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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.