{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:34:23Z","timestamp":1785857663040,"version":"3.56.0"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2022,8]]},"abstract":"Accessible summary<\/jats:title>\n \n What is known on the subject?<\/jats:title>\n \n \n \n People diagnosed with schizophrenia have poor cardiometabolic health, with elevated 10\u2010year cardiovascular disease risk (CVD\u2010R) scores and low quality of life (QOL).<\/jats:p>\n <\/jats:list-item>\n \n \n There is a lack of understanding about CVD\u2010R scores in people diagnosed with early psychosis and no studies have quantified CVD\u2010R using the QRISK\n \u00ae<\/jats:sup>\n 3\u00a0calculator in this client group.\n <\/jats:p>\n <\/jats:list-item>\n \n Establishing potential relationships between modifiable lifestyle behaviours\/treatment characteristics with CVD\u2010R or QOL may identify targets for early intervention.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What the paper adds to existing knowledge?<\/jats:title>\n \n \n \n \n This is the first study to quantify the individual 10\u2010year CVD\u2010R of people diagnosed with early psychosis utilising the QRISK\n \u00ae<\/jats:sup>\n 3\u00a0calculator.\n <\/jats:p>\n <\/jats:list-item>\n \n This is also the first study to investigate relationships between QOL and CVD\u2010R and lifestyle factors in a cohort of Thai people diagnosed with early psychosis.<\/jats:p>\n <\/jats:list-item>\n \n We observed low levels of physical health\u2010related QOL and high levels of CVR\u2010R despite participants reporting relatively positive lifestyle behaviours.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What are the implications for practice?<\/jats:title>\n \n \n \n The cardiometabolic health state of this client group warrants as much attention as for those with an enduring severe mental illness; early preventative interventions are warranted.<\/jats:p>\n <\/jats:list-item>\n \n \n It may be useful to routinely quantify the CVD\u2010R of people diagnosed with early psychosis using the QRISK\n \u00ae<\/jats:sup>\n 3\u00a0calculator, even in the absence of immediate concerns about lifestyle behaviours.\n <\/jats:p>\n <\/jats:list-item>\n \n Mental health nurses should utilise evidence\u2010based approaches such as increasing activity levels, dietary counselling and behaviour change interventions to mitigate poor physical health in this client group.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n People diagnosed with schizophrenia have poor cardiometabolic health, with elevated 10\u2010year cardiovascular disease risk (CVD\u2010R) scores and poor quality of life (QOL). There is lack of understanding of these issues in early psychosis.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To quantify CVD\u2010R in people diagnosed with early psychosis and profile their obesity prevalence, lifestyle behaviours and QOL. Secondary aim was to explore associations between lifestyle behaviours\/treatment characteristics and CVD\u2010R\/QOL.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n Baseline data from 81 RCT participants were used to profile cardiometabolic health risks (QRISK\n \u00ae<\/jats:sup>\n 3, BMI and waist circumference). Participants self\u2010reported lifestyle behaviours and QOL. Relationships between modifiable treatment\/lifestyle factors and QOL\/CVD\u2010R were explored.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Participants\u2019 relative risk for CVD over 10\u00a0years was 1.93 times higher than healthy counterparts; 39% also had an obese BMI and physical QOL was poor. No significant associations were observed between CVD\u2010R or QOL with treatment characteristics and lifestyle factors.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n \n Despite positive lifestyle behaviours, participants had elevated CVD\u2010R scores and poor physical health\u2010related QOL. Quantifying CVD\u2010R with QRISK\n \u00ae<\/jats:sup>\n 3\u00a0may highlight the need for health promotion interventions.\n <\/jats:p>\n <\/jats:sec>\n \n Implications for practice<\/jats:title>\n Mental health professionals should be aware that elevated CVD\u2010R exists in the context of relatively healthy lifestyle behaviours and utilise evidence\u2010based interventions to address these issues.<\/jats:p>\n <\/jats:sec>\n <\/jats:sec>","DOI":"10.1111\/jpm.12809","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T02:02:52Z","timestamp":1638410572000},"page":"578-591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Cardiometabolic health risks, lifestyle behaviours and quality\u00a0of life in people diagnosed with early psychosis \u2013 A cross\u2010sectional 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