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Birinci Basamak Sağlık Kuruluşuna Başvuran Yetişkinlerin Diyabet Risk Skorları: Kesitsel Bir Çalışma

Yıl 2023, Cilt: 16 Sayı: 1, 53 - 59, 30.04.2023

Hasan Evcimen Neşe İşcan Ayyıldız Ufuk Doğan

https://doi.org/10.52976/vansaglik.1162785

Öz

Amaç: Diyabet son yıllarda sıklığı artan ciddi bir halk sağlığı sorunudur. Bu çalışmanın amacı birinci basamak sağlık kuruluşuna başvuran bireylerin diyabet risk skorlarının belirlenmesidir.
Gereç yöntem: Tanımlayıcı- kesitsel tipte olan bu çalışma 01.12.2021-12.03.2022 tarihleri arasında 982 birey ile yürütülmüştür. Veriler sosyodemografik özellikler soru formu ve Fınnısh Diabetes Rısk Score (FINDRISC) anketi toplanmıştır. Diyabet risk skoru 15 puan ve üstü olanlar yüksek riskli olarak kabul edilmiştir.
Bulgular: Çalışmaya katılan bireylerin yaş ortalaması 37.93±8.63 dir. Katılımcıların FINDRISC puan ortalaması 8.52±6.83 olup %22.8’i yüksek riskli grupta yer almaktadır. Çalışmada yer alan kadınlar, evli olanlar, düşük eğitim düzeyinde olanlar, düşük gelire sahip olanlar, BKI’sı yüksek olanlar, egzersiz yapmayanlar ve ailesinde diyabet öyküsü olanlar yüksek diyabet riskine sahiptir.
Sonuç: Çalışmada yer alan yaklaşık her dört kişiden birinin yüksek riske sahip olduğu görülmektedir. Birinci basamak sağlık kuruluşlarının risk taramalarını daha sık yapmaları gerekmektedir. Bireylerin önlenebilir risk faktörlerini azaltılmasına yönelik yaşam tarzı müdahaleleri geliştirilmeli ve desteklenmelidir.
Anahtar kelimeler: Diyabet, FINDRISC, birinci basamak, yetişkin, skor.

