Risk Assessment for Diabetes Mellitus by Using Indian Diabetes Risk Score among Office Workers of Health Institutions of South India

2021 ◽  
Vol 18 ◽  
Author(s):  
Ramesh Holla ◽  
Darshan Bhagawan ◽  
Bhaskaran Unnikrishnan ◽  
Durga Nandhini Masanamuthu ◽  
Srinjoy Bhattacharya ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Risk Score ◽  
South India ◽  
Diabetes Risk ◽  
Office Workers ◽  
Diabetes Research ◽  
The Mean ◽  
Study Participants ◽  
Diabetes Risk Score

Background: Diabetes mellitus (DM) is one of the non-communicable diseases plaguing the world and contributes a major part to the total disease burden. Diabetes has been prevalent in all countries throughout the years, with the majority of diabetics living in low- and middle-income countries. Madras Diabetes Research Foundation developed the Indian Diabetes Risk Score (IDRS), a simple and cost-effective method to assess the chances of developing diabetes. Objectives: To assess the diabetes risk profile of office workers using IDRS and to determine the proportion of individual risk factors of diabetes among the participants. Methods: This cross sectional study included 94 non-diabetic office workers working in two health care institutions situated in coastal South India. Data was collected by a study questionnaire consisting of three sections. Section A included details related to participant characteristics, Section B included anthropometric measurements, and Section C consisted of the Indian Diabetes Risk Score. The collected data were coded and entered into Statistical Package for Social Sciences. Results: The mean age of the study participants was 40.88 (±9.761) years, and the mean BMI was 23.8 (±3.6) kg/m2. Majority (n=65, 67%) of the study participants did not have a family history of diabetes. One-third of the study participants had IDRS ≥ 60, which allocated them in the high risk category for type 2 diabetes (n=34, 35.1%). Conclusion: It has been conclusively shown from the study that most of the office workers have moderate to high risk of developing diabetes and are also overweight or obese.

scholarly journals Prediction of the risk of developing diabetes mellitus among Bangladeshi adults by using risk assessment score

2019 ◽  
Vol 10 (1) ◽  
pp. 40-47
Author(s):  
Nazma Akter
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Risk Assessment ◽  
Blood Glucose ◽  
High Risk ◽  
Risk Score ◽  
Diabetes Risk ◽  
High Blood Glucose ◽  
History Of ◽  
Diabetes Risk Score

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

scholarly journals Prevalence and susceptibility to diabetes mellitus using Indian diabetic risk score

2018 ◽  
Vol 5 (9) ◽  
pp. 4119
Author(s):  
Divya S. ◽  
Radhamani M. V. ◽  
Kiran Ravi ◽  
Deepa S.
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Risk Score ◽  
Age Of Onset ◽  
Age Groups ◽  
Educational Status ◽  
Diabetes Risk ◽  
Undiagnosed Diabetes ◽  
Cross Sectional ◽  
Diabetes Risk Score

Background: India is the diabetes capital of the world. The burden of diabetes mellitus is increasing daily. If people with higher risk for diabetes are identified before the disease has developed, then some interventions could be undertaken to reduce the modifiable risk factors. Objective of the study was to identify the high risk subjects by using Indian diabetes risk score (IDRS) for detecting undiagnosed diabetes among people aged above twenty five years in rural area of Thrissur.Methods: A cross-sectional study was conducted among 262 inhabitants above 25 in Thrissur. Fasting blood sugar within 3 months prior was noted. The risk of diabetes was assessed using Indian Diabetes Risk Score and grouped into low, moderate and high risk.Results: Majority were females (58.4%) and (80.5%) reported either of their parents as diabetic. Waist circumference was higher for majority. Most (62.2%) people had regular exercise. 199 (76%) had moderate risk. 92% were at moderate to high risk of developing diabetes. Higher the risk score higher was the FBS, and was statistically significant (p=0.035). IDRS was statistically significant with the educational status (p=0.023) and sex (0.000). Forty four (16.8%) were diabetic, 60 (22.9%) hypertensive and 12 (4.6%) had coronary artery disease.Conclusions: There is a shift in age of onset to younger age groups. Hence, the early identification of at risk individuals and appropriate intervention help to prevent, or delay, the onset of complications. This definitely suggests the importance of IDRS for identifying undiagnosed high risk diabetes.

