Metabolic syndrome and associated factors among psychiatric patients in Jimma University Specialized Hospital, South West Ethiopia

Asaye, Sintayehu; Bekele, Shiferaw; Tolessa, Daniel; Cheneke, Waqtola

doi:10.1016/j.dsx.2018.04.037

Cited by 21 publications

(26 citation statements)

References 39 publications

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“…This in line with the reports of several studies. 18,25,26,28,30,33 However, the current study indicated that no association between gender and MetS in both definitions. This is not in line with the different studies report 25,26,28,33 and this is not in line with the finding of the current study.…”

Section: Factors Associated With Mets Among Patients With Severe Mentcontrasting

confidence: 67%

“…Using the NCEP ATP III criteria: being female the crude odds ratio [COR (95% CI): .0001] and the duration more than 5 years with SMI [AOR (95% CI): 2.9 (1.3-6.5); p<0.008] were significantly and positively associated factors of MetS (Table 5). 18 which was 28.9%. However, the higher rate of MetS was reported by different international studies: 43.6% in Palestine, 28 32.3% in Turkey, 29 34.7% in Kashmir, 30 49% in Australia, 31 and 32% in South Africa 32 in NCEP criteria.…”

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 93%

“…This in line with the finding of the current study. However, the study conducted in Southwest Ethiopia revealed insignificant association between MetS and duration of mental illness, 18 and this might be due to the classification variability of illness duration for analysis purposes.…”

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 94%

“…Similarly, studies indicated a significant association between the age of patients and MetS. 18,29,33 Moreover, age greater 40 years and therapy might favor the risks for the development of MetS. 36,37 Furthermore, marital status was significantly associated with MetS by NCEP.…”

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 98%

“…The sample size estimation was based on a 29% prevalence rate of MetS among patients with SMI that was conducted in Jimma, Southwest Ethiopia, and the required sample size was computed using a single population proportion formula at 95% confidence interval (CI). 18 n ¼ ðZ α=2 Þ 2 p 1 À p ð Þ…”

Section: Sample Size and Sampling Techniquementioning

confidence: 99%

See 4 more Smart Citations

<p>Prevalence and Associated Factors of Metabolic Syndrome Among Patients with Severe Mental Illness at Hawassa, Southern-Ethiopia</p>

Teshome

Kassa

Hirigo

2020

DMSO

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Background: Patients with severe mental disorders have a high risk of metabolic-related complications like metabolic syndrome (MetS), diabetes mellitus (DM), hypertension and lipid derangements, and these factors may predispose them to a high mortality rate. Data is very scarce regarding MetS among patients with severe mental illness in Ethiopia. Therefore, this study aimed to assess the prevalence of MetS and its associated factors among patients with severe mental illness. Methods: A cross-sectional study was conducted in Hawassa University Comprehensive Specialized Hospital from January to June 2019 among adult patients attending a psychiatric outpatient department, Southern Ethiopia. A systematic random sampling technique was used to select 245 study subjects. Socio-demographic and other data were collected using a structured questionnaire. Both the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF) guidelines were used to define MetS. Results: The prevalence of MetS was 24.5% and 26.9% by NCEP-ATP and IDF criteria respectively. In both definitions, females had significantly higher MetS when compared to males (31.4% vs 19.6%; p=0.03 by NCEP), and (34.3% vs 21.7%; p =0.03 by IDF), respectively. Duration >5 years with mental illness indicated higher MetS when compared to duration ≤ 5 years (42.9% vs 19.9%, p=0.001; and 46.9% vs 21.9%, p<0.0001) in NCEP and IDF, respectively. In addition, marital status [AOR (95% CI): 2.4 (1.1-5.3)], and BMI [AOR (95% CI): 8.4(4.0-17.6)], duration > 5 years with mental illness [AOR (95% CI): 2.8 (1.2-6.5)], and age >40 years [AOR (95% CI): 2.7(1.2-6.1)] were significantly associated factors of MetS by NCEP. While BMI, age >40 years and duration > 5 years with mental illness were associated with MetS by IDF. Conclusion: Long-time experience with severe mental illness and antipsychotic therapy might predispose patients to metabolic complications with significant risks of cardiovascular events. Therefore, intensive screening of patients for MetS/components is required during follow-up based on national non-communicable diseases guideline. Besides, the proper intervention of patients concerning lifestyle changes and averting risk full behaviors is mandatory.

