Estimating T2DM Risks Among Teachers in a Developing Country Using a Nomogram Comprising the Healthy Lifestyle Index and Other Predictors.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Asia-Pacific Journal of Public Health Pub Date : 2024-10-31 DOI:10.1177/10105395241295551
Yit Han Ng, Foong Ming Moy, Noran Naqiah Hairi, Awang Bulgiba
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Abstract

A nomogram provides a novel solution for assessing the risks of type 2 diabetes among teachers. This is particularly effective when the nomogram incorporates the Healthy Lifestyle Index (HLI) and relevant predictors. In this study, we followed up with a group of teachers from the CLUSTer cohort using RedCap and linked it with the Malaysian National Diabetes Registry. A Cox proportional hazard model was used to determine the predictors associated with T2DM risk in teachers during the follow-up period. We translated our findings into an online interactive nomogram. A total of 3477 teachers were included in the study, of whom 697 (20.0%) were ultimately diagnosed with T2DM. The Cox regression model revealed that HLI and 11 other predictors were significantly associated with diabetes risks among teachers. A nomogram that predicted the risks of T2DM at five, seven, and nine years was developed. Of the 12 predictors, age, fasting blood glucose (FBG), and HLI contributed the most to the total score. Combining the HLI with other predictors in a nomogram allows teachers to assess their T2DM risks and take action to prevent the development of T2DM.

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使用包含健康生活方式指数和其他预测因素的示意图估算发展中国家教师患 T2DM 的风险。
提名图为评估教师罹患 2 型糖尿病的风险提供了一种新的解决方案。当提名图包含健康生活方式指数(HLI)和相关预测因素时,效果尤为显著。在这项研究中,我们使用 RedCap 对 CLUSTer 队列中的一组教师进行了跟踪调查,并将其与马来西亚国家糖尿病登记处联系起来。我们使用 Cox 比例危险模型来确定随访期间与教师 T2DM 风险相关的预测因素。我们将研究结果转化为在线互动提名图。研究共纳入了 3477 名教师,其中 697 人(20.0%)最终被诊断为 T2DM。Cox 回归模型显示,HLI 和其他 11 个预测因子与教师的糖尿病风险有显著相关性。我们还绘制了一张预测教师在 5 年、7 年和 9 年后罹患 T2DM 风险的提名图。在 12 个预测因子中,年龄、空腹血糖 (FBG) 和 HLI 对总分的贡献最大。将高密度脂蛋白胆固醇指数与其他预测因素结合到提名图中,可以让教师评估他们患 T2DM 的风险,并采取行动预防 T2DM 的发生。
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来源期刊
Asia-Pacific Journal of Public Health
Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
4.00%
发文量
147
审稿时长
6 months
期刊介绍: Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.
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