Applicability of the Finnish Diabetes Risk (FINDRISC) as a Screening Tool for Type 2 Diabetes Mellitus

Abstract

ABSTRACT

Objective:In this study, we aimed to investigate the applicability of the Finnish Diabetes Risk Score (FINDRISC) as a screening tool for undiagnosed Type 2 Diabetes Mellitus.

Methods: This cross-sectional analytic study was carried out on 479 persons referred to the Outpatient Clinic of Family Medicine. The risk of developing Type 2 diabetes mellitus was assessed using the FINDRISC.LDL-c, HDL-c, total cholesterol, triglyceride, glucose and insulin levels were measured in the blood of the patients taken after 10-12 hours of fasting.For insulin resistance, HOMA IR (Homeostasis Model Assessment) was calculated by using fasting plasma glucose (FBG) and insulin levels. Results: In all the participants, 73.9% (n=354) were female, 26.1% (n=125) were male, the mean age was 35.14±10.77. The Diabetes risk was increasing with low education level, marriage, unemployment, obesity and sedentary lifestyle. Age, BMI, waist circumference, hip circumference, systolic and diastolic blood pressure were significantly higher in the high and very high risk group than other groups (p<0.001). A significant positive correlation were found between the FINDRISC score and FBG, insulin, total cholesterol, triglycerides, LDL-c, as well as a negative correlation with HDL-c level (p<0.001). The frequency of insulin resistance were higher in the moderate risk group, this difference was statistically very significant (p<0.001).

Conclusion: Type 2 diabetes is a major health problem in our country as well as all over the world. FINDRISC can be used as a simple and noninvasive screening tool to identify individuals at high risk for diabetes in the adults.

Keywords

• Tip 2 Diabetes Mellitus,FINDRISK,screening test

Tanı Almamış Tip 2 Diyabet İçin Bir Tarama Metodu Olarak Fin Diyabet Risk Anketi (FINDRISK) Uygulanabilir mi?

Abstract

Amaç: Bu çalışmada tanı almamış tip 2 diyabet için bir tarama metodu olarak Fin Diyabet Risk Anketinin (FINDRISK) uygulanabilirliğinin araştırılmasını amaçladık.

Gereç ve Yöntem:Kesitsel tipteki bu analitik araştırma Aile Hekimliği Polikliniğine başvuran 479 kişide yapıldı.Tip 2 diyabet gelişme riski FINDRISK kullanılarak değerlendirildi. Hastaların 10–12 saat açlık sonrası alınan kanlarında LDL-c, HDL-c, total kolesterol, trigliserid, glukoz ve insulin düzeyleri ölçüldü. İnsülin direnci için açlık plazma glukozu ve insülin düzeyleri kullanılarakHOMAIR hesaplandı.

Bulgular: Çalışmaya katılanların %73,9’u (n=354) kadın %26,1’i (n=125) erkek, yaş ortalamaları 35,14±10,77 yıl idi. Evlilik, düşük eğitim seviyesi, işsizlik, obezite ve sedanter yaşam tarzı ile diyabet riski artmaktadır. Diyabet riski yüksek ve çok yüksek olan grupta; yaş, beden kütle indeksi (BKİ), bel çevresi, kalça çevresi, sistolik ve diyastolik kan basıncı ortalamaları anlamlı derecede daha yüksekti (p<0.001). FINDRISK puanı ile AKŞ, insülin, total kolesterol, LDL-c, trigliserid arasında pozitif yönde, HDL-c arasında ise negatif yönde anlamlı bir ilişki bulundu (p<0.001). Orta riskli grupta insülin direnci daha sık görülmekteydi, bu fark istatistiksel olarak çok önemli idi (p<0,001).

Sonuç: Tip 2 diyabet tüm dünyada olduğu gibi ülkemizde de çok önemli bir sağlık sorunudur. FINDRISK erişkinlerde diyabet açısından yüksek risk taşıyan bireyleri tespit etmek için basit ve non-invaziv bir tarama aracı olarak kullanılabilir.

Keywords

• Tip 2 Diabetes Mellitus,FINDRISK,tarama test

References

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