Monday, September 18, 2017

People with schizophrenia left out of longevity revolution

"Since the 1970s, general mortality rates in developed countries have declined. On average, lifespans have lengthened by almost a decade. One demographic group that has not reflected this trend: persons with schizophrenia, whose life expectancy is 15 to 20 years shorter than the general population. The average life expectancy in developed countries increased from 72 years in 1970 to 1975 to 80 years in 2005 to 2010, according to the United Nations. Some nations are projected to reach an average life expectancy over 90 years by 2030. However, the gap in longevity between the overall population and persons with schizophrenia appears to be widening. Writing in the September 15 issue of the journal Schizophrenia Research, a team of researchers at University of California San Diego School of Medicine and Veterans Affairs San Diego Healthcare System analyzed all eight published longitudinal studies of mortality in schizophrenia that met their strict research criteria and found that the mean standardized mortality ratio -- a measure of the mortality rate in schizophrenia -- had increased 37 percent from pre-1970s studies to post-1970s studies." Beside cancer that I had in my left lung and since had the lung removed.  I have a healthy life I exercise and I know and planning just in case it happens. I do not know if I will see any days after retirement.
The article goes on to say: "'There has long been a longevity gap between persons with schizophrenia and the general population," said co-senior author Dilip Jeste, MD, Distinguished Professor of Psychiatry and Neurosciences and director of the Stein Institute for Research on Aging at UC San Diego School of Medicine. 'Much of it has been attributed to natural causes of death, such as cardiovascular disease, unhealthy lifestyles (persons with schizophrenia have a greater propensity to behaviors like smoking or eating poorly), inadequate access to health care and biological factors, such as accelerated cellular aging. A small proportion of individuals with schizophrenia die from suicides.'  The new study is the first systemic review of longitudinal trends in mortality among persons with schizophrenia, said Jeste. 'The reasons for the widening gap in longevity are not clear,' said Ellen Lee, MD, a research fellow at UC San Diego School of Medicine and first author of the paper. Schizophrenia mortality rates appeared to decrease from the mid-1950s to early 1970s, perhaps due to the development of antipsychotic drugs and deinstitutionalization of persons with serious mental illness -- a shift away from crowded psychiatric facilities to community-based treatments. But the subsequent, expansive closure of mental health facilities, fragmentation of outpatient health care services and growing difficulties in finding housing (increasing homelessness and incarceration rates) and support for persons with schizophrenia and other serious mental illnesses have adversely impacted longevity.'" We are going through a housing crisis with rent be so high. It is just to expensive and I do get upset I changed my whole life went to college and this is not what I expected. Although I have grand kids now and I cannot give up.
The article ends: "'Persons with schizophrenia require comprehensive and regular physical monitoring and care to prevent and treat chronic age-related medical conditions. They are more vulnerable, for example, to obesity and diabetes,' said Jeste. The take-home message, he said, was that a significant segment of the population -- just over 1 percent or 3.2 million Americans -- are believed to suffer from some form of schizophrenia -- are not benefiting from new scientific advances, lifestyle changes or health care improvements enjoyed by others. 'These findings reflect on a persistent and pervasive stigma against mental illness and societal neglect of this vital yet vulnerable segment of the population, which continues to be disenfranchised,' the authors wrote. 'Work is urgently warranted to help reduce stigma, improve healthy lifestyles in a disseminable way and tailor primary care services to that person with serious mental illnesses are not left behind in the longevity revolution'" Yes. I had diabetes but I found walking made me lose weight and I have not had it in over five years.  I watch my weight maybe to much but I do not want to go back to taking metaformin. I do take cinnamon 1000mg every morning that helps with blood sugar also. I try my best to live  healthy lifestyle. I do not know how long I will live I just hope it is long enough to enjoy my new great grandson and my new granddaughter who I like to see get to grow up and enjoy.

9 comments:

  1. Dear Charles
    I have read that the longevity gap is as wide as 25 years! That said I find it highly disingenuous of researchers who acknowledge this increasing mortality rate to deny that the reasons are obvious. The suicide rate in America has soared for the general population in recent decades, possibly due to PTSD-related conditions in veterans. But it is clear to almost anyone diagnosed with schizophrenia like me that the drugs cause obesity and diabetes with predictable regularity, and this happens no matter how rigid some are in terms of diet and exercise. The fact that PWSz are often forcibly kept on these meds until they are effectively addicted then BLAMED for the metabolic syndrome that inevitably follows just appals me. But what else can you expect of the medical-pharmaceutical industry. It is a matter of blaming the victim and nothing less. Yes, I too take these drugs and have done so since the 1970s...both nominally by my volition (without informed consent) and by literal force. We cannot predict the future in any individual case, though, so I willl continue to assume for myself not any early death but life well into my 90s.

    Take care,

    WAGblog.wordpress.com

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