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Results of a metabolic health clinic at a hostel for homeless men
Objectives: People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men’s shelter. Methods: Homeless men attendin...
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| Published in: | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2017-06, Vol.25 (3), p.270-273 |
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| container_title | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists |
| container_volume | 25 |
| creator | Nielssen, Olav Chudleigh, Alan Chen, Mia Large, Matthew Markovic, Tania Cooper, Lucy |
| description | Objectives:
People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men’s shelter.
Methods:
Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c. The sample characteristics of people who attended once (one-off clients) were compared to those who attended on more than one occasion (returning clients). Changes in health status were examined among returning clients by comparing baseline results to those at their last clinic visit.
Results:
Baseline data were recorded on a total of 136 men, of whom 126 had a consultation with a general practitioner and at least one blood test. The 136 clients had a median BMI of 27.4 kg/m2. Forty-three were obese (BMI ≥30 kg/m2), 18 had class II obesity (BMI >35 kg/m2) and seven were underweight (BMI |
| doi_str_mv | 10.1177/1039856217695705 |
| format | article |
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People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men’s shelter.
Methods:
Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c. The sample characteristics of people who attended once (one-off clients) were compared to those who attended on more than one occasion (returning clients). Changes in health status were examined among returning clients by comparing baseline results to those at their last clinic visit.
Results:
Baseline data were recorded on a total of 136 men, of whom 126 had a consultation with a general practitioner and at least one blood test. The 136 clients had a median BMI of 27.4 kg/m2. Forty-three were obese (BMI ≥30 kg/m2), 18 had class II obesity (BMI >35 kg/m2) and seven were underweight (BMI <20 kg/m2). Sixty-five had an intervention for either a newly diagnosed condition or a change to existing medical treatment. Seventy-six returning clients were seen on an average of 2.3 further occasions. Returning clients had significant improvements in measures of metabolic health.
Conclusions:
Homeless people in Sydney appear to be at a high risk of metabolic disease. The feasibility of a metabolic health clinic was demonstrated, and an encouraging improvement in some health indicators was found.</description><identifier>ISSN: 1039-8562</identifier><identifier>EISSN: 1440-1665</identifier><identifier>DOI: 10.1177/1039856217695705</identifier><identifier>PMID: 28541730</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Ambulatory Care Facilities - statistics & numerical data ; Diabetes Mellitus - diagnosis ; Diabetes Mellitus - epidemiology ; Homeless Persons - statistics & numerical data ; Housing - statistics & numerical data ; Humans ; Male ; Mental Disorders - epidemiology ; Metabolic Syndrome - diagnosis ; Metabolic Syndrome - epidemiology ; Middle Aged ; New South Wales - epidemiology ; Obesity - diagnosis ; Obesity - epidemiology</subject><ispartof>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2017-06, Vol.25 (3), p.270-273</ispartof><rights>The Royal Australian and New Zealand College of Psychiatrists 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-64d07be66a903b9b69a3d5749b4866257e9ef97b766145f58c8051d1c6af15de3</citedby><cites>FETCH-LOGICAL-c403t-64d07be66a903b9b69a3d5749b4866257e9ef97b766145f58c8051d1c6af15de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28541730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielssen, Olav</creatorcontrib><creatorcontrib>Chudleigh, Alan</creatorcontrib><creatorcontrib>Chen, Mia</creatorcontrib><creatorcontrib>Large, Matthew</creatorcontrib><creatorcontrib>Markovic, Tania</creatorcontrib><creatorcontrib>Cooper, Lucy</creatorcontrib><title>Results of a metabolic health clinic at a hostel for homeless men</title><title>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</title><addtitle>Australas Psychiatry</addtitle><description>Objectives:
People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men’s shelter.
Methods:
Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c. The sample characteristics of people who attended once (one-off clients) were compared to those who attended on more than one occasion (returning clients). Changes in health status were examined among returning clients by comparing baseline results to those at their last clinic visit.
Results:
Baseline data were recorded on a total of 136 men, of whom 126 had a consultation with a general practitioner and at least one blood test. The 136 clients had a median BMI of 27.4 kg/m2. Forty-three were obese (BMI ≥30 kg/m2), 18 had class II obesity (BMI >35 kg/m2) and seven were underweight (BMI <20 kg/m2). Sixty-five had an intervention for either a newly diagnosed condition or a change to existing medical treatment. Seventy-six returning clients were seen on an average of 2.3 further occasions. Returning clients had significant improvements in measures of metabolic health.