scholarly journals ASSESSMENT OF THE RISK OF TYPE 2 DIABETES AMONG HEALTHY WITHOUT DIABETES IN SUDAN USING THE FINDRISC TOOL

2020 ◽  
Author(s):  
Osman Abdalrhman Osman ◽  
Ali Awadallah Saeed ◽  
Mohamed Awad Mousnad ◽  
Azza Hamid
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
High Risk ◽  
Peer Review ◽  
Risk Score ◽  
Diabetes Risk ◽  
The Mean ◽  
E Mail

Background and objective: Diabetes is increasingly recognized as a serious public health concern worldwide. The risk assessment of type 2 diabetes can be done through a risk questionnaire that provides an accurate, low-cost, educational and time-effective method for this. By early identification of people at risk of developing diabetes and if it is confirmed that they are in the pre-diabetes stage, adequate care is provided to them through lifestyle interventions or even hypoglycemic drugs if needed, thus delaying or preventing their progression to diabetes. Therefore, this study aimed to assess the risk of developing type 2 diabetes (T2DM) among healthy Sudanese without diabetes in Khartoum. Methods: A cross-sectional study from Nov 2016-March 2017 comprising 122 adult participants, age (>20 yrs) visiting the garden yard located at airport street at Khartoum district without a diagnosis of T2DM was carried out. The risk of developing T2DM was assessed using the validated and widely used Finish diabetes risk score (FINDRISC) Total Risk Score of each participant was analysed and compared. Knowledge assessment tool and Anthropometric measurements were also used. Results: 122 participated in the study, the mean age of the participants was 31.55 ± 10.122, the mean BMI was 25.718 ± 5.813 and the mean of waist circumstances 90.2 ± 16.63. Estimated risk of developing T2DM in 10 years of study for participants according to FINDRISC, only 3.3% have a high risk.The risk factors for the participants in the study for developing DM type 2 were 66.4% has positive family history, 44.3% were overweight or obese, has 41.8% limited physical activity and 27.9% has central obesity. The pattern of vegetables and fruits daily intake according to FINDRISC only 36.1% from participants. Significant positive correlation (r= 0.395, p=0.000) High risk score of FINDRISC is >14, Estimated age: Y=24.1+ (0.9x15) = 37.9≈38years.Significant positive correlation (r= 0.6, p=0.000) High risk score of FINDRISC is > 14, Estimated BMI: Y= 19.24+ (0.8x15) = 31 Kg/ m2. Conclusion: The knowledge about diabetes risk factors, classical symptoms and common complication was not satisfactory. None of the “at high” risk had their risk further investigated. While 25% adapted health their lifestyle. Large scale studies to test the validity of FINDRISC in Sudanese population should be conducted. Development of Sudanese population specific risk score that take into count the local risk factors is warranted. Peer Review History: Received 12 July 2020; Revised 10 August; Accepted 26 August, Available online 15 September 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 5.0/10 Average Peer review marks at publication stage: 7.0/10 Reviewer(s) detail: Name: Prof. Dr. Hassan A.H. Al-Shamahy Affiliation: Sana'a University, Yemen E-mail: [email protected]   Name: Dr. Tanveer Ahmed Khan Affiliation: E-mail: [email protected]   Comments of reviewer(s): Similar Articles: EFFECTS OF EMODIN ON BLOOD GLUCOSE AND BODY WEIGHT IN TYPE 1 DIABETIC RATS THE RELATIONSHIP BETWEEN DIABETES MELLITUS AND TUBERCULOSIS IN REVIEW OF PREVALENCE, DIAGNOSTICS AND PREVENTION PLASMA FERRITIN AND HEPCIDIN LEVELS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Evaluación del desempeño del Finnish Diabetes Risk Score (findrisc) como prueba de tamizaje para diabetes mellitus tipo 2

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

<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>

scholarly journals A diabetes risk score for Qatar utilizing a novel mathematical modeling approach to identify individuals at high risk for diabetes