Anahtar Kelimeler

Diyabet FINDRISC Birinci basamak Yetişkin Skor

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

YOK

Kaynakça

  • Referans 1 Al-Shudifat, A. E., Al-Shdaifat, A., Al-Abdouh, A. A., Aburoman, M. I., Otoum, S. M., Sweedan, A. G., ... & Johannessen, A. (2017). Diabetes risk score in a young student population in Jordan: a cross-sectional study. Journal of Diabetes Research, 1-5.
  • Referans 2 American Diabetes Association. (2017). 5. Prevention or delay of type 2 diabetes. Diabetes Care, 40(Supplement_1), S44-S47.
  • Referans 3 Atayoglu, A. T., Inanc, N., Başmisirli, E., & Çapar, A. G. (2020). Evaluation of the finnish diabetes risk score (FINDRISC) for diabetes screening in Kayseri, Turkey. Primary care diabetes, 14(5), 488-493.
  • Referans 4 Awad, A. I., & Alsaleh, F. M. (2015). 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: a cross-sectional population-based study. PLoS One, 10(1), e0116742.
  • Referans 5 Buijsse, B., Simmons, R. K., Griffin, S. J., & Schulze, M. B. (2011). Risk assessment tools for identifying individuals at risk of developing type 2 diabetes. Epidemiologic reviews, 33(1), 46-62.
  • Referans 6 Grech, M., & Chaney, D. (2014). Screening for type 2 diabetes and pre-diabetes in general practice: a descriptive study of Maltese practices. Primary care diabetes, 8(3), 224-230.
  • Referans 7 Häussler, B., Fischer, G. C., Meyer, S., & Sturm, D. (2007). Risk assessment in diabetes management: how do general practitioners estimate risks due to diabetes?. Quality & safety in health care, 16(3), 208–212. https://doi.org/10.1136/qshc.2006.019539
  • Referans 8 InterAct Consortium robert. scott@ mrc-epid. cam. ac. uk. (2013). The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study. Diabetologia, 56, 60-69.
  • Referans 9 International Diabetes Federation Diabetes Atlas 9th ed. https://diabetesatlas.org/idfawp/resource files/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf Access date:21.03.2022
  • Referans 10 Khetan, A. K., & Rajagopalan, S. (2018). Prediabetes. Canadian Journal of Cardiology, 34(5), 615-623.
  • Referans 11 Kyrou, I., Tsigos, C., Mavrogianni, C., Cardon, G., Van Stappen, V., Latomme, J., ... & Manios, Y. (2020). Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes: a narrative review with emphasis on data from Europe. BMC endocrine disorders, 20(1), 1-13.
  • Referans 12 Lindstrom, J., & Tuomilehto, J. (2003). The diabetes risk score: a practical score to predict risk of type two diabetes. Diabetes Care, 26(3), 725-31.
  • Referans 13 Ludwig, J., Sanbonmatsu, L., Gennetian, L., Adam, E., Duncan, G. J., Katz, L. F., ... & McDade, T. W. (2011). Neighborhoods, obesity, and diabetes—a randomized social experiment. New England journal of medicine, 365(16), 1509-1519.
  • Referans 14 Makrilakis, K., Liatis, S., Grammatikou, S., Perrea, D., Stathi, C., Tsiligros, P., & Katsilambros, N. (2011). Validation of the Finnish diabetes risk score (FINDRISC) questionnaire for screening for undiagnosed type 2 diabetes, dysglycaemia and the metabolic syndrome in Greece. Diabetes & metabolism, 37(2), 144-151.
  • Referans 15Meijnikman, A. S., De Block, C. E., Verrijken, A., Mertens, I., & Van Gaal, L. F. (2018). Predicting type 2 diabetes mellitus: a comparison between the FINDRISC score and the metabolic syndrome. Diabetology & metabolic syndrome, 10(1), 1-6.
  • Referans 16 Melidonis, A., Tournis, S., Kompoti, M. G., Lentzas, I., Roussou, V., Iraklianou, S., ... & Mariolis, A. (2006). Increased prevalence of diabetes mellitus in a rural Greek population. Rural and Remote Health, 6(1), 1-8.
  • Referans 17 Ning, F., Pang, Z., Laatikainen, T., Gao, W., Wang, S., Zhang, L., ... & Qiao, Q. (2013). Joint effect of family history of diabetes with obesity on prevalence of type 2 diabetes mellitus among Chinese and Finnish men and women. Canadian journal of diabetes, 37(2), 65-71.
  • Referans 18 Nnamudi, A. C., Orhue, N. E. J., & Ijeh, I. I. (2020). Assessment of the FINDRISC tool in predicting the risk of developing type 2 diabetes mellitus in a young adult Nigerian population. Bulletin of the National Research Centre, 44(1), 1-9.
  • Referans 19 Nosrati, E., Jenum, A. K., Tran, A. T., Marmot, S. M., & Peter King, L. (2018). Ethnicity and place: the geography of diabetes inequalities under a strong welfare state. The European Journal of Public Health, 28(1), 30-34.
  • Referans 20 Nyamdorj, R., Pitkäniemi, J., Tuomilehto, J., Hammar, N., Stehouwer, C. D. A., Lam, T. H., ... & Qiao, Q. (2010). Ethnic comparison of the association of undiagnosed diabetes with obesity. International journal of obesity, 34(2), 332-339.
  • Referans 21 Satman, I., Omer, B., Tutuncu, Y., Kalaca, S., Gedik, S., Dinccag, N., ... & Tuomilehto, J. (2013). Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European journal of epidemiology, 28(2), 169-180.
  • Referans 22 Silvestre, M. P., Jiang, Y., Volkova, K., Chisholm, H., Lee, W., & Poppitt, S. D. (2017). Evaluating FINDRISC as a screening tool for type 2 diabetes among overweight adults in the PREVIEW: NZ cohort. Primary care diabetes, 11(6), 561-569.
  • Referans 23 Spencer Bonilla, G., Rodriguez-Gutierrez, R., & Montori, V. M. (2016). What We Don't Talk About When We Talk About Preventing Type 2 Diabetes-Addressing Socioeconomic Disadvantage. JAMA internal medicine, 176(8), 1053–1054. https://doi.org/10.1001/jamainternmed.2016.2952
  • Referans 24 Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., ... & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes research and clinical practice, 183, 109119.
  • Referans 25 Tankova, T., Chakarova, N., Atanassova, I., & Dakovska, L. (2011). Evaluation of the Finnish Diabetes Risk Score as a screening tool for impaired fasting glucose, impaired glucose tolerance and undetected diabetes. Diabetes research and clinical practice, 92(1), 46-52.
  • Referans 26 Trefflich I, Jahn C, Jannasch F, Jäger S, Schulze MB, Mühlenbruch K (2018) Application of diabetes risk scores in health checkups. A comparison of the German Diabetes Risk Score (GDRS) and FINDRISK test. Ernahrungs Umschau 65(11): 180–186
  • Referans 27 Turkish Endocrine and Metabolism Society (TEMS) (2020) Diabetes Mellitus and Its Complications Diagnosis, Treatment and Follow-up Guide 2020. https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf Acess date: 17.03.2022
  • Referans 28 Vandersmissen, G. J., & Godderis, L. (2015). Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in occupational health care. Int J Occup Med Environ Health, 28(3), 587-91.
  • Referans 29 Weisman, A., Fazli, G. S., Johns, A., & Booth, G. L. (2018). Evolving trends in the epidemiology, risk factors, and prevention of type 2 diabetes: a review. Canadian Journal of Cardiology, 34(5), 552-564.
  • Referans 30 West, S. D., Groves, D. C., Lipinski, H. J., Nicoll, D. J., Mason, R. H., Scanlon, P. H., & Stradling, J. R. (2010). The prevalence of retinopathy in men with Type 2 diabetes and obstructive sleep apnoea. Diabetic medicine, 27(4), 423-430.
  • Referans 31 Yildiz, T., Zuhur, S., & Zuhur, S. S. (2021). Diabetes Risk Assessment and Awareness in a University Academics and Employees. The Medical Bulletin of Sisli Etfal Hospital, 55(4), 524.
  • Referans 32 Zhang, L., Zhang, Z., Zhang, Y., Hu, G., & Chen, L. (2014). Evaluation of Finnish Diabetes Risk Score in screening undiagnosed diabetes and prediabetes among US adults by gender and race: NHANES 1999-2010. PloS one, 9(5), e97865.
  • Referans 33 Zheng, Y., Ley, S. H., & Hu, F. B. (2018). Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature reviews endocrinology, 14(2), 88-98.

