title: Metabolic syndrome in a cohort of affectively ill patients, a naturalistic study.
abstract: BACKGROUND
  Patients with affective disorder have higher mortality not only because of their affective illness but also because of a higher risk of death from physical illness especially cardiovascular diseases.
  
  
  OBJECTIVE
  To investigate the prevalence in a naturalistic cohort of patient treated at a Mood Disorder Clinic.
  
  
  METHODS
  Patients were evaluated for the presence of metabolic syndrome (MeS) according to modified NCEP ATP III criteria.
  
  
  RESULTS
  Of the 143 patients eligible for participation, 100 patients participated in the study (32% male, mean age 43.6 ± 14.2); the prevalence of MeS was 26%. Higher age and high body mass index (BMI) were significantly associated with MeS. No association between present medication and MeS was seen.
  
  
  CONCLUSIONS
  More than a quarter of affectively ill patients had MeS, which emphasizes the importance of integrated somatic and psychiatric care in order to reduce this group of patients' risk profile concerning cardiovascular diseases and diabetes. Clinically, it seems reasonable to prioritize overweight and obese patients for further examination.
authors.affiliation: Department of Psychiatry, Rigshospitalet, University Hospital of Copenhagen, Blegdamsvej 9, Copenhagen, Denmark. maj.vinberg@regionh.dk
authors.forename: Maj
authors.initials: M
authors.lastname: Vinberg
authors.forename: Maiken
authors.initials: M
authors.lastname: Madsen
authors.forename: Leif
authors.initials: L
authors.lastname: Breum
authors.forename: Lars V
authors.initials: LV
authors.lastname: Kessing
authors.forename: Anders
authors.initials: A
authors.lastname: Fink-Jensen
mesh_terms: D000328:Adult; D001823:Body Composition; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology; D015331:Cohort Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications / Q000453:epidemiology*; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D015995:Prevalence