Early identification of characteristics of frailty in pre-old patients
with schizophrenia based on use of frailty index-laboratory results and
immune-inflammatory markers
Abstract
Objectives: To identify the differences in the clinical characteristics
of frailty syndrome between patients with schizophrenia and healthy
controls and to explore the correlation between frailty severity and
immune-inflammatory markers in patients with schizophrenia. Methods:
Twenty-seven community-dwelling patients (male, 51.9%; mean age, 39.9 ±
7.8 years; age range, 20–55 years) with schizophrenia and 14 healthy
controls (male, 35.7%; mean age, 37.1 ± 8.4 years) were recruited;
laboratory data were collected for assessing frailty using the
index-laboratory and immune-inflammatory markers. Results: The Frailty
Index-laboratory scores of participants with schizophrenia were higher
than those of healthy controls significantly. Relative to the healthy
controls, the participants with schizophrenia exhibited significantly
higher levels of memory (CD45RO+) γ/δ T− Th17, naïve (CD45RA+) γ/δ T+,
regulatory γ/δ T− Th, memory (CD45RO+) regulatory γ/δ T− Th, and memory
(CD45RO−) Tc. By contrast, the two groups did not differ significantly
for hs-CRP and homocysteine. The level of memory (CD45RO+) γ/δ T− Tc was
positively correlated with FI-Lab results. Conclusions: The participants
with schizophrenia exhibited a higher level of frailty and various
immune-inflammatory markers relative to the healthy controls. Memory
(CD45RO+) γ/δ T− Tc may serve as proxies reflecting prefrailty changes
in patients with schizophrenia before old age.