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Early identification of characteristics of frailty in pre-old patients with schizophrenia based on use of frailty index-laboratory results and immune-inflammatory markers
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  • Shan Hung,
  • Shang-Ying Tsai,
  • Chiou-Feng Lin,
  • Kuo-Hsuan Chung
Shan Hung
Taipei Medical University Hospital
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Shang-Ying Tsai
Taipei Medical University Hospital
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Chiou-Feng Lin
Taipei Medical University College of Medicine
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Kuo-Hsuan Chung
Taipei Medical University Hospital

Corresponding Author:ch2006ung@tmu.edu.tw

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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.
24 Sep 2024Submitted to Early Intervention in Psychiatry
24 Sep 2024Submission Checks Completed
24 Sep 2024Assigned to Editor
24 Sep 2024Review(s) Completed, Editorial Evaluation Pending
07 Jan 2025Reviewer(s) Assigned