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使用 FINDRISC 检测 2 型糖尿病高危人群:基于社区药店的研究结果。

Detecting persons at risk for diabetes mellitus type 2 using FINDRISC: results from a community pharmacy-based study.

机构信息

Section of Hygiene, Institute of Public Health, Faculty of Medicine, Università Cattolica del Sacro Cuore, Rome, Italy.

Italian Society of General Practitioner and Primary Care (SIMG), Florence, Italy.

出版信息

Eur J Public Health. 2018 Dec 1;28(6):1127-1132. doi: 10.1093/eurpub/cky009.

DOI:10.1093/eurpub/cky009
PMID:29408980
Abstract

BACKGROUND

This cross-sectional study has been developed within the framework of the Italian project 'We love your heart' ('Ci sta a cuore il tuo cuore') and reports the results of the initial type 2 diabetes mellitus (T2DM) risk assessment carried out in a big network of community pharmacies in Italy and Spain.

METHODS

In total 4002 pharmacists from 854pharmacies were specifically trained to collect data and perform the evaluation of the probability of developing T2DM among pharmacy customers. The risk of developing T2DM within 10 years was evaluated using the FINDRISC.

RESULTS

Overall, 7234 (22.1%) subjects were at low risk to develop the disease, whereas 43.3% were at slightly elevated risk (scores 7-11), 19.3% were at moderate (scores 12-14), 13.9% were at high (scores 15-20), and 1.4% were at very high risk (scores > 20). Spanish participants showed higher levels of risk than Italian (16.7 vs. 14.7%) taking the cut-off FINDRISC ≥ 15.

CONCLUSION

This study shows that considerable percentage of persons is likely to develop diabetes in the next 10 years. Analyses of the risk factors indicate that men were more susceptible to develop this disease, as well as the Spanish participants respect to Italian.

摘要

背景

本横断面研究是在意大利项目“关爱你的心”(Ci sta a cuore il tuo cuore)的框架内进行的,报告了在意大利和西班牙的一个大型社区药房网络中进行的初始 2 型糖尿病(T2DM)风险评估的结果。

方法

共有 854 家药店的 4002 名药剂师接受了专门培训,以收集数据并评估药店顾客发生 T2DM 的概率。使用 FINDRISC 评估 10 年内发生 T2DM 的风险。

结果

总体而言,7234 名(22.1%)受试者发生该病的风险较低,而 43.3%的受试者风险略高(评分 7-11),19.3%的受试者风险中等(评分 12-14),13.9%的受试者风险高(评分 15-20),1.4%的受试者风险非常高(评分>20)。西班牙参与者的风险水平高于意大利参与者(16.7%比 14.7%,FINDRISC 评分≥15)。

结论

本研究表明,在未来 10 年内,相当比例的人可能会患上糖尿病。对风险因素的分析表明,男性比女性更容易患这种疾病,西班牙参与者比意大利参与者更容易患这种疾病。

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