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. 2021 Aug 25:5:10.1080/00207411.2021.1965398.
doi: 10.1080/00207411.2021.1965398.

Increased Prevalence of Metabolic Syndrome in Veterans with PTSD Untreated with Antipsychotic Medications

Barton W Palmer  1   2 , Catherine Shir  3 , Hang Chang  1 , Mallory Mulvaney  1 , Joshua M H Hall  4 , I-Wei Shu  4 , Hua Jin  2   4 , James B Lohr  1   4   5
Affiliations

Increased Prevalence of Metabolic Syndrome in Veterans with PTSD Untreated with Antipsychotic Medications

Barton W Palmer et al. Int J Ment Health. .

Abstract

Post-Traumatic Stress Disorder (PTSD) is not solely a psychiatric disorder; it also includes significant medical morbidity. Although there is evidence of increased risk of metabolic syndrome (MetS) in PTSD, the interpretation of previous studies is confounded by inclusion of people on antipsychotic medications, which independently cause increased MetS. In this study we investigated whether Veterans with PTSD not treated with antipsychotic medications (n=115) demonstrate increased MetS compared to an age-comparable group of people from the U.S. National Health and Nutrition Examination Survey (NHNES; n=1005). Using standardized criteria (abnormal values in 3 out of the 5 domains of obesity, hypertension, high density lipoprotein, triglyceride and fasting glucose concentrations) we compared the prevalence of MetS across groups. Relative to the NHNES group, a significantly higher proportion of the Veteran PTSD group met criteria for MetS (26.9% vs. 41.7%) with a higher proportion of abnormal values in four out of five MetS domains (excepting glucose). Our results suggest that the elevation of MetS associated with PTSD cannot be fully explained by iatrogenic effects of antipsychotic medication. We suggest that extra attention be devoted to the clinical management of metabolic risk factors for morbidity in patients with PTSD.

Keywords: Diabetes; accelerated aging; cardiovascular; hypertension; lipids; obesity.

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Figures

Figure 1.
Figure 1.
Prevalence of Metabolic Syndrome by sample and age group.
See this image and copyright information in PMC

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