolic syndrome in patients with psychotic disorders and in general population.
Despite numerous investigations of metabolic syndrome, many issues remain unclear, becoming objectives for future research. The experts disagree in their opinions on particular issues, such as clustering risk factors, importance of particular diagnostic procedures for the early detection and monitoring of metabolic syndrome and the role of antipsychotics in occurrence of metabolic syndrome. There is, however, unique attitude about importance of early detection and treatment of metabolic syndrome as well as necessity of further investigations.
代谢综合征和其他心血管危险因素在精神分裂症患者中非常普遍。代谢综合征会导致严重的发病率和过早死亡,因此应在精神障碍的治疗中加以考虑。随着对代谢综合征的大量研究结果的出现,出现了不同的问题。本文旨在回顾有关代谢综合征的诊断和治疗的文献,并指出一些有关精神障碍患者和一般人群中代谢综合征的诊断和治疗的问题。
文献研究包括对 Medline 和其他有关代谢综合征主题的出版物进行结构化搜索,特别是对精神障碍患者和一般人群中代谢综合征的诊断和治疗进行了搜索。
尽管对代谢综合征进行了大量研究,但仍有许多问题尚不清楚,成为未来研究的目标。专家们对某些问题的看法存在分歧,例如危险因素的聚类、特定诊断程序对代谢综合征早期发现和监测的重要性以及抗精神病药物在代谢综合征发生中的作用。然而,人们对早期发现和治疗代谢综合征的重要性以及进一步研究的必要性有独特的认识。