Key result
Female gender, minority status, and antipsychotic use are linked to lower CV health in serious mental illness.
Why the study?
Cardiovascular disease is a primary contributor to premature death among people with serious mental illness, but the prevalence and correlates of ideal cardiovascular health in this population are not well characterized.
Cross-Sectional (n=314)
Individuals with serious mental illness and overweight/obesity have low ideal cardiovascular health scores, particularly among females, racial/ethnic minorities, and those on antipsychotics, highlighting the need for targeted preventive interventions.
Answers are grounded in this paper and cite their sources.
Low CV health scores in SMI identify disparities; hypothesis-generating for targeted prevention in females, minorities, and antipsychotic users.
Cardiovascular disease is a primary contributor to premature death among people with serious mental illness (SMI). This study used baseline data (N=314) from an effectiveness trial testing a healthy lifestyle intervention for racial/ethnically diverse participants with overweight/obesity and SMI living in supportive housing. We examined the prevalence and correlates of a modified version of the American Heart Association (AHA) metric of ideal cardiovascular health (ICVH). Five AHA ICVH metrics (smoking, body mass index, diet, physical activity, and blood pressure) were used to create a composite ICVH score. The mean ICVH score was 3.15 (range 0-8). Multivariate analysis indicated that higher ICVH scores were associated with lifetime cancer diagnosis and better cardiorespiratory fitness. Lower scores were associated with female gender, racial/ethnic minority status, and antipsychotic use, suggesting that these subgroups of people with SMI may benefit from targeted screening and interventions to improve their cardiovascular health.
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Mark R. Hawes (2020) conducted a cross-sectional in Serious mental illness and overweight/obesity (n=314). Demographic and clinical factors was evaluated on Composite ideal cardiovascular health (ICVH) score. Among 314 diverse individuals with serious mental illness, the mean ideal cardiovascular health score was 3.15, with lower scores associated with female gender, minority status, and antipsychotic use.
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