FINDRISC as a Screening Tool for Metabolic Syndrome and Increased Risk for Diabetes

Issue: 1/2014
Author:  Chakarova Nevena1, Christov Vladimir2, Tankova Tsvetalina1,2,
Dimova Rumiana1, Petkova Malina2
1 Clinical Center of Endocrinology, Medical University, Sofia
2 Bulgarian Institute Metabolic Syndrome

The prevalence of type 2 diabetes is increasing continuously all over the world. Effective preventive measures are urgently needed including identification of high-risk individuals in the general population and early detection of undiagnosed subjects. FINDRISC is the most recommended and wellestablished risk score, estimating the risk for type 2 diabetes.

The aim of the present study is identification of subjects with metabolic syndrome and subjects at high risk for type 2 diabetes and cardiovascular disease amongst random Bulgarian population.

Material and methods: 269 subjects of mean age 53,8 ± 16,6 years participated voluntarily. Study design includes three consecutive steps – identification of high-risk subjects, using FINDRISC, laboratory assessment of fasting plasma glucose and lipid profile of the high-risk subjects and consultation with endocrinologist.

Results: 70,6% of participants are females and 56,6% are over 55 years of age. 51,3% of the identified high-risk subjects have performed the laboratory screening and 8,3% have visited an endocrinologist. The mean FINDRISC score of the studied population is 11,5 ± 5,5. 44,6 % of the high-risk subjects have metabolic syndrome and 32,2% have abnormal glucose levels. 63,3% of subjects are overweight and obese and 81,3% have increased waist circumference. 36,7% of the participants reported hypertension, 31,1% have first degree relative with type 2 diabetes, 30,7% have previously detected elevated glucose, 29,9% do not consume fruits and vegetables daily and 33,5% do not exercise more than 30 minutes daily. FINDRISC showed significant positive correlations with most of the studied parameters.

Conclsions: The risk for type 2 diabetes in a random Bulgarian population assessed with FINDRISC is rather high. The highest prevalence among the risk factors have the anthropometric measures of obesity – BMI and waist circumference. Bulgarians present a low response rate to specialized medical activities aiming at prevention and early diagnosis.

Keywords: diabetes, metabolic syndrome, prevention, FINDRISC

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