scholarly journals Diabetes Risk Assessment among Adult Men in Baghdad City Using Finnish Diabetes Risk Score (FINDRISC)

2020 ◽  
Vol 6 (1) ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 40-47
Author(s):  
Nazma Akter

Background: Diabetes mellitus (DM) is considered as one of the major health problems worldwide. The rising prevalence of type 2 diabetes mellitus (T2DM) in Bangladesh is primarily attributed to rapid urbanization and associated changes in lifestyle, such as sedentary lifestyle, higher calorie food intake and stressful life. Studies support the utilization of riskassessment scoring systems in quantifying individual’s risk for developing T2DM. Thus, a simple risk-assessment scoring system for early screening of T2DM among Bangladeshi adults will be beneficial to identify the high-risk adults and thus taking adequate preventive measures in combating DM.The purpose of the study was to calculate the risk assessment score of developing T2DM within 10 years among Bangladeshi adults. Methods: The cross-sectional observational study was carried out in the outpatient department (OPD) of Medicine, MARKS Medical College & Hospital, a tertiary care hospital in Dhaka, Bangladesh from February 2018 to July 2018 among randomly sampled 205 adult subjects. Subjects undiagnosed with diabetes mellitus and had previous history of high blood glucose during pregnancy or other health examination (i.e. impaired fasting glucose, impaired glucose tolerance or gestational diabetes mellitus) were included. From a review of literature regarding risk factors of developing DM in Bangladesh, the Finnish Diabetes Risk Score (FINDRISC) system was found to be more useful for the Bangladeshi adults. The Finnish Diabetes Risk Score (FINDRISC) questionnaire was used to collect the data including demographic characteristics and different risk factors and to calculate total risk score for predicting the risk of developing T2DM within 10 years. Results: Among 205 subjects, male and female were 57.1% and 42.9% respectively. The Mean (±SD) age of the study subjects was 37.64±1.07 years. In this study, both non-modifiable and modifiable risk factors showed statistically significant association with the FINDRISC among Bangladeshi adults (p<0.05). There was a significant association among FINDRISC with history of previous high blood glucose, and treated hypertensive Bangladeshi adults.33.65% of the Bangladeshi adults had slightly elevated diabetes risk score (DRS). This study predicts that 17.55% of the Bangladeshi adults may have moderate to high risk to develop T2DM within the consecutive 10 years. Conclusion: This study provides a simple, feasible, non-invasive and convenient screening FINDRISC tool that identifies individuals at risk of having T2DM. People with high risk of DM should be referred for early intervention and changes to a healthy lifestyle and primary prevention to prevent or delay the onset of T2DM. Birdem Med J 2020; 10(1): 40-47


2020 ◽  
Vol 10 (3) ◽  
pp. 159-167
Author(s):  
Nazma Akter

Background: Use of a validated risk-assessment tool to identify individuals at high risk of developing type2 diabetes is currently recommended. It is under-reported, however, whether a different risk tool alters the predicted risk of an individual. This study explored any differences between two commonly used validated risk-assessment tools for type2 diabetes. Methods: This is a cross-sectional study conducted between July 2018 and June 2019 in the medicine outpatient department of a tertiary care hospital in Dhaka, Bangladesh. Total 518 subjects, aged ranging from 22 to 68 years was included in the study. Randomly sampled non- diabetic subjects, and those who had previous history of high blood glucose during pregnancy or other health examination (i.e. impaired fasting glucose, impaired glucose tolerance or gestational diabetes mellitus) were included for the study. With written informed consent, both the Indian Diabetes Risk Score (IDRS) and the Finnish Diabetes Risk Score (FINDRISC) questionnaire were used to collect the data including demographic characteristics and different risk factors of an individual subject, and to calculate total risk score for predictors the risk of developing T2DM within 10 years. Results: Among 518 subjects, 48.1% were male and 51.9% were female. Differences between the risk-assessment tools were apparent following cross-sectional analysis of individuals. IDRS (Indian Diabetes Risk Score) categorized 37.8 % (male vs. female: 14.8 % vs. 23.0%) of individuals at high risk. Whereas, 8.3% (male vs. female: 1.9% vs. 6.4%) were at high risk according to FINDRISC (Finish Diabetes Risk Score) system. Conclusions: The results indicate that the prevalence of participants at risk for developing type 2 diabetes varies considerably according to the scoring system used. To adequately prevent type2 diabetes, risk scoring systems must be validated for each population considered. Birdem Med J 2020; 10(3): 159-167


2016 ◽  
Vol 22 ◽  
pp. 12
Author(s):  
Laura Gray ◽  
Yogini Chudasama ◽  
Alison Dunkley ◽  
Freya Tyrer ◽  
Rebecca Spong ◽  
...  

