Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders

Elevated pulse pressure is associated with metabolic and neurocognitive diseases. Preliminary small-scale studies among patients with psychotic disorders have indicated that these patients had an increased pulse pressure compared with controls. However, it is unclear whether and how these associatio...

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Main Authors: Christopher Holmberg, Jarl Torgerson, Andreas Gremyr
Format: Article
Language:English
Published: Cambridge University Press 2022-05-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472422000527/type/journal_article
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author Christopher Holmberg
Jarl Torgerson
Andreas Gremyr
author_facet Christopher Holmberg
Jarl Torgerson
Andreas Gremyr
author_sort Christopher Holmberg
collection DOAJ
description Elevated pulse pressure is associated with metabolic and neurocognitive diseases. Preliminary small-scale studies among patients with psychotic disorders have indicated that these patients had an increased pulse pressure compared with controls. However, it is unclear whether and how these associations are manifested among larger heterogenous samples of patients with psychotic disorders. We examined elevated pulse pressure and its associations with demographic and clinical characteristics in a clinically representative sample of outpatients with psychotic disorders (n = 1289). In a subsample (n = 343), we also examined associations with six domains of functioning. Controlling for age and cardiovascular disease, body mass index (BMI) and employment status independently predicted the odds ratio of having elevated pulse pressure. Elevated pulse pressure was also primarily associated with the physical domains of functioning. Outpatients with psychotic disorders that have high BMI and are unemployed thus seem to be at increased risk for elevated pulse pressure and should therefore be particularly considered for blood pressure screenings.
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spelling doaj.art-996d99a3d41c452d9819bb8b63679e9f2023-03-09T12:29:19ZengCambridge University PressBJPsych Open2056-47242022-05-01810.1192/bjo.2022.52Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disordersChristopher Holmberg0https://orcid.org/0000-0002-6493-3817Jarl Torgerson1Andreas Gremyr2Department of Psychotic Disorders, Sahlgrenska University Hospital, and Department of Health and Care Sciences, University of Gothenburg, Gothenburg, SwedenDepartment of Psychotic Disorders, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Psychotic Disorders, Sahlgrenska University Hospital, Gothenburg, and Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, SwedenElevated pulse pressure is associated with metabolic and neurocognitive diseases. Preliminary small-scale studies among patients with psychotic disorders have indicated that these patients had an increased pulse pressure compared with controls. However, it is unclear whether and how these associations are manifested among larger heterogenous samples of patients with psychotic disorders. We examined elevated pulse pressure and its associations with demographic and clinical characteristics in a clinically representative sample of outpatients with psychotic disorders (n = 1289). In a subsample (n = 343), we also examined associations with six domains of functioning. Controlling for age and cardiovascular disease, body mass index (BMI) and employment status independently predicted the odds ratio of having elevated pulse pressure. Elevated pulse pressure was also primarily associated with the physical domains of functioning. Outpatients with psychotic disorders that have high BMI and are unemployed thus seem to be at increased risk for elevated pulse pressure and should therefore be particularly considered for blood pressure screenings.https://www.cambridge.org/core/product/identifier/S2056472422000527/type/journal_articlePsychotic disordersschizophreniaoutpatient treatmentcomorbidityprimary care
spellingShingle Christopher Holmberg
Jarl Torgerson
Andreas Gremyr
Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
BJPsych Open
Psychotic disorders
schizophrenia
outpatient treatment
comorbidity
primary care
title Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
title_full Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
title_fullStr Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
title_full_unstemmed Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
title_short Elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
title_sort elevated pulse pressure and its associations with demographic and clinical parameters in a clinically representative sample of outpatients with psychotic disorders
topic Psychotic disorders
schizophrenia
outpatient treatment
comorbidity
primary care
url https://www.cambridge.org/core/product/identifier/S2056472422000527/type/journal_article
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AT andreasgremyr elevatedpulsepressureanditsassociationswithdemographicandclinicalparametersinaclinicallyrepresentativesampleofoutpatientswithpsychoticdisorders