Dandona Shaily, Tuteja Naman, Goel Naveen K, Kalia Meenu, Walia Dinesh
Department of Community Medicine, North DMC Medical College and Hindu Rao Hospital, New Delhi, India.
Department of Orthopaedics, North DMC Medical College and Hindu Rao Hospital, Delhi, India.
J Educ Health Promot. 2024 Jan 22;12:433. doi: 10.4103/jehp.jehp_573_23. eCollection 2023.
The urban poor is a group that is known to be vulnerable to the adoption of a more urbanized lifestyle that places them at a higher risk for diabetes. Identification of at-risk individuals using simple screening tools like the Indian diabetes risk score developed by Madras Diabetes Research Foundation (MDRF-IDRS) and appropriate lifestyle interventions could greatly help in preventing or postponing the onset of diabetes and thus reducing the burden of the disease on the community and the nation as a whole.
A cross-sectional study was conducted on individuals ≥30 years (n = 1533) of both genders in an urban colony of Chandigarh during a period of 1 year. A stratified two-stage systematic random sampling was adopted. The risk of developing Type 2 diabetes mellitus was assessed using IDRS. The total risk score of each participant was analyzed and compared. Biochemical investigations, including blood glucose and lipid profiles for detecting diabetes, were conducted. Data were presented in percentages and proportions. The statistical analysis of the data was performed by using the Chi-square test and logistic regression analysis.
The prevalence of diabetes was 3.1% in the present study. Overall, the mean IDRS was found to be 52.14 ± 16.01. Elderly persons aged 60 years and above had higher IDRS. IDRS showed significant variability with age ( < 0.001). Females had significantly higher IDRS as compared to males ( = 0.002). The association between socioeconomic class and risk status was highly significant statistically ( < 0.001). IDRS among individuals with diabetes was found to be significantly higher (64.29 ± 13.92) as compared to non-diabetics. Among all, 749 (48.7%) had high IDRS, whereas 54 (3.5%) had low IDRS. There were 734 (47.8%) with moderate IDRS.
IDRS was found to be highly sensitive for detecting the risk of diabetes, suggesting its potential use as a screening tool in community setup for the purpose of detecting diabetes.
城市贫困人口是一个已知易受城市化生活方式影响的群体，这种生活方式使他们患糖尿病的风险更高。使用像马德拉斯糖尿病研究基金会开发的印度糖尿病风险评分（MDRF-IDRS）这样的简单筛查工具识别高危个体，并采取适当的生活方式干预措施，将极大有助于预防或推迟糖尿病的发病，从而减轻疾病对社区乃至整个国家的负担。
在昌迪加尔一个城市聚居区，对年龄≥30岁的1533名男女个体进行了为期1年的横断面研究。采用分层两阶段系统随机抽样。使用IDRS评估患2型糖尿病的风险。分析并比较了每位参与者的总风险评分。进行了包括检测糖尿病的血糖和血脂谱在内的生化检查。数据以百分比和比例形式呈现。使用卡方检验和逻辑回归分析对数据进行统计分析。
本研究中糖尿病患病率为3.1%。总体而言，平均IDRS为52.14±16.01。60岁及以上的老年人IDRS更高。IDRS随年龄显示出显著差异（<0.001）。女性的IDRS显著高于男性（=0.002）。社会经济阶层与风险状况之间的关联在统计学上高度显著（<0.001）。与非糖尿病患者相比，糖尿病患者的IDRS显著更高（64.29±13.92）。其中，749人（48.7%）IDRS高，而54人（3.5%）IDRS低。有734人（47.8%）IDRS中等。
发现IDRS对检测糖尿病风险高度敏感，表明其有可能作为社区环境中检测糖尿病的筛查工具。
