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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorBENSENOR, Isabela M.-
dc.contributor.authorBRUNONI, Andre R.-
dc.contributor.authorPILAN, Luis Augusto-
dc.contributor.authorGOULART, Alessandra C.-
dc.contributor.authorBUSATTO, Geraldo F.-
dc.contributor.authorLOTUFO, Paulo A.-
dc.contributor.authorSCAZUFCA, Marcia-
dc.contributor.authorMENEZES, Paulo R.-
dc.identifier.citationGENERAL HOSPITAL PSYCHIATRY, v.34, n.3, p.268-275, 2012-
dc.description.abstractObjective: The objective was to evaluate the cardiovascular profile of first-episode psychosis patients in Sao Paulo, Brazil, an issue that has not been sufficiently explored in low-/middle-income countries. Method: A cross-sectional study was performed 1 to 3 years after an initial, larger survey that assessed first-episode psychosis in sao Paulo. We evaluated cardiovascular risk factors and lifestyle habits using standard clinical examination and laboratory evaluation. Results: Of 151 contacted patients, 82 agreed to participate (mean age=35 years; 54% female). The following diagnoses were found: 20.7% were obese, 29.3% had hypertension, 39.0% had dyslipidemia, 19.5% had metabolic syndrome, and 1.2% had a >20% 10-year risk of coronary heart disease based on Framingham score. Also, 72% were sedentary, 25.6% were current smokers, and 7.3% reported a heavy alcohol intake. Conclusion: Compared to other samples, ours presented a distinct profile of higher rates of hypertension and diabetes (possibly due to dietary habits) and lower rates of smoking and alcohol intake (possibly due to higher dependence on social support). Indirect comparison vs. healthy, age-matched Brazilians revealed that our sample had higher frequencies of hypertension, diabetes and metabolic syndrome. Therefore, we confirmed a high cardiovascular risk in first-episode psychosis in Brazil. Transcultural studies are needed to investigate to which extent lifestyle contributes to such increased risk.-
dc.description.sponsorshipFAPESP, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, Sao Paulo, Brazil-
dc.description.sponsorshipCNPq (Conselho Nacional de Pesquisa), Brazil-
dc.relation.ispartofGeneral Hospital Psychiatry-
dc.subjectCardiovascular disease-
dc.subjectLifestyle habits-
dc.subject.othermetabolic syndrome-
dc.subject.otherbipolar disorder-
dc.subject.otheratypical antipsychotics-
dc.subject.otherexcess mortality-
dc.titleCardiovascular risk factors in patients with first-episode psychosis in Sao Paulo, Brazil-
dc.rights.holderCopyright ELSEVIER SCIENCE INC-
dc.type.categoryoriginal article-
hcfmusp.publisher.cityNEW YORK-
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Artigos e Materiais de Revistas Científicas - FM/MCM
Departamento de Clínica Médica - FM/MCM

Artigos e Materiais de Revistas Científicas - FM/MPR
Departamento de Medicina Preventiva - FM/MPR

Artigos e Materiais de Revistas Científicas - FM/MPS
Departamento de Psiquiatria - FM/MPS

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/IPq
Instituto de Psiquiatria - HC/IPq

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Outros institutos - HC/Outros

Artigos e Materiais de Revistas Científicas - LIM/21
LIM/21 - Laboratório de Neuroimagem em Psiquiatria

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LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica

Artigos e Materiais de Revistas Científicas - LIM/39
LIM/39 - Laboratório de Processamento de Dados Biomédicos

Artigos e Materiais de Revistas Científicas - LIM/51
LIM/51 - Laboratório de Emergências Clínicas

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