{"id":3245,"date":"2022-03-31T01:39:05","date_gmt":"2022-03-31T01:39:05","guid":{"rendered":"https:\/\/linksus.net\/schizophrenia-bipolar-increase-cardiovascular-risk-medical-news-today\/"},"modified":"2022-03-31T01:39:05","modified_gmt":"2022-03-31T01:39:05","slug":"schizophrenia-bipolar-increase-cardiovascular-risk-medical-news-today","status":"publish","type":"post","link":"https:\/\/linksus2.linksus.net\/index.php\/2022\/03\/31\/schizophrenia-bipolar-increase-cardiovascular-risk-medical-news-today\/","title":{"rendered":"Schizophrenia, bipolar increase cardiovascular risk – Medical News Today"},"content":{"rendered":"

People with serious mental health conditions, such as bipolar disorder<\/a>, schizophrenia<\/a>, or schizoaffective disorder<\/a>, die 10 to 20 years earlier<\/a><\/hl-trusted-source>, on average, than individuals without those conditions. The leading cause of death is cardiovascular disease.
A new study assesses their 30-year, adult lifetime risk of cardiovascular disease, plus their 10-year risk.
The research finds that even people aged 18\u201336 years who have these mental health conditions are at a significantly increased risk of cardiovascular disease.<\/strong>
The lead author of the study is Dr. Rebecca C. Rossom<\/a>, senior behavioral health research investigator at HealthPartners Institute in Minneapolis, MN. She explains:
\u201cEven at younger ages, people with serious mental illness had a higher risk of heart disease than their peers, which highlights the importance of addressing cardiovascular risk factors for these individuals as early as possible. Interventions to address heart disease risk for these individuals are maximally beneficial when initiated at younger ages.\u201d
\u201cOur study,\u201d says Dr. Rossom, \u201cfocused on the contribution of cardiovascular risk factors, such as blood pressure, cholesterol, blood sugar, body mass index [BMI], and smoking status, to compare overall heart disease risk for people with and without serious mental illness.\u201d
The study appears in the Journal of the American Heart Association<\/a><\/hl-trusted-source><\/em>.
\u201cRight now,\u201d says Dr. Rossom, \u201cestimates of 10-year heart disease risk are used most frequently, and they cannot be applied until people are at least 40 years old, which is too late to start addressing heart disease risk in people with serious mental illness.\u201d
\u201cWe encourage healthcare systems and clinicians to use the 30-year cardiovascular risk estimates for young adults with serious mental illness, as these may be used starting at age 18.\u201d
The 30-year cardiovascular risk for people with serious mental health conditions was 25%, more than double the 11% risk for individuals without these conditions.<\/strong>
After adjusting for sex, age, race, ethnicity, and insurer, the researchers found that compared with people without serious mental health conditions:
The study also found that people with serious mental health conditions were three times more likely to be smokers than individuals <\/span>without those conditions. It also found that half were likely to be obese compared with 36% of those without serious mental health conditions.
The study tracked 591,257 individuals. Of the total group, 2%, or 11,333 people, had bipolar disorder, schizophrenia, or schizoaffective disorder.
Seventy percent of those with serious mental health conditions had a diagnosis of bipolar disorder, 18% had schizoaffective disorder, and 12% had schizophrenia.<\/strong>
People with serious mental health conditions were more likely to be female and younger and identify as Black, Native American, Alaskan, or multiracial. They were also more likely to have insurance from Medicare or Medicaid.
Dr. Rossom told Medical News Today<\/em>:
\u201cSome of the challenges involved in supporting the overall health of people with [serious mental health conditions] include patients and clinicians not being aware of the increased medical risks that people with [these conditions] carry (including an elevated risk of CV disease).\u201d
Other challenges include \u201cnot recognizing how some of our treatments can increase these risks (including some medications used to treat [mental health conditions], which can increase cardiometabolic risk), and not feeling able to meaningfully intervene even when these increased risks are recognized.\u201d
\u201cAll of these issues can lead to disparities in health outcomes,\u201d summarized Dr. Rossom.<\/strong>
Therefore, as clinical professor Ren\u00e9 Ernst Nielsen<\/a>, of Aalborg University Hospital in Denmark, who was not involved in the study, explained to MNT:<\/em>
\u201cThese patients should perhaps be seen as at special risk, and the level for initiating diagnostic procedures, prophylactic treatment, treatment of risk factors and treatment of existing conditions should perhaps be reduced.\u201d
Prof. Nielsen also pointed out the \u201crisk of diagnostic overshadowing \u2014 when the patient is seen by the psychiatrist, the focus is mainly [or] only on the psychiatric symptoms, and physical health is neglected. Similarly, when a patient with a serious mental health condition is seen in the ER, there is an increased risk of interpreting the symptoms as [being] caused by the serious mental health condition.\u201d
\u201cThere might be,\u201d added Prof. Nielsen, \u201ca negative attitude toward patients with serious mental health conditions.\u201d<\/strong>
He explained, \u201cThey may be perceived as more dangerous, not easy to talk to, and less able to report relevant information, which might be caused by clinicians\u2019 lack of knowledge concerning mental disorders.\u201d
Dr. Rossom is also the lead author of another new study<\/a><\/hl-trusted-source> of the possible cardiovascular benefits of clinical support systems optimized for people with serious mental health conditions. She told MNT<\/em>:
\u201cOur study demonstrates that giving patients with [serious mental health conditions] and clinicians personalized, prioritized summaries of their [cardiovascular] risk status, along with patient-specific suggestions to improve care, resulted in intervention patients having 4% lower [cardiovascular] risk than control patients at 1 year. We were particularly excited to see that the intervention favored patients with [serious mental health conditions] who were in the youngest age group \u2014 ages 18\u201329.\u201d
Anxiety seems to be taking over society. In this article, we ask whether anxiety really is on the rise, and why it might be increasing in prevalence.<\/a>
In this edition of Medical Myths, we tackle 11 myths associated with mental health and address the stigma that is wrongly linked with mental disorders.<\/a>
Depression is a very common condition. Despite this, many myths and misconceptions continue to surround it. Learn more about depression here\u2026<\/a>
Depression is a common mental health problem that involves a low mood and a loss of interest in activities. Learn more about the symptoms, different\u2026<\/a>
Schizophrenia is a severe mental health condition that can cause confused speech, delusions, and social withdrawal. Treatment is available. Learn more\u2026<\/a>
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People with serious mental health conditions, such as bipolar disorder, schizophrenia, or schizoaffective disorder, die 10 to 20 years earlier, on average, than individuals without those conditions. The leading cause of death is cardiovascular disease. A new study assesses their 30-year, adult lifetime risk of cardiovascular disease, plus their 10-year risk.The research finds that even […]<\/p>\n","protected":false},"author":869,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/3245"}],"collection":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/users\/869"}],"replies":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/comments?post=3245"}],"version-history":[{"count":0,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/3245\/revisions"}],"wp:attachment":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/media?parent=3245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/categories?post=3245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/tags?post=3245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}