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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Diabetol+Metab+Syndr
2018 ; 10
(ä): 36
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Establishing post mortem criteria for the metabolic syndrome: an autopsy based
cross-sectional study
#MMPMID29713389
Christensen MR
; Bugge A
; Malik ME
; Thomsen JL
; Lynnerup N
; Rungby J
; Banner J
Diabetol Metab Syndr
2018[]; 10
(ä): 36
PMID29713389
show ga
BACKGROUND: Individuals who suffer from mental illness are more prone to obesity
and related co-morbidities, including the metabolic syndrome. Autopsies provide
an outstanding platform for the macroscopic, microscopic and molecular-biological
investigation of diseases. Autopsy-based findings may assist in the investigation
of the metabolic syndrome. To utilise the vast information that an autopsy
encompasses to elucidate the pathophysiology behind the syndrome further, we
aimed to both develop and evaluate a method for the post mortem definition of the
metabolic syndrome. METHODS: Based on the nationwide Danish SURVIVE study of
deceased mentally ill, we established a set of post mortem criteria for each of
the harmonized criteria of the metabolic syndrome. We based the post mortem (PM)
evaluation on information from the police reports and the data collected at
autopsy, such as anthropometric measurements and biochemical and toxicological
analyses (PM information). We compared our PM evaluation with the data from the
Danish health registries [ante mortem (AM) information, considered the gold
standard] from each individual. RESULTS: The study included 443 deceased
individuals (272 male and 171 female) with a mean age of 50.4 (±?15.5) years and
a median (interquartile range) post mortem interval of 114 (84-156) hours. We
found no significant difference when defining the metabolic syndrome from the PM
information in comparison to the AM information (P?=?0.175). The PM evaluation
yielded a high specificity (0.93) and a moderate sensitivity (0.63) with a
moderate level of agreement compared to the AM evaluation (Cohen's ??=?0.51).
Neither age nor post mortem interval affected the final results. CONCLUSIONS: Our
model of a PM definition of the metabolic syndrome proved reliable when compared
to the AM information. We believe that an appropriate estimate of the prevalence
of the metabolic syndrome can be established post mortem. However, while neither
the PM nor the AM information is exhaustive in terms of defining an individual's
health status, a superlative estimate may be obtained by combining the PM and the
AM information. With this model, we open up the possibility of utilising autopsy
data for future studies of the metabolic syndrome.