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Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms

Milos Nymberg, Veronica LU ; Nymberg, Peter LU orcid ; Pikkemaat, Miriam LU orcid ; Calling, Susanna LU ; Stenman, Emelie LU ; Grundberg, Anton LU ; Smith, J. Gustav LU and Sundquist, Kristina LU (2024) In Preventive Medicine Reports 37. p.1-8
Abstract

Objective: Individuals with psychiatric illness suffer from poorer physical health compared with the general population and have a higher risk of developing cardiovascular and metabolic diseases. This cross-sectional study aims to describe the prevalence of lifestyle and cardiovascular risk factors and the association with self-reported psychiatric symptoms in a population of 40-year-old individuals screened with targeted Health Dialogues in southern Sweden. Methods: All 40-year-old individuals registered at 99 primary healthcare centers in southern Sweden were invited to participate. Self-reported lifestyle habits on a web questionnaire, anthropometric measurements, blood pressure, and blood tests were collected. The Health Dialogue... (More)

Objective: Individuals with psychiatric illness suffer from poorer physical health compared with the general population and have a higher risk of developing cardiovascular and metabolic diseases. This cross-sectional study aims to describe the prevalence of lifestyle and cardiovascular risk factors and the association with self-reported psychiatric symptoms in a population of 40-year-old individuals screened with targeted Health Dialogues in southern Sweden. Methods: All 40-year-old individuals registered at 99 primary healthcare centers in southern Sweden were invited to participate. Self-reported lifestyle habits on a web questionnaire, anthropometric measurements, blood pressure, and blood tests were collected. The Health Dialogue resulted in a risk level assessment for different lifestyle habits and a meeting with a trained coach. Results: A total of 1831 individuals completed a Health Dialogue between 1st January 2021 and 30th June 2022. There were more individuals with high-risk levels for several lifestyle habits in the group with self-reported psychiatric illness compared with the rest of the study population. The analysis showed that physical inactivity, unhealthy diet, high-risk alcohol intake, tobacco use, psychosocial strain, higher BMI, and waist-hip ratio were associated with increased levels of psychiatric symptoms after adjustment for sex and socioeconomic factors. Conclusion: Unhealthy lifestyle habits were associated with self-reported psychiatric symptoms in 40-year-old individuals assessed with targeted Health Dialogues in a primary care context. Organized screening might contribute to early detection of modifiable risk factors for cardiovascular disease. Individuals with psychiatric symptoms should be prioritized for screening of unhealthy lifestyle behaviors.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Lifestyle, Primary care, Psychiatric illness, Psychiatric symptoms, Targeted Health Dialogues
in
Preventive Medicine Reports
volume
37
article number
102547
pages
1 - 8
publisher
Elsevier
external identifiers
  • pmid:38174323
  • scopus:85180460184
ISSN
2211-3355
DOI
10.1016/j.pmedr.2023.102547
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2023 The Author(s)
id
99eb6b87-0512-4b09-8a2f-8f70bcb6b00c
date added to LUP
2024-06-12 21:06:38
date last changed
2024-06-13 07:27:26
@article{99eb6b87-0512-4b09-8a2f-8f70bcb6b00c,
  abstract     = {{<p>Objective: Individuals with psychiatric illness suffer from poorer physical health compared with the general population and have a higher risk of developing cardiovascular and metabolic diseases. This cross-sectional study aims to describe the prevalence of lifestyle and cardiovascular risk factors and the association with self-reported psychiatric symptoms in a population of 40-year-old individuals screened with targeted Health Dialogues in southern Sweden. Methods: All 40-year-old individuals registered at 99 primary healthcare centers in southern Sweden were invited to participate. Self-reported lifestyle habits on a web questionnaire, anthropometric measurements, blood pressure, and blood tests were collected. The Health Dialogue resulted in a risk level assessment for different lifestyle habits and a meeting with a trained coach. Results: A total of 1831 individuals completed a Health Dialogue between 1st January 2021 and 30th June 2022. There were more individuals with high-risk levels for several lifestyle habits in the group with self-reported psychiatric illness compared with the rest of the study population. The analysis showed that physical inactivity, unhealthy diet, high-risk alcohol intake, tobacco use, psychosocial strain, higher BMI, and waist-hip ratio were associated with increased levels of psychiatric symptoms after adjustment for sex and socioeconomic factors. Conclusion: Unhealthy lifestyle habits were associated with self-reported psychiatric symptoms in 40-year-old individuals assessed with targeted Health Dialogues in a primary care context. Organized screening might contribute to early detection of modifiable risk factors for cardiovascular disease. Individuals with psychiatric symptoms should be prioritized for screening of unhealthy lifestyle behaviors.</p>}},
  author       = {{Milos Nymberg, Veronica and Nymberg, Peter and Pikkemaat, Miriam and Calling, Susanna and Stenman, Emelie and Grundberg, Anton and Smith, J. Gustav and Sundquist, Kristina}},
  issn         = {{2211-3355}},
  keywords     = {{Lifestyle; Primary care; Psychiatric illness; Psychiatric symptoms; Targeted Health Dialogues}},
  language     = {{eng}},
  pages        = {{1--8}},
  publisher    = {{Elsevier}},
  series       = {{Preventive Medicine Reports}},
  title        = {{Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms}},
  url          = {{http://dx.doi.org/10.1016/j.pmedr.2023.102547}},
  doi          = {{10.1016/j.pmedr.2023.102547}},
  volume       = {{37}},
  year         = {{2024}},
}