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Susanne F. Awad ◽  
Soha R. Dargham ◽  
Amine A. Toumi ◽  
Elsy M. Dumit ◽  
Katie G. El-Nahas ◽  
...  
Keyword(s):  
High Risk ◽  
Sensitivity And Specificity ◽  
Risk Score ◽  
Area Under The Curve ◽  
Diabetes Risk ◽  
Predictive Values ◽  
Predictive Variables ◽  
Comparable Performance ◽  
Representative Random Sample ◽  
Diabetes Risk Score

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.

scholarly journals A study on validity of Indian Diabetes Risk Score for screening of diabetes mellitus among rural adult population at Rural Health Training Centre, Bhouri, under Department of Community Medicine

2018 ◽  
Vol 5 (12) ◽  
pp. 5295
Author(s):  
Garima Namdev ◽  
Vinod Narkhede
Keyword(s):  
Diabetes Mellitus ◽  
Rural Health ◽  
Risk Score ◽  
Screening Tool ◽  
Public Health Problem ◽  
Diabetes Risk ◽  
Major Public Health Problem ◽  
Training Centre ◽  
Health Training ◽  
Diabetes Risk Score

Background: Diabetes mellitus is a major public health problem in India and many of them remain undetected throughout years. This scenario becomes worse in rural setup where limited heath care facilities are available. So, to detect risk of diabetes earlier, Indian diabetes risk score (IDRS) is to be used. There is also various socio demographic and anthropometric factors associated with the risk of occurring diabetes. The aims and objectives of the study were to study the validity of IDRS method as a screening tool in community as well as to determine the association of IDRS with socio demographic factors and body mass index (BMI).Methods: A cross sectional study was conducted on 270 study participants at rural health training centre (RHTC) for a period of around 7 months. All of them were being measured weight, height, waist circumference and calculated BMI. Along with it, they were categorized by applying IDRS method and measured blood sugar by glucometer also.Results: Out of 270 study subjects, 29% found to have high score. By applying IDRS, at score > 60, we found 32% sensitivity and 97% specificity. A statistically significant association of IDRS with age, gender, religion, socioeconomic status (SES), education, occupation and BMI was seen.Conclusions: In present study, IDRS method proved to be a good screening tool for detecting diabetes mellitus at rural set up with minimum cost.

scholarly journals Factores de riesgo asociados a la diabetes mellitus tipo 2 en el municipio de Santa Rosa, departamento del Cauca

2015 ◽  
Author(s):  
◽  
Yuly Enith Gómez Calvache
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Score ◽  
International Physical Activity Questionnaire ◽  
Diabetes Risk ◽  
Physical Activity Questionnaire ◽  
Factores De Riesgo ◽  
Las Mujeres ◽  
Diabetes Risk Score ◽  
Activity Questionnaire