Diabetes Risk Score of Adult Applications to Primary Health Care Center: A Cross-Sectional Study

Yıl 2023, Cilt: 16 Sayı: 1, 53 - 59, 30.04.2023

Hasan Evcimen Neşe İşcan Ayyıldız Ufuk Doğan

https://doi.org/10.52976/vansaglik.1162785

Öz

Objective: Diabetes is a serious public health problem that has increased in frequency in recent years. The aim of this study is to determine the diabetes risk scores of individuals who apply to a primary health care institution.
Material-method: This descriptive and cross-sectional study was conducted with 982 individuals between 01.12.2021 and 12.03.2022. Data were collected from the sociodemographic characteristics questionnaire and the Finnish Diabetes Risk Score (FINDRISC) questionnaire. Those with a diabetes risk score of 15 or higher were considered high risk.
Results: The mean age of the individuals participating in the study was 37.93±8.63. The mean FINDRISC score of the participants was 8.52±6.83 and 22.8% of them were in the high-risk group. The women included in the study, those who are married, have a low education level, have a low income, have a high BMI, do not exercise, and have a family history of diabetes have a higher risk of diabetes.
Conclusion: Approximately one in four people in the study appear to be at high risk. Primary health care institutions need to conduct risk screenings more frequently. Lifestyle interventions to reduce the preventable risk factors of individuals should be developed and supported.
Keywords: Diabetes, FINDRISC, Primary care, Adults, Score

