Estimation of type 2 diabetes risk score using diabetes risk test in Neishabour-Iran

J Educ Health Promot. 2023 Sep 29:12:319. doi: 10.4103/jehp.jehp_1245_22. eCollection 2023.

Abstract

Background: Preventing diabetes and identifying patients who are at risk for it is very important. This study was conducted to estimate the risk score of type 2 diabetes among adults living in Neishabour city in 2020.

Materials and methods: This descriptive-analytical study was performed on 1000 people aged 25 years and older living in Neishabour (Iran) using a multi-stage sampling method. The data collection instrument included the American Diabetes Association Diabetes Risk Test (DRT), which is a screening instrument to assess the risk of type 2 diabetes. Data analysis was carried out using SPSS ver. 18, using independent t-test, Chi-squared, Fisher's Exact test, Mann-Whitney, path analysis, and regression of generalized estimating equation model at 95% confidence interval.

Results: The mean age of the subjects was 43.87 years (SD = 0.419) and 50.7% (n = 507) were female and the rest were male (n = 493). The risk of developing type 2 diabetes was high in 18.4% (n = 184) of the subjects. And the average risk of diabetes in people was 2.76 (SD = 0.057) out of 10 points. There was no significant relationship between gender and gestational diabetes with the risk of diabetes, but there was a significant relationship between age over 40 years, history of hypertension, family history of diabetes, lack of physical activity, and being overweight with the risk of type 2 diabetes.

Conclusion: Approximately, one-fifth of the subjects had a high risk of developing type 2 diabetes. Therefore, the use of a simple and practical instrument such as DRT can be suitable for screening and early detection of Prediabetic state and type 2 diabetes.

Keywords: Diabetes mellitus; prevalence; type 2.