用印度糖尿病风险评分法评估德里市区30岁及以上女性2型糖尿病的风险

Pritam Halder, Girish Jeer, B. Nongkynrih
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摘要

确定糖尿病的危险因素并对年轻人进行筛查对于阻止糖尿病的发展至关重要。印度糖尿病风险评分(IDRS)是一种评估人群糖尿病风险的有效方法。糖尿病女性更容易受到许多不利结果的影响。本研究的目的是确定使用IDRS的30岁及以上女性患2型糖尿病(T2DM)的风险。从2022年7月到2023年1月,采用半结构化访谈计划对626名自称非糖尿病女性进行了横断面研究。IDRS用于评估糖尿病风险。IDRS分类显示,15.8%、44.6%和39.6%的参与者分别属于低、中、高风险类别。与金标准试验(空腹血糖)相比,敏感性和特异性分别为67.5(60.6-74.4)和41.6(34.3-48.9)。在95%置信区间,受试者工作特征曲线下面积为0.6(0.47-0.68)。近五分之二(39.6%)的参与者有患2型糖尿病的高风险。年龄增加、糖尿病家族史、缺乏体育锻炼和腹部肥胖是与T2DM高风险相关的最常见因素。
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Risk assessment of type 2 diabetes mellitus using Indian diabetes risk score among females aged 30 years and above in urban Delhi
It is crucial to identify diabetes risk factors and screen young people for the disease to stop diabetes from developing. An effective and validated approach to assessing population diabetes risk is the Indian diabetes risk score (IDRS). Diabetic women are more vulnerable to many unfavorable outcomes. The objective of this study was to determine the risk of type 2 diabetes mellitus (T2DM) among females aged 30 years and more using IDRS. A cross-sectional study was conducted among 626 self-declared non-diabetic females from July 2022 to January 2023 using a semi-structured interview schedule. IDRS was used to assess diabetes risk. IDRS categorization revealed 15.8%, 44.6%, and 39.6% participants in low-, moderate-, and high-risk categories, respectively. Sensitivity and specificity were 67.5 (60.6–74.4) and 41.6 (34.3–48.9), respectively, compared to the gold standard test (Fasting blood sugar). At a 95% confidence interval, the area under the curve of receiver operating characteristic was found to be 0.6 (0.47–0.68). Nearly two-fifths (39.6%) of the participants had a high risk of getting T2DM. Increments in age, family history of diabetes, lack of physical activity, and abdominal obesity were the most frequent factors associated with a high risk of developing T2DM.
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