Anahtar Kelimeler

Diabetes FINDRISC Primary care Adults Score

Proje Numarası

YOK

Kaynakça

  • Referans 1 Al-Shudifat, A. E., Al-Shdaifat, A., Al-Abdouh, A. A., Aburoman, M. I., Otoum, S. M., Sweedan, A. G., ... & Johannessen, A. (2017). Diabetes risk score in a young student population in Jordan: a cross-sectional study. Journal of Diabetes Research, 1-5.
  • Referans 2 American Diabetes Association. (2017). 5. Prevention or delay of type 2 diabetes. Diabetes Care, 40(Supplement_1), S44-S47.
  • Referans 3 Atayoglu, A. T., Inanc, N., Başmisirli, E., & Çapar, A. G. (2020). Evaluation of the finnish diabetes risk score (FINDRISC) for diabetes screening in Kayseri, Turkey. Primary care diabetes, 14(5), 488-493.
  • Referans 4 Awad, A. I., & Alsaleh, F. M. (2015). 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: a cross-sectional population-based study. PLoS One, 10(1), e0116742.
  • Referans 5 Buijsse, B., Simmons, R. K., Griffin, S. J., & Schulze, M. B. (2011). Risk assessment tools for identifying individuals at risk of developing type 2 diabetes. Epidemiologic reviews, 33(1), 46-62.
  • Referans 6 Grech, M., & Chaney, D. (2014). Screening for type 2 diabetes and pre-diabetes in general practice: a descriptive study of Maltese practices. Primary care diabetes, 8(3), 224-230.
  • Referans 7 Häussler, B., Fischer, G. C., Meyer, S., & Sturm, D. (2007). Risk assessment in diabetes management: how do general practitioners estimate risks due to diabetes?. Quality & safety in health care, 16(3), 208–212. https://doi.org/10.1136/qshc.2006.019539
  • Referans 8 InterAct Consortium robert. scott@ mrc-epid. cam. ac. uk. (2013). The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study. Diabetologia, 56, 60-69.
  • Referans 9 International Diabetes Federation Diabetes Atlas 9th ed. https://diabetesatlas.org/idfawp/resource files/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf Access date:21.03.2022
  • Referans 10 Khetan, A. K., & Rajagopalan, S. (2018). Prediabetes. Canadian Journal of Cardiology, 34(5), 615-623.
  • Referans 11 Kyrou, I., Tsigos, C., Mavrogianni, C., Cardon, G., Van Stappen, V., Latomme, J., ... & Manios, Y. (2020). Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes: a narrative review with emphasis on data from Europe. BMC endocrine disorders, 20(1), 1-13.
  • Referans 12 Lindstrom, J., & Tuomilehto, J. (2003). The diabetes risk score: a practical score to predict risk of type two diabetes. Diabetes Care, 26(3), 725-31.
  • Referans 13 Ludwig, J., Sanbonmatsu, L., Gennetian, L., Adam, E., Duncan, G. J., Katz, L. F., ... & McDade, T. W. (2011). Neighborhoods, obesity, and diabetes—a randomized social experiment. New England journal of medicine, 365(16), 1509-1519.
  • Referans 14 Makrilakis, K., Liatis, S., Grammatikou, S., Perrea, D., Stathi, C., Tsiligros, P., & Katsilambros, N. (2011). Validation of the Finnish diabetes risk score (FINDRISC) questionnaire for screening for undiagnosed type 2 diabetes, dysglycaemia and the metabolic syndrome in Greece. Diabetes & metabolism, 37(2), 144-151.
  • Referans 15Meijnikman, A. S., De Block, C. E., Verrijken, A., Mertens, I., & Van Gaal, L. F. (2018). Predicting type 2 diabetes mellitus: a comparison between the FINDRISC score and the metabolic syndrome. Diabetology & metabolic syndrome, 10(1), 1-6.
  • Referans 16 Melidonis, A., Tournis, S., Kompoti, M. G., Lentzas, I., Roussou, V., Iraklianou, S., ... & Mariolis, A. (2006). Increased prevalence of diabetes mellitus in a rural Greek population. Rural and Remote Health, 6(1), 1-8.
  • Referans 17 Ning, F., Pang, Z., Laatikainen, T., Gao, W., Wang, S., Zhang, L., ... & Qiao, Q. (2013). Joint effect of family history of diabetes with obesity on prevalence of type 2 diabetes mellitus among Chinese and Finnish men and women. Canadian journal of diabetes, 37(2), 65-71.
  • Referans 18 Nnamudi, A. C., Orhue, N. E. J., & Ijeh, I. I. (2020). Assessment of the FINDRISC tool in predicting the risk of developing type 2 diabetes mellitus in a young adult Nigerian population. Bulletin of the National Research Centre, 44(1), 1-9.
