Prevalence of, and factors associated with, diabetes mellitus in people with severe mental illness attending a multidisciplinary, outpatient cardiometabolic health assessment service
Authors' conclusion
Prevalence of diabetes mellitus in this multiethnic cohort with SMI is significantly higher than the Australian population. Targeted interventions via an assertive integrated approach are required to optimize cardiometabolic health in this population.
Study context
- Population
- Adults with severe mental illness (SMI) attending an initial Collaborative Centre for Cardiometabolic Health in Psychosis (ccCHiP) clinic consultation (2014–2019); mean age 43.9±12.8 years, 63.1% male, 63.5% schizophrenia
- Participants
- 1,402 adults
- Outcome
- Prevalence of diabetes (HbA1c ≥6.5%, fasting blood glucose ≥7.0 mmol/L, or self-reported diagnosis and antihyperglycemic medication)
Methodological detailstertiary referral clinics, outpatient cardiometabolic health assessment service
- Tertiary referral clinics
- Outpatient cardiometabolic health assessment service
Main finding
As reported in the abstract
Prevalence of diabetes
Diabetes prevalence
23.0%
n=322
Additional pre-diabetes
19.5%
Observational data: associations, not effects.
Further findings
Characteristics of those with diabetes
- Newly diagnosed among those with diabetes
- 15.8%
- Receiving antihyperglycemic medication among pre-existing diabetes
- 84.5%
- Dyslipidemia among those with diabetes
- Over 94%
- Current smokers among those with diabetes
- half
- Sedentary behavior among those with diabetes
- 46.4%
Factors associated with diabetes (multivariate analysis)
- Diabetes associated with older age, Aboriginal, Indian or Middle Eastern maternal ethnicity, elevated waist-to-height ratio, family history of diabetes and antipsychotic use
Original publication
Prevalence of, and factors associated with, diabetes mellitus in people with severe mental illness attending a multidisciplinary, outpatient cardiometabolic health assessment service. BMJ Open Diabetes Res Care. Published 18 January 2023. doi:10.
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