Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in Kayseri, Turkey, Primary Care Diabetes
Neriman İNANÇ | Eda BAŞMISIRLI | Aslı Gizem ÇAPAR
Makale/Derleme | 2020 | primary care diabetes0 ( 14 ) , pp.488 - 493
Aim: Diabetes is a major health problem worldwide, as its prevalence is increasing dramatically. Lifestyle modification can delay or prevent the onset of type 2 diabetes. Therefore, screening for prediabetes and type 2 diabetes risk through an assessment of risk factors is important. The objective of the study was to investigate the risk for type 2 diabetes using the Finnish Diabetes Risk Score (FINDRISC) in Kayseri. Methods: In total, 1500 adults aged 18 years or older were interviewed using the FINDRISC as Diabetes Risk Questionnaire and fasting serum glucose levels. The findings of FINDRISC were grouped according to gender and a . . .score of 15 and above was accepted as a high risk in terms of Type 2 diabetes. Results: 13.5% of the participants were in the high- risk group. There was a statistically significant rela- tionship between total FINDRISC score and gender (p < 0.001). While 15.2% of the women were in the high -risk group, 12.4% of the men were in the high- risk group. The percentage of women in the low-risk group (35.9%) is less than the men with low- risk of diabetes (38.5%). As the BMI increased, the individuals were found to have a high risk evaluated with the use of FINDRISC. 14.3% of women with waist circumference >88 and 6.7% of men with waist circumference >102 were in the high- risk group. (p < 0.001) Conclusions: Risk of diabetes was found to be higher with the FINDRISC score as the BMI and waist circumference increased. FINDRISC can be used in the primary care for this purpose; fast and easy to be applied. © 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved. 1. Introduction Type 2 Diabetes Mellitus (DM) is a serious epidemic healthcare problem worldwide [1]. Clinical studies have shown that type 2 DM can be prevented or delayed by effective strategies [1–3]. In the last two decades, the responsibility for the care of type 2 diabetic patients has been transfered from secondary to primary care [4,5]. Identifying individuals with undiagnosed type 2 DM can be an important approach to prevent or delay type 2 DM compli- cations [6,7]. Current evidence shows that the prevention of DM2 is possible through lifestyle intervention consequently [8,9], Iden- tification of subjects at a high risk for DM2 in the population is warranted, so that preventive action aimed at reducing their risk ∗ Corresponding author at: Department of Family Medicine, Medical Faculty, International Medipol University, 34810, Istanbul, Turkey. E-mail addresses: atimucinatayoglu@gmail.com, atayoglu@gmail.com (A.T. Atayoglu), nerimaninanc@gmail.com (N. Inanc), edadmrcgl@gmail.com (E. Bas ̧ misirli), gizem pekmezci@hotmail.com (A.G. C ̧ apar). 1 Corresponding Author is currently the president of Turkish Holistic &Integrative Medicine Association. can be offered by the family doctors [10]. It is possible to detect the disease in the no-symptom period and to prevent or delay the dis- ease by managing the risk factors [11].Therefore, risk assessment is essential to primary care physicians [12]. In the past years, a large amount of prediction models was pub- lished enabling identification of subjects with undiagnosed DM2 or the prediction of future development of type 2 diabetes based on known risk factors in the coming years [13,14]. Many of these pre- diction models are based on solely non-invasively assessable risk factors [15] and therefore, seem to be well suitable for application in clinical practice [16]. Screening questionnaires are becoming more widely used because they include the main risk factors and can be easily conducted [17]. One of these scales is the Finnish Diabetes Risk Score (FIND- RISC), which is a low-cost, quick and non-invasive instrument that determines the risk for developing of DM2 [18] based on 10- year prospective data on the incidence of type 2 diabetes in a population-based cohort, to identify subjects at high risk for the future occurrence of type 2 diabetes [19]. The FINDRISC study is a chronic disease risk factor survey that is carried out every five years in a random sample of the middle-aged Finnish population https://doi.org/10.1016/j.pcd.2020.01.002 1751-9918/© 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved
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