2017 ◽  
Vol 25 (1) ◽  
Author(s):  
Indira Rocío Mendiola Pastrana ◽  
Irasema Isabel Urbina Aranda ◽  
Alejandro Edgar Muñoz Simón ◽  
Guillermina Juanico Morales ◽  
Geovani López Ortiz

<p><span><strong>Objetivo:</strong> evaluar el desempeño del <em>Finnish Diabetes Risk Score</em> (findrisc) como prueba de tamizaje para diabetes mellitus tipo 2 (dm2). <strong>Métodos:</strong> estudio de validación de prueba diagnóstica. Se seleccionaron 295 participantes sin diagnóstico de dm2, adscritos a una unidad de medicina familiar de Acapulco, Guerrero, México, mediante muestreo aleatorio simple. Se aplicó el cuestionario findrisc para calificar el nivel de riesgo para desarrollo de dm2. Se realizó toma de glucosa en ayuno como estándar de oro para diagnóstico de dm2. Se realizó prueba de </span><span>χ</span><span>2 de Mantel y Haenszel y cálculo de or para medir la asociación y la magnitud de ésta, así como el cálculo de sensibilidad, especificidad y valores predictivos para evaluar el desempeño del cuestionario. <strong>Resultados:</strong> se determinó que 156 pacientes (52.84%) presentaban alto riesgo para desarrollar dm2 en el cuestionario, 35 de los cuales fueron diagnosticados con dm2 y 49 con prediabetes. De los pacientes con riesgo bajo en el cuestionario, 26 presentaron prediabetes y 5 dm2. Un puntaje ≥15 por findrisc se asoció con glucosa alterada en ayuno ≥100mg/dl (or: 4.06, p=0.0001), prediabetes (or: 2.82, p=0.0002) y dm2 (or: 7.75, p=0.0001). La sensibilidad y especificidad del cuestionario para el diagnóstico de dm2 fue 87.50% y 52.55% respectivamente, con ic 95% estadísticamente significativos. <strong>Conclusión:</strong> el findrisc es una herramienta que potencialmente se puede ocupar para el tamizaje de dm2 en la población mexicana, es práctica, sencilla, rápida, no invasiva, económica y puede ser utilizada en la práctica diaria del médico familiar.</span></p>


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Susanne F. Awad ◽  
Soha R. Dargham ◽  
Amine A. Toumi ◽  
Elsy M. Dumit ◽  
Katie G. El-Nahas ◽  
...  

AbstractWe developed a diabetes risk score using a novel analytical approach and tested its diagnostic performance to detect individuals at high risk of diabetes, by applying it to the Qatari population. A representative random sample of 5,000 Qataris selected at different time points was simulated using a diabetes mathematical model. Logistic regression was used to derive the score using age, sex, obesity, smoking, and physical inactivity as predictive variables. Performance diagnostics, validity, and potential yields of a diabetes testing program were evaluated. In 2020, the area under the curve (AUC) was 0.79 and sensitivity and specificity were 79.0% and 66.8%, respectively. Positive and negative predictive values (PPV and NPV) were 36.1% and 93.0%, with 42.0% of Qataris being at high diabetes risk. In 2030, projected AUC was 0.78 and sensitivity and specificity were 77.5% and 65.8%. PPV and NPV were 36.8% and 92.0%, with 43.0% of Qataris being at high diabetes risk. In 2050, AUC was 0.76 and sensitivity and specificity were 74.4% and 64.5%. PPV and NPV were 40.4% and 88.7%, with 45.0% of Qataris being at high diabetes risk. This model-based score demonstrated comparable performance to a data-derived score. The derived self-complete risk score provides an effective tool for initial diabetes screening, and for targeted lifestyle counselling and prevention programs.


Author(s):  
Nandakrishna Bolanthakodi ◽  
Avinash Holla ◽  
Sudha Vidyasagar ◽  
Laxminarayan Bairy ◽  
B. A. Shastry ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Bernard Omech ◽  
Julius Chacha Mwita ◽  
Jose-Gaby Tshikuka ◽  
Billy Tsima ◽  
Oathokwa Nkomazna ◽  
...  

This was a cross-sectional study designed to assess the validity of the Finnish Diabetes Risk Score for detecting undiagnosed type 2 diabetes among general medical outpatients in Botswana. Participants aged ≥20 years without previously diagnosed diabetes were screened by (1) an 8-item Finnish diabetes risk assessment questionnaire and (2) Haemoglobin A1c test. Data from 291 participants were analyzed (74.2% were females). The mean age of the participants was 50.1 (SD = ±11) years, and the prevalence of undiagnosed diabetes was 42 (14.4%) with no significant differences between the gender (20% versus 12.5%,P=0.26). The area under curve for detecting undiagnosed diabetes was 0.63 (95% CI 0.55–0.72) for the total population, 0.65 (95% CI: 0.56–0.75) for women, and 0.67 (95% CI: 0.52–0.83) for men. The optimal cut-off point for detecting undiagnosed diabetes was 17 (sensitivity = 48% and specificity = 73%) for the total population, 17 (sensitivity = 56% and specificity = 66%) for females, and 13 (sensitivity = 53% and specificity = 77%) for males. The positive predictive value and negative predictive value were 20% and 89.5%, respectively. The findings indicate that the Finnish questionnaire was only modestly effective in predicting undiagnosed diabetes among outpatients in Botswana.


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