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Section: Factors Associated With Mets Among Patients With Severe Mentcontrasting

confidence: 67%

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 93%

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 94%

Section: Factors Associated With Mets Among Patients With Severe Mentmentioning

confidence: 98%

Section: Sample Size and Sampling Techniquementioning

confidence: 99%

See 3 more Smart Citations

<p>Prevalence and Associated Factors of Metabolic Syndrome Among Patients with Severe Mental Illness at Hawassa, Southern-Ethiopia</p>

Teshome

Kassa

Hirigo

2020

DMSO

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Metabolic syndrome and its associated factors in Ethiopia: A systematic review and meta-analysis

Jemere

Gelaw

2021

J Diabetes Metab Disord

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Metabolic syndrome among people with mental illness in sub Saharan Africa: Female gender as a factor. A Systematic review and meta-analysis

Kabthymer

Techane

Hailemariam

et al. 2021

Annals of Medicine &Amp; Surgery

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Background The prevalence of metabolic syndrome among psychiatric patients in developing nations is mounting alarmingly and it is a reason for decreased life expectancy and quality of life of people with mental illness. Although great discrepant epidemiological studies have been carried out in Sub Saharan African countries, there has no systematic review and meta-analysis conducted. Therefore, summarized evidence has a paramount importance for policy makers and health planning. This study aims to estimate the prevalence of metabolic syndrome and to examine the effect of gender on metabolic syndrome among people with mental illness in sub Saharan Africa. Method Systematic literature search was performed using PubMed, CINAHL, Web of science, Global health electronic databases. In addition, gray literatures were retrieved from Google and Google scholar. Two authors independently extracted all the necessary data using a format prepared in Microsoft Excel. Data analysis was done using STATA Version 14 (software). The heterogeneity of the studies was assessed using I 2 test.Random-effects model was used to estimate pooled prevalence of MetS and its odds ratio. Publication bias was checked using Funnel plot and Egger's test. Result 1306 studies were reviewed and nine studies fulfilling the inclusion criteria were selected for the meta-analysis. The meta-analysis of nine studies that included 1896 participants found a prevalence rate of metabolic syndrome which was performed based on assessment criteria; JIS criteria prevalence 21.11% (95% CI: 17.93–24.29), IDF criteria 23.77% (95% CI: 15.41–32.12) and NCEP ATP-III criteria 21.63% (95% CI: 16.30–26.96). Female gender (AOR = 3.00; 95% CI: 1.98–4.55) was found to have a significant association with metabolic syndrome. Conclusion The prevalence of metabolic syndrome among people with mental illness in sub Saharan Africa is high in various assessment criteria. The likelihood is significantly increased in females than males. Metabolic syndrome increases by three folds among females with mental illness as compared to their counterparts.

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Metabolic syndrome and associated factors among psychiatric patients in Jimma University Specialized Hospital, South West Ethiopia

Cited by 21 publications

References 39 publications

<p>Prevalence and Associated Factors of Metabolic Syndrome Among Patients with Severe Mental Illness at Hawassa, Southern-Ethiopia</p>

<p>Prevalence and Associated Factors of Metabolic Syndrome Among Patients with Severe Mental Illness at Hawassa, Southern-Ethiopia</p>

Metabolic syndrome and its associated factors in Ethiopia: A systematic review and meta-analysis

Metabolic syndrome among people with mental illness in sub Saharan Africa: Female gender as a factor. A Systematic review and meta-analysis

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