Relationship between the Finnish Diabetes Risk Score (FINDRISC), vitamin D levels, and insulin resistance in obese subjects

Prim Care Diabetes. 2017 Feb;11(1):94-100. doi: 10.1016/j.pcd.2016.11.001. Epub 2016 Nov 30.

Abstract

Aim: To assess the relationship between 25-hydroxyvitamin D [25(OH)D] blood concentrations in subjects with obesity and type 2 diabetes mellitus (T2D) risk according to the Finnish Diabetes Risk Score (FINDRISC) modified for Latin America (LA-FINDRISC).

Methods: This study was conducted in Ciudad Bolívar, Venezuela. Eighty two women and 20 men (53 obese and 49 nonobese), with an average age of 42.6±12.30 years were enrolled. Weight, height, body mass index (BMI), waist circumference (WC), fasting glucose, basal insulin, plasma lipids, Homeostasis Model Assessment-Insulin Resistance (HOMA-IR), and 25(OH)D levels were measured. FINDRISC with WC cutoff points modified for Latin America was applied.

Results: No difference in 25(OH)D levels between obese and nonobese subjects was found. When anthropometric, clinical, and biochemical variables according to the 25(OH)D status were compared, the only difference detected was higher LA-FINDRISC in the insufficient/low 25(OH)D group compared to normal 25(OH)D levels group (12.75±6.62; vs 10.15±5.21; p=0.031). LA-FINDRISC was negatively correlated with plasma 25(OH)D levels (r=-0.302; p=0.002) and positively correlated with the HOMA-IR index (r=0.637; p=0.0001).

Conclusions: The LA-FINDRISC significantly correlated with both 25(OH)D levels and insulin resistance markers in this group of patients.

Keywords: Findrisc; Insulin resistance; Obesity; Type 2 diabetes mellitus; Vitamin D.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blood Glucose / analysis
  • Body Mass Index
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / etiology*
  • Fasting / blood
  • Female
  • Humans
  • Insulin / blood
  • Insulin Resistance*
  • Lipids / blood
  • Male
  • Middle Aged
  • Obesity / complications*
  • Obesity / diagnosis
  • Predictive Value of Tests
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires*
  • Venezuela
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / complications*
  • Vitamin D Deficiency / diagnosis
  • Waist Circumference

Substances

  • Biomarkers
  • Blood Glucose
  • Insulin
  • Lipids
  • Vitamin D
  • 25-hydroxyvitamin D