  • Referans 19 Nosrati, E., Jenum, A. K., Tran, A. T., Marmot, S. M., & Peter King, L. (2018). Ethnicity and place: the geography of diabetes inequalities under a strong welfare state. The European Journal of Public Health, 28(1), 30-34.
  • Referans 20 Nyamdorj, R., Pitkäniemi, J., Tuomilehto, J., Hammar, N., Stehouwer, C. D. A., Lam, T. H., ... & Qiao, Q. (2010). Ethnic comparison of the association of undiagnosed diabetes with obesity. International journal of obesity, 34(2), 332-339.
  • Referans 21 Satman, I., Omer, B., Tutuncu, Y., Kalaca, S., Gedik, S., Dinccag, N., ... & Tuomilehto, J. (2013). Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European journal of epidemiology, 28(2), 169-180.
  • Referans 22 Silvestre, M. P., Jiang, Y., Volkova, K., Chisholm, H., Lee, W., & Poppitt, S. D. (2017). Evaluating FINDRISC as a screening tool for type 2 diabetes among overweight adults in the PREVIEW: NZ cohort. Primary care diabetes, 11(6), 561-569.
  • Referans 23 Spencer Bonilla, G., Rodriguez-Gutierrez, R., & Montori, V. M. (2016). What We Don't Talk About When We Talk About Preventing Type 2 Diabetes-Addressing Socioeconomic Disadvantage. JAMA internal medicine, 176(8), 1053–1054. https://doi.org/10.1001/jamainternmed.2016.2952
  • Referans 24 Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., ... & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes research and clinical practice, 183, 109119.
  • Referans 25 Tankova, T., Chakarova, N., Atanassova, I., & Dakovska, L. (2011). Evaluation of the Finnish Diabetes Risk Score as a screening tool for impaired fasting glucose, impaired glucose tolerance and undetected diabetes. Diabetes research and clinical practice, 92(1), 46-52.
  • Referans 26 Trefflich I, Jahn C, Jannasch F, Jäger S, Schulze MB, Mühlenbruch K (2018) Application of diabetes risk scores in health checkups. A comparison of the German Diabetes Risk Score (GDRS) and FINDRISK test. Ernahrungs Umschau 65(11): 180–186
  • Referans 27 Turkish Endocrine and Metabolism Society (TEMS) (2020) Diabetes Mellitus and Its Complications Diagnosis, Treatment and Follow-up Guide 2020. https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf Acess date: 17.03.2022
  • Referans 28 Vandersmissen, G. J., & Godderis, L. (2015). Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in occupational health care. Int J Occup Med Environ Health, 28(3), 587-91.
  • Referans 29 Weisman, A., Fazli, G. S., Johns, A., & Booth, G. L. (2018). Evolving trends in the epidemiology, risk factors, and prevention of type 2 diabetes: a review. Canadian Journal of Cardiology, 34(5), 552-564.
  • Referans 30 West, S. D., Groves, D. C., Lipinski, H. J., Nicoll, D. J., Mason, R. H., Scanlon, P. H., & Stradling, J. R. (2010). The prevalence of retinopathy in men with Type 2 diabetes and obstructive sleep apnoea. Diabetic medicine, 27(4), 423-430.
  • Referans 31 Yildiz, T., Zuhur, S., & Zuhur, S. S. (2021). Diabetes Risk Assessment and Awareness in a University Academics and Employees. The Medical Bulletin of Sisli Etfal Hospital, 55(4), 524.
  • Referans 32 Zhang, L., Zhang, Z., Zhang, Y., Hu, G., & Chen, L. (2014). Evaluation of Finnish Diabetes Risk Score in screening undiagnosed diabetes and prediabetes among US adults by gender and race: NHANES 1999-2010. PloS one, 9(5), e97865.
  • Referans 33 Zheng, Y., Ley, S. H., & Hu, F. B. (2018). Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature reviews endocrinology, 14(2), 88-98.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orijinal Araştırma Makaleleri
Yazarlar

Hasan Evcimen 0000-0003-4352-101X

Neşe İşcan Ayyıldız 0000-0003-0976-8000

Ufuk Doğan 0000-0002-1345-5261

Proje Numarası YOK
Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 16 Ağustos 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 16 Sayı: 1

Kaynak Göster

APA Evcimen, H., İşcan Ayyıldız, N., & Doğan, U. (2023). Diabetes Risk Score of Adult Applications to Primary Health Care Center: A Cross-Sectional Study. Van Sağlık Bilimleri Dergisi, 16(1), 53-59. https://doi.org/10.52976/vansaglik.1162785
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