TY - JOUR
T1 - The need for waist circumference as a criterion for metabolic syndrome in people with mental illness
AU - Stanton, Robert
AU - Gaskin, Cadeyrn J.
AU - Happell, Brenda
AU - Platania-Phung, Chris
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Central obesity is a risk factor for metabolic syndrome, but taking waist circumference measurements can be uncomfortable for psychiatric inpatient clinicians and consumers, and if often avoided. The objective of this study was to assess whether metabolic syndrome in people with mental illness can be diagnosed without using waist circumference measurements. This study involved a retrospective file audit of metabolic monitoring forms stored in consumers’ electronic health records of community-based and inpatient mental health consumers at a mental health service located in regional Queensland, Australia. Of the 721 consumer files audited, 261 included a metabolic monitoring form. Of these 261 forms, 74 contained data on all five criteria for metabolic syndrome and the population-specific criteria for waist circumference was met in 54 (73%) of cases. Metabolic syndrome was detected in 39 consumers and waist circumference was necessary for this diagnosis in 12 (31%) cases. Measurement of waist circumference is, therefore, necessary for the detection of metabolic syndrome for a substantial proportion of consumers. The common practice of avoiding waist circumference measurements clearly needs to change if the physical health needs of consumers are to be adequately addressed.
AB - Central obesity is a risk factor for metabolic syndrome, but taking waist circumference measurements can be uncomfortable for psychiatric inpatient clinicians and consumers, and if often avoided. The objective of this study was to assess whether metabolic syndrome in people with mental illness can be diagnosed without using waist circumference measurements. This study involved a retrospective file audit of metabolic monitoring forms stored in consumers’ electronic health records of community-based and inpatient mental health consumers at a mental health service located in regional Queensland, Australia. Of the 721 consumer files audited, 261 included a metabolic monitoring form. Of these 261 forms, 74 contained data on all five criteria for metabolic syndrome and the population-specific criteria for waist circumference was met in 54 (73%) of cases. Metabolic syndrome was detected in 39 consumers and waist circumference was necessary for this diagnosis in 12 (31%) cases. Measurement of waist circumference is, therefore, necessary for the detection of metabolic syndrome for a substantial proportion of consumers. The common practice of avoiding waist circumference measurements clearly needs to change if the physical health needs of consumers are to be adequately addressed.
KW - Cardiometabolic health
KW - Mental health
KW - Metabolic health
KW - Monitoring
KW - Physical health
UR - http://www.scopus.com/inward/record.url?scp=84995377773&partnerID=8YFLogxK
U2 - 10.1016/j.colegn.2016.08.005
DO - 10.1016/j.colegn.2016.08.005
M3 - Article
AN - SCOPUS:84995377773
SN - 1322-7696
VL - 24
SP - 387
EP - 390
JO - Collegian
JF - Collegian
IS - 4
ER -