The relationship between schizophrenia patients' attitudes towards physical health and the prevalence of metabolic syndrome

DOI Web Site 参考文献22件
  • Sugai Takuro
    Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences
  • Suzuki Yutaro
    Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences
  • Yamazaki Manabu
    Japan Psychiatric Hospital Association
  • Sugawara Norio
    Department of Psychiatry, Dokkyo Medical University School of Medicine
  • Yasui-Furukori Norio
    Department of Psychiatry, Dokkyo Medical University School of Medicine
  • Shimoda Kazutaka
    Department of Psychiatry, Dokkyo Medical University School of Medicine
  • Mori Takao
    Japan Psychiatric Hospital Association
  • Ozeki Yuji
    Department of Psychiatry, Shiga University of Medical Science
  • Watanabe Yuichiro
    Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences
  • Matsuda Hiroshi
    Japan Psychiatric Hospital Association
  • Okamoto Kurefu
    Japan Psychiatric Hospital Association
  • Sagae Toyoaki
    Department of Health and Nutrition, Yamagata Prefectural Yonezawa University of Nutrition Sciences Faculty of Health and Nutrition
  • Someya Toshiyuki
    Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences

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<p>Purpose: Previous studies have established that metabolic syndrome (MetS) is associated with an increased risk of mortality. Several studies have demonstrated that the assessment of patients' attitudes or behaviors regarding their physical health problems is an important parameter in initiating positive health behaviors and providing patients with metabolic control. To determine whether schizophrenia patients' attitudes towards physical health affect the prevalence of MetS, we conducted a questionnaire survey of schizophrenia patients.</p><p>Methods: We obtained 7,655 and 15,461 questionnaire responses from 520 and 247 facilities for outpatients and inpatients, respectively. The final analysis included data from a total of 6,576 subjects (2,213 outpatients and 4,363 inpatients). We assessed the effects of patients' attitudes as risk factors for having MetS using multivariate logistic regression analysis.</p><p>Results: The prevalence of MetS was higher in outpatients compared with inpatients (34.7% and 13.2%, respectively). Multivariate logistic regression analysis indicated that positive attitudes towards disease prevention and health care were related to a lower prevalence of MetS for outpatients and inpatients. In addition, greater knowledge of, and interest in, physical risk were associated with a lower prevalence of MetS only in outpatients.</p><p>Conclusions: We detected substantial gaps in knowledge and negative health attitudes among respondents, suggesting that educational programs should be incorporated into current management protocols for patients with a high risk of MetS.</p>

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