Ali Baran TANRIKULU, Hilal KAYA, Mehmet Hamdi ÖRÜM

Bir Toplum Ruh Sağlığı Merkezinde (TRSM) İzlenen Ciddi Ruhsal Hastalığı (CRH) Olan Hastaların COVİD-19 Pandemisi Döneminde Metabolik Takibi

Amaç: Ciddi Ruhsal Hastalığı (CRH) olan hastaların metabolik izlemi, COVİD-19 pandemisi döneminde ciddi düzeyde aksadı. Bu çalışmadaki amacımız, bir Toplum Ruh Sağlığı Merkezindeki (TRSM) hastaların başlangıçtaki (pandemi öncesi) ve COVİD-19 pandemisinden 12 ay sonraki metabolik parametrelerini karşılaştırmaktır. Yöntemler: Bu retrospektif kohort çalışmada, vücut kitle indeksi (VKİ), bel çevresi (BÇ), yüksek yoğunluklu lipoprotein (HDL), aterojenik plazma indeksi (APİ) gibi metabolik parametrelerin başlangıç (pandemi öncesi) ve pandemiden 12 ay sonraki değerlerini karşılaştırdık. Bulgular: VKİ (p

Metabolic Monitoring of the Patients with Serious Mental Illness (SMI) in a Community Mental Health Center (CMHC) During the COVID-19 Pandemic

Purpose: Metabolic monitoring of patients with serious mental illness (SMI) has been interrupted during the COVID-19 pandemic. Our aim in this study is to compare the metabolic parameters of patients at baseline (before pandemic) and 12 months after the COVID-19 pandemic in a community mental health center (CMHC). Methods: In this retrospective cohort study, we compared the metabolic parameters such as body mass index (BMI), waist circumference (WC), high-density lipoprotein (HDL), atherogenic index of plasma (AIP) at baseline (before pandemic) and 12 months after pandemic. Results: BMI (p

