DM is considered as one of the major health problems worldwide. Type 2 diabetes mellitus is one of the most prevalent conditions, and has become a health challenge in Bangladesh. The preventable lifestyle-related risk factors of T2DM identified overweight, abdominal obesity and sedentary lifestyle with high saturated fat, refined carbohydrate, total energy and low dietary fibre intake. Identification of individuals at risk for T2DM can allow the risk factors, many of which are modifiable, to be addressed reducing the likelihood of developing T2DM.
The purpose of this study was to evaluate a self administered risk-assessment scoring system for identifying Bangladeshi adults at risk to develop type 2 diabetes mellitus.
The present cross-sectional study was carried out in MARKS Medical College & Hospital, Dhaka, Bangladesh during the months of February to July 2018. Sample is comprised of 205 subjects of both sexes; undiagnosed with any endocrine illness, T1DM or T2DM, visiting the outpatient department. The Finnish Diabetes Risk Score (FINDRISC) was used to collect the data including demographic characteristics and different risk factors. Collected data were analyzed by using SPSS (Statistical Package for Social Science) version16.
A total of 205 subjects were included . Of them, 57.1% (n=117) were male and 42.9% (n=88) were female. The mean age of the study group was 37.64±1.07 years (Mean±SD). As per BMI criteria, 34.1% were overweight and 8.8% were obese. The mean systolic blood pressure (mmHg) was 114.2±1.15 (Mean±SD) and diastolic blood pressure (mmHg) was 75.46 ±8.82 (Mean±SD). 52.7% (n=108) had a family history of DM. A total of 6.8 % of the subjects had very high FINDRISC and 33.7 % had slightly elevated risk of developing T2DM within 10 years. The risk assessment (waist circumference for male, body mass index, hypertension and high blood glucose) of T2DM was significant and positively related to the prediction of T2DM among Bangladeshi adults.
Discussion : Among the non-modifiable risk factors, past history of hypertension or blood glucose were the most significant independent risk factors for predicting T2DM. Among the modifiable risk factors that played a substantial role are BMI, WC for male.
This study provides a simple, feasible, non-invasive and convenient screening FINDRISC tool that identifies individuals at risk of having T2DM. If modifiable risk factors are altered, the risk-assessment score can be considerably reduced. People with high risk of DM should be referred for early intervention and changes to a healthy lifestyle and primary prevention to prevent or delay the onset of T2DM.
Nazma Akter– Assistant Professor ( Endocrinology & Metabolism), MARKS Medical College & Hospital, Mirpur-14, Dhaka-1206, Dhaka, Dhaka, Bangladesh
Assistant Professor ( Endocrinology & Metabolism)
MARKS Medical College & Hospital, Mirpur-14, Dhaka-1206
Dhaka, Dhaka, Bangladesh
I am Dr. Nazma Akter, I obtained my MBBS from Shahid Ziaur Rahman Medical College, Bogra, Bangladesh. And DEM from BIRDEM academy , Bangladesh. Now i am working as Assistant Professor (Endocrinology & Metabolism) in MARKS Medical College & Hospital, Mirpur-14, Dhaka -1206.