Conclusions:
Homeless people in Sydney appear to be at a high risk of metabolic disease. The feasibility of a metabolic health clinic was demonstrated, and an encouraging improvement in some health indicators was found.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Diabetes Mellitus - diagnosis</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Homeless Persons - statistics & numerical data</subject><subject>Housing - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Disorders - epidemiology</subject><subject>Metabolic Syndrome - diagnosis</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Middle Aged</subject><subject>New South Wales - epidemiology</subject><subject>Obesity - diagnosis</subject><subject>Obesity - epidemiology</subject><issn>1039-8562</issn><issn>1440-1665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kM1LxDAQxYMorq7ePUmPXqqZNpk0x2XxCxYE0XNJ26nbJW3WJj3435tlVw-Cp5nh_d6DeYxdAb8FUOoOeK4LiRko1FJxecTOQAieAqI8jnuU050-Y-febzjnhczwlM2yQgpQOT9ji1fykw0-cW1ikp6CqZzt6mRNxoZ1UttuiJcJUVw7H8gmrRvj2pMl76NhuGAnrbGeLg9zzt4f7t-WT-nq5fF5uVilteB5SFE0XFWEaDTPK12hNnkjldCVKBAzqUhTq1WlEEHIVhZ1wSU0UKNpQTaUz9nNPnc7us-JfCj7ztdkrRnITb6EmAuolSgiyvdoPTrvR2rL7dj1ZvwqgZe74sq_xUXL9SF9qnpqfg0_TUUg3QPefFC5cdM4xG__D_wGWqRzag</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Nielssen, Olav</creator><creator>Chudleigh, Alan</creator><creator>Chen, Mia</creator><creator>Large, Matthew</creator><creator>Markovic, Tania</creator><creator>Cooper, Lucy</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Results of a metabolic health clinic at a hostel for homeless men</title><author>Nielssen, Olav ; Chudleigh, Alan ; Chen, Mia ; Large, Matthew ; Markovic, Tania ; Cooper, Lucy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-64d07be66a903b9b69a3d5749b4866257e9ef97b766145f58c8051d1c6af15de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Diabetes Mellitus - diagnosis</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Homeless Persons - statistics & numerical data</topic><topic>Housing - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Mental Disorders - epidemiology</topic><topic>Metabolic Syndrome - diagnosis</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Middle Aged</topic><topic>New South Wales - epidemiology</topic><topic>Obesity - diagnosis</topic><topic>Obesity - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nielssen, Olav</creatorcontrib><creatorcontrib>Chudleigh, Alan</creatorcontrib><creatorcontrib>Chen, Mia</creatorcontrib><creatorcontrib>Large, Matthew</creatorcontrib><creatorcontrib>Markovic, Tania</creatorcontrib><creatorcontrib>Cooper, Lucy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nielssen, Olav</au><au>Chudleigh, Alan</au><au>Chen, Mia</au><au>Large, Matthew</au><au>Markovic, Tania</au><au>Cooper, Lucy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of a metabolic health clinic at a hostel for homeless men</atitle><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle><addtitle>Australas Psychiatry</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>25</volume><issue>3</issue><spage>270</spage><epage>273</epage><pages>270-273</pages><issn>1039-8562</issn><eissn>1440-1665</eissn><abstract>Objectives:
People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men’s shelter.
Methods:
Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c. The sample characteristics of people who attended once (one-off clients) were compared to those who attended on more than one occasion (returning clients). Changes in health status were examined among returning clients by comparing baseline results to those at their last clinic visit.
Results:
Baseline data were recorded on a total of 136 men, of whom 126 had a consultation with a general practitioner and at least one blood test. The 136 clients had a median BMI of 27.4 kg/m2. Forty-three were obese (BMI ≥30 kg/m2), 18 had class II obesity (BMI >35 kg/m2) and seven were underweight (BMI <20 kg/m2). Sixty-five had an intervention for either a newly diagnosed condition or a change to existing medical treatment. Seventy-six returning clients were seen on an average of 2.3 further occasions. Returning clients had significant improvements in measures of metabolic health.
Conclusions:
Homeless people in Sydney appear to be at a high risk of metabolic disease. The feasibility of a metabolic health clinic was demonstrated, and an encouraging improvement in some health indicators was found.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28541730</pmid><doi>10.1177/1039856217695705</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1039-8562 |
| ispartof | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2017-06, Vol.25 (3), p.270-273 |
| issn | 1039-8562 1440-1665 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1903169748 |
| source | SAGE |
| subjects | Adult Aged Ambulatory Care Facilities - statistics & numerical data Diabetes Mellitus - diagnosis Diabetes Mellitus - epidemiology Homeless Persons - statistics & numerical data Housing - statistics & numerical data Humans Male Mental Disorders - epidemiology Metabolic Syndrome - diagnosis Metabolic Syndrome - epidemiology Middle Aged New South Wales - epidemiology Obesity - diagnosis Obesity - epidemiology |
| title | Results of a metabolic health clinic at a hostel for homeless men |
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