PDF

___

1. Mccutcheon RA, Marques TR, Howes OD. Schizophrenia—an overview. JAMA Psychiatry. 2020;77:201-10. DOI: 10.1001/ jamapsychiatry.2019.3360.
2. Wells R, Kite B, Breckenridge E, et al. Community mental health center integrated care outcomes. Psychiatr Q. 2018;89:969-82. DOI:10.1007/s11126-018-9594-3
3. Rosen A, Gill NS and Salvador-Carulla L. The future of community psychiatry and community mental health services. Curr Opin Psychiatry. 2020;33:375-90. DOI: 10.1097/YCO.0000000000000620
4. Karaman İGY, Kasal Mİ, Ingec C, et al. Effect of Adjunct Psychosocial Skills Training on Social Functioning of Schizophrenia Patients Who Get Occupational Therapy in a Community Mental Health Center: A Comparative Study. Arch Neuropsychiatry. 2020;57:248. DOI:10.29399/npa.24885
5. Yanai H. Metabolic Syndrome and COVID-19. Cardiol Res. 2020;11:360. DOI:10.14740/cr1181
6. Chew HSJ and Lopez V. Global Impact of COVID-19 on Weight and Weight-Related Behaviors in the Adult Population: A Scoping Review. Int. J. Environ. 2021;18:1876. DOI:10.3390/ijerph18041876
7. Mazereel V, Detraux J, Vancampfort D, et al. Impact of psychotropic medication effects on obesity and the metabolic syndrome in people with serious mental illness. Front. Endocrinol. 2020;11. DOI:10.3389/fendo.2020.573479
8. Degnan A, Berry K, Sweet D, et al. Social networks and symptomatic and functional outcomes in schizophrenia: a systematic review and meta-analysis. Soc Psychiatry. 2018;53:873-88. DOI:10.1007/ s00127-018-1552-8
9. Shinn AK and Viron M. Perspectives on the COVID-19 pandemic and individuals with serious mental illness. J Clin Psychiatry. 2020;81:0-. DOI:10.4088/jcp.20com13412
10. Edition F. Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc. 2013;21. DOI:10.1176/appi.books.9780890425596
11. Morosini PL, Magliano L, Brambilla LA, et al. Development, reliability and acceptability of a new version of the DSM IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social funtioning. Acta Psychiatr Scand. 2000;101:323-9. DOI:10.1034/j.1600-0447.2000.101004323.x
12. Nasrallah H, Morosini P and Gagnon DD. Reliability, validity and ability to detect change of the Personal and Social Performance scale in patients with stable schizophrenia. Psychiatry Res. 2008;161:213- 24. DOI:10.1016/j.psychres.2007.11.012
13. Overall JE and Gorham DR. The brief psychiatric rating scale. Psychol Rep. 1962;10:799-812. DOI:10.2466%2Fpr0.1962.10.3.799
14. Endicott J, Spitzer R, Fleiss J, et al. The Clinical Global Scale: a procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976;33:766-71. DOI:10.1001/ archpsyc.1976.01770060086012
15. De Lorenzo A, Soldati L, Sarlo F, et al. New obesity classification criteria as a tool for bariatric surgery indication. World J Gastroenterol. 2016;22:681. DOI:10.3748/wjg.v22.i2.681
16. Ostchega Y, Seu R, Isfahani NS, et al. Waist Circumference Measurement Methodology Study: National Health and Nutrition Examination Survey, 2016. 2019.
17. Won KB, Jang MH, Park EJ, et al. Atherogenic index of plasma and the risk of advanced subclinical coronary artery disease beyond traditional risk factors: An observational cohort study. Clin Cardiol. 2020;43:1398-404. DOI:10.1002/clc.23450
18. Alomari MA, Khabour OF and Alzoubi KH. Changes in physical activity and sedentary behavior amid confinement: The bksq-covid-19 project. Risk Manag. Healthc. Policy. 2020;13:1757. DOI:10.2147/ RMHP.S268320
19. Zheng C, Huang WY, Sheridan S, et al. COVID-19 pandemic brings a sedentary lifestyle in young adults: a cross-sectional and longitudinal study. Int. J. Environ. 2020;17:6035. DOI:10.1101/2020.05.22.20110825
20. Kriaucioniene V, Bagdonaviciene L, Rodríguez-Pérez C, et al. Associations between changes in health behaviours and body weight during the COVID-19 quarantine in Lithuania: the Lithuanian COVIDiet Study. Nutrients. 2020;12:3119. DOI:10.3390/nu12103119
21. Mohammad S, Aziz R, Al Mahri S, et al. Obesity and COVID-19: what makes obese host so vulnerable? Immun. Ageing. 2021;18:1-10. DOI:10.1186/s12979-020-00212-x
22. Gao M, Piernas C, Astbury NM, et al. Associations between body- mass index and COVID-19 severity in 6· 9 million people in England: a prospective, community-based, cohort study. The Lancet Diabetes Endocrinol. 2021;9:350-9. DOI:https://doi.org/10.1016/ S2213-8587(21)00089-9
23. Goularte JF, Serafim SD, Colombo R, et al. COVID-19 and mental health in Brazil: psychiatric symptoms in the general population. J Psychiatr Res. 2021;132:32-7. DOI:10.1016/j.jpsychires.2020.09.021
24. Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, et al. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. J Nutr Health Aging. 2020:1-10. DOI:10.1007/s12603-020-1469-2
25. Ouimet M, Barrett TJ and Fisher EA. HDL and reverse cholesterol transport: Basic mechanisms and their roles in vascular health and disease. Circ. Res. 2019;124:1505-18. DOI:10.1161/ CIRCRESAHA.119.312617
26. Kosmas CE, Martinez I, Sourlas A, et al. High-density lipoprotein (HDL) functionality and its relevance to atherosclerotic cardiovascular disease. Drugs context. 2018;7. DOI:10.7573/dic.212525
27. Palazon-Bru A, Hernandez-Lozano D and Gil-Guillen VF. Which physical exercise interventions increase HDL-cholesterol levels? A systematic review of meta-analyses of randomized controlled trials. Sports Med. 2021;51:243-53. DOI:10.1007/s40279-020-01364-y
28. Ruiz-Ramie JJ, Barber JL and Sarzynski MA. Effects of exercise on HDL functionality. Curr. Opin. Lipidol. 2019;30:16. DOI: 10.1097/ MOL.0000000000000568
29. Wang L, Chen F, Xiaoqi C, et al. Atherogenic index of plasma is an independent risk factor for coronary artery disease and a higher SYNTAX score. Angiology. 2021;72:181-6. DOI:10.1177/0003319720949804
30. Cai G, Shi G, Xue S, et al. The atherogenic index of plasma is a strong and independent V predictor for coronary artery disease in the Chinese Han population. Medicine. 2017;96. DOI: 10.1097/ MD.0000000000008058
31. Yıldırım ÖT and Kaya Ş. The atherogenic index of plasma as a predictor of mortality in patients with COVID-19. Heart Lung. 2021;50:329-33. DOI: 10.1016/j.hrtlng.2021.01.016
32. Nam JS, Kim MK , Nam JY, et al. Association between atherogenic index of plasma and coronary artery calcification progression in Korean adults. Lipids Health Dis. 2020;19:1-7. DOI: 10.1186/ s12944-020-01317-4