印度糖尿病风险评分在医学生中的价值及其与空腹血糖、血压和血脂谱的相关性。

Value of Indian Diabetes Risk Score among Medical Students and Its Correlation with Fasting Plasma Glucose, Blood Pressure and Lipid Profile.

作者信息

Vardhan Anand, Prabha M R Adhikari, Shashidhar M Kotian, Shankar Nithya, Gupta Sandhya, Tripathy Amruta

机构信息

Medical Students, Department of Medicine, Kasturba Medical College, Mangalore, India.

出版信息

J Clin Diagn Res. 2012 Nov;6(9):1528-30. doi: 10.7860/JCDR/2012/4264.2550.

DOI:10.7860/JCDR/2012/4264.2550

PMID:23285447

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3527787/

Abstract

INTRODUCTION

The Indian Diabetes Risk Score is a tool which was devised by the Madras Diabetes Research Foundation to screen people for the risk of developing Diabetes mellitus; it comprises of the family history, the abdominal circumference, age and the physical activity.

AIM OF THE STUDY

This study was aimed at finding out whether the Indian Diabetes Risk Score (MDRF) correlated with the blood sugar levels, the lipid profile and the blood pressure readings of medical students.

METHODS

Seventy five female and 75 male students who signed the informed consent were selected for the study. Their IDRS was calculated by using a validated questionnaire which involved the family history, the abdominal circumference, age and the details of the physical activity. All of them had their blood pressure, fasting plasma glucose and lipid profiles measured.

RESULTS

There were 101 students with an IDRS of <30, 42 students with a moderate IDRS (30-50) and 7 who had a high IDRS of ≥60. The fasting plasma glucose was significantly correlated with the IDRS (P=0.001, r = 0.472), with a mean FPG of 84 ± 3.63mg/dl in the low risk groups, of 88 ± 4.93mg/dl in the moderate risk groups and of 94 ± 6.50mg/dl in the high risk groups. The total cholesterol value was r = 0.420 (P= 0.001), the total triglycerides value was r = 0.373 (P=0.001), the LDL cholesterol value was r = 0.578 (P=0.001) and the VLDL value was r = 0.566 (P=0.001), which positively correlated with the risk score and the HDL value r = -0.480 (P=0.001) correlated negatively with the risk score. There was no correlation between the IDRS and the blood pressure.

CONCLUSION

Our study showed that nearly 40% of the medical students had a moderate to a high IDRS. The IDRS significantly correlated with the fasting plasma glucose and with all the components of the lipid profile. The IDRS did not correlate with the blood pressure readings.

摘要

引言

印度糖尿病风险评分是由马德拉斯糖尿病研究基金会设计的一种用于筛查人们患糖尿病风险的工具；它包括家族病史、腹围、年龄和身体活动情况。

研究目的

本研究旨在查明印度糖尿病风险评分（MDRF）是否与医学生的血糖水平、血脂谱和血压读数相关。

方法

选取75名签署知情同意书的女学生和75名男学生参与研究。通过一份经过验证的问卷计算他们的IDRS，该问卷涉及家族病史、腹围、年龄和身体活动细节。所有参与者均测量了血压、空腹血糖和血脂谱。

结果

有101名学生的IDRS＜30，42名学生的IDRS为中度（30 - 50），7名学生的IDRS为高度≥60。空腹血糖与IDRS显著相关（P = 0.001，r = 0.472），低风险组的平均空腹血糖为84±3.63mg/dl，中度风险组为88±4.93mg/dl，高风险组为94±6.50mg/dl。总胆固醇值r = 0.420（P = 0.001），总甘油三酯值r = 0.373（P = 0.001），低密度脂蛋白胆固醇值r = 0.578（P = 0.001），极低密度脂蛋白值r = 0.566（P = 0.00），它们与风险评分呈正相关，而高密度脂蛋白值r = -0.480（P = 0.001）与风险评分呈负相关。IDRS与血压之间无相关性。