Karakaya Rahime Evra, Elibol Emine
Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
BMC Public Health. 2025 Jan 2;25(1):5. doi: 10.1186/s12889-024-21248-4.
Obesity and certain associated environmental factors increase the risk of type 2 diabetes mellitus (T2DM). This research aims to evaluate the relationship between sociodemographic characteristics, lifestyle, and diet quality with diabetes risk in overweight and obese Turkish adults.
A questionnaire form including sociodemographic characteristics, lifestyle, body weight and height was applied. Finnish Diabetes Risk Score (FINDRISC) tool was used to identify the risk of T2DM. Dietary assessments were made by 24 h dietary recall and diet quality was evaluated by Healthy Eating Index-2015 (HEI-2015).
According to FINDRISC score, 38.1% of adults were at mild risk, 21.9% were at moderate risk, and 20.9% were at high risk. In regression model, factors such as low educational level, being married, being employed, smoking, and the presence of comorbidities were found to increase the risk of developing diabetes. Each unit decline in HEI-2015, the risk of diabetes increased by a factor of 0.983.
Sociodemographic factors, lifestyle, and diet quality significantly contribute to the increased risk of diabetes in overweight and obese Turkish adults. This trial was registered at clinicaltrials.gov with number NCT06614075 and registration date of 26 September 2024, retrospectively registered.
肥胖及某些相关环境因素会增加2型糖尿病（T2DM）的风险。本研究旨在评估土耳其超重和肥胖成年人的社会人口学特征、生活方式和饮食质量与糖尿病风险之间的关系。
应用了一份包含社会人口学特征、生活方式、体重和身高的问卷。使用芬兰糖尿病风险评分（FINDRISC）工具来识别T2DM风险。通过24小时饮食回顾进行饮食评估，并使用2015年健康饮食指数（HEI - 2015）评估饮食质量。
根据FINDRISC评分，38.1%的成年人处于轻度风险，21.9%处于中度风险，20.9%处于高度风险。在回归模型中，低教育水平、已婚、就业、吸烟和合并症的存在等因素被发现会增加患糖尿病的风险。HEI - 2015每下降一个单位，糖尿病风险增加0.983倍。
社会人口学因素、生活方式和饮食质量显著导致土耳其超重和肥胖成年人患糖尿病风险增加。本试验在clinicaltrials.gov上注册，编号为NCT06614075，注册日期为2024年9月26日，为回顾性注册。
