The need for waist circumference as a criterion for metabolic syndrome in people with mental illness

Stanton, Robert, Gaskin, Cadeyrn J., Happell, Brenda, and Platania-Phung, Chris (2017) The need for waist circumference as a criterion for metabolic syndrome in people with mental illness. Collegian, 24 (4). pp. 387-390.

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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.

Item ID: 62139
Item Type: Article (Research - C1)
ISSN: 1876-7575
Keywords: cardiometabolic health, mental health, metabolic health, monitoring, physical health
Copyright Information: © 2016 Australian College of Nursing Ltd.
Funders: Queensland Centre for Social Science Innovation
Date Deposited: 20 Sep 2020 22:00
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3205 Medical biochemistry and metabolomics > 320507 Metabolic medicine @ 50%
42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
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