La Diabetes Mellitus es una de las ENT con mayor carga de mortalidad en el mundo. En la República de Colombia en el año 2010 de acuerdo a la información DANE se observa una ocurrencia de muertes por DM según sexo y grupo de edad de 58% para las mujeres y de acuerdo a la edad las personas mayores de 45% son más vulnerables; a nivel regional la región andina presenta la mayor tasa de mortalidad (19 casos x 100.000 habitantes) cifra que supera la tasa nacional de 15 por cada 100.000. La DM2 se diagnostica de manera tardía, 30 a 50% de las personas desconocen su problema por meses o años y en las zonas rurales esto ocurre casi en el 100%. El presente trabajo de investigación es de tipo observacional, descriptivo de corte transversal y analítico cuyo objetivo principal es investigar la prevalencia de factores de riesgo asociados con la DM2 en el Municipio de Santa Rosa del departamento del Cauca, ubicado en el sur occidente de Colombia. El estudio fue diseñado para una confianza del 95%, para detectar una prevalencia de diabetes mellitus (auto-report) de 4% con una desviación estándar supuesta de 1.5% y una tasa de respuesta de 70%, la muestra final estuvo constituida por 832 participantes mayores de 18 años que se encuentran viviendo en el municipio de Santa Rosa - Cauca a los cuales se le aplicó un instrumento de recolección de datos diseñado con base en las encuestas para vigilancia de las ENT y DM2, con definiciones estándares y preguntas validadas por la OMS y OPS (STEPS), Finnish Diabetes Risk Score (FINDRISC), la encuesta nacional de salud de Chile 2009 e International Physical Activity Questionnaire (IPAQ), donde se recogió información acerca de datos sociodemográficos, medidas no invasivas (peso, talla, IMC y perímetro cintura) y factores de riesgo: antecedentes familiares de DM, historia de glucosa en sangre, presencia de HTA, tabaquismo, sedentarismo, hábitos alimentarios y consumo de alcohol. Dentro de los resultados obtenidos el factor de riesgo más frecuente fue el relacionado con los hábitos alimenticios obteniendo una cifra significativa para el no consumo de frutas y verduras (92,2%), seguido del sedentarismo (59%) y el sobrepeso (37%). Observamos también que aproximadamente un 41% de los participantes presentan Obesidad central según parámetros de IDF (≥ 94 cm hombres y ≥ 80 cm mujeres) y alrededor de 23% presentan obesidad central de acuerdo a OMS (≥ 102 cm hombres y ≥ 88 cm mujeres) encontrando mayor prevalencia en mujeres. En los resultados sobre padecimiento de hipertensión en la población encuestada tenemos que el 14% son hipertensos, de esta cifra un 67% son mujeres y el 33% son hombres; un 60% de los hipertensos encuestados declararon que siguen tratamiento con medicamento, el 40% restante refiere no seguir ningún tipo de tratamiento. El número de diabéticos encontrados fue de 4,6% correspondiente 22 mujeres y 16 hombres concentrados en su mayoría en la vereda el Carmelo. De acuerdo al FINDRISC el antecedente personal de DM fue referido por 38 personas distribuidos según sexo en 16 hombres y 22 mujeres, tomando como base la puntuación >13 puntos en el FINDRISC se obtiene: un 32,6% de los participantes tiene antecedentes de DM; en el caso de obesidad central hay un 84,6% de los hombres y un 97,8% de las mujeres que se ubican en este rango; la historia de glucosa en sangre fue de 15,7% para mujeres y 30,8%. En la escala para riesgo de desarrollar DM2 a 10 años aproximadamente solo un 2% de los hombres desarrollará la enfermedad en contraste con un 11% para las mujeres que se ubican en el rango ≥13 puntos. Estos resultados destacan la importancia de tomar acciones interinstitucionales coordinadas y encaminadas a modificar y promover los estilos de vida para disminuir en forma importante el riesgo de DM2, fortaleciendo especialmente los hábitos alimenticios y la actividad física.

scholarly journals Assessment of risk of developing diabetes using Indian diabetes risk score in the urban field practice area of Rajarajeswari Medical College and Hospital, Bangalore

2019 ◽  
Vol 7 (1) ◽  
pp. 170
Author(s):  
Nazia N. Shaik ◽  
Swapna M. Jaswanth ◽  
Shashikala Manjunatha
Keyword(s):  
At Risk ◽  
High Risk ◽  
Risk Score ◽  
Diabetes Risk ◽  
Low Risk ◽  
Risk Category ◽  
Moderate Risk ◽  
Medical College ◽  
Field Practice ◽  
Diabetes Risk Score

Background: Diabetes is one of the largest global health emergencies of the 21st century. As per International Federation of Diabetes some 425 million people worldwide are estimated to have diabetes. The prevalence is higher in urban versus rural (10.2% vs 6.9%). India had 72.9 million people living with diabetes of which, 57.9% remained undiagnosed as per the 2017 data. The objectives of the present study were to identify subjects who at risk of developing Diabetes by using Indian diabetes risk score (IDRS) in the Urban field practice area of Rajarajeswari Medical College and Hospital (RRMCH).Methods: A cross sectional study was conducted using a Standard questionnaire of IDRS on 150 individuals aged ≥20 years residing in the Urban field practice area of RRMCH. The subjects with score <30, 30-50, >or =60 were categorized as having low risk, moderate risk and high risk for developing diabetes type-2 respectively.Results: Out of total 150 participants, 36 (24%) were in high-risk category (IDRS≥60), the majority of participants 61 (41%) were in the moderate-risk category (IDRS 30–50) and 53 (35%) participants were found to be at low-risk (<30) for diabetes. Statistical significant asssociation was found between IDRS and gender, literacy status, body mass index (p<0.0000l).Conclusions: It is essential to implement IDRS which is a simple tool for identifying subjects who are at risk for developing diabetes so that proper intervention can be carried out at the earliest to reduce the burden of diabetes.

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