Prevalence and Factors Associated with Metabolic Syndrome in Patients at a Psychosocial Care Center: A Cross-Sectional Study

• Published in: International journal of environmental research and public health Vol. 19; no. 16; p. 10203
• Main Authors: Reis da Silva, Dandara Almeida, de Almeida, Ludmila Santana, Correa, Livia Lugarinho, Pimentel, Rodrigo Fernandes Weyll, Gomes, Antonio Marcos Tosoli, Travassos, Ana Gabriela, Viana, Adriana Mattos, Cerqueira, Monique Magnavita Borba da Fonseca, de Souza, Marcio Costa, de Sousa, Anderson Reis, Barbosa, Paulo José Bastos, Coelho, Julita Maria Freitas, Magalhães, Lucelia Batista Neves Cunha, D’Oliveira Júnior, Argemiro, Cavalcante Neto, Jorge Lopes, Santos, Charles Souza, França, Luiz Carlos Moraes, Brandão, Juliana de Lima, dos Santos, Livia Fajin de Mello, Gomes, Helena Ferraz, Peres, Ellen Marcia, Rossi, Thais Regis Aranha, Damasceno, Kairo Silvestre Meneses, das Mercês, Millena Conceição, Fernandes, Sandra Lúcia, Soriano, Eline de Almeida, Maduro, Isolda Prado de Negreiros Nogueira, Brandão, Tatiana Santos, Menezes, Amanda Cardoso, Santana, Amália Ivine Costa, das Merces, Magno Conceição
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 17-08-2022; MDPI
• Subjects: Alcohol; Antidepressants; Antipsychotics; Blood pressure; Body mass index; Cholesterol; Cross-sectional studies; Diabetes; Education; Glucose; Health care; High density lipoprotein; Laboratories; Medical records; Medical research; Mental disorders; Mental health; Metabolic disorders; Metabolic syndrome; Mortality; Obesity; Patients; Polypharmacy; Psychotropic drugs; Self report; Software; Triglycerides; Womens health; Brazil
• DOI: 10.3390/ijerph191610203
• EISSN: 1660-4601
• ISSN: 1660-4601; 1661-7827

Background: Metabolic syndrome (MS) is associated with greater risk of morbimortality and it has high prevalence in people with mental illness. Objective: Estimate the prevalence of Metabolic Syndrome (MS) and its associated factors in the patients of a Psychosocial Care Center (CAPS in Brazilian Portuguese) in the city of Salvador, state of Bahia, Brazil. Method: Cross-sectional study set at CAPS in the city of Salvador-Bahia between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program’s Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. Results: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. Under gross evaluation, women (PR = 1.88; 95%CI: 1.35–2.63) and those who used antidepressants (PR = 1.41; 95%CI: 1.05–1.88) showed an association with MS. After logistic regression, depression (PR = 1.86; 95%CI: 1.38–2.51), acanthosis (PR = 1.50; 95%CI: 1.18–1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13–2.75), and hypertriglyceridemic waist (PR = 3.33; 95%CI: 2.48–4.46) were associated with MS. Conclusion: The prevalence of MS signals multimorbidity among individuals with mental disorders and suggests a need for clinical screening.